Saturday, June 11, 2005

What Is The Difference Between A Trauma Center and An Emergency Room

During the campaign for Proposition BB, PPH placed much emphasis on the importance of North County's Trauma Center. I have been unable to locate "The Trauma Center" at Palomar Medical Center (PMC). Why?

Because a trauma center refers to a hospital having certain capabilities. Thus, PMC is "The Trauma Center." Trauma is physical injury caused by events such as motor-vehicle crashes, falls, explosions, shootings, or stabbings. A Trauma System is an inclusive, regionalized coordinated effort organized to delivery the full range of care to all injured patients. Trauma systems are integrated within the local Emergency Medical Services (EMS) system. The availability of trained personnel and specialized equipment qualifies a hospital as a trauma center. Also, not all trauma centers are equal. An excellent summary and definition of a Trauma Program is given at the following link:
http://www.dph.sf.ca.us/chn/Trauma/TraumaDef.shtml

Trauma center designations are used primarily by EMS for determining where to transport a trauma victim. Detailed information regarding California's trauma system, including applicable laws and regulations, is available at the following link:
http://www.emsa.ca.gov/emsdivision/trmapage.asp

Palomar Medical Center is a Level II trauma center. A listing and a map showing levels and locations of the trauma centers in California is available at the following link:
http://www.emsa.ca.gov/emsdivision/
trauma_center_page.asp


San Diego County has two Level I trauma centers (Scripps-Mercy Hospital & UCSD Medical Center), three Level II trauma centers (PMC, Scripps Memorial & Sharp Memorial Hospital), and one Level II pediatric trauma center (Children's Hospital).

"The term trauma center refers to a hospital that maintains specialized equipment and a panel of physician specialists, including a trauma surgeon available 24 hours a day, 7 days a week to treat trauma patients."
LA County Proposition B - Preservation of Trauma Centers and Emergency Medical Services; Bioterrorism Response, County of Los Angeles; 2002 Election.
The full text of the proposition is available at the following link:
http://www.smartvoter.org/2002/11/05/ca/la/meas/B/

A good description of the trauma program in South Carolina is available at the following link:
http://www.scdhec.gov/hr/ems/trauma.htm

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