Region 2 Trauma Plan June 2017 Region 2 Trauma Plan 1) Identification of Regional Trauma Centers Scope ………………………………...2 Introduction ................................................................................................................... 3 Section 515.200 Emergency Medical Services Regions ............................................ 4 Section 515.2000 Trauma Center Designation .......................................................... 7 Region 2 Hospitals..................................................................................................... 9 Region 2 Systems ......................................................................................................... 16 Region 2 Specialty Referral Hospitals....................................................................... 20 Integration of EMSC Into Region 2 Trauma Plan .................................................. 22 Section 515.100 Definitions ........................................................................................ 23 2) Triage .......................................................................................................................... 35 Field Triage.................................................................................................................. 36 Field Triage Medical Legal Considerations ............................................................. 37 Section 515.APPENDIX C Minimum Trauma Field Triage Criteria ................... 38 Region 2 Triage Criteria ............................................................................................ 41 Section 515.APPENDIX F Template for In-House Triage for Trauma Centers . 42 3) Region 2 Guidelines for Routine Trauma Care ................................................... 45 Routine Trauma Care................................................................................................. 46 Burns ............................................................................................................................ 54 RULE OF NINES ........................................................................................................ 58 Lund and Browder Chart 59 Load and Go Situations 60 Microsurgery / Reimplantations ................................................................................ 61 Neurology / Neurosurgery .......................................................................................... 62 Shock (Hypovolemia) .................................................................................................. 65 4) Transfers .................................................................................................................. 68 Section 515.2060 Trauma Patient Evaluation and Transfer .................................. 69 Section 515.APPENDIX M Interfacility Pediatric Trauma and Critical Care Consultation and/or Transfer Guideline .................................................................. 72 Interfacility Transfer of Patients ............................................................................... 78 EMTALA Authorization ............................................................................................ 81 Interfacility Transfer: Triage Criteria/Guidelines ................................................. 82 Transfer Agreement Example 86 Hospital Bypass ........................................................................................................... 90 5) Quality Assurance ................................................................................................... 91 Trauma Quality Assurance and Improvement ........................................................ 92 Resolution of Inter-System Conflict .......................................................................... 93 Resolution of Disputes Concerning the Regional 2 Trauma Plan .......................... 94 Medical / Legal Considerations ................................................................................. 95 Written Agreements.................................................................................................... 96 Region 2 Trauma Agreement ..................................................................................... 97 Region 2 Trauma Advisory Board ............................................................................ 97 Trauma Centers Medical Director’s Committee ..................................................... 99 Physician Credentials ............................................................................................... 101 1 Region 2 Trauma Plan 1) Identification of Regional Trauma Centers Scope The Region 2 Trauma Plan applies to all trauma patients, pre-hospital care providers, hospitals and other agencies participating in the care of trauma patients within Region 2. 10/97 Revised: 9/04 Reviewed: 3/05, 9/07, 3/10, 3/15 2 Region 2 Trauma Plan 1) Identification of Regional Trauma Centers Introduction There are eighteen counties in Trauma Region 2 which is located in West Central Illinois. It is primarily composed of rural and small communities, with many areas having some limitation of resources. There are 25 hospitals in Region 2, with a large variation in hospital size ranging from the small community hospital to the large teaching institution. There is one Level 1 Trauma Center, seven Level II Trauma Center’s and seventeen Participating Hospitals. The Region 2 Trauma Plan is written in an attempt to organize trauma centers and existing resources in an effort to allow for continuous improvement in the provision of trauma care. This plan is intended to operate in association with the Emergency Medical Services Systems (EMS) Act and the State of Illinois Trauma Center Code. 10/97 Revised: 9/04, 7/10 Reviewed: 3/05, 9/07, 3/10, 3/15 1) Identification of Regional Trauma Centers 3 Region 2 Trauma Plan Section 515.200 Emergency Medical Services Regions TITLE 77: PUBLIC HEALTH PART 515 EMERGENCY MEDICAL SERVICES AND TRAUMA CENTER CODE CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SECTION 515.200 EMERGENCY MEDICAL SERVICES REGIONS Section 515.200 Emergency Medical Services Regions Effective September 1, 1995, Emergency Medical Services Regions are designated as follows: a) Region 1 is the following counties: Jo Daviess, Stephenson, Winnebago, Boone, Ogle, Lee, Carroll, Whiteside, Dekalb. b) Region 2 is the following counties: Rock Island, Warren, Bureau, Putnam, LaSalle, Mercer, Henry, Stark, Marshall, Livingston, Henderson, Knox, Peoria, Woodford, McDonough, Fulton, Tazewell, McLean. c) Region 3 is the following counties: Hancock, Adams, Pike, Calhoun, Schuyler, Brown, Cass, Morgan, Scott, Greene, Jersey, Mason, Menard, Sangamon, Macoupin, Logan, Christian, Montgomery. d) Region 4 is the following counties: Madison, St. Clair, Monroe, Randolph, Bond, Clinton, Washington. e) Region 5 is the following counties: Perry, Jackson, Union, Alexander, Marion, Jefferson, Franklin, Williamson, Johnson, Pulaski, Wayne, Hamilton, Saline, Pope, Massac, Edwards, White, Gallatin, Hardin, Wabash. f) Region 6 is the following counties: Ford, Iroquois, DeWitt, Piatt, Champaign, Vermilion, Macon, Moultrie, Douglas, Edgar, Shelby, Coles, Cumberland, Clark, Fayette, Effingham, Jasper, Crawford, Clay, Richland, Lawrence. g) Region 7 boundary lines: 1) North - Illinois Route 71 east from the Kendall/LaSalle county line to Illinois Route 126; east on Illinois Route 126 to the Kendall/Will county line; north on the Kendall/Will county line to the Will/DuPage county line; the Will/DuPage county line east to Naperville Road; Naperville Road South to I55; I55 north to Route 83 (Illinois Route 83 is in Region 8); Illinois Route 83 south to junction with Illinois Route 171 (Archer Avenue) (Illinois Route 171 is in Region 8); Illinois Route 171 north to the city limits of Summit; north along the Summit city limits to the Chicago city limits (Summit is in Region 4 Region 2 Trauma Plan 7); south along the Chicago city limits to the Indiana/Illinois State line. 2) South - Grundy/Livingston county line; Kankakee/Livingston, Kankakee/Ford, and Kankakee/Iroquois county lines. 3) East - Illinois/Indiana state line for Cook, Will, and Kankakee counties. 4) West - Kendall/LaSalle county line from Route 71 south to Grundy/LaSalle county line; Grundy/LaSalle county line. h) Region 8 boundary lines: 1) North - DuPage/Cook county line east to O'Hare International Airport (O'Hare International Airport is in Region 11); along the south and east boundary of O'Hare International Airport north of the city limits of Rosemont (Rosemont is in Region 8) to the Chicago city limits. (Norridge and Harwood Heights are in Region 8. Schiller Park is in Region 9.) 2) South - Will/DuPage county line from Kane county line east to Naperville Road, then south to Interstate 55; north on Interstate 55 to Illinois Route 83 (Illinois Route 83 is in Region 8); Illinois Route 83 south to junction with Illinois Route 171 (Archer Avenue) (Illinois Route 171 is in Region 8); Illinois Route 171 north to the city limits of Summit; north along the Summit city limits north to the Chicago city limits (Summit is in Region 7). 3) East - Chicago city limits. 4) West - DuPage/Kane county line. i) Region 9 boundary lines: 1) North - Illinois/Wisconsin state line for McHenry County; Illinois/Wisconsin state line for Lake County from Lake/McHenry county line east to Route 83. 2) South - Route 71 north from the LaSalle/Kendall county line to Route 126; Route 126 east to the Kendall/Will county line. 3) East - Route 83 south from the