A trauma center is hospital capable of rendering medical care to patients suffering traumatic injuries. Yet, there are several different levels. A trauma center can be either a level one, two, three, or four. In order to qualify as a trauma center, a hospital is required to meet criteria set forth by the American College of Surgeons. There are a few factors that determine what level a center is classified as. These factors include the type of resources available at the particular center, as well as the amount of patients admitted annually. Each level classification must adhere to certain national standards.
A level one trauma hospital maintains a wide range of specialists and equipment, which are available 24-hours a day. These centers must also meet annual volume requirements for admitting severely injured persons. One criterion that places a level one center above others is that the center must have a program of research and be a leader in the field of trauma education/injury prevention.
A level two hospital works collaboratively with a level one hospital. This center provides care which supplements the medical expertise of the level one center. A level two center provides 24-hour services. However, the services only include the essential specialties, personnel, and equipment. Unlike level one centers, the minimum volume requirements for level two centers are dependent upon local conditions. Also, level two centers are not required to maintain a research or surgical residency program.
A level three trauma hospital maintains the basics. While they do not have the same amount of specialists as a level one or two, they are capable of meeting the needs for most trauma patients, including emergency resuscitation, surgery, and intensive care. These types of centers have a transfer agreement with either a level one or level two center so that back-up care may be provided in extreme situations.
A level four hospital provides essential care, such as stabilizations and treatment, where no alternatives exist. These centers are often located in remote areas. It’s important to understand the differences among trauma hospital classifications.
Even though all levels are capable of stabilizing patients, specialty care may only be available at certain hospitals and thus, may require you to transfer. Consider the following:
- Sentara Virginia Beach General Hospital: Level Two trauma center
- Sentara Norfolk General Hospital: Level One trauma center
- Pitt County Memorial Hospital in Greenville, NC: Level One trauma center
As attorneys specializing in accident cases, our most seriously injured clients are often inpatients at one of these three facilities. People in car wrecks in South Hampton Roads and the Outer Banks are most likely to be treated at these Sentara centers. Pitt Memorial serves as the main trauma center for much of North-East North Carolina.
Level Four:
Level Three:
Level Two:
Level One:
Rick Shapiro has practiced personal injury law for over 30 years in Virginia, North Carolina, and throughout the Southeastern United States. He is a Board-Certified Civil Trial Advocate by the National Board of Trial Advocacy (ABA Accredited) and has litigated injury cases throughout the eastern United States, including wrongful death, trucking, faulty products, railroad, and medical negligence claims. During his three-decade career, Shapiro has won client appeals before the VA Supreme Court, VA Court of Appeals, NC Supreme Court, SC Supreme Court, WV Supreme Court, TN Supreme Court, and three times before the United States Court of Appeals for the Fourth Circuit, underscoring Shapiro’s trial achievements. In addition, he and his law firm have won settlements/verdicts in excess of $100 million. His success in and out of the courtroom is a big reason why he was named 2019 “Lawyer of the Year” in railroad law in U.S. News & World Report's Best Lawyers publication (Norfolk, VA area), and he has been named a “Best Lawyer” and “Super Lawyer” by those peer-reviewed organizations for multiple years. Rick was also named a “Leader in the Law, Class of 2022” by Virginia Lawyers Weekly (total of 33 statewide honorees consisting of lawyers and judges across Virginia). And in September 2023, Rick was selected as a recipient of the National Board of Trial Advocacy (NBTA) 2023 President’s Award. Although many nominations were submitted from across the country, Rick was just one of eight attorneys chosen by the prestigious National Board which certifies civil trial attorneys across the U.S. Rick was also recently named to Virginia Lawyers Weekly 2024 Virginia’s Go To Lawyers Medical Malpractice. The attorneys awarded this honor are nominated by their colleagues and chosen by a panel from the publication.
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