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Children in foster care are among the most vulnerable patients pediatricians see. These children almost universally have a history of trauma, whether it is physical, psychological, or neglect. The signs and symptoms of this can be difficult to identify, particularly in younger children. By shedding some light on the ways in which trauma can shape a child’s development, foster and adoptive parents — as well as their families and communities — can be empowered to respond in a healthy and positive way.

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After several touch-and-go moments in the early stages of her recovery, things are beginning to look up for Morgan Doremus.

The 15-year-old Ellison High School student was struck by a vehicle while returning to school after lunch Aug. 24.

“She is finally doing really, really well, even though we had a really difficult time getting to where we are now,” Laura Doremus, Morgan’s mother, said.

A 2-year-old boy killed by a vehicle on an Interstate 35 frontage road died of accidental blunt force trauma injuries, a preliminary autopsy report said.

Dr. Matthew L. Davis, 41, the director of trauma, emergency surgery and surgical critical care and system director of trauma at Baylor Scott & White Memorial Hospital, died Thursday in a climbing accident in Colorado.

Davis was in Colorado with Billy Wren, an inventor and businessman, and another friend.

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Trauma encompasses everything from emergency medical services to rehabilitation and all that falls in-between.

Much of the time the focus is on all that goes on in the emergency department where the immediate life saving activities are taking place, or with the EMS personnel who are the first to provide medical assistance to the injured, said Terry Valentino, vice president of system trauma program at Baylor Scott & White – Central Texas.

“The OR and the ICU play significant roles,” Valentino said.

There are floor teams, who care for the patient when they are released from ICU, and there’s rehabilitation, he said. Along the way there’s a wide variety of doctors, nurses and staff who are involved with the patient’s care. There’s the trauma program staff make sure all the rules are being followed.

“It’s a multidisciplinary approach,” Valentino said.

Scott & White Memorial has had a Level I Trauma designation since 2001 and recently received verification from the American College of Surgeons.

Verification is an evaluation process performed by the American College of Surgeons every three years. Designation happens at the state level, which follows the standards of the American College of Surgeons, said Dr. Matthew Davis, trauma surgeon at Scott & White Memorial and system director of trauma at Baylor Scott & White – Central Texas.