per http://www.ptsf.org/our-trauma-centers/whats-trauma

Level I trauma centers provide multidisciplinary treatment and
specialized resources for trauma patients and require trauma research,
a surgical residency program and an annual volume of 600 major trauma
patients per year.

Level II trauma centers provide similar experienced medical services
and resources but do not require the research and residency
components. Volume requirements are 350 major trauma patients per
year.

Level III trauma centers are smaller community hospitals that have
services to care for patients with moderate injuries and the ability
to stabilize the severe trauma patient in preparation for transport to
a higher level trauma center. Level III trauma centers do not require
neurosurgical resources.

Level IV trauma centers are able to provide initial care and
stabiliztion of traumatic injury while arranging transfer to a higher
level of trauma care.

Level I and II trauma centers can also be categorized as either Adult
Trauma Centers or Pediatric Trauma Centers.

===================================

this is enlightening - Level 2 does not require research and training
components - Level 3 does not require a neurosurgeon

Maybe that explains why Lahey and South Shore near Boston are Level 2
- they must have a neurosurgeon available 24/7

I wonder if any of the trauma centers share a on call neurosurgeon? it
would only take 30 minutes for a neurosurgeon to drive from South
Shore Hospital to 7 or 8 other trauma centers in the area. And a Lahey
neurosurgeon could drive to Level 3 trauma centers in Beverly,
Lawrence, Lowell, and ?Newburyport within 30 minutes. (which would
allow you to bump up 3 centers from Level 3 to Level 2 - all for the
same price) kinda

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