This type of analysis is needed for policy and systems planning. Missing from the literature is a large, nationally-representative, inclusive study that discriminates outcome by center type. 16 Empirically, one could question whether increased trauma volume at general TCs could outweigh any benefit of comfort with the care of pediatric patients at pediatric TCs. In fact, despite multiple single-center and state-based studies, a recent review concluded that that there is currently insufficient evidence to determine the best location of care for injured children. While trauma center care has been shown to be life-saving for adults, 7, 15 no such data exist for children. 10, 11 Free-standing children's hospitals, which house many of the pediatric TCs, are growing in number, experiencing increases in patient volume, 12 and are federally funded to deliver pediatric training despite higher total costs per admission. 9 While 84.1% of the US adult population have access to a TC within an hour, only 71.5% of the pediatric population have access to a pediatric TC since fewer exist, resulting in 17 million children without timely access to specialized trauma care.
#Pa trauma center levels series
In 2006, the Institute of Medicine, through a series of publications, made strong recommendations to improve triage, transport, and treatment of injured children by focusing on regionalization, accountability, and improving the pediatric skill of providers. 8 However, the integration of pediatric patients into the trauma system remains incomplete. The Emergency Medical Services for Children (EMSC) program was created to ensure that injured children receive appropriate emergency care.
#Pa trauma center levels verification
**General Trauma Centers are also referred to as “Adult Trauma Centers” or just “Trauma Centers” by some verification bodies, including the ACS-COT Has not sought, or been granted, trauma center verification of any kind.
Second level of trauma verification as a trauma center which can provide definitive initial care, with nearly all personnel and resources readily available and a quality improvement programĪble to provide prompt assessment, resuscitation, surgical intervention and stabilization of injured patients.Īble to provide stabilization and transfer to a higher level of trauma care Highest level of trauma verification as a comprehensive trauma center with all personnel and resources readily available, a strong quality improvement program and ongoing trauma-specific research within the center Separately verified as both a general TC and a pediatric TC While some demonstration of an ability to stabilize children is included in general TC verification, these hospitals have no specific verification as a pediatric trauma center Verified (as above) as having resources and personnel required to care for injured patients Verified (as above) as having the resources and personnel required to care for injured children Verified as a trauma center by ACS-COT * or a recognized state organization based on a published set of criteria with initial and ongoing verification of compliance with these criteria
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