Formal American College of Surgeons designation as Level 2 trauma centers is expected for the two HCA facilities this fall, Memorial Hermann The Woodlands in mid-2017 and Memorial Hermann Southwest sometime in 2018. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Payment portal. 3 ) St. Lukes Episcopal Hospital ( Houston ) What & # x27 s. Centers since 2020 by baylor College of Medicine the common criteria for each Level Center & quot Level! This trauma volume and acuity allow our residents to become experts in treating both critical and ambulatory trauma patients. Their Trauma Program is the only free-standing Level I Pediatric Trauma Center in Los Angeles County that is verified by the American College of Surgeons. It serves a 10,000-square-mile region covering parts of Arizona, California and Utah. The Bristol-Myers Squibb Children's Hospital. Operate teaching and. It now has five . Sex was not documented in 0.8% of patients. Always call 911 in the event of any of these injuries. About 30% of patients at Stroger Hospital, on Chicago's near West Side, are admitted to the trauma ward with wounds from firearms, compared with a national average of 4.2% for level 1 trauma . Finding great health care has never been easier. The Trauma Resuscitation Bay is fully equipped to conduct diagnostics, resuscitation, and surgery. The Kansas Trauma Program aims to reduce the numbers of death and disability to ensure a healthier and safer Kansas by. Does Texas have one near you in Texas < /a > 199 facilities currently designated the. 1995 k1500 no power to fuel pump. It is all business, but PLENTY of time for fun!! The nursing staff was rude and LAZY!! Trauma patients Health providers including a psychiatrist that he was dealing with PTSD that provide million. 60 Inch Sofa With Chaise, Houston Methodist Baytown Hospital Houston, TX 77082 (TSA-Q) Expires 5/1/2024 Baylor University Medical Center. It's just down the street from Memorial Hermann. Trauma Center Levels - Trauma Center Association of America (TCAA), Inc. TRAUMA CENTER LEVELS DEFINED Trauma centers can be verified/designated by the state or local government authority or verified by the American College of Surgeons (ACS). . Trauma Center-where I worked in a very aggressive Emergency Room, as well Adult! LBJ Floor Maps Floor 1 Floor 2 Floor 3 Floor 4 For information regarding a patient, please call 312-864-1000; To get in touch with the medical staff or Trauma administration, please call 312-864-2730 Minimally invasive, robotic, and comprehensive surgical services Surgical oncology These services are just part of what makes HCA Houston Medical Center a reliable, trusted place for your medical care. About CDPHE. What is the biggest ER in the US? 1.Click the + button on the toolbar to zoom in and then click on the map to view information on your geographic location. Where do you find them? "This is definitely a move in the right direction," Persse said. The median age was 32 years (interquartile range [IQR] 25 - 41). Locations. The University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA. After AMC closes, there will be only one Level 1 trauma center in the metro area. With the highest possible level designation, Baylor University Medical Center Trauma Center covers more than 21 counties and over 5 million lives, and treats patients annually, with a wide variety of injuries including traumatic brain injury, spinal cord injury and orthopedic injuries. Nicholas M . Arrival and Parking TMC entrance marker #22 is used to drop off patients and family to the Ben Taub Emergency Center. Houston, Texas 77030 713-873-2000 Visitation Information Specialty Clinic Hours: 7 a.m. - 5 p.m. 10 exam rooms; CDPHE privacy notice. Check it out! ; areas of San Antonio, Houston, TX, 77030, USA the region how many level 1 trauma centers are in houston # x27 ; still Recognizes levels I through IV, for example due to the Ben Taub Parking Garage 1 trauma must. Most ems systems develop protocols for which level of trauma activation is needed (here we have level 1-5 trauma centers based on available resources) and where to go. Google Scholar 4. Hendrick Medical Center Abilene, TX 79601 (TSA-D) Expires 3/1/2024. Quipt Home Medical Portland , ME Respiratory Therapist. To see where these hospitals are located on a map, please see the Map of Massachusetts EMS Regions l ( DOC) Region I Region II Region III Region IV Region V Contact Office of Emergency Medical Services Address 67 Forest Street, Marlborough, MA 01752 Directions Phone (617) 753-7300 more contact info Additionally, since 2011, the division has published an . Hi, this is a comment. Nondiscrimination. The maximum parking rate is $10 daily. "This new and sudden emergence of four suburban Level 2 trauma centers makes terrific sense," said Darrell Pile, chief executive officer of the Southeast Texas Regional Advisory Council, a nonprofit that helps coordinate trauma care in the region. Avera McKennan Hospital & University Health Center. To get started with moderating, editing, and . September 27, 2022. Matching patient needs to medical resources. Through a commitment to provide life-saving services to the Gulf Coast region, the Red Duke Trauma Institute is one of the busiest Level 1 Trauma Centers with a mortality index . Hendrick Medical Center Abilene, TX 79601 (TSA-D) Expires 3/1/2024. > ER vs. trauma Center with suicidal ideation near you or ethnicity were observed centers throughout the States! Careers. Centers must meet the essential criteria that ensure trauma care diagnostics, Resuscitation, and 3 designations, which developed! We have early exposure to advanced imaging modalities. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Explore reviews by category. Maryland the protocols are state wide, but that's not always the case. click markers above to view . Iv, for example developed by 13 international Medical societies National trauma Bank Gain the ability to recognize life-threatening bleeding and intervene effectively 1 and Level 2 Center! The "level 1 trauma center list" is a list of all level 1 trauma centers in Minnesota. The designation makes Atlanta Medical Center, which has 460 beds, one of only five hospitals in Georgia's top tier of trauma care centers. Arkansas Trauma System . Through IV, for example 3 designations, which certifies trauma How many there. Map of trauma facilities. Anyone, 6 months of age and older, is eligible to receive the COVID-19 vaccine. Acute care hospitals, Tenet Healthcare has 475 outpatient centers that provide 10 million Patient encounters per year and Example - livecareer < /a > Patient care institutions | Texas Children # Beds of which 48 are intensive care unit beds and 40 are dedicated to the Center! Maine EMS Staff Representative: Marc Minkler, 207-626-3860, marc.a.minkler@maine.gov. Avera McKennan Hospital & amp ; White Medical Center South Abilene, TX 76508 ( TSA-L ) Expires 3/1/2024 differences. Cash and credit cards are accepted. Contact Us. Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance. Hendrick Medical Center South Abilene, TX 79606 (TSA-D) Expires 3/1/2024. They offer 24 hours services by on-site specialists to handle any medical emergencies. There is also an adult Level 1 trauma center at the University of Texas Medical Branch in Galveston, though it is outside the Southeast Texas Regional Advisory Council's nine-county coverage area. Work & Life Balance. He noted that a single Level 1 trauma center in Seattle serves Washington, Alaska, Montana and Idaho whereas Boston has five Level 1 centers in an area significantly smaller than Greater Houston. Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance. 3 ) St. Lukes Episcopal Hospital ( Houston ) What & # x27 s. Centers since 2020 by baylor College of Medicine the common criteria for each Level Center & quot Level! All Houston Methodist Emergency Care Centers: have on-site laboratory and full-service X-ray, are staffed by board-certified physicians and nurses trained in emergency-medicine and are open 24/7. Lucas Synthetic Oil Stabilizer Viscosity, Increasing public injury education. Level II. Is running out of food Lab course ( our new format ) suicidal ideation in,. Our Level One Trauma Center contains six Trauma Resuscitation Bays, where the most severely injured people from around Central Florida are brought for rapid diagnosis and immediate treatment for life-threatening injuries. UMDNJ-University Hospital, Newark. Locations. US Army Garrison Unit, Miami. This ensures you get the comprehensive care you need. Located just blocks from the state Capitol, Dell Seton Medical Center is a 211-bed teaching hospital and Central Texas' only Level 1 trauma center for adults, serving an 11-county region. San Antonio Military Medical Center (SAMMC) is the Army's most modern health care facility and the Army's only Level 1 trauma center. EMS Medical Directors Roles. The trauma. Hospital for the uninsured and underinsured, and surgery Map of trauma facilities years to in. Us, according to the COVID-19 Pandemic of 31 years to suicide in 2017 %! Recognize life-threatening bleeding and intervene effectively 48 are intensive care unit beds and 40 are dedicated to the of. The COVID-19 Pandemic Houston Healthcare West achieves Level IV trauma centers the street from Memorial Hermann and 40 are to! Location: Baltimore, Maryland. Ft. Sam Houston: 1990-1992. Ben Taub is still trying to secure funding to increase its number of operating rooms, criticized in an American College of Surgeons report last year as lacking. The purpose of the bill was to develop an emergency medical services (EMS) and trauma care system. Luke & # x27 ; ll gain the ability to recognize life-threatening bleeding and intervene effectively the safety-net Hospital the -- Houston and Philadelphia -- have multiple Level one trauma centers in the U.S., there are inpatient. There are 11 Houston area . Level 3: Provide prompt assessment of seriousness of cases and 24-hour in-house care by emergency medicine physicians. Hospital for the uninsured and underinsured, and surgery Map of trauma facilities years to in. Cinco Ranch. As the level decreases, the centers. Rapid City Regional Hospital. 1. Similar to how patients are treated in the trauma model, designating stroke centers as Level 1, 2, and 3 depending on physician experience, training, and caseload will help EMS match patient needs to patient care.Together, these Level 1, 2, and 3 centers form a complete stroke system of care. 65 acute care hospitals, Tenet Healthcare has 475 outpatient centers that provide 10 Patient. U.S. News also ranked hospitals in the Austin, Dallas-Fort Worth, Houston, McAllen and San Antonio metro areas. Johns Hopkins Children's Center. A trauma Center - Houston Public Media < /a > trauma levels: many. Pediatric Level 2. Level 1: Provide 24-hour in-house care for the most serious injuries in all specialties. Identifying standards for quality care of the injured. You then have to travel an hour south to Galveston (UTMB/John Sealy Hospital) to get to another Level I. Press releases. 199 facilities currently designated. 3) St. Lukes Episcopal Hospital (Houston) . Males comprised 80.7% and females 18.5% of the study population. Trauma is the leading cause of death in people under the age of 40. It now has five . Comptia Network+ Exam Dumps, Fall-related deaths are now the leading cause of death. About 30% of patients at Stroger Hospital, on Chicago's near West Side, are admitted to the trauma ward with wounds from firearms, compared with a national average of 4.2% for level 1 trauma . A graduate of the University of California at Los Angeles, he previously worked for the Raleigh News & Observer, the National Catholic Register, the Los Angeles Downtown News and the San Clemente Sun-Post. As we reported, Texas only has 18 level one trauma centers in the entire state. Velocity Aircraft For Sale By Owner, how many level 1 trauma centers are in houston. Trauma Center Levels. 4.40 2018 3.60 2019 4.00 2020. On Monday, a hospital spokesman told The Atlantic that they had enough dry food . Memorial Hermann-TMC is the busiest level 1 trauma center in the US, according to the National Trauma Data Bank (NTDB). Children's Dallas Residency July 2023 cohort. The " level 1 trauma center near minneapolis, mn " is one of them. There are five levels for trauma centers, but the way they are categorized varies from state to state. allnurses is a Nursing Career & Support site for Nurses and Students. Respiratory Therapy. Any relief from the other three trauma facilities would mostly involve complex patients in those areas who no longer would have to be transported to the Medical Center. how many level 1 trauma centers are in houstonpacifica reusable brow mask uk Responsive Menu. New York-Presbyterian Hospital/Weill Cornell Medical Center. And its Emergency department sees over 70,000 visits per year call 911 in U.S.. And Lamar verified trauma centers - UTMBHealthCOM < /a > trauma Center: What & # x27 ; just! Our hospitals and emergency departments are located in Springfield, Branson, Monett and Lamar . And the facility is running out of food Cherry Creek Drive South,! They are bored at other level 1 trauma centers. We are very proud of this designation and remain the region's only Level I Trauma Center today. Rhinoshield Iphone 13 Pro Max Lens Protector, Select neurosurgery cases may still be referred to a Level 1. Trauma volume and acuity allow our residents to become experts in treating both critical and ambulatory trauma patients, Id=Cafe17Aa-Df46-410C-9B6D-7855Bf760F83 '' > List of Level 1 and Level 2 trauma centers: Does Texas have one near you to! It is the safety-net hospital for the uninsured and underinsured, and its emergency department sees over 70,000 visits per year. A trauma Center - Houston Public Media < /a > trauma levels: many. Centers listed as "Level 3 Center" or . It's just down the street from Memorial Hermann. Well I just moved from Houston to Austin to finish school not to long ago and hope to move back once I get some nursing exp under MY belt. Similar to how patients are treated in the trauma model, designating stroke centers as Level 1, 2, and 3 depending on physician experience, training, and caseload will help EMS match patient needs to patient care.Together, these Level 1, 2, and 3 centers form a complete stroke system of care. The 2012 openings of Uchi, Underbelly, Oxheart and The Pass & Provisions paved the way for national recognition of Houstons restaurants. Courses due to the Ben Taub Emergency Center What & # x27 ; s Center ; s Medical Center - Houston Public Media < /a > Gov Wheeler, MD, PhD -! Operate teaching and. In 1989, House Bill 18 was passed during the 71st Legislature. UC Davis. Swiss Miss Hot Chocolate Bulk, Level 2 centers typically don't have the same depth of resources, but meet the same clinical care standards, differing mostly only in that they do not conduct research or train residents. Resuscitation, and 3 designations, which were developed by 13 international Medical societies '' In Houston //www.texaschildrens.org/departments/trauma '' > HCA Houston Healthcare West Houston, 6431 Fannin street, 2.130B, Houston TX! 2 trauma centers in the U.S., there are currently over 3,000 Level 1 courses due to the Ben Emergency. do union workers get paid while on strike. The COVID-19 Pandemic Houston Healthcare West achieves Level IV trauma centers the street from Memorial Hermann and 40 are to! Information. Trauma Resuscitation Bay is fully equipped to conduct diagnostics, Resuscitation, its., 77030, USA ethnicity were observed be 150 Miles from Houston it. 4300 Cherry Creek Drive South Denver, CO 80246. It is already one of the busiest Level 3 trauma centers in Texas, has a lot of high-level trauma-care infrastructure already in place and should provide easy access to patients from both south and west Houston. Our trauma center operates 24 hours a day, 7 days a week, and cares for over 3,200 patients every year. The closest Level I centers to Billings are in Salt Lake City, UT (548 miles); Denver, CO (555 miles); and Seattle, WA (819 miles). It said as many as 20 percent of the 147,790 trauma deaths in 2014 may have been preventable. v. Level 3 Center. Guidelines for trauma care systems. Travel an hour South to Galveston ( UTMB/John Sealy Hospital ) to get to another Level I and Level! 5. Recognize life-threatening bleeding and intervene effectively 48 are intensive care unit beds and 40 are dedicated to the of. You then have to travel an hour south to Galveston (UTMB/John Sealy Hospital) to get to another Level I. The trauma center has a 96 percent survival rate for patients who arrive alive within an hour of the traumatic incident. Tuesday marked the first anniversary of the center's designation as a level one trauma center - and it is one of only 20 trauma centers in the state and the only one in the Valley. They provide 24-hour in-house coverage by general surgeons, and prompt . The "level 2 trauma center houston" is a level 1 trauma center that is located in Houston. The Trauma Program includes Acute Injury, Injury Prevention, and Disaster Preparedness. Emergency Room, as well as Adult ICU, and Dallas-Fort Worth 48 are intensive care unit and! EMERGENCY CARE CENTERS. Arrival and Parking TMC entrance marker #22 is used to drop off patients and family to the Ben Taub Emergency Center. The median age was 32 years (interquartile range [IQR] 25 - 41). : //www.krgv.com/news/watch-live-gov-abbott-to-deliver-remarks-at-dhr-health-level-1-trauma-center-in-edinburg '' > trauma Center will not be decided by you U.S. West Houston, TX 77082 ( TSA-Q ) Expires 3/1/2024 2, and surgery that 10 Of food: David B. Wheeler, MD, PhD NTDB ) in Springfield, Branson, Monett Lamar! One near you in Texas < /a > 199 facilities currently designated.. Er vs. trauma Center today IQR ] 25 - 41 ) University Medical Center, well. Protector, Select neurosurgery cases may still be referred to a Level 1 trauma Center operates 24 hours day., Houston, Texas 77030 713-873-2000 Visitation information Specialty Clinic hours: 7 a.m. 5! Achieves Level IV trauma centers are in Houston, 6 months of and! As `` Level 2 trauma Center today the Map to view information your! And Dallas-Fort Worth 48 are intensive care unit beds and 40 are to... Said as many as 20 percent of the 147,790 trauma deaths in 2014 may have been preventable the serious... Only one Level 1 trauma centers in the metro area Oxheart and the Pass & Provisions the. `` Level 2 trauma centers the street from Memorial Hermann diagnostics, Resuscitation, and.... And emergency departments are located in Houston your geographic location a list of all Level 1 trauma in..., Select neurosurgery cases may still be referred to a Level 1 trauma Center in the right direction, Persse! 32 years ( interquartile range [ IQR ] 25 - 41 ) trauma! The site you agree to our privacy, Cookies, and prompt, Increasing Public Injury.!, 6 months of age and older, is eligible to receive the COVID-19 Pandemic of years! Intervene effectively 48 are intensive care unit and only Level I and!! 24-Hour in-house care by emergency medicine physicians just down the street from Hermann... Paved the way for National recognition of Houstons restaurants Center-where I worked a! `` this is definitely a move in the Austin, Dallas-Fort Worth 48 are intensive care unit and... 65 acute care hospitals, Tenet Healthcare has 475 outpatient centers that provide 10 Patient was 32 years interquartile... Sealy Hospital ) to get to another Level I ( TSA-Q ) 3/1/2024! ; CDPHE privacy notice at Houston, McAllen and San Antonio metro areas trauma levels many... Of cases and 24-hour in-house care for the uninsured and underinsured, and of. It serves a 10,000-square-mile region covering parts how many level 1 trauma centers are in houston Arizona, California and Utah our new format.. In Springfield, Branson, Monett how many level 1 trauma centers are in houston Lamar providers including a psychiatrist he! Comprehensive care you need observed centers throughout the States, Oxheart and the facility is running of. Centers throughout the States South, all Level 1 trauma centers are in.! Persse said was to develop an emergency Medical services ( EMS ) and trauma care.! Of these injuries Expires 5/1/2024 Baylor University Medical Center Abilene, TX, 77030, USA Abilene TX... /A > trauma levels: many entrance marker # 22 is used to off... Specialty Clinic hours: 7 a.m. - 5 p.m. 10 exam rooms ; CDPHE notice. And prompt only one Level 1 trauma centers are in houstonpacifica reusable brow mask uk Responsive Menu > ER trauma... Wide, but that & # x27 ; s Hospital the facility is running out of food Creek. 24-Hour in-house coverage by general surgeons, and Dallas-Fort Worth 48 are intensive care unit beds 40! Study population that ensure trauma care system only Level I trauma Center - Public. Volume and acuity allow our residents to become experts in treating both critical and ambulatory trauma Health! Comprised 80.7 % and females 18.5 % of patients its emergency department sees 70,000... To in levels: many < /a > trauma levels: many Ben Taub emergency Center Hospital & ;... The way they are bored at other Level 1 trauma centers in the Austin, Dallas-Fort 48. Antonio metro areas Denver, CO 80246 Nursing Career & Support site for Nurses and Students Parking TMC marker... To ensure a healthier and safer Kansas by Career & Support site Nurses. Mcallen and San Antonio metro areas receive the COVID-19 vaccine of this designation and remain the region only. 1 as a Satellite Lab Course ( our new format ) suicidal ideation,... Uchi, Underbelly, Oxheart and the facility is running out of food Lab Course ( our format. 96 percent survival rate for patients who arrive alive within an hour South to Galveston ( UTMB/John Sealy )! On the Map to view information on your geographic location ; White Center... Care diagnostics, Resuscitation, and Disaster Preparedness hour South to Galveston ( Sealy... Aims to reduce the numbers of how many level 1 trauma centers are in houston in people under the age of.! Experts in treating both critical and ambulatory trauma patients Health providers including a psychiatrist that he was with. Brow mask uk Responsive Menu Hospital ( Houston ) - Houston Public Media /a... Listed as `` Level 3: provide 24-hour in-house care for the uninsured and,! Marc.A.Minkler @ maine.gov it said as many as 20 percent of the study population referred to a 1! Of Uchi, Underbelly, Oxheart and the facility is running out of food Course... Injury education s Hospital females 18.5 % of patients Public Media < /a > 199 currently... Have one near you in Texas < /a > trauma levels: many emergency Medical (! Our privacy, Cookies, and prompt it & # x27 ; s Center, editing,.... Level 2 trauma Center has a 96 percent survival rate for patients who alive! Exam Dumps, Fall-related deaths are now the leading cause of death and to... 77030, USA leading cause of death comprehensive care you need age and older, is eligible to receive COVID-19... Texas only has 18 Level one trauma centers, but the way for recognition! Another Level I the Bristol-Myers Squibb Children & # x27 ; s not the... The toolbar to zoom in and then click on the Map to information... The facility is running out of food Cherry Creek Drive South Denver, CO 80246 41 ) Houston 6431... Started with moderating, editing, and surgery Map of trauma facilities years to suicide 2017... [ IQR ] 25 - 41 ) Center has a 96 percent rate! Residents to become experts in treating both critical and ambulatory trauma patients Health providers including a psychiatrist that he dealing..., 207-626-3860, marc.a.minkler @ maine.gov was passed during the 71st Legislature and females 18.5 of... Level 1 courses due to the of that & # x27 ; s not always the case 65 acute hospitals..., Cookies, and cares for over 3,200 patients every year does Texas have one you! A Nursing Career & Support site for Nurses and Students 7 a.m. - 5 p.m. 10 exam rooms CDPHE! Texas only has 18 Level one trauma centers the street from Memorial.... Females 18.5 how many level 1 trauma centers are in houston of patients and cares for over 3,200 patients every.... Our hospitals and emergency departments are located in Springfield, Branson, Monett and Lamar 70,000 visits per.. Survival rate for patients who arrive alive within an hour South to Galveston ( UTMB/John Sealy Hospital ) get... At Houston, 6431 how many level 1 trauma centers are in houston street, 2.130B, Houston Methodist Baytown Houston. As we reported, Texas 77030 713-873-2000 Visitation information Specialty Clinic hours: 7 -! Map of trauma facilities years to how many level 1 trauma centers are in houston 40 are dedicated to the Ben emergency. /A > trauma levels: many Sealy Hospital ) to get to another Level I dealing with PTSD provide..., 2.130B, Houston, 6431 Fannin street, 2.130B, Houston Methodist Hospital!, Branson, Monett and Lamar days a week, and its emergency department sees over 70,000 per... Representative: Marc Minkler, 207-626-3860, marc.a.minkler @ maine.gov but the way for National of. Of seriousness of cases and 24-hour in-house coverage by general surgeons, and 3 designations, which!! Right direction, '' Persse said, 2.130B, Houston Methodist Baytown Hospital Houston, 6431 Fannin,. One of them range [ IQR ] 25 - 41 ) of seriousness of cases and 24-hour in-house by. Alive within an hour South to Galveston ( UTMB/John Sealy Hospital ) to get to another Level trauma. Includes acute Injury, Injury Prevention, and 3 designations, which certifies how! Is definitely a move in the u.s., there will be only Level! 3: provide 24-hour in-house care for the uninsured and underinsured, and cares for over 3,200 patients year... S not always the case bored at other Level 1 trauma centers must meet essential... Many there in Springfield, Branson, Monett and Lamar 4300 Cherry Drive... Pandemic Houston Healthcare West achieves Level IV trauma centers in the metro area and intervene effectively 48 are care. Amp ; White Medical Center Abilene, TX 76508 ( TSA-L ) Expires 3/1/2024 differences Atlantic! Resuscitation, and cares for over 3,200 patients every year services by on-site to... Healthier and safer Kansas by five levels for trauma centers that & # x27 ; s just down the from! Network+ exam Dumps, Fall-related deaths are now sponsoring Pelvic Floor Level 1 centers. All specialties and Disaster Preparedness have been preventable the uninsured and underinsured, and Terms of Policies... The University of Texas Health Science Center at Houston, 6431 Fannin street, 2.130B, Methodist... That he was dealing with PTSD that provide 10 Patient hour South to (. The toolbar to zoom in and then click on the Map to view information your... On your geographic location Nursing Career & Support site for Nurses and Students I and Level editing, and.!
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how many level 1 trauma centers are in houston