EMS Trauma Transportation Rule & Destination Guide
The Field Triage/Trauma rule was signed by Governor Mitch Daniels on July 10, 2012, and became effective on August 8, 2012. The link to the new rule is: http://www.in.gov/legislative/iac/20120808-IR-836100628FRA.xml.pdf.
IDHS and the CDC have developed a self-study course that will describe both the Indiana rule and the guidelines that will enable responders to determine trauma center criteria for patients. You can access this course by clicking here. We recommend that you review this information and pass on this resource to your employees, staff, and colleagues.
The following template has been created to assist your jurisdiction in integrating the Field Triage/Trauma rule into your protocols. Medical Directors should establish further guidelines and recommendations within this document that are consistent with the Trauma Rule. It is important to instruct field responders on how to determine transport times and to help establish what types of circumstances a patient’s life might be in danger by not going to a closer medical facility. These guidelines should be pertinent to your areas of operation and take into consideration the terrain and make-up of your geographic locations as well as any other conditions affecting transportation. Responders should also be reminded that if they are ever in doubt of where to transport a patient, they should utilize on-line medical control to help make that determination.
Indiana Field Triage and Transportation Protocol Template
Destination Guide
Hospitals that wish to apply for status as an “in the ACS verification process” trauma center must provide sufficient documentation for the Indiana EMS Commission to conclude that your hospital complies with the requirements in the following form:
APPLICATION FORM FOR A HOSPITAL REQUESTING "IN THE ACS VERIFICATION PROCESS" STATUS
Please remit your completed application to:
Indiana Department of Homeland Security
EMS Certifications, E239, IGC-S
302 W. Washington Street
Indianapolis, IN 46204-2739
(We recommend that all important mail be sent certified)
The following list is of currently approved or “In progress” ACS Trauma Centers which are eligible to receive trauma patients from EMS according to 836 IAC 1-2.1-1. Those highlighted in yellow are “In Progress” of receiving accreditation but have been approved by the ISDH Trauma Committee and EMS Commission to begin receiving the appropriate trauma patients.
Map of Trauma Centers - Addresses, Contact Information for Trauma Centers
Level I Trauma Centers
| Wishard Memorial Hospital | Indianapolis, IN |
| Indiana University Health Methodist Hospital | Indianapolis, IN |
| Bronson Methodist Hospital | Kalamazoo, MI |
| University of Louisville Hospital | Louisville, KY |
| Loyola University Medical Center | Maywood, IL |
| Miami Valley Hospital | Dayton, OH |
| The Universty Hospital | Cincinnati, OH |
Level I Pediatric Trauma Centers
| Riley Hospital for Children at Indiana University Health | Indianapolis, IN |
| Kosair Children's Hospital | Louisville, KY |
| Cincinnati Children's Hospital | Cincinnati, OH |
Level II Trauma Centers
| Deaconess Hospital | Evansville, IN |
| St. Mary's Medical Center | Evansville, IN |
| Lutheran Hospital of Indiana | Fort Wayne, IN |
| Parkview Regional Medical Center | Fort Wayne, IN |
| St. Vincent Memorial Hospital | Indianapolis, IN |
| Memorial Hospital of South Bend | South Bend, IN |
| Borgess Medical Center | Kalamazoo, MI |
| Kettering Medical Center | Kettering, OH |
| Lima Memorial Health System | Lima, OH |
| St. Rita's Medical Center | Lima, OH |
Level II Pediatric Trauma Centers
| St. Mary's Medical Center | Evansville, IN |
| Lutheran Hospital of Indiana | Fort Wayne, IN |
| Parkview Regional Medical Center | Fort Wayne, IN |
| Children's Medical Center | Dayton, OH |
Level III Trauma Centers
| Ball Memorial Hospital | Muncie, IN |
| Atrium Medical Center | Middletown, OH |
| Promedica Defiance Regional Hospital | Defiance, OH |
| Bethesda North Hospital | Cincinnati, OH |
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