Guest guest Posted February 6, 2005 Report Posted February 6, 2005 first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 Remember, there is no clinical difference between a Level I and Level II trauma center except a Level I has a required research component and almost always has an associated medical school. BEB E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) Re: Army Medical Center first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 Remember, there is no clinical difference between a Level I and Level II trauma center except a Level I has a required research component and almost always has an associated medical school. BEB E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) Re: Army Medical Center first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 Remember, there is no clinical difference between a Level I and Level II trauma center except a Level I has a required research component and almost always has an associated medical school. BEB E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) Re: Army Medical Center first I've heard of it, but that's not saying much. I've been looking through the San news archives, and haven't seen anything on it (did a Google search too). Sounded pretty unlikely to me as well. Quinten wrote: >Heard a rumor that Army Medical Center loss their Level 1 trauma >rating. Too me this is hard to believe. Has anyone else heard such rumor? > > >Quinten >Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 From a reliable source: " Complete hogwash! They just passed their last designation survey with flying colors. .....was told by the Col. in charge that the survey was quite successful. " Also, trauma designation can be viewed at http://www.tdh.state.tx.us/hcqs/ems/Etrahosp.htm#Level%20I BTW the correct name of the facilty is Army Medical Center not Army Medical Center > > Heard a rumor that Army Medical Center loss their Level 1 trauma > rating. Too me this is hard to believe. Has anyone else heard such rumor? > > > Quinten > Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 From a reliable source: " Complete hogwash! They just passed their last designation survey with flying colors. .....was told by the Col. in charge that the survey was quite successful. " Also, trauma designation can be viewed at http://www.tdh.state.tx.us/hcqs/ems/Etrahosp.htm#Level%20I BTW the correct name of the facilty is Army Medical Center not Army Medical Center > > Heard a rumor that Army Medical Center loss their Level 1 trauma > rating. Too me this is hard to believe. Has anyone else heard such rumor? > > > Quinten > Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 From a reliable source: " Complete hogwash! They just passed their last designation survey with flying colors. .....was told by the Col. in charge that the survey was quite successful. " Also, trauma designation can be viewed at http://www.tdh.state.tx.us/hcqs/ems/Etrahosp.htm#Level%20I BTW the correct name of the facilty is Army Medical Center not Army Medical Center > > Heard a rumor that Army Medical Center loss their Level 1 trauma > rating. Too me this is hard to believe. Has anyone else heard such rumor? > > > Quinten > Firefighter/Paramedic > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 American College of Surgeons Committee on Trauma Classification System of Trauma Center Level ACS Levels and Descriptions Level I Provides comprehensive trauma care, serves as a regional resource, and provides leadership in education, research, and system planning. A level I center is required to have immediate availability of trauma surgeons, anesthesiologists, physician specialists, nurses, and resuscitation equipment. American College of Surgeons' volume performance criteria further stipulate that level I centers treat 1200 admissions a year or 240 major trauma patients per year or an average of 35 major trauma patients per surgeon. Level II Provides comprehensive trauma care either as a supplement to a level I trauma center in a large urban area or as the lead hospital in a less population-dense area. Level II centers must meet essentially the same criteria as level I but volume performance standards are not required and may depend on the geographic area served. Centers are not expected to provide leadership in teaching and research. Level III Provides prompt assessment, resuscitation, emergency surgery, and stabilization with transfer to a level I or II as indicated. Level III facilities typically serve communities that do not have immediate access to a level I or II trauma center. Level IV & V Provides advanced trauma life support prior to patient transfer in remote areas in which no higher level of care is available. The key role of the level IV center is to resuscitate and stabilize patients and arrange for their transfer to the closest, most appropriate trauma center level facility. Level V trauma centers are not formally recognized by the American College of Surgeons, but they are used by some states to further categorize hospitals providing life support prior to transfer. From the ACS E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) RE: Army Medical Center I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 There are four separate categories of verification in the COT's program (Level I, II, III, and IV), each with specific criteria that must be met by a facility seeking that level of verification. LEVEL I As verified by the American College of Surgeons' Committee on Trauma, a Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury - from prevention through rehabilitation. Key elements of a Level I Trauma Center 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. Other capabilities include cardiac, hand, pediatric, microvascular surgery and hemodialysis. The Level I Trauma Center provides leadership in prevention, public education and continuing education of the trauma team members. The Level I Trauma Center is committed to continued improvement through a comprehensive quality assessment program and an organized research effort to help direct new innovations in trauma care. LEVEL II As verified by the American College of Surgeons' Committee on Trauma, a Level II Trauma Center is able to initiate definitive care for all injured patients. Key elements of a Level II Trauma Center include 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. The Level II Trauma Center is committed to trauma prevention and to continuing education of the trauma team members. The Level II Trauma Center is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. LEVEL III As verified by the American College of Surgeons' Committee on Trauma, a Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, stabilization of injured patients and emergency operations. Key elements of a Level III Trauma Center include 24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists. The Level III program is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. The Level III Trauma Center has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. A Level III Trauma Center is committed to the continued education of the nursing and allied health personnel or the trauma team. It must be involved with prevention and must have an active outreach program for its referring communities. The Level III Trauma Center is also dedicated to improving trauma care through a comprehensive quality assessment program. LEVEL IV As verified by the American College of Surgeons' Committee on Trauma, a Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center. Key elements of a Level IV Trauma Center include basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Transfer to higher level trauma centers follows the guidelines outlined in formal transfer agreements. The Level IV center is committed to continued improvement of these trauma care activities through a formal quality assessment program. The Level IV center should be involved in prevention, outreach and education within its community. E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) RE: Army Medical Center I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 There are four separate categories of verification in the COT's program (Level I, II, III, and IV), each with specific criteria that must be met by a facility seeking that level of verification. LEVEL I As verified by the American College of Surgeons' Committee on Trauma, a Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury - from prevention through rehabilitation. Key elements of a Level I Trauma Center 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. Other capabilities include cardiac, hand, pediatric, microvascular surgery and hemodialysis. The Level I Trauma Center provides leadership in prevention, public education and continuing education of the trauma team members. The Level I Trauma Center is committed to continued improvement through a comprehensive quality assessment program and an organized research effort to help direct new innovations in trauma care. LEVEL II As verified by the American College of Surgeons' Committee on Trauma, a Level II Trauma Center is able to initiate definitive care for all injured patients. Key elements of a Level II Trauma Center include 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. The Level II Trauma Center is committed to trauma prevention and to continuing education of the trauma team members. The Level II Trauma Center is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. LEVEL III As verified by the American College of Surgeons' Committee on Trauma, a Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, stabilization of injured patients and emergency operations. Key elements of a Level III Trauma Center include 24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists. The Level III program is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. The Level III Trauma Center has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. A Level III Trauma Center is committed to the continued education of the nursing and allied health personnel or the trauma team. It must be involved with prevention and must have an active outreach program for its referring communities. The Level III Trauma Center is also dedicated to improving trauma care through a comprehensive quality assessment program. LEVEL IV As verified by the American College of Surgeons' Committee on Trauma, a Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center. Key elements of a Level IV Trauma Center include basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Transfer to higher level trauma centers follows the guidelines outlined in formal transfer agreements. The Level IV center is committed to continued improvement of these trauma care activities through a formal quality assessment program. The Level IV center should be involved in prevention, outreach and education within its community. E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) RE: Army Medical Center I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 There are four separate categories of verification in the COT's program (Level I, II, III, and IV), each with specific criteria that must be met by a facility seeking that level of verification. LEVEL I As verified by the American College of Surgeons' Committee on Trauma, a Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury - from prevention through rehabilitation. Key elements of a Level I Trauma Center 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. Other capabilities include cardiac, hand, pediatric, microvascular surgery and hemodialysis. The Level I Trauma Center provides leadership in prevention, public education and continuing education of the trauma team members. The Level I Trauma Center is committed to continued improvement through a comprehensive quality assessment program and an organized research effort to help direct new innovations in trauma care. LEVEL II As verified by the American College of Surgeons' Committee on Trauma, a Level II Trauma Center is able to initiate definitive care for all injured patients. Key elements of a Level II Trauma Center include 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. The Level II Trauma Center is committed to trauma prevention and to continuing education of the trauma team members. The Level II Trauma Center is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. LEVEL III As verified by the American College of Surgeons' Committee on Trauma, a Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, stabilization of injured patients and emergency operations. Key elements of a Level III Trauma Center include 24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists. The Level III program is dedicated to continued improvement in trauma care through a comprehensive quality assessment program. The Level III Trauma Center has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. A Level III Trauma Center is committed to the continued education of the nursing and allied health personnel or the trauma team. It must be involved with prevention and must have an active outreach program for its referring communities. The Level III Trauma Center is also dedicated to improving trauma care through a comprehensive quality assessment program. LEVEL IV As verified by the American College of Surgeons' Committee on Trauma, a Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center. Key elements of a Level IV Trauma Center include basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Transfer to higher level trauma centers follows the guidelines outlined in formal transfer agreements. The Level IV center is committed to continued improvement of these trauma care activities through a formal quality assessment program. The Level IV center should be involved in prevention, outreach and education within its community. E. Bledsoe, DO, FACEP Midlothian, TX Don't miss EMStock 2005 (http://www.EMStock.com) RE: Army Medical Center I thought that a level II trauma center had general surgery (and anethesiology) on-call and a level I had them in-house. . . Rick Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I'm not trying to be picky, but aren't designations also set at the state and local level? I know Texas requires hospitals to meet or exceed ACS criteria first, but I found this from Oregon DHS: Level I Hospitals The role of the Level I trauma center is to provide the highest level of definitive, comprehensive care for the severely injured adult and pediatric patient with complex, multi-system trauma. A Level I facility is the regional resource trauma center in the system and has the capability of providing total patient care for every aspect of injury from prevention through rehabilitation. Highly specialized care for pediatric trauma, burns, spinal cord injury, eye injury, limb reimplantation, and other clinical problems is available at the Level I center. An emergency physician, general surgeon, anesthesiologist, and nursing and ancillary personnel who can initiate immediate surgery are in-house and available to the patient upon arrival to the emergency department. A neurosurgeon is on-call and promptly available to the patient. A broad range of sub-specialists are on-call and promptly available to provide consultation or care. In addition to direct patient care, Level I trauma centers are responsible for resident training, research, regional quality improvement, community education, outreach, and injury prevention. Level II Hospitals The role of the Level II trauma center is to provide definitive care for severely injured adult and pediatric patients with complex trauma. The services available at a Level II trauma facility and the resource requirements are similar to those at a Level I trauma center. Physicians who are ATLS trained and experienced in caring for traumatically injured patients, nurses, and ancillary staff are in-house and immediately available to initiate resuscitative measures. A board certified general surgeon and anesthesiologist are on-call and available to the patient. A neurosurgeon is on-call and promptly available. There is a broad range of specialists available for consultation or care, and comprehensive diagnostic capabilities and supportive equipment are available. Level II trauma centers serve as regional resource centers for definitive care, quality assurance, community education, outreach, and injury prevention. Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I'm not trying to be picky, but aren't designations also set at the state and local level? I know Texas requires hospitals to meet or exceed ACS criteria first, but I found this from Oregon DHS: Level I Hospitals The role of the Level I trauma center is to provide the highest level of definitive, comprehensive care for the severely injured adult and pediatric patient with complex, multi-system trauma. A Level I facility is the regional resource trauma center in the system and has the capability of providing total patient care for every aspect of injury from prevention through rehabilitation. Highly specialized care for pediatric trauma, burns, spinal cord injury, eye injury, limb reimplantation, and other clinical problems is available at the Level I center. An emergency physician, general surgeon, anesthesiologist, and nursing and ancillary personnel who can initiate immediate surgery are in-house and available to the patient upon arrival to the emergency department. A neurosurgeon is on-call and promptly available to the patient. A broad range of sub-specialists are on-call and promptly available to provide consultation or care. In addition to direct patient care, Level I trauma centers are responsible for resident training, research, regional quality improvement, community education, outreach, and injury prevention. Level II Hospitals The role of the Level II trauma center is to provide definitive care for severely injured adult and pediatric patients with complex trauma. The services available at a Level II trauma facility and the resource requirements are similar to those at a Level I trauma center. Physicians who are ATLS trained and experienced in caring for traumatically injured patients, nurses, and ancillary staff are in-house and immediately available to initiate resuscitative measures. A board certified general surgeon and anesthesiologist are on-call and available to the patient. A neurosurgeon is on-call and promptly available. There is a broad range of specialists available for consultation or care, and comprehensive diagnostic capabilities and supportive equipment are available. Level II trauma centers serve as regional resource centers for definitive care, quality assurance, community education, outreach, and injury prevention. Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I'm not trying to be picky, but aren't designations also set at the state and local level? I know Texas requires hospitals to meet or exceed ACS criteria first, but I found this from Oregon DHS: Level I Hospitals The role of the Level I trauma center is to provide the highest level of definitive, comprehensive care for the severely injured adult and pediatric patient with complex, multi-system trauma. A Level I facility is the regional resource trauma center in the system and has the capability of providing total patient care for every aspect of injury from prevention through rehabilitation. Highly specialized care for pediatric trauma, burns, spinal cord injury, eye injury, limb reimplantation, and other clinical problems is available at the Level I center. An emergency physician, general surgeon, anesthesiologist, and nursing and ancillary personnel who can initiate immediate surgery are in-house and available to the patient upon arrival to the emergency department. A neurosurgeon is on-call and promptly available to the patient. A broad range of sub-specialists are on-call and promptly available to provide consultation or care. In addition to direct patient care, Level I trauma centers are responsible for resident training, research, regional quality improvement, community education, outreach, and injury prevention. Level II Hospitals The role of the Level II trauma center is to provide definitive care for severely injured adult and pediatric patients with complex trauma. The services available at a Level II trauma facility and the resource requirements are similar to those at a Level I trauma center. Physicians who are ATLS trained and experienced in caring for traumatically injured patients, nurses, and ancillary staff are in-house and immediately available to initiate resuscitative measures. A board certified general surgeon and anesthesiologist are on-call and available to the patient. A neurosurgeon is on-call and promptly available. There is a broad range of specialists available for consultation or care, and comprehensive diagnostic capabilities and supportive equipment are available. Level II trauma centers serve as regional resource centers for definitive care, quality assurance, community education, outreach, and injury prevention. Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 No, II's have everything that I's have, for all intents and purposes, except for some specialties on call - the main difference is participation in research activities. Since you titled this BAMC, what's your particular concern there? BAMC is quite often my first-up trauma center... Mike > > I thought that a level II trauma center had general surgery (and > anethesiology) on-call and a level I had them in-house. . . > > Rick > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 No, II's have everything that I's have, for all intents and purposes, except for some specialties on call - the main difference is participation in research activities. Since you titled this BAMC, what's your particular concern there? BAMC is quite often my first-up trauma center... Mike > > I thought that a level II trauma center had general surgery (and > anethesiology) on-call and a level I had them in-house. . . > > Rick > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 No, II's have everything that I's have, for all intents and purposes, except for some specialties on call - the main difference is participation in research activities. Since you titled this BAMC, what's your particular concern there? BAMC is quite often my first-up trauma center... Mike > > I thought that a level II trauma center had general surgery (and > anethesiology) on-call and a level I had them in-house. . . > > Rick > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought Dr. Bledsoe already made this clear...research. Donnie > > > > > I thought that a level II trauma center had general surgery (and > > anethesiology) on-call and a level I had them in-house. . . > > > > Rick > > > > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought Dr. Bledsoe already made this clear...research. Donnie > > > > > I thought that a level II trauma center had general surgery (and > > anethesiology) on-call and a level I had them in-house. . . > > > > Rick > > > > > > Quote
Guest guest Posted February 6, 2005 Report Posted February 6, 2005 I thought Dr. Bledsoe already made this clear...research. Donnie > > > > > I thought that a level II trauma center had general surgery (and > > anethesiology) on-call and a level I had them in-house. . . > > > > Rick > > > > > > Quote
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