![]() Level III and IV trauma centers generally provide initial stabilization of trauma patients with the greatest difference being surgical capabilities at the Level III facilities. Level Is require some additional pediatric specialties and are research and teaching facilities. Level I and II Pediatric Trauma Centers focus specifically on pediatric trauma patients. Level I and II Trauma Centers have similar personnel, services, and resource requirements with the greatest difference being that Level Is are research and teaching facilities. It is recommended that readers consult the specific requirements for each Trauma Center designation level included in Title 22, Division 9, Chapter 7 – Trauma Care Systems which can be accessed at: regs7.pdf TRAUMA CENTER LEVELS It is intended only as a basic overview and is not inclusive of all requirements. b Orthopaedic and Trauma Unit, Cairns Hospital and James Cook University, Carins, QLD. The Trauma Center level information below is provided as a quick reference. a Department of Traumatology, John Hunter Hospital, Newcastle, NSW. Trauma Center designations include levels I – IV and Level I and II Pediatric (pediatric specific facilities). A trauma center (or trauma centre) is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls. Performance Improvement and Patient Safety Program.A trauma program medical director and a trauma nurse coordinator.General requirements for all trauma centers include: This is a trauma care teaching facility.All trauma centers are licensed hospitals, designated by a local Emergency Medical Services Agency (LEMSA) as a Trauma Center, and include personnel, services, and equipment necessary for the care of trauma patients. Level I: This is the highest level, with all the features of level II, plus physician anesthesia and a trauma research program. This is a tertiary referral facility, capable of managing all types of trauma. Extensive specialty services are available, including cardiac, thoracic and orthopedic surgery. 24-hour neurosurgical capacity is required. Level II: A facility which staffs a 24-hour trauma service with at least an emergency department physician, and which maintains a surgeon-led trauma team with rigorous response standards, capable of immediate surgical intervention when necessary. This is an intermediate facility, capable of handling non-surgical trauma. Changes in staff qualification were reported in 24. Such reported changes were noted in 29 of level I centers, 54 of level II centers, and 44 of level III centers. X-ray, laboratory services, recovery room and intensive care beds are required. In a survey, 43 of all trauma centers reported organizational changes such as local trauma room protocols, quality mechanisms, and communication with EMS. Level III: A facility which staffs a 24-hour emergency service with at least a physician, and which has general surgical services on an on-call basis. This is a primary referral facility, for rapid stabilization and transfer to definitive care. No surgical or diagnostic services are required. Level IV: A facility which staff s a 24-hour emergency service with at least a “physician extender” such as a licensed physician’s assistant, a nurse practitioner, a registered nurse or a paramedic, with special trauma training as defined by that facility. All levels of a recognized trauma center must maintain a trauma registry and operate quality assurance processes informed by it.
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