Components & Classification

Components

Prehospital

The prehospital component of the trauma system is designed to provide initial assessment and management of injured patients at the scene of an emergency and safe and efficient transport to the most appropriate health care facility. In Clark County, there are six public fire departments that provide advanced life support emergency medical services (EMS): Boulder City Fire Department, Clark County Fire Department, Henderson Fire Department, Las Vegas Fire & Rescue, Mesquite Fire & Rescue, and North Las Vegas Fire Department. The three private 9-1-1 response EMS agencies serving the area are American Medical Response-Las Vegas, Community Ambulance, and MedicWest Ambulance. Rotor-wing air ambulance services are provided at the scene of an emergency by Mercy Air Services and TriState CareFlight.

See the EMS photo galleries.

Hospitals

There are 15 acute health care facilities in Clark County with emergency departments capable of caring for injured patients depending on the extent of the injuries and the availability of resources at the facility. Patients whose injuries have the potential to be fatal or produce disability are preferentially transported by EMS to trauma centers. There are three State designated and American College of Surgeons (ACS) verified trauma centers in the Clark County Trauma System; University Medical Center is verified as a Level I and Pediatric Level II trauma center, Sunrise Hospital & Medical Center is verified as a Level II trauma center, and St. Rose Dominican Hospital-Siena Campus is verified as a Level III trauma center.

Classification

The classification system developed by the ACS­ Committee on Trauma is used to codify the necessary resources to provide optimal care to injured patients. It is not a ranking of medical care provided by a health care facility but the recognition of the depth of resources available within the institution.

Level I

umcA Level I trauma center provides comprehensive care for the most severely injured patients. The required clinical resources include emergency medicine, general and subspecialty surgical and anesthesia services. A Level I trauma center is expected to provide leadership in trauma system planning, education and research. In addition, the center is required to meet certain volume performance standards such as admitting at least 1,200 seriously injured patients annually.

In the Clark County Trauma System the University Medical Center is the only hospital classified as a Level I trauma center.

Level II

sunriseA Level II trauma center also provides comprehensive trauma care for severely injured patients. In population-dense areas, the Level II supplements the clinical activities and expertise of the Level I facility. A Level II trauma center is expected to provide initial and definitive trauma care and work together with the Level I trauma center to optimize resources available to injured patients in the area.

In the Clark County Trauma System Sunrise Hospital Medical Center is verified as a Level II trauma center.

Level III

st roseA Level III trauma center provides trauma care based on the defined scope of care and expertise available at the facility. A Level III trauma center supplements the clinical activities and expertise of the Level I and Level II trauma centers by providing definitive care to the less severely injured patients in the region, leaving the comprehensive trauma resources available to the most severely injured patients. Level III trauma centers transfer injured patients that exceed the facility resources to Level I and Level II trauma centers.

In the Clark County Trauma System the St. Rose Dominican Hospitals Siena Campus is the only hospital classified as a Level III trauma center.

Pediatric Level I or Level II

A Pediatric Level I or Level II trauma center is a health care facility that has committed the necessary resources and expertise to meet the specialized needs of the pediatric population. A pediatric trauma center is expected to assume a leadership role in the care of injured children within the community.

EMS agencies, non-trauma center hospitals, and trauma centers are all important components of an inclusive and integrated trauma system that is capable of matching the right patient, to the right resource, in the right amount of time to optimize their outcome.

In the Clark County Trauma System the University Medical Center is the only hospital classified as a pediatric Level II trauma center.