Acute Assessment and Management of Pediatric Trauma

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Personal / Title / Center Information

*First Name:

*Last Name:

*Email:

*Phone Number:

*Job Title (check all that apply):

emergency department MD

emergency department RN

general surgery MD

anesthesiology MD

anesthesia CRNA

post-anesthesia care unit RN

critical care MD

critical care RN

Other Title:

*Trauma Center/Hospital:

*WA State Trauma Center Designation (check all that apply):

Adult Level I

Adult Level II

Adult Level III

Adult Level IV

Pediatric Level I

Pediatric Level II

Pediatric Level III

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Acute Assessment & Management of Pediatric Trauma

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