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 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 Commonwealth's Trauma Foundation criteria.
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," "Level 1," or "Level One" 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:
★
Level II trauma center
★
Level III trauma center
External links
★
American College of Surgeons description of trauma center verification program
★
ACS List of U.S. Trauma Centers