# COMAR Title 30 — Maryland Institute for Emergency Medical Services Systems (MIEMSS)

## Subtitle 08 — Designation of Trauma and Specialty Referral Centers

### Chapter 05 — Trauma Center Designation and Verification Standards

#### Regulation .09 Additional Surgical Specialties.

*COMAR 30.08.05.09*

The following surgical specialties shall be on call and available with a 30-minute response time:
            PARC
            I
            II
            III
            ED
          
        
        
          
            A. Cardiac;
            E
            E
            D
            NA
            NA
          
          
            B. Hand;
            E
            E
            D
            D
            NA
          
          
            C. Microvascular replant or flaps;
            E
            E
            D
            D
            NA
          
          
            D. Obstetric and gynecologic;
            E
            E
            E
            E
            NA
          
          
            E. Ophthalmic;
            E
            E
            E
            D
            NA
          
          
            F. Oral or maxillofacial;
            E
            E
            E
            D
            NA
          
          
            G. Otorhinolaryngologic;
            E
            E
            E
            D
            NA
          
          
            H. Pediatric;
            E
            E
            D
            D
            NA
          
          
            I. Plastic;
            E
            E
            E
            D
            NA
          
          
            J. Thoracic;
            E
            E
            E
            E
            NA
          
          
            K. Urologic; and
            E
            E
            E
            E
            NA
          
          
            L. Vascular.
            E
            E
            E
            D
            NA