Trauma center levels near me verification#
The American College of Surgeons oversees the verification of hospitals as meeting the requirements for level I, II, or III trauma center and the entire document of requirements is 30 pages long but the key differences are summarized in the table below.Ī key element of level I and II trauma centers is the ability to manage the most complex trauma patients with a spectrum of surgical specialists including orthopedic surgery, neurosurgery, cardiac surgery, thoracic surgery, vascular surgery, hand surgery, microvascular surgery, plastic surgery, obstetric & gynecologic surgery, ophthalmology, otolaryngology, and urology. Patients with fall-related injuries and fractures are generally a large percentage of the trauma population cared for at level III trauma centers. Level III centers must have transfer arrangements so that trauma patients requiring services not available at the hospital can be transferred to a level II or III trauma center. Anesthesia and OR staff are also not required to be in the hospital 24-hours a day but must also be available within 30 minutes. Level III Trauma CentersĪ level III trauma center does not require an in-hospital general/trauma surgeon 24-hours a day but a surgeon must be on-call and able to come into the hospital within 30 minutes of being called. There are several minor differences between a level I and II trauma center but the main difference is that the level II trauma center does not have the research and publication requirements of a level I trauma center.
Level II Trauma CentersĪ level II trauma center also has 24-hour coverage by an in-hospital general/trauma surgeon as well as an anesthesiologist. These centers must participate in research and have at least 20 publications per year. The key physician liaisons to the trauma program (trauma surgeon, emergency medicine physician, neurosurgeon, orthopedic surgeon, critical care physician) must all do at least 16 hours of trauma-related CME per year. There must be > 1,200 trauma admissions per year. There must also be immediate availability of an orthopedic surgeon, neurosurgeon, radiologist, plastic surgeon, and oral/maxillofacial surgeon. If anesthesia residents or CRNAs are take in-hospital night call, an attending anesthesiologist must be available from home within 30 minutes.
Trauma center levels near me full#
There must also be an anesthesiologist and full OR staff available in the hospital 24-hours a day as well as a critical care physician 24-hours a day. If a surgical resident is in the hospital 24-hours a day, then the attending surgeon can take call from outside the hospital but must be able to respond within 15 minutes.
There must be a trauma/general surgeon in the hospital 24-hours a day. Level I Trauma CentersĪ level I trauma center provides the most comprehensive trauma care. This post will focus on levels I, II, and III trauma centers (non-pediatric). The level of a trauma center is determined by the verification status of the hospital by the American College of Surgeons. The trauma center levels are determined by the kinds of trauma resources available at the hospital and the number of trauma patients admitted each year. In addition, there is a separate set of criteria for pediatric level I & II trauma centers. There are 5 levels of trauma centers: I, II, III, IV, and V. In total, in Columbus, we have two level I trauma centers, two level II centers, one level III center and one pediatric level I center. Across town, the larger tertiary care Ohio State University hospital is a level I trauma center. Our hospital recently became a level III trauma center.
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