Trauma center levels - Revision history

Mholtz at 08:53, 21 October 2017

2017-10-21T08:53:58Z

@@ Line 38: / Line 38: @@
 *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]]
 ==External Links==

Mholtz at 06:30, 27 December 2016

2016-12-27T06:30:32Z

← Older revision		Revision as of 06:30, 27 December 2016
Line 60:		Line 60:

	==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]]

Rossdonaldson1: Text replacement - "surg " to "surgery "

2016-08-01T16:00:17Z

Text replacement - "surg " to "surgery "

← Older revision		Revision as of 16:00, 1 August 2016
Line 14:		Line 14:
	===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

Rossdonaldson1: /* Criteria for Transport to Trauma CenterGross 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. */

2016-01-21T13:29:09Z

Criteria for Transport to Trauma CenterGross 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.

← Older revision		Revision as of 13:29, 21 January 2016
Line 39:		Line 39:

	==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>==		==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>==
	*Abnormal vital signs		*Abnormal [[vital signs]]
	**BP < 90		**BP < 90
	**RR < 10 or > 30		**RR < 10 or > 30
	**GCS < 14		**[[GCS]] < 14
	*Penetrating trauma to head, neck, torso, proximal extremities		*Penetrating trauma to head, neck, torso, proximal extremities
	*Flail chest		*[[Flail chest]]
	*Two or more long bone ~~fxs~~		*Two or more long bone fractures
	*Mangled extremities		*Mangled extremities
	*Pelvic fx		*[[Pelvic fracture]]
	*Depressed skull fx		*Depressed [[skull fracture]]
	*Neuro deficit		*Neuro deficit
	*Vehicle ejection		*Vehicle ejection
Line 56:		Line 56:
	*Motorcycle crash > 20 mph		*Motorcycle crash > 20 mph
	*Elderly or children		*Elderly or children
	*~~Pts~~ on anticoagulants		*Patients on anticoagulants
	*Pregnant ~~pts~~ > 20 ~~wks~~ gestation		*[[Pregnant]] patients > 20 weeks gestation

	==External Links==		==External Links==

Neil.m.young at 20:05, 12 January 2016

2016-01-12T20:05:39Z

← Older revision		Revision as of 20:05, 12 January 2016
Line 59:		Line 59:
	*Pregnant pts > 20 wks gestation		*Pregnant pts > 20 wks gestation

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

			==References==
			<references/>

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

Kxl328 at 19:32, 12 January 2016

2016-01-12T19:32:08Z

@@ Line 37: / Line 37: @@
 *May provide surgery and critical-care services if available
 *Transfer agreements with Level I and/or Level II Trauma Centers
 ==Sources==

Rossdonaldson1: /* Trauma Center Levels */

2015-01-27T19:03:56Z

Trauma Center Levels

← Older revision		Revision as of 19:03, 27 January 2015
Line 3:		Line 3:
	*Centers are evaluated and verified by the ACS		*Centers are evaluated and verified by the ACS

	==Trauma Center Levels==		==US Trauma Center Levels==
	===Level I===		===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		*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

Rossdonaldson1 at 19:03, 27 January 2015

2015-01-27T19:03:36Z

← Older revision		Revision as of 19:03, 27 January 2015
Line 40:		Line 40:
	==Sources==		==Sources==
	American Trauma Society - http://www.amtrauma.org/?page=TraumaLevels		American Trauma Society - http://www.amtrauma.org/?page=TraumaLevels

			[[Category:Trauma]]

Neil.m.young: Created page with "==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 ==Trauma Center Lev..."

2015-01-27T18:45:14Z

Created page with "==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 ==Trauma Center Lev..."

New page

==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

==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 surg 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 surg 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

==Sources==
American Trauma Society - http://www.amtrauma.org/?page=TraumaLevels