resuscitation, and emergency surgery, with severely injured patients being transferred to a Level I or II facility. the highest-level activation tracked from patient arrival for Level I and II trauma centers is 15 minutes, and 30 minutes for Level III trauma centers. World J Surg. Patient Care Policy (General) Modiﬁ ed On:Sep 13, 2010 12:54 24 TRAUMA PATIENT CRITERIA TRAUMA PATIENT CRITERIA 1. The American College of Surgeons Committee on Trauma (ACS COT) aims to develop and implement programs that support injury prevention and ensure optimal patient outcomes across the continuum of care. The trauma patient meets Step 3 criteria as defined by the “Trauma Triage Criteria”. † A Level IV trauma center is capable of providing 24-hour physician coverage, resuscitation, and stabilization to injured patients before transfer to a facility that provides a higher level of trauma care. Level 1 and level 2 trauma centers are very similar, and both can manage people with severe injuries. iii. only one level of activation for all trauma patients meeting activation policy minimum criteria. Highest Level of Activation – The Major/Severe Trauma Patient When a major/severe trauma patient is identified, the highest level of activation is made. Pt does NOT meet criteria for TR1 or TR2 The TR3 activation is determined by the ED attending or a sub-specialty service. Trauma 3. In addition, the ACS verifies trauma centers based on criteria set forth in the Resources for Optimal Care of the Injured Patient often referred to as the “Orange Book.” The Orange Book was developed by the ACS Committee on Trauma and outlines the descriptions of trauma centers and the various levels. They should aspire to meet the needs of trauma patients in the community and region by accepting the responsibility of caring for trauma patients Defining a major or severe trauma patient … Injury. Eid HO, Abu-Zidan FM; New Injury Severity Score Is a Better Predictor of Mortality for Blunt Trauma Patients Than the Injury Severity Score. The program must demonstrate that the surgeon’s presence is in compliance at least 80 percent of the time INTRODUCTION: The goal of the Alameda County trauma system is to transport conﬁ rmed Critical Trauma Patient(s) (CTP) or, potential CTPs who might beneﬁ t from care at a trauma center directly to a designated The 99213 is the second most popular choice for internists who selected this level of care for 37.35% of these encounters in 2018. doi: 10.1016/j.injury.2014.08.020. Both centers require surgeons to be available 24-7 to respond to a trauma patient … care of trauma patients. 2014 Oct45 Suppl 3:S64-9. 2014 Sep 5. Level 3 Established Office Visit (99213) This level of care is located “in the middle’ of the coding spectrum for office visits with established patients. b) After consultation, a Level II Trauma Center Base Station emergency department attending physician may activate the Trauma Care System. The minimum criteria for full trauma team activation are provided in Table 2 in Chapter 5. “Trauma Triage Criteria” Step 4 a) BLS transport personnel may consider consulting a Level II Trauma 2. (3) Level III facilities shall be surveyed by a team that is multi-disciplinary and includes at a minimum: a trauma surgeon and a trauma nurse (ACS or department-credentialed), both active in the management of trauma patients. Page 3 of 5 Adult Trauma Code Criteria – Age 15 – 69 (continued) Level III Trauma Criteria (Consult) Trauma Patients with any of the following and who do not meet Level I or Level II: • Prolonged extrication time • Patient with traumatic mechanism of injury who will be admitted to any service Patient … General surgeons should assume a leadership role in the level 3 trauma hospital and provide clinical oversight of trauma care via the performance improvement process.