<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 30.08.10.07" title_num="30" subtitle_num="08" chapter_num="10" heading="Facility and Equipment.">
  <text>A neurotrauma center shall have:</text>
  <paragraph num="A.">
    <text>For emergency resuscitation:</text>
    <paragraph num="(1)">
      <text>Immediate access to a computed tomography (CT) scanner; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Intracranial Pressure (ICP) monitoring equipment;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>In its operating room (OR):</text>
    <paragraph num="(1)">
      <text>Neurotrauma-specific instrumentation/trays;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Intraoperative ultrasound; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Evoked potential monitoring;</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>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;</text>
  </paragraph>
  <paragraph num="D.">
    <text>In the ICU:</text>
    <paragraph num="(1)">
      <text>ICP monitoring equipment; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Advanced Neuro-monitoring equipment;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Radiological specialty capabilities, including:</text>
    <paragraph num="(1)">
      <text>In-house trauma-dedicated technicians 24 hours a day;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>CT scan available 24 hours a day; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Access to magnetic resonance imaging (MRI) capability 24 hours a day; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Clinical laboratory service that meets the standards for PARC and Level I trauma center standard as specified in COMAR 30.08.05.15.</text>
  </paragraph>
</regulation>