| LEVELS | ||||||||
| A facility with a designated trauma service must: | I | IP | II | IIP | III | IIIP | IV | V |
| (1) Have the following equipment, both adult and pediatric sizes in the emergency department (or resuscitation area for level V): | ||||||||
| (a) Airway control and ventilation equipment, including: | ||||||||
| (i) Airways; | X | X | X | X | X | X | X | X |
| (ii) Laryngoscopes, including curved and straight blades; | X | X | X | X | X | X | X | X |
| (iii) Endotracheal tubes, with stylets available; | X | X | X | X | X | X | X | X |
| (iv) Bag-valve-mask resuscitator; | X | X | X | X | X | X | X | X |
| (v) Pulse oximeter; | X | X | X | X | X | X | X | X |
| (vi) CO2 measurement; | X | X | X | X | X | X | X | X |
| (vii) Sources of oxygen; | X | X | X | X | X | X | X | X |
| (viii) Ability to provide mechanical ventilation; | X | X | X | X | X | X | ||
| (b) Suction devices, including: | X | X | X | X | X | X | ||
| (i) Back-up suction source; | X | X | X | X | X | X | X | X |
| (ii) Suction catheters; | X | X | X | X | X | X | X | X |
| (iii) Tonsil tip suction (except level V clinics); | X | X | X | X | X | X | X | X |
| (c) Cardiac devices, including: | ||||||||
| (i) Cardiac monitor; | X | X | X | X | X | X | X | X |
| (ii) Defibrillator; | X | X | X | X | X | X | X | X |
| (iii) Electrocardiograph; | X | X | X | X | X | X | X | X |
| (iv) Portable cardiac monitor; | X | X | X | X | X | X | X | X |
| (v) Blood pressure cuffs; | X | X | X | X | X | X | X | X |
| (vi) Doppler device; | X | X | X | X | X | X | X | |
| (d) Intravenous supplies, including: | ||||||||
| (i) Standard intravenous fluids and administering devices, including: | X | X | X | X | X | X | X | X |
| (A) IV access devices; | X | X | X | X | X | X | X | X |
| (B) Intraosseous needles; | X | X | X | X | X | X | X | X |
| (C) Infusion control device; | X | X | X | X | X | X | X | X |
| (ii) Drugs and supplies necessary for adult and pediatric emergency care; | X | X | X | X | X | X | X | X |
| (e) Sterile surgical sets for standard emergency department procedures, including: | ||||||||
| (i) Thoracotomy set; | X | X | X | X | X | X | X | |
| (ii) Chest tubes with closed drainage devices (except level V clinics); | X | X | X | X | X | X | X | X |
| (iii) Emergency transcutaneous airway set (except level V clinics); | X | X | X | X | X | X | X | X |
| (iv) Peritoneal lavage set; | X | X | X | X | X | X | ||
| (f) Nasogastric tubes (except level V clinics); | X | X | X | X | X | X | X | X |
| (g) Ability to provide thermal control equipment, including: | ||||||||
| (i) Patient warming capability (except level V clinics); | X | X | X | X | X | X | X | X |
| (ii) Blood and fluid warming capability (except level V clinics); | X | X | X | X | X | X | X | X |
| (iii) Expanded scale thermometer capable of detecting hypothermia (except level V clinics); | X | X | X | X | X | X | X | X |
| (h) Immobilization devices, including: | ||||||||
| (i) Cervical injury immobilization devices; | X | X | X | X | X | X | X | X |
| (ii) Long-bone immobilization devices, including traction splints; and | X | X | X | X | X | X | X | X |
| (iii) Backboard; | X | X | X | X | X | X | X | X |
| (i) Other equipment: | ||||||||
| (i) Urinary bladder catheters (except level V clinics); | X | X | X | X | X | X | X | X |
| (ii) Infant scale for accurate weight measurement under twenty-five pounds; | X | X | X | X | X | X | X | X |
| (iii) Medication chart, tape, or other system to assure ready access to information on proper doses-per-kilogram for resuscitation drugs and equipment sizes for pediatric patients; | X | X | X | X | X | X | X | X |
| (iv) Two-way radio linked with EMS/TC vehicles; | X | X | X | X | X | X | X | X |
| (2) Have the following equipment, both adult and pediatric sizes, in the surgery department: | ||||||||
| (a) Cardiopulmonary bypass; | X | X | ||||||
| (b) Ability to provide thermal control equipment for: | ||||||||
| (i) Patient warming and cooling; | X | X | X | X | X | X | X | |
| (ii) Blood and fluid warming; | X | X | X | X | X | X | X | |
| (c) Rapid infusion capability; | X | X | X | X | X | X | X | |
| (d) Autologous blood recovery and transfusion; | X | X | X | X | X | X | ||
| (e) Ability to provide bronchoscopic capability in the operating room; | X | X | X | X | X | X | ||
| (f) Ability to provide endoscopes; | X | X | X | X | X | X | X | |
| (g) Craniotomy set; | X | X | X | X | ||||
| (3) Have the following equipment, both adult and pediatric sizes, in the critical care unit: | ||||||||
| NOTE for level III pediatric: If your written scope of trauma service includes critical care services, then your service must meet the level II pediatric critical care equipment standards. | X | |||||||
| NOTE for level IV: If your written scope of trauma service includes critical care services, then your service must meet the level III critical care equipment standards; | X | |||||||
| (a) Airway control and ventilation devices, including: | ||||||||
| (i) Oral and nasopharyngeal airways; | X | X | X | X | X | |||
| (ii) Laryngoscopes with curved and straight blades; | X | X | X | X | X | |||
| (iii) Endotracheal tubes with stylets available; | X | X | X | X | X | |||
| (iv) Bag-valve-mask resuscitators; | X | X | X | X | X | |||
| (v) Ability to provide mechanical ventilator; | X | X | X | X | X | |||
| (vi) Noninvasive oximetry and capnometry; | X | X | X | X | X | |||
| (vii) Oxygen source with concentration controls; | X | X | X | X | X | |||
| (b) Suction devices, including: | ||||||||
| (i) Suction machine; | X | X | X | X | X | |||
| (ii) Suction catheters; | X | X | X | X | X | |||
| (iii) Tonsil tip suction; | X | X | X | X | X | |||
| (c) Cardiac devices, including: | ||||||||
| (i) Cardiac pacing capabilities; | X | X | X | X | X | |||
| (ii) Electrocardiograph; | X | X | X | X | X | |||
| (iii) Cardiac monitor with at least two pressure monitoring modules including cardiac output and hard copy recording and with capability to continuously monitor heart rate, respiratory rate, temperature; | X | X | X | X | X | |||
| (iv) Defibrillator; | X | X | X | X | X | |||
| (v) Portable transport monitor with ECG and pressure monitoring capability; | X | X | X | X | X | |||
| (vi) Blood pressure cuffs; | X | X | X | X | X | |||
| (vii) Doppler device; | X | X | X | X | X | |||
| (viii) Noninvasive blood pressure machine; | X | X | X | X | X | |||
| (d) Intravenous supplies, including: | ||||||||
| (i) Standard IV fluids and administration devices appropriate for pediatric patients including: | X | X | X | X | X | |||
| (A) IV catheters; | X | X | X | X | X | |||
| (B) Intraosseous needles; | X | X | X | X | X | |||
| (C) Infusion sets and pumps with micro-infusion capabilities; | X | X | X | X | X | |||
| (D) Infusion controllers; | X | X | X | X | X | |||
| (ii) Adult and pediatric dosages/dilutions of medications; | X | X | X | X | X | |||
| (e) Sterile surgical sets, including: | X | X | X | X | X | |||
| (i) Thoracotomy set; | X | X | X | X | X | |||
| (ii) Chest tubes; | X | X | X | X | X | |||
| (iii) Emergency surgical airway sets; | X | X | X | X | X | |||
| (iv) Peritoneal lavage set; | X | X | X | X | X | |||
| (f) Intracranial pressure monitoring devices; | X | X | X | X | ||||
| (g) Gastric supplies, including NG tubes; | X | X | X | X | X | |||
| (h) Ability to provide thermal control equipment, including: | ||||||||
| (i) Patient warming and cooling devices; | X | X | X | X | X | |||
| (ii) Blood and fluid warming device; | X | X | X | X | X | |||
| (iii) Expanded scale thermometer capable of detecting hypothermia; | X | X | X | X | X | |||
| (iv) Device for assuring warmth during transport; | X | X | X | X | X | |||
| (i) Other equipment, including: | ||||||||
| (i) Ability to provide patient weighing devices; | X | X | X | X | X | |||
| (ii) Cardiac emergency cart. | X | X | X | X | X | |||