Level I trauma center
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Overview
In the United States, a Level I trauma center provides the highest level of surgical care to trauma patients.
A Level I trauma center is required to have a certain number of surgeons and anesthesiologists on duty 24 hours a day at the hospital, an education program, preventive and outreach programs. Key elements include 24-hour in-house coverage by general surgeons and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, oral and maxillofacial surgery, and critical care.
Level I trauma-center hospitals in most states in the U.S. (New York, Pennsylvania and Florida among others are notable exceptions) are designated by the American College of Surgeons (ACS) for a period of three years. Pennsylvania has its own rankings system, based on the criteria of the Commonwealth's Trauma Foundation.
The ACS does not officially designate hospitals as regional trauma centers, however. Numerous U.S. hospitals that are not listed on the organization's trauma roster nevertheless refer to their emergency or trauma units as "Level I trauma centers." The ACS describes that responsibility as “a geopolitical process by which empowered entities, government or otherwise, are authorized to designate.” The ACS’s self-appointed mission is limited to confirming and reporting on any given hospital’s ability to comply with the ACS standard of care known as Resources for Optimal Care of the Injured Patient.
Lower levels of trauma care are provided by
External links
- American College of Surgeons description of trauma center verification program
- ACS List of U.S. Trauma Centers
Health Science > Medicine > Emergency medicine | |
|---|---|
| Procedures | Advanced cardiac life support (ACLS) · Advanced life support (ALS) · Advanced Trauma Life Support (ATLS) · Basic life support (BLS) · Cardiopulmonary resuscitation (CPR) · First aid · Pediatric Advanced Life Support (PALS) |
| Equipment | Ambulance · Bag valve mask (BVM) · Chest tube · Defibrillation (AED, ICD) · Electrocardiogram (ECG/EKG) · Intraosseous infusion (IO) · Intravenous therapy (IV) · Intubation · Nasopharyngeal airway (NPA) · Oropharyngeal airway (OPA) · Pocket mask |
| People | Certified first responder · Emergency medical technician (EMT) · Paramedic · Emergency physician |
| Drugs | Atropine · Amiodarone · Epinephrine/Adrenaline · Magnesium · Bicarbonate |
| Other | Golden hour · Emergency department · Emergency medical services · Emergency psychiatry · Medical emergency · Trauma center · Triage |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
