Trauma & Specialty Referral Centers

Specialty referral centers within the Maryland EMS System

The State EMS Board is the entity responsible for the evaluation and regulation of all emergency medical services and the designation and verification of hospitals to be recognized as Perinatal and Neonatal Specialty Referral Centers. Specialty referral centers can receive interfacility transports.

MIEMSS, with the approval of the EMS Board, designates and verifes hospitals as specialty referral centers.  Each hospital’s compliance with the specialty care standards and evaluate their appropriateness and capability to provide specialty care services according to the designation standards by reviewing an application that is submitted to MIEMSS and then conducting an on-site review. MIEMSS will reverify each specialty referral center within 5 years.

COMAR Regulations for Trauma and Specialty Referral Centers

Elizabeth Wooster, PhD
Director, Trauma & Injury Specialty Care Program
443-467-7361 | ewooster@miemss.org


COMAR 30.08 – Designation of Trauma and Specialty Referral Centers
COMAR 30.08.05 – Trauma Center Designation Center designation and Verification Standards
COMAR 30.08.06 – Adult and Pediatric Burn Center Standards
COMAR 30.08.07 – Specialty Referral Center Designation Standards
COMAR 30.08.08 – Pediatric Trauma Center Standards
COMAR 30.08.09 – Eye Trauma Center Standards
COMAR 30.08.10 – Neurotrama Center Standard
COMAR 30.08.14Hand and Upper Extremity Trauma Center Standards


Neurotrauma (Head and Spinal Cord Injuries)

Trauma & Specialty Centers Designations

Hospital Trauma or
Specialty Designation
Year of
Designation
Childern's National Medical Center, Wash. DC Pediatric Burn (ADA) 2023
Johns Hopkins Bayview Medical Center Level II AdultTrauma 2023
Johns Hopkins Bayview Medical Center Adult Burn 2023
The Johns Hopkins Hospital Level I Adult Trauma 2023
Suburban Hospital Johns Hopkins Medical Level II AdultTrauma 2023
LifeBridge Sinai Hospital of Baltimore Level II AdultTrauma 2023
MedStar Union Memorial Hospital Hand/Upper Extermity 2023
Meritus Medical Center Level III Adult Trauma 2023
TidalHealth Peninsula Regional Level III Adult Trauma 2023
Univ of MD Capital Regional Medical Center Level II AdultTrauma 2023
R. Adams Cowley Shock Trauma Center PARC 2023
R. Adams Cowley Shock Trauma Center Neurotrauma 2023
UPMC Western Maryland  Level III Adult Trauma 2023
The Johns Hopkins Hospital Pediatric Burn (ADA) 2020
The Johns Hopkins Hospital Pediatric Trauma 2020
Childern's National Medical Center, Wash. DC Pediatric Trauma (ACS) 2021
Johns Hopkins Hospital Wilmer Eye Center Eye 2021
Christiana Care Hospital Level I Adult Trauma 2021


Trauma Center Categorization

Trauma Center Categorization
Differences in Standards Based on Physician Availablity and Dedicated Resources
PARC Level I Level II Level III
Attending surgeon who is fellowship-trained and is in the hospital at all times X      
Dedicated facilities (Resuscitation Unit, Operating Room, and Intensive Care Unit) 24 hours X      
Facilities (Resuscitation Unit, Operating Room, and Intensive Care Unit) available at all times X X X X
Trauma Surgeon available in the hospital at all times   X X  
On-call Trauma Surgeon available within 30 minutes of call       X
Anesthesiologist in the hospital at all times and dedicated to trauma care X      
Anesthesiologist in the hospital at all times but shared with other services   X X  
On-call Anesthesiologist with CRNA who is in the hospital       X
Orthopedic Surgeon in the hospital at all times and dedicated to trauma care X      
Orthopedic Surgeon in the hospital at all times but shared with other services   X    
On-call Orthopedic Surgeon  available within 30 minutes of call     X X
Neurosurgeon in the hospital at all times and dedicated to trauma care X      
Neurosurgeon in the hospital at all times but shared with other services   X    
On-call Neurosurgeon available within 30 minutes of call     X X
Fellowship-trained/board certified surgical director of the Intensive Care Unit X X    
Physician with priveleges in critical care on duty and the Intensive Care Unit 24 hours a day X X X  
Comprehensive Trauma Research Program X X    
Education - Fellowship Training in Trauma X      
Surgical Residency Program X X    
Outreach Professional Education X X X  

 

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