In accordance with Miss. Code Ann. §63-13-11 (as amended), the department promulgates regulations specifying the methods and procedures by which all Mississippi-licensed acute care facilities shall participate in the statewide trauma system.
Designation levels set specific criteria and standards of care that guide hospital and emergency personnel in determining the level of care a trauma victim needs and whether that hospital can care for the patient or transfer the patient to a Trauma Center that can administer more definitive care. Below is a listing of the four levels of designated trauma centers in Mississippi.
Level I trauma centers act as regional tertiary care facilities at the hub of the trauma care system. These facilities must have the ability to provide leadership and total care for every aspect of injury from prevention to rehabilitation. As a tertiary facility, the Level I trauma center must have adequate depth of resources and personnel. These centers also have the responsibility of providing leadership in education, trauma prevention, research and system planning.
Required components include General Surgery; Neurological Surgery; Orthopedic Surgery; Emergency Medicine; Anesthesia; Post Anesthesia Care Unit (PACU); Intensive Care Unit (ICU) ; and a Surgical Residency Program.
A Level II trauma center is an acute care facility with the commitment, resources and specialty training necessary to provide sophisticated trauma care.
The Level II trauma center must have specific departments, divisions, or sections. They are General Surgery; Neurological Surgery; Orthopedic Surgery; Emergency Medicine; Anesthesia; Post Anesthesia Care Unit (PACU); and an Intensive Care Unit (ICU).
It is important to incorporate all facilities in trauma planning. A Level III trauma center is an acute care facility with the commitment, medical staff, personnel and specialty training necessary to provide initial resuscitation of the trauma patient. Generally, a Level III trauma center is expected to provide initial resuscitation of the trauma patient and immediate operative intervention to control hemorrhage and to assure maximal stabilization prior to referral to a higher level of care. In many instances, patients will remain in the Level III trauma center unless the medical needs of the patient require secondary transfer. The decision to transfer a patient rests with the physician attending the trauma patient. All Level III trauma centers will work collaboratively with other trauma facilities to develop transfer protocols and a well-defined transfer sequence.
The Level II trauma center must have specific departments, divisions, or sections. They are General Surgery; Orthopedic Surgery; Emergency Medicine; Anesthesia; Post Anesthesia Care Unit (PACU); and an Intensive Care Unit (ICU).
Level IV trauma centers are generally licensed, small, rural facilities with a commitment to the resuscitation of the trauma patient and written transfer protocols in place to assure those patients who require a higher level of care are appropriately transferred. These facilities may be staffed by a physician, or a licensed midlevel practitioner (i.e. advanced practice nurse) or Registered Nurse. The major trauma patient will be resuscitated and transferred. This categorization does not contemplate that Level IV hospitals will have resources available for emergency surgery for the trauma patient.