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

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

### Chapter 10 — Neurotrauma Center Standards

#### Regulation .07 Facility and Equipment.

*COMAR 30.08.10.07*

A neurotrauma center shall have:

A. For emergency resuscitation:

  (1) Immediate access to a computed tomography (CT) scanner; and

  (2) Intracranial Pressure (ICP) monitoring equipment;

B. In its operating room (OR):

  (1) Neurotrauma-specific instrumentation/trays;

  (2) Intraoperative ultrasound; and

  (3) Evoked potential monitoring;

C. A post-anesthesia care unit (PACU) with the necessary equipment and medications to manage the traumatic brain or spinal cord injured patient resuscitation and monitoring;

D. In the ICU:

  (1) ICP monitoring equipment; and

  (2) Advanced Neuro-monitoring equipment;

E. Radiological specialty capabilities, including:

  (1) In-house trauma-dedicated technicians 24 hours a day;

  (2) CT scan available 24 hours a day; and

  (3) Access to magnetic resonance imaging (MRI) capability 24 hours a day; and

F. Clinical laboratory service that meets the standards for PARC and Level I trauma center standard as specified in COMAR 30.08.05.15.