Region 4 Plan 2018 - Georgia Trauma Care Network...
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1 | Page REGION 4 EMS REGIONAL TRAUMA PLAN
Transcript of Region 4 Plan 2018 - Georgia Trauma Care Network...
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REGION 4 EMS
REGIONAL TRAUMA PLAN
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TABLEOFCONTENTS
ExecutiveSummary 4
Mission,Vision,Goals 5
RegionalTraumaAdvisoryCommittee 6
Authority,Structure,Funding 7
RTACMembership 8
TraumaRegistryData 10
PrehospitalComponent 10
ResourceIdentification 11
TriageandFacilitySelection 12
EducationandTraining 12
HospitalComponent 14
ResourceIdentification 14
TraumaSystemParticipation 16
Inter-FacilityTransfer 16
EducationandTraining 17
CommunicationComponent 19
PerformanceImprovement 20
InjuryPreventionandOutreach 21
Glossary 22
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AppendixA GeorgiaTraumaCommissionMap
AppendixB Region4ResourceDescription
AppendixC GeorgiaHelicopterEmergencyMedicalServicesBaseLocations
AppendixD 2011GuidelinesforFieldTriageofInjuredPatients
AppendixE TraumaCenterLocations
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TRAUMA R EGIONALIZATION EMS REGION 4
EXECUTIVE SUMMARY
Traumatic injuries represent a serious health concern for Georgia. Motor vehicle crashes
(MVC), which account for the majority of injuries in the state, are the leading killer of
children, teens and young adults (ages 5 to 34), as well as among the top ten causes of
death for all ages. The CDC has estimated the total crash---related death cost in Georgia in
one year to be $1.55 billion dollars, $17 million of that total in medical costs alone. Studies
have shown that many of these deaths are preventable, and the implementation of a trauma
system reduces deaths and improves outcomes from traumatic injury. While trauma patients
account for a small percent of the total emergency system response, trauma accounts for a large
percent of total years of potential life lost. An inclusive trauma system incorporates all
emergency response resources into a system to match the needs of the trauma patient with
the appropriate emergency and trauma care resources.
As a result, Georgia is implement ing a state---wide trauma system. In order to meet this
goal, the Georgia Trauma System will be comprised of integrated regional systems and
plans. Each region will represent a trauma service area, which will accommodate overlapping
and traditional patient catchment areas and incorporate state--wide EMS Regional infrastructure.
The Region four (4) plan will organize existing resources to provide a comprehensive trauma
care system to care for patients from the moment of injury through rehabilitation. This plan
will address both urban and rural concerns. Rural trauma care is complicated by issues
associated with geographic isolation including but not limited to: time from injury to
discovery, extrication issues, distance to immediate healthcare, as well as local healthcare
resource availability. The development, implementation, and operation of a trauma system is
a complex process which requires concerted efforts from all heath care providers.
Coordination of system activities, data driven planning, a well-defined infrastructure and
stable funding are critical to the success and cost effectiveness of the system.
The pages that follow describe the essential components of the Region 4 Trauma Plan and
Regional Trauma Advisory Committee (RTAC).
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M I S S I O N , V I S I O N A N DG O A L S
MISSION
The mission of the Region 4 Trauma Plan and RTAC is to reduce the burden of trauma through
injury prevention efforts focused on injury data and statistics specific to Region 4 and other
regional plan participants, and to ensure that victims of trauma receive care across the continuum
from pre-hospital through rehabilitation that is of the highest quality to ensure the best possible
outcome.
VISION
The Region 4 Trauma Plan and RTAC will provide leadership regarding the care of trauma
patients within the region and across regional and state boundaries where appropriate.
GOALS
• Reduce the number of preventable deaths
• Improve outcomes from traumatic injury
• Reduce medical costs through appropriate use of resources.
OBJECTIVES
• Collaborate with participating agencies and organizations to provide oversight and
guidance for system evaluation, education and training programs, and public education
and prevention strategies.
• Work in conjunction with the State Office of EMS & Trauma (OEMS&T) to monitor
availability of resources, assure compliance with system standards, and to develop a
process for review of trauma care.
• Evaluate patient outcomes at a system level.
• Analyze the impact and results of the system and make recommendations for change as
appropriate to assure quality outcomes.
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ADMINISTRATIVE COMPONENTS
Regional Trauma Advisory Committee
The Region 4 RTAC is established to act as a local resource for input to and support of the
Georgia State-wide Trauma Plan. The purpose of the committee is to assist in the reduction of
human suffering as well as cost associated with preventable morbidity and mortality that result
from trauma. The RTAC will be instrumental in analyzing local trauma care trends and in
promoting regional injury prevention activities and quality improvement actions in an effort to
reduce the incidence of trauma, and when injury occurs deliver appropriate and timely trauma
care across the continuum. The duties of the RTAC are as follows:
• Promote cooperation and to support communication among trauma care providers,
organizations and hospitals.
• Provide a forum to discuss and resolve issues between trauma care providers.
• Promote education, public awareness and prevention activities regarding regional trauma.
• Identify and analyze trends and patient care outcomes based on trauma registry data and to
assure quality improvement activities within the system in an effort to achieve the highest
level of trauma care.
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AUTHORITY, STRUCTURE AND FUNDING
The RTAC is a committee of the Region 4 EMS Council who is responsible to the Office of EMS and
Trauma (OEMS&T) under the Department of Public Health. There is collaboration between the Regional
Trauma Advisory Committee (RTAC), Region 4 EMS Council, Office of EMS and Trauma, and the
Georgia Trauma Care Network Commission (GTCNC). The GTCNC established the Regional Trauma
Care Network Planning Framework in September of 2009. This framework is used as a guide to develop
and implement regional trauma plans. The GTCNC reviews and approves regional trauma system plans
in conjunction with the OEMS&T. The GTCNC also manages and distributes financial resources for the
trauma system.
The Georgia OEMS&T, under the Georgia Department of Public Health, will be the authoritative structure
for the regional plan, with the Region 4 EMS Council as the regional authority. Figure 1 demonstrates the
RTAC structure and reporting relationships.
RTAC Structure and Relationship
Figure 1
Office of EMS & Trauma
RTAC Subcommittee
Region 4 EMS Council
Georgia Trauma
Commission
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RTAC Membership
The Region 4 EMS Council Chair shall appoint and the Region 4 Council approves of a
minimum of 12 members that shall function under the under the bylaws of the Region 4 EMS
Council. RTAC members are considered central stakeholders as well as representative of the
demographics of the region and various components of the trauma system. It is vital to the success
of the regional plan and the development of the trauma system that members be active and
contribute in their rolls in order to be successful in achieving the goals and objectives of the
Trauma Commission and the Region 4 RTAC.
RTAC Executive Committee
The RTAC Chair must be a full voting member of the Region 4 EMS Council and will preside at
all RTAC meetings, set meeting agenda, and facilitate meeting discussions.
The Vice-chair shall perform the duties of the chair when the chair is absent from a meeting. The
Vice-chair is not required to be a member of the Region 4 EMS Council.
The Secretary will call the role and determine if a quorum is present. They will maintain all
minutes of the meetings and distribute to the general membership. They will review and
maintain copies of all organizational correspondence and assist in the dissemination of
information to the general membership.
RTAC General Membership
It is recommended that there be at least one representative from a Level I and Level II Trauma
Center from within the region. Currently there are no trauma centers within the Region 4 area and
until such time there becomes a trauma center, the RTAC shall consist of at least one
representative from a trauma center outside the region as well as the following members:
Hospital Members (minimum of 3) – members of this group should be from senior hospital
management, at least one who is a direct patient care provider, at least one from a critical care
access hospital, and at least one from a rural hospital.
EMS Members (minimum of 3) – at least one member from an urban 911 EMS service area, at
least one member from a rural 911 EMS service area, and at least one member must provide
direct patient care.
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Physician Members (minimum of 2) – at least one should be a rural physician who is actively
providing trauma care at a designated or non-designated participating hospital, or one that is a
trauma surgeon.
Nurse Members (minimum of 2) – nurses serving on the RTAC should have knowledge of both
pre-hospital care as well as hospital care and ideally will have experience in trauma related
educational activities or injury prevention activities.
EMSC Representative (1) – There will be a member of EMSC appointed to RTAC to oversee and
make recommendations on pediatric trauma care.
At-Large Members – the following areas should be considered for At-Large membership, others
may be included as needed; Fire Services, Law Enforcement, Emergency Management, Air
Ambulance Services, Business and Industry, Public Health to include epidemiologist, Emergency
Preparedness, Government Officials, Injury Prevention, previous trauma patients and/or family
members.
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OPERATIONAL AND CLINICAL COMPONENTS
Trauma Registry Data
Rational decision-making regarding trauma care must be made based upon the understanding of
the causes, treatment and outcomes of injury. Trauma registry data includes the actual
information surrounding the event as well as the hospital course and outcome. This information
can be utilized by the individual hospital, as well as at the state level for epidemiology and injury
control studies. The trauma registry provides the mechanism to collect data and to evaluate
trauma care systems, quality of care improvements, resource utilization, and medical
research/education on the hospital, regional and state level.
PREHOSPITAL CARE
Prehospital Component
In 2009, following a review of Georgia‘s Trauma System, the American College of Surgeon‘s
Trauma System Consultation Program determined that ―”EMS is often a critical link between the
injury-producing event and definitive care at a trauma center.” This critical link was identified
when it was determined that 89% of all critical trauma patients were delivered into the system by
EMS. (See Figure 2 for additional details.)
EMS – GEORGIA’S “CRITICAL LINK”
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However, EMS is not definitive care. Critical trauma patients require a fully functioning system
that includes a well-equipped, well trained, EMS component working hand-in-hand with
physicians and nurses trained and dedicated to this task. To achieve the best outcome for these
patients, they must be transported to the appropriate hospital in an expeditious manner.
Resource Identification
Region 4 is comprised of 12 counties that is approximately 3,848 square miles, with a population
of approximately 872,135. Appendix A of this Document provides a view of Region 4 and its
relationship in the State. EMS resources in the region consist of 14 EMS agencies that provide
911-zone coverage, various non-zone providers, and two air ambulance services. The following is
a list of 911 zone providers:
County/Municipality Square Miles Population Zone Provider
Butts 190 23,593 Butts County Fire & EMS
Carroll 504 114,545 West Georgia Ambulance Service
Coweta 443 138,427 Coweta County Fire & EMS
Fayette 199 108,365 Fayette County Fire & Emergency Services
Heard 301 11,539 Heard County Fire & EMA
Henry 324 217,739 Henry County Fire & EMS
Lamar 186 18,201 Community Ambulance
Meriwether 505 21,190 Meriwether Fire/EMS
Peachtree City 23.9 34,893 Peachtree City Fire/EMS
Pike 219 17,760 Grady EMS
Spalding 200 64,051 Spalding Regional EMS
Troup 446 69,763 AMR/Troup County EMS
Upson 328 26,368 Community Ambulance
West Point 4.517 3,701 West Point Fire/EMS
• Source: 2015 US Census Bureau
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Region 4 Air Transport Services.
• AirEvac: Locations in LaGrange, Brunswick, Carrollton, Cordele, Dublin, Statesboro,
Vidalia, and Ware County.
• AirMethods: Locations in Griffin and Newnan as well as outside Region 4 in Jasper,
Kennesaw, Springfield, Augusta, Conyers, Gainesville and Vidalia.
• Children‘s Healthcare: Location in Atlanta.
A more complete listing of the resources operated by these services is located in Appendix B. A
map of Georgia’s air ambulance base locations is available in Appendix C.
Triage and Facility Selection Trauma patient triage and the selection of the most appropriate facility can be affected by resource
availability, geography, and transport time. The importance of on-scene triage decisions made by
EMS providers is reinforced by the Centers for Disease Control (CDC) supported research and the
National Study on the Costs and Outcomes of Trauma (NSCOT). This research identified a 25%
reduction in mortality for severely injured patients who received care at a Level I trauma center
rather than a non-trauma center. However, not all injured patients can or should be transported to
a Level I trauma center. Patients with less severe injuries may be better served by transporting to
a closer facility.
Transporting all injured patients to Level I trauma centers, regardless of severity, could burden
those facilities unnecessarily and make them less available for the most severely injured patients.
The CDC developed the Field Triage Decision Scheme: The National Trauma Triage Protocol for
use in identifying the most severely injured patients.
While the Region 4 RTAC will develop guidelines based on a regional assessment and need,
CDC‘s “Guidelines for Field Triage of Injured Patients” will be utilized by pre hospital personnel
to determine if patients meet the Trauma System Entry Criteria (TSEC). (Appendix D)
Education and Training
Trauma care knowledge and skills need to be continuously updated, refined, and expanded
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through targeted trauma care training such as Pre-hospital Trauma Life Support®, International
Trauma Life Support®, and age-specific courses. The Region 4 RTAC will work hand in hand
with the Office of EMS and Trauma (OEMS&T), EMS service providers, and EMS educators to
periodically assess the training needs of EMS providers in the region and address any identified
education gaps in order to develop robust trauma training programs. It is essential that all licensed
EMS personnel have a basic knowledge and awareness of the regional plan and the trauma
system function. Additionally, they must have specific knowledge of the TSEC. Individual EMS
service providers, service medical directors, and initial EMS education programs will continue to
ensure that all of our EMS providers are competent in providing trauma care and that there is
understanding and compliance with trauma triage and destination guidelines. To assist in
Regional Trauma Plan implementation and standardization of training provided, the RTAC will
develop and distribute training resources specific to the Trauma Regionalization Pilot.
Additionally, the RTAC will facilitate on-site training on request.
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ZEROPARTICIPATION
HIGHESTLEVELOFPARTICIPATION
HOSPITAL CARE
Hospital Component
Ten acute care hospitals serve the 816,382 residents of Region 4. The Regional Trauma Plan is
being developed as an inclusive system, which allows all hospitals within the region and
additional participating hospitals to have a role in providing trauma care. The goal is to assure
that all trauma patients receive optimal care, given available resources and the needs and
locations of the patient are matched with the resources of the system. Hospitals may participate
in the Georgia Trauma System on a voluntary basis, either as state-designated trauma centers or
as non-designated participating hospitals.
Figure 3 shows the continuum of hospital participation in the Georgia Trauma System:
Non-ParticipatingHospitals ParticipatingHospitals DesignatedTraumaCenters
Figure3
Resource Identification
Designated Trauma Centers
Georgia Trauma Centers are designated by the State Office of EMS and Trauma (OEMS&T),
using standards based on the American College of Surgeons Trauma Center Verification
Standards (Appendix F). The OEMS&T has defined in policy the process for trauma center
designation, re-designation and regulation. As a condition of designation, trauma centers will
participate in regional trauma system planning and performance improvement. Therefore, trauma
centers are de-facto participants in the Georgia Trauma System and thus the regional plan. There
are four levels of designation set by OEMS&T with Level I being the most resource intensive and
Level IV being the least resource intensive. Currently within Region 4, there are no designated
trauma centers.
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Recommended Participating Hospitals
The following list contains, but is not limited to, the recommended hospital for participation in
the system based on their location as well as some hospitals expressed interest in potential
designation. They are Georgia licensed hospitals with an emergency department and varying
specialty physician coverage and service line capabilities to treat, stabilize and admit low acuity
trauma patients.
Region 4 Hospitals:
Hospital Location Designation
Tanner Medical Center Carrollton Carroll County None
Tanner Medical Canter Villa Rica Carroll County None
Piedmont Newnan Coweta County None
Piedmont Fayette Fayette County None
Piedmont Henry Henry County None
WellStar Spalding Spalding County None
Wellstar W. Georgia Medical Center Troup County None
Upson Regional Medical Center Upson County None
Wellstar Sylvan Grove Butts County None
Meriwether Memorial Meriwether County None
Recommend participating hospitals outside Region 4.
Hospital Location Designation
Navicent Health Macon/Bibb County Level 1
Children’s Healthcare of
Atlanta - Egleston
Dekalb County Level 1 Pediatric
Children’s Healthcare of
Atlanta – Scottish Rite
Fulton County Level 2 Pediatric
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WellStar Atlanta Medical Fulton County Level 1
Grady Memorial Hospital Fulton Level 1
Midtown Medical Center Columbus/Musogee Level 2
Pediatric and Burn Resources
Depending on geography and patient injury severity, pediatric and burn centers in other regions
may be the most appropriate resource. While currently there is no pediatric specialty hospital
located in Region 4, Navicent Health is an adult level I trauma center with pediatric commitment.
Presently, Children‘s Healthcare of Atlanta at Egleston and Children Healthcare of Atlanta at
Scottish Rite are Georgia‘s only Pediatric Trauma Centers. Pediatric trauma patients less than 15
years of age are best served by being transferred directly to Children’s Healthcare of Atlanta
(CHOA). Inter-facility transfers are arranged via the CHOA Transfer Center line at 404-785-
7778
Region 4 does not have a burn specialty center. Georgia‘s two burn centers are The Joseph M.
Still Burn Center located in Augusta and the Grady Health System Burn Center in Atlanta.
Trauma System Participation
Whether designated or non-designated, each participating hospital will have a point of contact
designated 24/7 who is responsible for status determinations. The RTAC will review status
records of participating hospitals as a performance improvement point. Each participating
hospital must actively participate in Plan development and the regional performance
improvement plan.
Non-designated participating hospitals will also participate in regional trauma development
activities, have access to known data, and publically identified as a participant in the state trauma
system.
Inter-Facility Transfer
Inter-facility Transfer Guidelines will be established and used to assist the practitioner in
identifying the types of injured patients who may benefit from early transfer to a specialty care
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service at another hospital within the system. These are intended to be guidelines and are not
hospital specific. The goal is to identify patients who require transfer early so that the necessary
arrangements can be made for transfer where optimal care can be provided without unnecessary
delay.
The American College of Surgeons Committee on Trauma has developed criteria for
consideration of transfer. Below is an outline of the criteria for consideration of transfer.
A. Critical Injuries to Level I or highest regional trauma center
• Carotid or vertebral arterial injury
• Torn thoracic aorta or great vessel
• Cardiac rupture
• Bilateral pulmonary contusion with PaO2 to FIO2 ratio less than 20
• Major abdominal vascular injury
• Grade IV or V liver injuries requiring greater than 6 Units of Red Blood Cell transfusion in 6
hours
• Unstable pelvic fracture requiring greater than 6 Units of Red Blood Cell transfusion in 6 hours
• Fracture or dislocation with loss of distal pulses
B. Life-threatening injuries to Level I or II trauma center
• Penetrating injury or open fracture of the skull
• Glasgow Coma Scale score that is less than14 or lateralizing neurologic signs
• Spinal fracture or spinal cord deficit
• Unilateral rib fractures or bilateral rib fractures with pulmonary contusion
• Open long bone fracture
• Significant torso injury with advanced comorbid disease (such as coronary artery disease,
chronic obstructive pulmonary disease, type 1 diabetes mellitus, or immunosuppression)
* Resources for Optimal Care of the Injured Patient 2006, Committee on Trauma, American College of Surgeons.
Education and Training
Trauma care knowledge and skills need to be continuously updated, refined, and expanded
through targeted trauma care training such as Advanced Trauma Life Support®, International
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Trauma Life Support®, and age-specific courses. The Region 4 RTAC will work hand in hand
with the Office of EMS and Trauma (OEMS&T) and participating hospitals to periodically
assess the training needs of the region and address any identified education gaps in order to
develop robust trauma training programs.
All designated trauma centers must meet the professional education and training requirements
specified by the American College of Surgeons Committee on Trauma.
Level I and II trauma centers can enhance the competence and skill of personnel at designated
and non-designated participating hospitals by providing regular multidisciplinary education and
care reviews for personnel at these centers as well as work jointly to develop and participate in
data driven trauma education initiatives.
It is essential that all persons involved in the treatment of Trauma System patients have a basic
knowledge and awareness of the regional plan and the trauma system function. Additionally, they
must have specific knowledge of the TSEC. Participating hospitals will continue to ensure that
caregivers are competent in providing trauma care and that there is understanding and
compliance with trauma triage and transfer agreements. To assist in Regional Trauma Plan
implementation and standardization of training provided, the RTAC will develop and distribute
training resources specific to the Trauma Regionalization Pilot. Additionally, the RTAC will
assist in the delivery of on-site training on request.
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COMMUNICATIONS
Communications Component
The communications component is vital to the operation of the Georgia Trauma System as the
link between all components of the system. Communications must provide easily accessible:
• Essential information regarding the status of pre-hospital capabilities and trauma center
and non-designated participating hospital resource availability a constant basis.
• Access to Trauma System information, i.e., regional guidelines and trauma system entry
criteria.
• A linkage between injury scene and definitive hospital care for the rapid exchange of the
injured patient care needs and the required resources.
• Support for system-wide data collection to ensure system compliance for regional
performance improvement activities.
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PERFORMANCE IMPROVMENT
Data-Driven Performance Improvement
The data-driven performance improvement component is essential to continued and overall
Trauma System compliance and to the adequacy and improvement of regional p l ans. Ongoing
system compliance assessment and improvement is essential to ensure an optimal standard of
care.
The regional performance improvement program will utilize, at a minimum, two data sets in
order to develop and implement overall system improvements.
These are:
• The standardized pre-hospital dataset (EMS run data)
• The Trauma Registry minimum data set maintained at each trauma center
The RTAC will use these elements and others to develop performance improvement programs to
monitor regional system compliance and performance. Regional Plans and destination guidelines
are subject to change resulting from regional performance improvement review.
Each participating hospital will conduct an internal performance improvement program.
Additionally, the American College of Surgeons Committee on Trauma (ACS-COT) requires a
structured effort by each designated trauma center to demonstrate a continuous process for
improving care for injured patients, and as is provided for in the performance improvement
program specified above.
The RTAC will determine specific and regional audit filters for performance improvement trends
in patient care, as well as patient outcomes must be identified and appropriate system adjustments
made to improve the quality and timely availability of care for the trauma patient. Ongoing
evaluation of the trauma care system is essential throughout the continuum of patient care.
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INJURY PREVENTION AND OUTREACH
One of the major goals of any trauma system is the development of programs to prevent
unnecessary injuries and deaths due to trauma. The goal of these programs is to reduce
behavioral and environmental risks by mobilizing communities through citizen involvement and
expanded partnerships. Education and awareness strategies are often employed to encourage
individuals to protect themselves from harm. The RTAC along with its collaborative partners
will strive to develop effective injury prevention and outreach programs by employing
multifaceted approach which includes:
• Review of research and data to accurately describe the burden of traumatic injury
• Review injury data from multiple sources so that interventions may be target areas of
highest risk
• Development and implementation of strategies to decrease behavioral and environmental
risks factors
• Collaboration and coordination at the community level to increase local ability to address
needs.
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GLOSSARY of Georgia Trauma System Definitions
EMS Region
One of ten established geographic programmatic regions of the State of Georgia Office of
Emergency Medical Services and Trauma within Georgia Department of Public Health.
(Georgia) Trauma System
The collective body of regional trauma systems in the State of Georgia, organized to ensure
statewide access to the highest standard of trauma care possible and implemented in order to
decrease trauma morbidity and mortality throughout the State.
Major trauma center
A Level I or Level II Trauma Center as determined by the American College of Surgeons.
Non-designated participating hospital
An acute care Georgia licensed hospital with an emergency services department and varying
specialty physician coverage and service line capabilities to treat, stabilize, and admit low acuity
trauma patients. These hospitals sign a letter of commitment indicating Trauma System
participation.
Non-participating hospital
A Georgia licensed hospital that has not signed a letter of commitment with the Georgia Trauma
Commission indicating System participation and is not a designated Trauma Center.
Participating hospital
Any Trauma Center or non-designated participating hospital in the State of Georgia.
Performance improvement
A data-driven, documented, methodical and reviewable process for identifying and achieving
component-specific, regional, or state-level system improvements.
Primary triage
The decision as to whether a patient meets Georgia Trauma System Entry Criteria.
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Region
Any trauma service area—for the purpose of this plan, this is EMS Region 4
Regional Trauma Advisory Committee (RTAC)
A subcommittee of the Regional EMS Council and a body endorsed by the Georgia Trauma
Commission within a trauma service area to develop, implement, and oversee a Regional Trauma
System Plan.
Regional trauma system
Assets, capabilities, stakeholders and providers of a given trauma service area, organized to
improve the area‘s ability to identify and then transport Trauma System patients to an appropriate
hospital for definitive care within an optimal time.
Regional Trauma System Plan (“Plan”)
A document developed by and for a Regional Trauma Advisory Committee that specifies and
formalizes the relationships between the various regional trauma system components.
Regional Trauma System Planning Framework (“Framework”)
A document put forth by the Georgia Trauma Commission to be used as a planning guide for
regional trauma system plan development. The Framework sets forth components and functions
necessary for operation of a regional trauma system.
Secondary triage
A process which considers the physiologic, anatomic, mechanism of injury, EMS provider
discretion, or co-morbid criteria and region-specific trauma transport protocols used to determine
the transport destination recommendations made by the Trauma Communications Center for
EMS.
Transfer center
A hospital-based location tasked to arrange patient transfer into and out of the particular hospital.
Transport time
Amount of time estimated between scene departure and destination hospital considering the mode
of transport, weather, traffic, and other variables.
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Trauma Center
A Georgia licensed hospital designated by the State Office of EMS & Trauma as a Level I, II, III,
or IV trauma facility. State designation standards extrapolated from the American College of
Surgeons Committee on Trauma, Trauma Center Verification Standards.
Trauma service area
A geographic area, which accommodates overlapping and traditional hospitals‘and Trauma
Centers‘patient catchment areas and incorporates statewide EMS Regional infrastructure.
Trauma System Communications Database
The collective data set of all information gathered by the Georgia Trauma Communications
Center including the patient unique system I.D. numbers and participating hospitals‘available
resource status history.
Trauma System Entry Criteria
Field triage criteria: See Appendix D.
Trauma System patient
A trauma patient for whom the primary triage decision determined Trauma System entry
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APPENDIXA
GeorgiaTraumaCommissionMap
APPENDIXB
Region4ResourceDescription
Note*ThisAppendixisunder2018revision
Service Name Type of Service Zone Provider
Street Address City Phone
AIR EVAC LIFETEAM AIR NA 455 AEROTRON PKWY
LAGRANGE 7068457805
AIR EVAC LIFETEAM AIR NA 827 OLD BREMEN RD
CARROLLTON 7708323411
AIR LIFE GEORGIA AIR NA 215 MIDFIELD DR. GRIFFIN 7702230225 AIR LIFE GEORGIA AIR NA 108 West Aviation
Way NEWNAN 7702540005
AIR LIFE GEORGIA AIR NA CARROLLTON 7702141351 AMBUTRAN MEDICAL TRANSPORT, INC.
NET/AMBULANCE NO 505 CORPORATE CENTER DR.
STOCKBRIDGE 4042436600
ASSURED CARE EMS AMBULANCE NO 124 NEW HOPE RD. FAYETTEVILLE 4042715663 BUTTS COUNTY FIRE DEPARTMENT
AMBULANCE YES 625 WEST THIRD STREET - SUITE 14
JACKSON 7707758212
CITY OF FAYETTEVILLE FIRE DEPARTMENT
MEDICAL FIRST RESPONDER
NO 95 JOHNSON AVENUE
FAYETTEVILLE 7704614548
CITY OF MCDONOUGH FIRE DEPARTMENT
MEDICAL FIRST RESPONDER
NO 88 KEYS FERRY ST MCDONOUGH 7709571333
COMMUNITY AMBULANCE & MID GEORGIA AMBULANCE(UPSON)
AMBULANCE YES (Covers Lamar & Upson County
808 CHAPMAN DRIVE
MACON 7066478111
COWETA COUNTY FIRE/EMS
AMBULANCE YES 483 TURKEY CREEK RD.
NEWNAN 7702543900
FAYETTE COUNTY DEPT OF FIRE & EMERGENCY SERVICES
AMBULANCE YES 140 WEST STONEWALL AVENUE, SUITE 214
FAYETTEVILLE 7703055414
GUARDIAN MEDICAL TRANSPORT
AMBULANCE NO P.O. BOX 1659 FAYETTEVILLE 4045508206
HEARD COUNTY EMERGENCY MANAGEMENT AGENCY
AMBULANCE YES POST OFFICE BOX 490
FRANKLIN 7066756186
HENRY COUNTY FIRE DEPARTMENT
AMBULANCE YES 110 SOUTH ZACK HINTON PKWY.
MCDONOUGH 6783001937
LAGRANGE FIRE DEPARTMENT
MEDICAL FIRST RESPONDER
NO 115 HILL ST. LA GRANGE 7068832662
LAMAR COUNTY FIRE & RESCUE
MEDICAL FIRST RESPONDER
NO 107 COUNTRY KITCHEN RD
BARNESVILLE 7703585229
MEDX MEDICAL TRANSPORT OF GEORGIA
AMBULANCE NO 101 BELLAMY PLACE
STOCKBRIDGE 6785656339
MERCURY EMS AMBULANCE NO 505 CORPORATE CENTER DR.
STOCKBRIDGE 4042436600
MERIWETHER COUNTY EMS
AMBULANCE YES 59 HILL HAVEN RD GREENVILLE 7069778405
MOTORSPORTS EMERGENCY SERVICE
AMBULANCE NO 5300 WINDER HWY BRASELTON 7709673501
PEACHTREE CITY FIRE RESCUE
AMBULANCE YES 105 PEACHTREE PARKWAY, NORTH
PEACHTREE CITY
7706312097
PHOENIX EMS AMBULANCE NO 1625 HWY 42 NORTH
MCDONOUGH 7709145512
PIKE COUNTY EMERGENCY SERVICE
AMBULANCE YES (covered by Grady EMS)
P. O. BOX 377/79 JACKSON ST
ZEBULON 7705673406
PRECISION EMERGENCY MEDICAL SERVICE
AMBULANCE NO 679 HWY 29 SOUTH NEWNAN 7709145512
SPALDING REGIONAL MEDICAL CENTER EMS
AMBULANCE YES 1438 MERIWETHER STREET
GRIFFIN 7704128253
TROUP COUNTY EMS DBA/AMERICAN MEDICAL RESPONSE
AMBULANCE YES 1657 WEST LUKKEN INDUSTRIAL DRIVE
LA GRANGE 4238346439
TROUP COUNTY FIRE DEPARTMENT
MEDICAL FIRST RESPONDER
NA 2471 HAMILTON ROAD
LA GRANGE 7068831717
VETERANS MEDICAL TRANSPORT
AMBULANCE NO 115 COMMERCE DR., SUITE H
FAYETTEVILLE 4048861665
WEST GEORGIA AMBULANCE
AMBULANCE YES P. O. BOX 624 CARROLLTON 7708329689
WEST POINT FIRE DEPARTMENT
AMBULANCE YES P.O. BOX 487 -1700 SAFETY WAY
WEST POINT 7066453508
APPENDIX C
Region 4 Helicopter Emergency Medical Services Base Locations
APPENDIX D
Trauma System Entry Criteria
