Trauma & Specialty Referral Centers

Specialty referral centers within the Maryland EMS System

The State EMS Board is the entity responsible for the evaluation and regulation of all emergency medical services and the designation and verification of hospitals to be recognized as Perinatal and Neonatal Specialty Referral Centers. Specialty referral centers can receive interfacility transports.

MIEMSS, with the approval of the EMS Board, designates and verifes hospitals as specialty referral centers. Each hospital’s compliance with the specialty care standards and evaluate their appropriateness and capability to provide specialty care services according to the designation standards by reviewing an application that is submitted to MIEMSS and then conducting an on-site review. MIEMSS will reverify each specialty referral center within 5 years.

Maryland Adult Trauma Centers

Primary Adult Resource Center (PARC)

R Adams Cowley Shock Trauma Center/University of Maryland Medical System, Baltimore City

Pediatric Trauma Centers

Pediatric Trauma Center/The Johns Hopkins Children’s Center, Baltimore City
Pediatric Trauma Center/Children's National Medical Center, Washington, DC

Level I Trauma Center

The Johns Hopkins Hospital Adult Trauma Center, Baltimore City

Level II Trauma Centers

The Johns Hopkins Bayview Medical Center, Baltimore City
Prince George's Hospital Center (UMCRH), Cheverly
Sinai Hospital (LifeBridge Health), Baltimore City
Suburban Hospital (JHM), Bethesda

Level III Trauma Centers

Meritus Medical Center, Hagerstown
UPMC Western Maryland, Cumberland
TidalHealth Peninsula Regional, Salisbury

COMAR Regulations for Trauma and Specialty Referral Centers

Elizabeth Wooster, PhD
Director, Trauma & Injury Specialty Care Program
443-467-7361 | ewooster@miemss.org

COMAR 30.08 – Designation of Trauma and Specialty Referral Centers
COMAR 30.08.05 – Trauma Center Designation Center designation and Verification Standards
COMAR 30.08.06 – Adult and Pediatric Burn Center Standards
COMAR 30.08.07 – Specialty Referral Center Designation Standards
COMAR 30.08.08 – Pediatric Trauma Center Standards
COMAR 30.08.09 – Eye Trauma Center Standards
COMAR 30.08.10 – Neurotrama Center Standard
COMAR 30.08.14– Hand and Upper Extremity Trauma Center Standards

Burns Adult

Johns Hopkins Burn Center/The Johns Hopkins Bayview Medical Center, Baltimore City
Johns Hopkins Burn Center/The Johns Hopkins Bayview Medical Center, Baltimore City
Burn Center/Washington Hospital Center, Washington, DC
Burn Center/Washington Hospital Center, Washington, DC

Burns Pediatric

Johns Hopkins Children’s Center, Baltimore City
Johns Hopkins Children’s Center, Baltimore City
Children’s National Medical Center, Washington, DC
Children’s National Medical Center, Washington, DC

Eye Trauma

Wilmer Eye Institute’s Emergency Service/The Johns Hopkins Hospital, Baltimore City
Wilmer Eye Institute’s Emergency Service/The Johns Hopkins Hospital, Baltimore City

Neurotrauma (Head and Spinal Cord Injuries)

Neurotrauma Center/R Adams Cowley Shock Trauma Center/University of Maryland Medical System, Baltimore City

Pediatric Trauma

Pediatric Trauma Center/The Johns Hopkins Children’s Center, Baltimore City
Pediatric Trauma Center/Children's National Medical Center, Washington, DC

Poison Consultation Center

Maryland Poison Center/University of Maryland School of Pharmacy, Baltimore City
Maryland Poison Center/University of Maryland School of Pharmacy,
Baltimore City

Hyperbaric Medicine

Hyperbaric Medicine Center / R Adams Cowley Shock Trauma Center / University of Maryland Medical System, Baltimore City

Hand / Upper Extremity Trauma

MedStar Union Memorial Curtis National Hand Center, Baltimore City
MedStar Union Memorial Curtis National Hand Center, Baltimore City

Additional Resources

Interhospital Transfer Manual (Updated December 2021)

Trauma & Specialty Centers Designations

Hospital	Trauma or Specialty Designation	Year of Designation
Childern's National Medical Center, Wash. DC	Pediatric Burn (ADA)	2023
Johns Hopkins Bayview Medical Center	Level II AdultTrauma	2023
Johns Hopkins Bayview Medical Center	Adult Burn	2023
The Johns Hopkins Hospital	Level I Adult Trauma	2023
Suburban Hospital Johns Hopkins Medical	Level II AdultTrauma	2023
LifeBridge Sinai Hospital of Baltimore	Level II AdultTrauma	2023
MedStar Union Memorial Hospital	Hand/Upper Extermity	2023
Meritus Medical Center	Level III Adult Trauma	2023
TidalHealth Peninsula Regional	Level III Adult Trauma	2023
Univ of MD Capital Regional Medical Center	Level II AdultTrauma	2023
R. Adams Cowley Shock Trauma Center	PARC	2023
R. Adams Cowley Shock Trauma Center	Neurotrauma	2023
UPMC Western Maryland	Level III Adult Trauma	2023
The Johns Hopkins Hospital	Pediatric Burn (ADA)	2020
The Johns Hopkins Hospital	Pediatric Trauma	2020
Childern's National Medical Center, Wash. DC	Pediatric Trauma (ACS)	2021
Johns Hopkins Hospital Wilmer Eye Center	Eye	2021
Christiana Care Hospital	Level I Adult Trauma	2021

Trauma Center Categorization

Trauma Center Categorization
Differences in Standards Based on Physician Availablity and Dedicated Resources	PARC	Level I	Level II	Level III
Attending surgeon who is fellowship-trained and is in the hospital at all times	X
Dedicated facilities (Resuscitation Unit, Operating Room, and Intensive Care Unit) 24 hours	X
Facilities (Resuscitation Unit, Operating Room, and Intensive Care Unit) available at all times	X	X	X	X
Trauma Surgeon available in the hospital at all times		X	X
On-call Trauma Surgeon available within 30 minutes of call				X
Anesthesiologist in the hospital at all times and dedicated to trauma care	X
Anesthesiologist in the hospital at all times but shared with other services		X	X
On-call Anesthesiologist with CRNA who is in the hospital				X
Orthopedic Surgeon in the hospital at all times and dedicated to trauma care	X
Orthopedic Surgeon in the hospital at all times but shared with other services		X
On-call Orthopedic Surgeon available within 30 minutes of call			X	X
Neurosurgeon in the hospital at all times and dedicated to trauma care	X
Neurosurgeon in the hospital at all times but shared with other services		X
On-call Neurosurgeon available within 30 minutes of call			X	X
Fellowship-trained/board certified surgical director of the Intensive Care Unit	X	X
Physician with priveleges in critical care on duty and the Intensive Care Unit 24 hours a day	X	X	X
Comprehensive Trauma Research Program	X	X
Education - Fellowship Training in Trauma	X
Surgical Residency Program	X	X
Outreach Professional Education	X	X	X