In 1992, the Texas Board of Health divided the state into 22 regions called "trauma service areas". A regional
advisory council ("RAC") was formed in each region to develop and implement the trauma system for that region.
Since no funding was trauma incidents, preventable deaths, reduce the severity of trauma-related disability and
to make sure that all Texas trauma victims receive the best care possible. For the past few years, we have also
been helping hospitals make sure they are prepared to respond to a bioterrorism attack or a wide-scale natural
The Big Country Regional Advisory Council (TSA-D) was incorporated on August 12, 1994 and services the
Brown, Callahan, Coleman, Comanche, Eastland, Fisher, Haskell, Jones, Knox, Mitchell, Nolan, Shackelford,
The mission of the Big Country Regional Advisory Council is to facilitate the development, implementation and
operation of a comprehensive emergency services plan encompassing all health-care related issues,
including, but not limited to, trauma, natural and man-made disasters, as well as medical and population
specific needs based on accepted standards of care to decrease morbidity and mortality as defined by Texas
Department of State Health Services. The organization will solicit participation from all health-care facilities,
organizations, professional societies, community representatives and entitles related to health-care within the
designated trauma service area. It will encourage multi-community participation in providing health-care, work to
promote the improvement of facilities and services, and cooperate with all entities, agencies, and organizations
in the establishment of an efficient and effective system of health-care for all whom may require such services.