Trauma Centers...

What makes an ER a Level 1, Level 2 trauma center, etc....??

Thanks!!

In Illinois it has to do with services offered.

Level 1 must have OR in house and available 24 hours

They have to in house Trauma surgeons 24 hours

Level 2s can have up to 30 minutes to get a Trauma surgeon and a surgical crew in house.

There's more but it all has to do with availability of services

Here in FL the requirements for a level 1 trauma center are as follows:

Level One Facility Requirements:

In house qualified trauma surgeon

In house qualified neurosurgeon

In house qualified radiologist

In house qualified emergency physician

In house qualified anesthesiologist

Trauma medical director (trauma surgeon)

Emergency medicine medical director (MD/DO)

Trauma program manager (RN)

24 hour CT availability

24 hour equipped and staffed operating suite

Backup and equipped surgical suite

Trauma intensive care facilities for adult and pediatric patients

Trained trauma team

-At least 1 trauma surgeon (as team leader)

-At least 1 attending EM physician

-At least 2 trained trauma nurses

Dedicated resuscitation suites (to manage two simultaneously multi-system injured patients)

24 hour laboratory facilities

Protocol for in house burn care

Rehabilitation facilities

Helicopter landing pad

Pediatric resuscitation facilities, personnel, and intensive care units

Administrative requirements

Research requirements

EMS requirements

Level Two facilities generally meet all Level One criteria but are not required to have neurosurgeons/trauma surgeons in house. Furthermore, Level Two facilities are not mandated to handle pediatric trauma. Emergency rooms must necessarily be capable of managing critically ill and injured pediatric patients, but Level II facilities are generally not designated as pediaric trauma referral centers (PTRCs). Some hospitals, like North Broward Medical Center, are Level II designated and elect to keep a trauma surgeon in house 24 hours/day.

taken from: http://nsucomems.tripod.com/what_is_a_trauma_center.htm

What makes an ER a Level 1, Level 2 trauma center, etc....??

Thanks!!

The American College of Surgeons Committee on Trauma publishes guidelines and certifies trauma centers. The ACS-COT regularly reviews existing trauma centers and performs site surveys to ensure that the facility is meeting the published guodelines.

You can have all the docs and nurses and toys but without accredidation you are not a trauma center.