Talk:List of trauma centers in the United States

Separate adult and pediatric levels?
One improvement to consider is whether to have separate columns for adult and pediatric trauma level, leaving those blanc as appropriate (e.g., leaving the adult level blank for children's hospitals). Some hospitals have separate adult and pediatric designations, but most do not, and I believe level I status requires some level of pediatric infrastructure and capability. So, I am not sure if "level I trauma center" implies an adult trauma center or both an adult and pediatric trauma center at that level. There are a few hospitals that list adult and pediatric status separately with the same level, so I am not sure how to interpret the level designation when adult or pediatric is not specified. If anyone has any insight or better knowledge on this, please share! Is there support for separate columns? Mdewman6 (talk) 00:13, 6 December 2019 (UTC)

Beds
Obviously the bed counts are incomplete. Those listed are correct as of mid-2019 based on the official website. Updates should make sure to reconcile the bed counts with the hospital page (or add them there if missing) if a page exists for the hospital. Mdewman6 (talk) 00:13, 6 December 2019 (UTC)

Incomplete List?
Why isn't, for example, the University of Maryland Shock Trauma Center in Baltimore listed? I guess it's not verified by the American College of Surgeons. The Trauma Center page currently states:


 * The ACS does not officially designate hospitals as trauma centers. Numerous US hospitals that are not verified by ACS claim trauma center designation. Most states have legislation that determines the process for designation of trauma centers within that state. The ACS describes this responsibility as "a geopolitical process by which empowered entities, government or otherwise, are authorized to designate." The ACS's self-appointed mission is limited to confirming and reporting on any given hospital's ability to comply with the ACS standard of care known as Resources for Optimal Care of the Injured Patient

No sure how to deal with this, but titling this page "List of trauma centers in the United States" seems a bit misleading.

Baccala@freesoft.org (talk) 18:01, 8 December 2019 (UTC)


 * I understand your point. As you point out, states have their own regulations regarding trauma-level status, with states additionally conferring levels IV and V, which are not included here. Pennsylvania, for example, has no ACS-verified trauma centers and is not represented here, and Illinois only has 2 hospitals listed. Certainly, this is not an accurate reflection of the trauma capabilities of hospitals in these states. One would think that hospitals that meet the requirements would seek ACS verification, as many hospitals boast such recognition. Yet, apparently some states (like Pennsylvania, perhaps) either supersede ACS verification with their own regulations or otherwise prevent such verification by making it difficult/disadvantageous.


 * In one respect, this page is an attempt to compile the largest, best equipped, best staffed hospitals in the U.S. using ACS verification as a proxy criterion. It also is an attempt to supplement the Lists of hospitals in the United States pages, which have no consistent format and are an absolute mess in my opinion. Obviously a single list of hospitals in the United States would be ridiculously long.


 * I think a few sentences in the lead pointing out that states also designate trauma centers that are not reflected here is a good start. Perhaps a long-term goal would be to include additional state-designated hospitals and add an "ACS verified?" column (using asterisks to indicate yes)? Another option would be to move this page to "List of ACS-verified trauma centers in the United States" leaving the current name as a redirect until state-designated trauma centers are incorporated. I am not sure how I feel about that, though. Moreover, the use of acronyms in page names should be considered carefully. Mdewman6 (talk) 20:58, 8 December 2019 (UTC)


 * So, will the inclusion of non-ACS-verified Level I Trauma Centers (like those in Illinois, Maryland, Missouri, and Pennsylvania) on this page lead to edit wars? It's crazy to think ACS verification is going to vary from state to state. Because of those reasons, I'll support the first option. Jim856796 (talk) 03:59, 31 August 2020 (UTC)
 * I am all for including the trauma centers that are not presently included here (because they are not ACS-verified). My point is that these non-ACS-verified centers should be indicated somehow, perhaps with some text and refs describing the situation for states that have few to no ACS-verified centers, and there should be some sort of comprehensive effort to add all centers that meet certain criteria, not just to cover missing states. So far, there have just been a few edits that have added some non-ACS-verifed centers from a particular state, such as Washington. I think adding all level 1 centers would be a worthwhile effort. Trying to add all state-certified lower-level centers would make this page unduly long. I could imagine someday this page being split into lists for each trauma level, once all verified and non-verified are compiled. All that said, there have been hospitals that have gained or lost their ACS verification since I constructed this list, and one could even begin by working on that. Perhaps some prominent trauma centers that were missing initially have now been verified. A couple months ago I started updating things and made it through California I think.


 * What do you mean by the first option? Mdewman6 (talk) 03:29, 6 September 2020 (UTC)


 * The "two options" here are referring to the "long-term goals" you're suggesting in your first reply on this section. Jim856796 (talk) 03:36, 27 October 2020 (UTC)
 * The table is missing all the data from Mississippi as of now time: 2117 August 26, 2021 -jd

Merger proposal
I propose to merge List of trauma centers in Massachusetts into this article. With the development of this page, the Massachusetts page is now redundant. It appears to be the only such state-specific page. This information can be found here, and efforts could be redirected toward updating the List of hospitals in Massachusetts page. Mdewman6 (talk) 23:35, 15 April 2020 (UTC) *Merge The list of united states trauma centers obviously covers this. I really don't even know how this list passed notability. Andrew nyr (talk, contribs) 18:49, 19 April 2020 (UTC)

Ongoing Effort to List Number of Beds for Every Level I Trauma Center in the U.S.
There is an ongoing effort to list the number of beds for every Level I Trauma Center in the United States on this article (Adult and Pediatric). Essentially, this effort started when this list was created by Mdewman6 last December.

There are a couple of issues I have encountered along the way: First, I was unsure about the total number of beds for the Weill-Cornell Medical Center (aka New York Hospital) because it's one of the campuses of NewYork–Presbyterian Hospital, and that institution's total number of beds is 2,678. Is that institution's other campus, Columbia University Irving Medical Center, not a trauma center of any level? Nyer1972samar inserted the number of beds for New York Hospital/Weill Cornell Medical Center on its article's infobox last Saturday (August 15). Second, while editing this list last Sunday (August 16), I made a mistake on inserting the number of beds for the MUSC Children's Hospital. It is listed as having 250 pediatric beds, and 29 additional beds for women. I had to put the total number of beds at MUSC-Children's on this list, and I mistakenly inserted 299; The actual total is 279. Jim856796 (talk) 13:57, 20 August 2020 (UTC)
 * I appreciate the efforts! Bed numbers are certainly difficult to confirm in many cases, which definitely contributed to many being missing. Let's definitely make sure we update the bed counts on the individual hospital pages too. Any that I added were confirmed through the official websites, I didn't just trust the hospital wikipedia page to be accurate and up to date. But let's make sure the two agree with each other as we're updating things. Mdewman6 (talk) 19:27, 20 August 2020 (UTC)
 * As of today, I have officially completed the task of inserting the bed numbers of every Adult and Pediatric Level I Trauma Center in the United States in this article. I'll probably just let the other users take care of the bed numbers for the lower-level trauma centers. Jim856796 (talk) 02:47, 2 September 2020 (UTC)

Suggest using sites like this one from the Illinois DPH to get better information. I've found loaaads of info there, and I think many states must also have such pages. I pulled a bunch of info from the IDPH website but unfortunately lost edits. Will try to find time soon... Kslater7 (talk) 20:06, 2 April 2021 (UTC)

Chicago
Chicago is one of cities in the United States richest in trauma centers, yet not a single one is listed. Cook County, University of Chicago, Northwestern, Mt Sinai, Illinois Masonic, Lurie’s Children’s Hospital, Christ (Oak Lawn), St. Francis (Evanston), Evanston (Evanston), Lutheran General (Park Ridge). All Level 1 Trauma centers. It is my understanding that Illinois may not conform to the national standards put in place by the American College of Surgeons, but these are all still considered Level 1 Trauma centers. 2601:249:8C00:C6E0:46B:84AE:351B:8862 (talk) 03:52, 21 April 2022 (UTC)

NC Trauma Centers updates
NC has a few more trauma centers than listed (and some of the listed hospitals may no longer exist or at the very least Have been renamed). Ive got a great source for all the level 1, 2, & 3 centers in the state as well as paediatric hospitals and it notes ACS credentials for each- https://info.ncdhhs.gov/dhsr/ems/trauma/traumacenter.html#trauma I’m just really struggling to do any meaningful edits from my phone so I figured I’d toss the info here for whoever might have the opportunity to use it. Kelly of Carolina (talk) 05:58, 10 September 2022 (UTC)

Disparity in some Arizona trauma centers ACS certification vs state certification
The Arizona Department of Health Services has a list of "Arizona State Designated Trauma Centers" on their website. This list includes several hospitals that appear to be state-certified as Level I trauma centers, but the ACS website classifies the level of some of these trauma centers differently than the state. For example, the Abrazo West Campus is listed as being a Level I trauma center on the state list, however the ACS website states that it is a "Level II Trauma Center." It is a similar situation with Banner Thunderbird Medical Center. Since the article states the list contains "hospitals in the United States that are verified as trauma centers by the American College of Surgeons," I feel the most logical solution would be to list the ACS rating. On the same topic, what trauma center level should a page for the facility list when there is a conflict between state and ACS certifications? Does anyone have any comments or suggestions? Wikipedialuva (talk) 09:42, 20 September 2022 (UTC)