Designation:F1286–90(Reapproved2002)StandardGuideforDevelopmentandOperationofLevel1PediatricTraumaFacilities1ThisstandardisissuedunderthefixeddesignationF1286;thenumberimmediatelyfollowingthedesignationindicatestheyearoforiginaladoptionor,inthecaseofrevision,theyearoflastrevision.Anumberinparenthesesindicatestheyearoflastreapproval.Asuperscriptepsilon(e)indicatesaneditorialchangesincethelastrevisionorreapproval.1.Scope1.1Thisguideestablishesminimumguidelinesforthedevelopmentandoperationofapediatrictraumafacilityinachildren’sorgeneralhospital.Apediatrictraumafacilityisaninstitutionwhosemedicalandadministrativeleadershiphasexpressedthepersonal,institutional,andfinancialcommitmenttooptimalcareoftheinjuredchild24haday,365daysayear.1.2Thisguidedefinesthesystem,organizationalstructure,clinicalpersonnel,andphysicalequipmentnecessaryforapediatrictraumafacility,whetherfreestandingorajointadult/pediatricfacilityineitherachildren’shospitalorgeneralhospitalcommittedtothecareofinjuredchildren.1.3Thecriteriaoutlineinthisguideincorporateslevelsofcategorizationandtheiressentialordesiredcharacteristics.2.ReferencedDocuments2.1ASTMStandards:F1224GuideforProvidingSystemEvaluationforEmer-gencyMedicalServices23.Terminology3.1Definitions:3.1.1traumacaresystem—acoordinatednetworkofemer-gencymedicalsystems(EMS)comprisedofoneormoretraumacenterslinkedbytriageprotocols,appropriatecommu-nications,transportationservices,andprehospitalcaretomanageeffectivelytheinjuredchildfrominitialinjurytocompleterehabilitation.ThetraumacaresystemisasubsystemwithintheEMSsystem.3.1.2traumacenter—ahospitalthathasmadetheinstitu-tionalcommitmenttofulfillallcriteriaoutlinedinSections1through4andwhereavailablebedesignatedbytheappropriateauthority.3.2DefinitionsofTermsSpecifictoThisStandard:3.2.1pediatricpatient—apatientwhosemorphologicgrowthpotentialhasnotbeencompleted.Ingeneral,apatientlessthan15yearsoldorconsistentwithlocalpractice.4.SignificanceandUse4.1Thepurposeofthisguideistoprovideguidelinesforcatego...
