Trauma center levels

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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