Code of Maryland Regulations
Title 30 - MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
Subtitle 08 - DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS
Chapter 30.08.05 - Trauma Center Designation and Verification Standards
Section 30.08.05.08 - Non-Surgical Specialty

Universal Citation: MD Code Reg 30.08.05.08
Current through Register Vol. 51, No. 19, September 20, 2024

PARC

I

II

III

ED

A. Anesthesia. Anesthesia requirements are as follows:

(1) Board-certified, fellowship trained Anesthesiology Attending in-house, dedicated 24 hours a day to trauma care should be at the bedside upon arrival, and documented at least 80 percent of the time;

E

NA

NA

NA

NA

(2) Board-certified or board-eligible, in-house attending 24 hours a day;

NA

E

E

E

NA

(3) Attending anesthesiologist or CRNA taking trauma call shall be at the bedside within 15 minutes of being called with institution-specific criteria defining conditions requiring an immediate response, and present for all operations; and

NA

E

E

E

NA

(4) A liaison to the trauma QM program with 50 percent attendance.

E

E

E

E

E

B. Emergency Medicine. Emergency Medicine (EM) requirements are as follows:

(1) Physician Director or designated Director of Trauma Services in Emergency Medicine who:

(a) Is Board certified or board eligible in EM with evidence of active participation in daily emergency care;

NA

E

E

E

D

(b) Has administrative duties in the Emergency Department (ED);

NA

E

E

E

D

(c) Demonstrates the successful completion of the ATLS® course, at least once; and

NA

E

E

E

E

(d) Maintains ATLS® certification;

NA

E

E

E

E

(2) Emergency physician in-house 24 hours a day who is:

(a) Board certified or board eligible in EM;

NA

E

E

E

E

(b) Board certified or board eligible in a non-EM specialty with at least 7,000 hours of emergency practice and current ATLS® certification;

NA

NA

NA

E

E

(c) If certified by boards other than EM and treating trauma patients in the ED, current ATLS® status; or

NA

E

E

E

E

(d) Has demonstrated special capabilities through commitment, continuing education, and experience;

NA

NA

NA

NA

E

(3) Advanced Practice Professionals (APP) providing care to the trauma patient who have current ATLS® certification; and

NA

E

E

E

E

(4) A liaison to the trauma QM program with 50 percent attendance.

NA

E

E

E

E

C. Critical Care. Critical care requirements are as follows:

(1) Intensive care with a designated surgical director who is fellowship trained and board certified in surgery or critical care;

E

E

D

NA

NA

(2) A board certified surgeon who serves as director or co-director of the ICU and is actively involved in, and responsible for, setting policies and administrative decisions related to trauma ICU patients;

NA

NA

E

D

NA

(3) A trauma surgeon who retains responsibility for the patient and coordinates all therapeutic decisions;

NA

E

E

E

NA

(4) If Telemedicine is used, physician/s who have privileges in critical care and be approved by the TMD; and

E

E

E

E

NA

(5) A liaison to the trauma QM program with 50 percent attendance.

E

E

E

E

NA

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