Trauma Services

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Care for serious injuries and illnesses

Patients with immediate, critical medical needs in the Portland-Vancouver area and across the region receive the finest care available at Legacy Emanuel Medical Center. We feature a Level I Trauma Center, the highest level possible, with life-saving capabilities for serious injuries and illnesses.

Legacy Emanuel provides a complete system for receiving these patients, including a heliport for the emergency helicopters to deliver patients from across the region.

Our full-time surgeons are leaders in the statewide trauma system. Along with other private practice surgeons, they provide around-the-clock care at our trauma center. We also send surgery teams to hospitals with patients who cannot be moved.

We are verified by the American College of Surgeons, the highest designation for trauma care. We collect data from trauma cases in the Legacy Trauma Registry to improve our care. In addition, doctors and researchers use these data in our Trauma Registry, and we work with other Level I and II trauma centers in research activities, exchanging data from our registry.

What makes a Level 1 Trauma Center?

Level I trauma centers, such as the one at Legacy Emanuel, are regulated by the state of Oregon, to provide “the highest level of definitive, comprehensive care for the severely injured adult and pediatric patient with complex, multi-system trauma,” according to the state’s guidelines.

Below are the standards for a Level 1 Trauma Center:

  • A Level I facility is the regional resource trauma center in the system and has the capability of providing total patient care for every aspect of injury from prevention through rehabilitation.
  • Highly specialized care for pediatric trauma, burns, spinal cord injury, eye injury, limb re-implantation and other clinical problems is available at the Level I center.
  • An emergency physician, general surgeon, anesthesiologist, and nursing and ancillary personnel who can initiate immediate surgery are in-house and available to the patient on arrival to the emergency department.
  • A neurosurgeon is on-call and promptly available to the patient.
  • A broad range of sub-specialists are on-call and promptly available to provide consultation or care.
  • In addition to direct patient care, Level I trauma centers are responsible for resident training, research, regional quality improvement, community education, outreach and injury prevention.


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