Trauma center levels: Difference between revisions

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===Level II===
===Level II===
*24-hour immediate coverage by gen surg, as well as coverage by ortho, NS, anesthesiology, EM, rads, and critical care
*24-hour immediate coverage by gen surg, as well as coverage by ortho, NS, anesthesiology, EM, rads, and critical care
*Tertiary care needs such as CT surg, need for HD, vasc surg may be referred to a Level I Trauma Center
*Tertiary care needs such as CT surg, need for HD, vasc surgery may be referred to a Level I Trauma Center
*Provides trauma prevention and to continuing education programs
*Provides trauma prevention and to continuing education programs
*QA program
*QA program


===Level III===
===Level III===
*24-hour immediate coverage by EM providers and the prompt availability of gen surg and anesthesiology
*24-hour immediate coverage by EM providers and the prompt availability of gen surgery and anesthesiology
*QA program
*QA program
*Transfer agreements with Level I and/or Level II Trauma Centers
*Transfer agreements with Level I and/or Level II Trauma Centers
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*Transfer agreements with Level I and/or Level II Trauma Centers
*Transfer agreements with Level I and/or Level II Trauma Centers


==Criteria for Transport to Trauma Center<ref>Gross EA, Martel ML. Multiple trauma, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 36: 287-295.</ref>==
==See Also==
*Abnormal vital signs
*[[Field trauma triage]]
**BP < 90
**RR < 10 or > 30
**GCS < 14
*Penetrating trauma to head, neck, torso, proximal extremities
*Flail chest
*Two or more long bone fxs
*Mangled extremities
*Pelvic fx
*Depressed skull fx
*Neuro deficit
*Vehicle ejection
*Death in same passenger compartment
*Significant vehicle extrusion
*Pedestrian or bicyclist struck by vehicle with significant impact
*Motorcycle crash > 20 mph
*Elderly or children
*Pts on anticoagulants
*Pregnant pts > 20 wks gestation


==External Links==
==External Links==
[http://www.amtrauma.org/page=TraumaLevels American Trauma Society - Trauma Levels]
*[http://www.amtrauma.org/page=TraumaLevels American Trauma Society - Trauma Levels]


==References==
==References==
<references/>
<references/>


[[Category:EMS]]
[[Category:Trauma]]
[[Category:Trauma]]

Latest revision as of 08:53, 21 October 2017

Back Ground

  • Trauma centers are categorized from Level I-V with designation of adult and pediatric care
  • Centers are evaluated and verified by the ACS

US Trauma Center Levels

Level I

  • 24-hour in-house coverage by gen surg, and prompt availability of care in ortho, NS, anesthesiology, EM, IM, rads, plastics, OMFS, and critical care
  • Referral center
  • Community leadership and education
  • Continuing education
  • QA program
  • Operates an organized teaching and research effort

Level II

  • 24-hour immediate coverage by gen surg, as well as coverage by ortho, NS, anesthesiology, EM, rads, and critical care
  • Tertiary care needs such as CT surg, need for HD, vasc surgery may be referred to a Level I Trauma Center
  • Provides trauma prevention and to continuing education programs
  • QA program

Level III

  • 24-hour immediate coverage by EM providers and the prompt availability of gen surgery and anesthesiology
  • QA program
  • Transfer agreements with Level I and/or Level II Trauma Centers
  • Provides back-up care for rural and community hospitals
  • Continuing education

Level IV

  • Basic ED which can implement ATLS protocols ("trauma nurse" and physician)
  • 24-hour labs
  • May provide surgery and critical-care services
  • Transfer agreements with Level I and/or Level II Trauma Centers
  • QA program

Level V

  • Basic ED which can implement ATLS protocols ("trauma nurse" and physician)
  • After-hours activation protocols if facility is not open 24-hours a day
  • May provide surgery and critical-care services if available
  • Transfer agreements with Level I and/or Level II Trauma Centers

See Also

External Links

References