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. 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. Verification by the ACS is valid for three years.Our hospital recently became a level III trauma center. The ACS will evaluate a facility's preparedness, resources, policies, and quality improvement process. It verifies that the facility has the resources available for the trauma patient. The ACS provides verification of trauma centers, not a designation. Trauma centers are evaluated and verified by the American College of Surgeons (ACS) to improve trauma care. This designation is unique for adult and pediatric facilities. A Level IV or V trauma center will stabilize an injured patient and arrange for transfer to a higher level of care. A Level I trauma center can provide the highest level of care for a patient presenting after a traumatic injury. ![]() ![]() The trauma center level (Level I- Level V) refers to the resources available to care for a trauma patient. The criteria for the designation of a trauma center varies from state to state, and the designation process itself is the responsibility of state or regional authorities and not healthcare organizations. In the United States, trauma centers are identified through a designation process and a verification process.
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