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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).
Individual states are allowed to use NREMT certification as part of their certification process, but are not required to. As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*).
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]
Trauma Screening Questionnaire abbreviated as (TSQ) is a questionnaire developed for screening of posttraumatic stress disorder. [1] The TSQ was adapted from the PTSD Symptom Scale – Self-Report Version (PSS-SR). [2] This self-reported assessment scale consists of 10 items, which cover one of the main signs of PTSD.
Twenty-three Level I and II trauma centers volunteered and were selected to participate in the study with ACS verification. Most Level I centers are university-based trauma centers with comprehensive services. Level II centers were included to increase geographic and patient diversity, as well as the statistical power of any analyses.
Health Level Seven, abbreviated to HL7, is a range of global standards for the transfer of clinical and administrative health data between applications with the aim to improve patient outcomes and health system performance. The HL7 standards focus on the application layer, which is "layer 7" in the Open Systems Interconnection model.