digplanet beta 1: Athena
Share digplanet:


Applied sciences






















This article is about the type of hospital. For the TV show, see Trauma Center (TV series). For the video game series, see Trauma Center (series).
Typical trauma room at Level I Trauma Center.

A trauma center is a hospital equipped and staffed to provide comprehensive emergency medical services to patients suffering traumatic injuries. Trauma centers grew into existence out of the realization that traumatic injury is a disease process unto itself requiring specialized and experienced multidisciplinary treatment and specialized resources.

According to the CDC, injuries are the leading cause of death for American children and adults ages 1–44. The leading causes of trauma are motor vehicle accidents, falls, and assaults with a deadly weapon.

In the United States, a hospital can receive trauma center verification by meeting specific criteria established by the American College of Surgeons (ACS) and passing a site review by the Verification Review Committee.[1] Official designation as a trauma center is determined by individual state law provisions. Trauma centers vary in their specific capabilities and are identified by "Level" designation: Level-I (Level-1) being the highest, to Level-III (Level-3) being the lowest (some states have five designated levels, in which case Level-V (Level-5) is the lowest).

Higher levels of trauma centers will have trauma surgeons available, including those trained in such specialties as Neurosurgery and Orthopedic surgery,[2] a nurse specialist in trauma care,[3][4] as well as highly sophisticated medical diagnostic equipment. Lower levels of trauma centers may only be able to provide initial care and stabilization of a traumatic injury and arrange for transfer of the victim to a higher level of trauma care.

The operation of a trauma center is extremely expensive. Some areas—especially rural regions—are under-served by trauma centers because of this expense. As there is no way to schedule the need for emergency services, patient traffic at trauma centers can vary widely. A variety of different methods have been developed for dealing with this.

A trauma center will often have a helipad for receiving patients that have been airlifted to the hospital. In many cases, persons injured in remote areas and transported to a distant trauma center by helicopter can receive faster and better medical care than if they had been transported by ground ambulance to a closer hospital that does not have a designated trauma center. The trauma level certification can directly affect the patient's outcome and determine if the patient needs to be transferred to a higher level trauma center.[citation needed]


The world's first trauma center, the first hospital to be established specifically to treat injured rather than ill patients, was the Birmingham Accident Hospital, which opened in Birmingham, England in 1941, after a series of studies found that the treatment of injured persons within England was inadequate. By 1947, the hospital had three trauma teams, each including two surgeons and an anaesthesiologist, and a burns team with three surgeons. The hospital became part of the National Health Service on its formation in July 1948 and closed in 1993.[5]

The concept of a shock trauma center was developed at the University of Maryland, Baltimore, in the 1950s(1) and 1960s by thoracic surgeon and shock researcher R Adams Cowley, who founded what became the Shock Trauma Center in Baltimore, Maryland, in 1960. The R Adams Cowley Shock Trauma Center is the first and longest running shock trauma center in the world.[6] Cook County Hospital in Chicago, Illinois claims to be the second[7] trauma center (opened in 1966) in the United States.[8] Dr. David R Boyd interned at Cook County Hospital from 1963 to 1964 before being drafted into the United States Army. Upon his release from the Army, Dr. Boyd became the first shock-trauma fellow at the R Adams Cowley Shock Trauma Center, Baltimore, Md. from 1967 to 1968. Dr. R Adams Cowley liked Dr. Boyd and considered him a "son". Dr. Boyd returned to Cook County Hospital, where he went on to serve as resident director of the Cook County Trauma Unit.[9]

Definitions in the United States[edit]

In the United States, trauma centers are ranked by the American College of Surgeons (ACS), from Level I (comprehensive service) to Level III (limited-care). The different levels refer to the kinds of resources available in a trauma center and the number of patients admitted yearly. These are categories that define national standards for trauma care in hospitals. Level I and Level II designations are also given adult and or pediatric designations.[10] Additionally, some states have their own trauma-center rankings separate from the ACS. These levels may range from Level I to Level IV. Some hospitals are less-formally designated Level V.

The ACS does not officially designate hospitals as trauma centers. Numerous US hospitals that are not verified by ACS claim trauma center designation. Most states have legislation which determines the process for designation of trauma centers within their state. The ACS describes that responsibility as "a geopolitical process by which empowered entities, government or otherwise, are authorized to designate." The ACS's self-appointed mission is limited to confirming and reporting on any given hospital's ability to comply with the ACS standard of care known as Resources for Optimal Care of the Injured Patient.[11]

The Trauma Information Exchange Program (TIEP)[12] is a program 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. TIEP maintains an inventory of trauma centers in the US, collects data and develops information related to the causes, treatment and outcomes of injury, and facilitates the exchange of information among trauma care institutions, care providers, researchers, payers and policy makers.


Note: A trauma center is a hospital that is designated by a state or local authority or is verified by the American College of Surgeons.[13]

Level I[edit]

A Level I trauma center provides the highest level of surgical care to trauma patients. Being treated at a Level I Trauma Center increases a seriously injured patient’s chances of survival by an estimated 20 to 25 percent.[14] It has a full range of specialists and equipment available 24 hours a day[15] and admits a minimum required annual volume of severely injured patients.

A Level I trauma center is required to have a certain number of the following people on duty 24 hours a day at the hospital:,

Key elements include 24‑hour in‑house coverage by general surgeons and prompt availability of care in varying specialties — such as orthopedic surgery, neurosurgery, plastic surgery (Plastic Surgeons often have expertise in dealing with upper extremity and facial injuries; they play a crucial role in assessing, debriding and reconstructing the full spectrum of soft tissue defects), anesthesiology, emergency medicine, radiology, internal medicine, oral and maxillofacial surgery and otolaryngology (trained to treat injuries of the facial skin, muscles, bones), and critical care, which are needed to adequately respond and care for various forms of trauma that a patient may suffer and rehabilitation services.

Additionally, a Level I center has a program of research, is a leader in trauma education and injury prevention, and is a referral resource for communities in nearby regions.[16]

Level II[edit]

A Level II trauma center works in collaboration with a Level I center. It provides comprehensive trauma care and supplements the clinical expertise of a Level I institution. It provides 24-hour availability of all essential specialties, personnel, and equipment. Minimum volume requirements may depend on local conditions. These institutions are not required to have an ongoing program of research or a surgical residency program.

Level III[edit]

A Level III trauma center does not have the full availability of specialists, but does have resources for emergency resuscitation, surgery, and intensive care of most trauma patients. A Level III center has transfer agreements with Level I or Level II trauma centers that provide back-up resources for the care of exceptionally severe injuries such as rural or community hospitals.[16]

Level IV[edit]

A Level IV trauma center exists in some states where the resources do not exist for a Level III trauma center. It provides initial evaluation, stabilization, diagnostic capabilities, and transfer to a higher level of care. It may also provide surgery and critical-care services, as defined in the scope of services for trauma care. A trauma-trained nurse is immediately available, and physicians are available upon the patient's arrival to the Emergency Department. Transfer agreements exist with other trauma centers of higher levels, for use when conditions warrant a transfer.[16][17]

Level V[edit]

Provides initial evaluation, stabilization, diagnostic capabilities, and transfer to a higher level of care. May provide surgical and critical-care services, as defined in the service's scope of trauma-care services. A trauma-trained nurse is immediately available, and physicians are available upon patient arrival in the Emergency Department. If not open 24 hours daily, the facility must have an after-hours trauma response protocol.

Pediatric trauma centers[edit]

A facility can be designated an adult trauma center, a pediatric trauma center, or an adult & pediatric trauma center. If a hospital provides trauma care to both adult and pediatric patients, the Level designation may not be the same for each group. For example, a Level 1 adult trauma center may also be a Level 2 pediatric trauma center. This is because pediatric trauma surgery is a specialty unto itself. Adult trauma surgeons are not generally specialized in providing surgical trauma care to children, and vice versa, and the difference in practice is significant.

See also[edit]


  1. ^ Verification Review Committee
  2. ^ Andrew B., MD Peitzman; Andrew B. Peitzman; Michael, MD Sabom; Donald M., MD Yearly; Timothy C., MD Fabian (2002). The Trauma Manual. Hagerstwon, MD: Lippincott Williams & Wilkins. p. 3. ISBN 0-7817-2641-7. 
  3. ^ Consultation/Verification Program Reference Guide of Suggested Classification
  4. ^ American College of Surgeons (2006). Consultation/Verification Program, Reference Guide of Suggested Classification. American College of Surgeons. p. 3. ISBN 0-7817-2641-7. 
  5. ^ Wilson, William C. (2007). "History of Trauma". Trauma: Emergency Resuscitation, Perioperative Anesthesia, Surgical Management 1. New York: CRC Press. p. 18. ISBN 0824729196. Retrieved 2012-05-17. 
  6. ^ University of Maryland Medical Center: March 27, 2008-R Adams Cowley Shock Trauma Center History
  7. ^ University of Maryland Medical Center.html
  8. ^ [1]
  9. ^ News from the American College of Surgeons: National Safety Council Presents David R. Boyd, MDCM, FACS, With Service to Safety Award
  10. ^ ACS Verification Site Visit Outcomes
  11. ^ American College of Surgeons: Trauma Programs-Consultation/Verification Programs for Hospitals
  12. ^ Trauma Information Exchange Program
  13. ^ TIEP: Public Reports - Trauma Center Designation and Verification by Level of Trauma Care
  14. ^ Stanford University Medical Center Releases Community Benefits Summary
  15. ^ Ackerman, Todd (2011-03-25). "UTMB trauma center Level 1 again". Houston Chronicle. Retrieved 2011-03-26. 
  16. ^ a b c Khon Kaen Regional Hospital: Trauma & Critical Care Center-Trauma Center levels
  17. ^ North Valley Hospital - Tonasket, WA

External links[edit]

State trauma system regulation[edit]

Original courtesy of Wikipedia: http://en.wikipedia.org/wiki/Trauma_center — Please support Wikipedia.
This page uses Creative Commons Licensed content from Wikipedia. A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia.
929365 videos foundNext > 

Trauma Center Second Opinion: We Need to Operate! - PART 1 - Game Grumps

We're all human cows. Click to Subscribe ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=rg6_QsxEx8o&list=PLRQGRBgN_Enp2yYQ83mV...

Trauma Center: Second Opinion - (Final Boss) 6-8 Vulnerability + Credits

PLEASE READ THE VIDEO DESCRIPTION* *SPOILERS WARNING* *JTV LIVE STREAM: http://www.justin.tv/omegaevolution *Twitter: http://twitter.com/omegaevolution On t...

When Seconds Count -- Inside the Pediatric Trauma Center at CHOP -- Intro (1 of 7)

For more than 25 years, The Children's Hospital of Philadelphia — the first Level 1 Pediatric Trauma Center in Pennsylvania — has provided unparalleled medic...

Trauma Center Second Opinion: Drop the Scalpel! - PART 50 - Game Grumps

Totally got this covered. Click to Blubscribe ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ COMING SOON Previous Episode ▻ https://www.youtube.com/watch?v=Fi...

Trauma Center Second Opinion: Proper Bedside Manners - PART 3 - Game Grumps

HOT PIECE OF RUMPUS Click to Subbyscribey ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=tI8LsgarRWg&list=PLRQGRBgN_Enp2yYQ83m...

Trauma Center Second Opinion: Stop Yelling at Me! - PART 9 - Game Grumps

Where's my ice pick!?! Click to Blubscribe ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=EW4jxae1TiI&index=10&list=PLRQGRBgN_...

Trauma Center Second Opinion: Sergeant Doctor - PART 2 - Game Grumps

Angie's gonna rock your socks. Click to Subbadub ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=jAHZqcs9Ki4&list=PLRQGRBgN_Enp...

Trauma Center Second Opinion: Slap Them Vitals! - PART 47 - Game Grumps

Shot through the heart and you're to blame! Click to Subbyscribey ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=V1plM2892EE&i...

Trauma Center Second Opinion: Unqualified Doctors - PART 5 - Game Grumps

Looking at you S-man. Click to Suh-scrahy ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=9Lj8NFVgrEY&list=PLRQGRBgN_Enp2yYQ83m...

Trauma Center Second Opinion: Stage Fright - PART 19 - Game Grumps

I should start my own taco frat... Click to Suh-scrahy ▻ http://bit.ly/GrumpSubscribe Next Episode ▻ https://www.youtube.com/watch?v=Yjgi9VmQpFY&index=20&lis...

929365 videos foundNext > 

31072 news items


Mon, 22 Dec 2014 03:58:05 -0800

A German government minister said Monday Berlin aimed to set up a trauma center for victims of a mass rape campaign by the Islamic State of Iraq and Syria (ISIS) militant group. Overseas development minister Gerd Mueller told the Bild newspaper that ...
Gainesville Sun
Sun, 21 Dec 2014 01:00:00 -0800

A trauma patient from a serious car accident is wheeled into the Trauma Resuscitation Room at Ocala Regional Medical Center in Ocala, Fla. in December 2014. The trauma center at Ocala Regional has been in operation for two years. (Eds. Note: It has ...
Frederick News Post (subscription)
Mon, 22 Dec 2014 05:18:45 -0800

A 21-year-old man was flown to a Baltimore shock trauma center after his vehicle struck a tree early Monday in Monrovia. Maryland State Police were called to the scene of the crash at 2 a.m. near Fingerboard Road, east of Green Valley Road, according ...
Sat, 20 Dec 2014 16:56:15 -0800

Kaiser Permanente Vacaville Medical Center is now verified as a Level II trauma center by the American College of Surgeons, an achievement that recognizes the trauma center's dedication to providing the highest quality trauma care for all injured patients.

The Tennessean

The Tennessean
Thu, 18 Dec 2014 15:48:45 -0800

“Achieving the status of an ACS-verified Level 1 trauma center is the epitome of excellence in the management of critically injured patients,” Richard Miller, chief of the Division of Trauma and Surgical Critical Care, said in a press release. “It ...

Chicago Tribune

Chicago Tribune
Tue, 09 Dec 2014 09:48:43 -0800

University of Chicago Medical Center President Sharon O'Keefe said university officials had started thinking about the expanded pediatric trauma center before recent demonstrations, but heard the desires of the activists. The pediatric trauma center at ...


Fri, 19 Dec 2014 08:57:02 -0800

HARDWICK — The driver of an asphalt truck was injured Thursday morning when the vehicle overturned. A witness indicated the dump truck was carrying asphalt to a construction site on Old Mine Road when it overturned in the area of Millbrook Village on ...

Washington Post

Washington Post
Fri, 12 Dec 2014 03:01:57 -0800

On a single sweltering summer night, the flow of crime and accident victims never slowed at MedStar Washington Hospital Center's trauma center in Northwest.A man arrived in shock, a bullet having severed a portion of one of his lungs. Later, a man was ...

Oops, we seem to be having trouble contacting Twitter

Support Wikipedia

A portion of the proceeds from advertising on Digplanet goes to supporting Wikipedia. Please add your support for Wikipedia!

Searchlight Group

Digplanet also receives support from Searchlight Group. Visit Searchlight