Key result
This narrative review outlines the strategic, leadership, and operational challenges an intensive care unit faces when a medical center transitions to a Level I trauma center.
This narrative review outlines the strategic, operational, and staffing challenges an ICU faces when transitioning to a Level I trauma center.
May guide ICU preparation for Level I trauma designation; leaves open prospective validation of strategies.
The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a highly functioning surgical ICU and align it for the inevitable changes that happen as trauma go-live occurs; (3) intensivist staffing changes; (4) roles for and training of advanced practice practitioners; (5) graduate medical education issues; (6) optimizing interactions with closely related services; (7) nursing, staffing, and training issues; (8) bed allocation issues; and (9) reconciling the advantages of a "unified adult critical care service" with the realities of the central relationship between trauma and surgical critical care.
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Savel et al. (2018) conducted a review in Level I trauma center transition. Transitioning to a Level I trauma center was evaluated. This narrative review outlines the strategic, leadership, and operational challenges an intensive care unit faces when a medical center transitions to a Level I trauma center.
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