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 review of the centre by the Verification Review Committee. A Level III trauma centre does not have the full availability of specialists, but has resources for emergency resuscitation, surgery and intensive care for most trauma patients. A trauma centre (or trauma centre) is a hospital equipped and staffed to care for patients suffering from severe traumatic injuries, such as falls, motor vehicle collisions or gunshot wounds. Level I, II, III, IV or V) refers to the type of resources available in a trauma centre and the number of patients admitted annually.
A Level I trauma centre is able to provide comprehensive care for all aspects of injuries, from prevention to rehabilitation. Trauma centres must meet certain requirements to be designated as Level I to Level IV, with Level I trauma centres providing the highest level of specialised care. In 1947, the hospital had three trauma teams, each with two surgeons and an anaesthesiologist, and a burns team with three surgeons. In addition, Level I and II trauma centres must have a spectrum of medical specialists including cardiology, internal medicine, gastroenterology, infectious diseases, pulmonary medicine and nephrology.
All trauma centres are strongly encouraged to use the Brain Trauma Foundation Guidelines for topics such as adult and pediatric head trauma, prehospital management, surgical management, penetrating injuries, and acute spinal cord and spinal cord injuries. It provides initial assessment, stabilisation, diagnostic capability and transfer to a higher level of care. Therefore, getting to the nearest trauma centre of any type should be the priority for the severely injured 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. Most states have legislation that determines the designation process for trauma centres within that state.
The world's first trauma centre, the first hospital created specifically to treat injured rather than sick patients, was the Birmingham Accident Hospital, which opened in Birmingham, England in 1941 after a series of studies determined that the treatment of the injured in England was inadequate. The Trauma Information Exchange Program (TIEP) is a programme of the American Trauma Society in collaboration with the Johns Hopkins Center for Injury Research and Policy and is funded by the Centers for Disease Control and Prevention. They can provide surgical and critical care services, as defined in the service's trauma care scope of services. They have the resources to provide advanced trauma life support (ATLS) prior to transferring patients to a higher level trauma centre.