I work at a medium-sized university-affiliated community teaching hospital. About 15 miles from our hospital is a Level 1 trauma center. Our hospital gets trauma patients rather erratically...most of the more serious cases being taken directly to the Level 1 trauma center. We are presently in the process of forming a "trauma network" with this Level 1 trauma center....since another hospital somewhere in-between is attempting to set-up a Level 2 trauma center. This way any transfers will be directed directly to the Level 1 center,,,staying within this "network".
We are now attempting to come up with the various protocol transfer criteria. Assuming that patients with "significant" trauma are brought to our hospital...which patients should be shipped out to the Level 1 center?