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The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm, initially developed in 1998 by emergency physicians Richard Wurez and David Eitel. [1] It was previously maintained by the Agency for Healthcare Research and Quality (AHRQ) but is currently maintained by the Emergency Nurses Association (ENA).
Any level that has been completely phased out (i.e. not used for new or continuing providers) is not listed. In some states there are also EMS-RN's which is a Registered Nurse trained in Pre-Hospital response. In the list, each state's certification levels are provided from most basic at the top to most advanced at the bottom.
The certification exam first became available on January 21, 2009, [15] and was accredited by ABSNC in May 2015. [16] The certification is valid for four years, and can be renewed either by passing another examination, by completing 100 contact hours (continuing education) in the specialty, or by completing 1,000 clinical practice hours and 40 ...
The list below shows the hospital name, city and state location, number of beds in the hospital, adult trauma level certification, and pediatric trauma level certification: [1] Hospital City
A Level I trauma center provides the highest level of surgical care to trauma patients. Being treated at a Level I trauma center can reduce mortality by 25% compared to a non-trauma center. [17] It has a full range of specialists and equipment available 24 hours a day [18] and admits a minimum required annual volume of severely injured patients.
The Injury Severity Score (ISS) is an established medical score to assess trauma severity. [1] [2] It correlates with mortality, morbidity and hospitalization time after trauma. It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being greater than 15. [2]
Abbreviated Injury Score-Code is on a scale of one to six, one being a minor injury and six being maximal (currently untreatable). [1] An AIS-Code of 6 is not the arbitrary code for a deceased patient or fatal injury, but the code for injuries specifically assigned an AIS 6 severity. [1]
The Trauma Symptom Inventory (TSI) is a psychological evaluation/assessment instrument that taps symptoms of Posttraumatic stress disorder and other posttraumatic emotional problems. It was originally published in 1995 [1] by its developer, John Briere. It is one of the most widely used measures of posttraumatic symptomatology.