Levels I, II, III, IV or V) refer to the types of resources available in a trauma centre and the number of patients admitted annually. This requirement does not exist for level 2 trauma centres, which also do not require continuous rotations in trauma surgery for senior residents. Transfer agreements exist with other higher level trauma centres, to be used when conditions warrant a transfer. For almost all trauma patients, the most important factors determining survival are the initial assessment of the injury and the initial resuscitation with fluids and blood transfusions performed in the emergency department.
The ACS does not designate trauma centres, but rather verifies the presence of the resources listed in Resources for Optimal Care of the Injured Patient. A Level V trauma centre provides initial assessment, stabilisation and diagnostic capability and prepares patients for transfer to higher levels of care. Level III trauma centres do not have such extensive requirements for specialists on staff and only require general surgery, orthopaedic surgery and internal medicine. The location of Ohio's trauma centres means that most Ohioans live within 25 miles of a Level I, II or III hospital.
They provide initial assessment, stabilisation, diagnostic capability and transfer to a higher level of care. Level I, II, III, IV or V) refers to the types of resources available within a trauma centre and the number of patients admitted annually. The level of a trauma centre is determined by the hospital 's verification status by the American College of Surgeons. If a hospital provides trauma care to both adult and paediatric patients, the level designation may not be the same for each group.
Therefore, getting to the nearest trauma centre of any type should be the priority for the severe trauma patient: if a Level II trauma centre is 20 minutes further away than a Level III trauma centre, then it is better for the patient to stop at the Level III trauma centre. These hospitals are verified by the American College of Surgeons as Trauma Centres with highly trained physicians who specialise in the treatment of traumatic injuries. While the ER treats a wide variety of ailments, ranging from non-life-threatening injuries to possible heart attacks and strokes, a trauma centre is equipped to treat more serious conditions, such as car accident injuries, gunshot wounds, traumatic brain injuries, stab wounds, severe falls and blunt trauma. It provides comprehensive trauma care and complements the clinical expertise of a Level I institution.
In the United States, a hospital can receive trauma centre status if it meets specific criteria established by the American College of Surgeons (ACS) and passes a facility review by the Verification Review Committee.