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Level I
Regional resource hospital; plays central role in a trauma system Classified as: adult, adult and pediatric, or pediatric Level 1 TC Provides comprehensive trauma care, from prevention through rehabilitation Maintains resources and personnel for patient care, education and research (usually a university-based teaching hospital). Provides leadership in education, research and trauma system planning to all trauma centers in a region
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Level II
Provides comprehensive trauma care, regardless of injury severity Oftentimes the most prevalent facility in a community; may manage the majority of trauma patients in that community or supplement the activity of a Level I TC Can be an academic institution or a public or private community facility located in an urban, suburban or rural area Where no Level I TC exists, is responsible for education and trauma system leadership
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Level III
Provides prompt assessment, resuscitation, emergency surgery and stabilization. Will arrange transfer to a higher-level facility when necessary Maintains continuous general surgery coverage Has transfer agreements and standardized treatment protocols to plan for care of injured patients Might not be required in urban or suburban area with adequate Level 1 or II TCs
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Level IV
Rural facility that supplements care within a larger trauma system Provides initial evaluation an assessment of injury patients Must have 24-hour emergency coverage by a physician Has transfer agreements and a good working relationship with the nearest Level I, II, or III TC.
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Level V
Nor formally recognized by the American College of Surgeons Rural or frontier facility that supplements care within a larger trauma system Coverage provided by advanced practice nurses and/or physician assistants, who are trained in trauma resuscitation protocols Has transfer agreements and a good working relationship with the nearest Level I, II, or III TC
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