Trauma Centers


Injured patients need treatment at the hospital best staffed and equipped to meet their special needs. Maryland's system of care ensures that patients promptly get to the most appropriate hospital in an effort to decrease morbidity and mortality. (For differences in standards in the levels of trauma centers, see the Trauma Center Categorization chart below.)


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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