University Hospital offers the only Level I trauma center and helicopter service in central Missouri. What level trauma center is Huntsville hospital? Candidate preferences are the decision of the Employer or Recruiting Agent, and are controlled by them alone. The trauma team at Cox Health is seeking a BC/BE trauma and critical care surgeon to extend high-level care to patients in southwest Missouri. Immediate access to advanced heart care is critical to restore the flow of blood to the heart and increase the chance of survival in patients with STEMI. However, the Stepping On program has proven to reduce falls by more than 30%. Holston Valley, which was their old base hospital hospital, is now a level 3. The patient selects the items from a restaurant-style menu, places a call to our room service attendant and the meal is delivered within 45 minutes. Even for the most complex cases, our stroke team has the expertise and state-of-the-art technology to stop a stroke and drastically reduce its side effects. What is the difference between trauma 1 and 2? SSM Health Saint Louis University Hospital is the oldest and longest continuing Level 1 Trauma Center in Missouri. Based on laws enacted in Missouri in 2013, the TCD System is established . Our staff and volunteers are available to help you choose just the right item for your loved one. For the best experience please update your browser. . Located in the lobby on University Hospitals first floor, theMizzou Pharmacy-University Hospitalis a full-service retail pharmacy offering over-the-counter medication and prescription drugs. Prince George's Hospital Center (UMCRH), Cheverly. k*;*97OQ[ 3ny SE5DUc_] n& [ 0XA$ SSM Health Saint Louis University Hospital's Intensive Care Unit (ICU) has dedicated neuro ICU to accommodate the sickest stroke patients. stream 4 0 obj After a serious crash in rural Missouri, Mark Carr felt at ease in the hands of the Saint Luke's Hospital of Kansas City trauma team. A comprehensive list of the Commonwealth's trauma centers is located . Monitor symptoms. Nearby Silver Dollar City features products made by resident craftsmen using nineteenth-century skills. - listing US Job Opportunities, Staffing Agencies, International / Overseas Employment. (Figure 1). Saint Lukes Concierge: 816-932-5100. endobj the largest in Missouri, in a 52,000-square-foot facility. We are the only local health system named five times to U.S. News & World Reports Best Regional Hospitals list, and we are recognized by Care Chex as among the Top 10 percent of U.S. hospitals for medical excellence and patient safety in overall medical care. St. Luke's cares for thousands of patients every year at seven trauma centers throughout the region that are fully accredited by the Pennsylvania Trauma Systems Foundation and supported by a team of fellowship-trained trauma surgeons, orthopedic trauma surgeons, trauma . COVID-19: learn the latest about COVID-19 vaccines and testing. In general, Level I Centers function as resource center within a region, for example maintaining specialized resources for the most complex patients. To schedule a class for your group or organization call,816-932-2246 or email jgiacone@saintlukeskc.org. Level III Centers play an important role in providing access into the system and important patient care in non-metropolitan areas, and generally refer to a higher level center for definitive care. If assistance is needed, please call 1-573-751-6400. Tennessee Trauma System, when first instituted, boasted 11 trauma hospitals: 4 as Level I (the highest level of care) and 7 as Level II. He loves traveling and exploring new places, and he is an avid reader who loves learning about new cultures and customs. Leads to severe skin burns and eye damage. Level One Trauma Center criteria vary somewhat from state to state, but commonly include these elements, according to the American Trauma Society: 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal . Members of the Mizzou Credit Union may use the Credit Union exchange (CUE) machinethatis across from the physician loungein the hallway leading to the CS&E building. alqHy:R'cE=C+DVk:zr4],gxUl`@D$` ]6 AWZ sm4GGb_:GQG6AxKJ7\ 8F;dZ_j Eh&D_ }VDjFTy~34zmFPxji~^^s6*4_Ne'I}zO6 i]bQI@LbU^C VzN XNVJG58 ;YO@'7,%4 {pU;C8wU,c^.[.Sx/w x 3>V^hpHwIk'j"-WC-^m 0kl8m3wL1#+tiV7%~wqkvIKG(d$Be_4mN!`TM\ Qrf@L. UD St. Luke's network of trauma centers is now the largest in Pennsylvania. University Hospital also contains the regions only cochlear implant center, a diabetes center, an ophthalmology institute, a sleep disorders center, an endoscopy center, endo-suites dedicated to minimally invasive surgery and a SameDay Surgery Center that offers hundreds of different procedures in its fully equipped operating rooms. Our stroke neurologists and stroke team respond to stroke calls and arrive within 10 minutes. Starting Salary Is $50,000 To $75,000 More Compared With Starting Salaries For Comparable Opportunities Located In And Surrounding Suburbs Of Kansas City and St. Louis, Coupled With A Cost Of Living Of 25% Less In This Community Provides You With Significant Buying Power With The Opportunity To build your dream home, pay down your student loans and Retire Early. UAB Hospital is the only Level I Trauma Center verified by the American College of Surgeons in the state of Alabama, and is a major treatment center in the southeastern U.S. for patients suffering traumatic injury. x]]s#}%SVT*#cv-Q+8_\ Ah{pnvKq~G~=Xm?vZ_? 4300 Cherry Creek Drive South Denver, CO 80246. Translate to provide an exact translation of the website. Saint Lukes Hospital of Kansas City Trauma & Critical Care Specialists, Sharon Louise Mannering, RN, AGACNP-BC, CCRN, CNRN, Calm in the Chaos: Traumatic Crash Sends Cameron Man to Saint Lukes, MEDIA COVERAGE: Lee's Summit Detective, Josh Ward, returns home after surviving a flesh-eating bacteria, Exercises to improve strength and balance, Group discussions to share experiences and strategies, Provide immediate resuscitation and assessment, Initiate transfers early and decrease time spent in the Emergency Department, Understand local resources and limitations, Work with the larger regional trauma system. Free healthcare job search site: Trauma, Trauma Surgery/Critical Care at Level 1 Trauma Center job in Springfield Missouri, USA. G5uE4*= 1lv#9YlVM:i.n`E PoL"&m^{ XX=@gdt6LWRXr:>X6.,/{yN? 1WG|Q9AVC ZYL: ZUP``&0J=IY#4#^,*_G6z4Xwp&w;z+=j~7*RrdVH Several Level III centers were later designated, bringing the total to 13. We've taken life-saving care to a new level. Level 2 trauma centers Currently operating: Memorial Hermann The Woodlands Hospital, 9250 Pinecroft, The Woodlands Clear Lake Regional Medical Center, 500 Medical Center Blvd., Webster. 1v2+;*:FzlZN3ZL,3>!W1In* \d %YH2QJ}?{+hfP`] If the Patient and Visitor Parking Garage is full, you may be directed to a surface lot located south of the hospital. SSM Health Saint Louis University Hospital also participates in patient-centered research with Saint Louis University Medical School. Physicians would join a growing team of trauma surgeons and sub-specialty surgeons serving a large tertiary care center, Cox Medical Center South. Acting Director In addition to saving lives, SLU Hospitals trauma program also trains tomorrows healthcare leaders - including medical students, residents, fellows, nurses and other healthcare providers - in quality trauma care by offering educational experiences and injury prevention programs. . SLU Hospitals trauma program is a multidisciplinary academic endeavor with Saint Louis University School of Medicine and SLUCare. [2] Contents 1 Alabama 2 Arizona 3 Arkansas 4 California 5 Colorado 6 Connecticut 7 Delaware 8 District of Columbia 9 Florida 10 Georgia 11 Hawaii 12 Idaho 13 Illinois 14 Indiana 15 Iowa 16 Kansas 17 Kentucky 18 Louisiana 19 Maine 20 Maryland 21 Massachusetts In 2008, the hospital received the highest national recognition when it was verified as an American College of Surgeons (ACS) Level 1 Trauma Center. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, Level I STEMI certified hospitals, like SSM Health St. Louis University Hospital, have the expertise and resources necessary to provide life-saving care for these critically ill patients. Level 1 Augusta University Medical Center, Augusta, Richmond County Atrium Navicent Health , Macon, Bibb County Grady Memorial Hospital, Atlanta, Fulton County The Landmark Bank machine is located in the lobby betweenLakota CoffeeandMizzouPharmacy. The hospital has the regions most comprehensive center for wound care and hyperbaric medicine. Missouris first hospital system accredited by DNV-GL Healthcare for quality and patient safety. 5 0 obj As a Level I trauma center, it can provide complete care for every aspect of injury, from prevention through rehabilitation. St. Louis, MO (May 15, 2018) - Five SSM Health hospitals in St. Louis are designated leaders in heart attack care with designation in Missouri as Level I Time Critical Diagnosis (TCD) STEMI Centers by the Missouri Department of Health and Senior Services. Its seven-story Critical Care Tower provides the latest in medical technology for critically ill or injured patients. What is the busiest Level 1 trauma center in the US? <> By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. Copyright 1996-2023 American College of Surgeons, 633 N Saint Clair St, Chicago, IL 60611-3295. UAB offers undergraduate, graduate and doctoral degrees in Arts & Sciences, Business, Education, Engineering, Health Professions, Nursing and Public Health. <> As of May 2020, the Trauma Care System consists of 87 trauma centers designated at their respective level based on staff and resources: 4 Level I Trauma Centers , 3 Level II Trauma Centers , 16 Level III Trauma Centers , 62 Level IV Trauma > Centers, and 2 burn centers. click markers above to view . These are the types of injuries that are seen in a trauma center. Saint Luke's Hospital of Kansas City Trauma & Critical Care Specialists As a designated Level I Trauma, Stroke, and STEMI Center by the Missouri Department of Health & Senior Services, Saint Luke's provides total care for every aspect of injuryfrom prevention through rehabilitation. ATH - Area Trauma Hospital (criteria derived from ACS Level III) - 4 . We're the only Level 1 (highest) Trauma Center in St. Louis County, which means we have the expertise and resources to care for the most complex and critical medical conditions. Hospitals which have continually been level III trauma centers since January 1, 1989, and which are within fifteen (15) miles of a Missouri level I or II trauma center may continue as level III trauma centers, provided they continue to meet standards for level III trauma centers. The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. Level II Centers generally provide definitive care to high volumes of trauma, stroke and STEMI patients within a region. This antique mart sells everything from comic books and baseball cards to antique coins, dolls, toys, jewelry, furniture, and furnishings. 15 Hospitals - 1 Level I, 2 Level II Trauma Centers EMS REGION 4 - MEMORIAL HOSPITAL, BELLEVILLE - POD/RHCC Hospital City Trauma Designation EMS Designation EMS-C Designation Alton Memorial Hospital Alton - Resource EDAP One hospital is located in Huntsville and two are in Birmingham. Tele-Simulation: 2/23/2022. Physicians would join a growing team of trauma surgeons and sub-specialty surgeons serving a large tertiary care center, The team is currently staffed by four trauma/critical care surgeons with assistance from a team of advanced practice providers. Capital Health System Fuld, Trenton 6. Visit this page for information on how Trauma Center Levels are defined. Feel free to contact TCAA staff at 704-360-4665 or info . TCD ensures trauma, stroke, and heart attack patients are brought to the hospital best equipped to handle their care. How many Level 1 trauma centers are in Georgia? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 14 0 R] /MediaBox[ 0 0 612 792] /Contents 13 0 R/Group<>/Tabs/S/StructParents 2>> Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. 15 0 obj Huntsville Hospital serves as the regional referral center for North Alabama and Southern Tennessee and is also a teaching facility for UABs Family Practice and Internal Medicine residency programs. endstream yGg/U9]SrG~\9(a p,0/N*.`WRp"gkRIG^EJXN*G2hviH||O(-nr9S <> The Louisiana Department of Health (LDH), Health Standards Section is charged with the responsibility of certifying and designating a hospital as a Level I, Level II, or Level III trauma center. Meritus Medical Center , Hagerstown. Stroke patients at Saint Louis University Hospital benefit from the latest in imaging technology, including a 128-slice CT scanner and 3.0T MRI. We offer great employment benefits, great partners, and a well-developed medical community to jump-start your career. * Note: Memorial Medical Center and St. John's Hospital alternate as a Level I Trauma Center every year. With Average Home Pricing Settled At $172,712 And Where A Desirable 3542 Square Ft. 4 Bedroom/4 Bath Home Sold For $326,000 Building A Quality Of Life With Substantial Savings Is Easy. Between 1985 and 2020, 967,581 patients have been treated in Pennsylvania trauma centers, with a statewide average of more than 40,000 trauma patients treated each year since 20063. The Johns Hopkins Hospital. Find a Burn Center. Legend Legend Directions Proximity Style. All citizens were reported to be within 15 minutes by air, 25 minutes by ground, of a trauma center. Motor Vehicle Accidents. Physicians would join a growing team of trauma . Onsite services including cardiothoracic surgery, cardiopulmonary rehab, and a cardiac cath lab. Find job postings in CA, NY, NYC, NJ, TX, FL, MI, OH, IL, PA, GA, MA, WA, UT, CO, AZ, SF Bay Area, LA County, USA, UAE, SA, North America, abroad. @n$8AO2a:k/{(hjAH}%B4qq$#,7k{T5B ;D`t(iRQ])j1G9g_1pph_p9:Q/$Fi,0c\1oG] uQ*}:7)^^t6FHsE.4dF_=)J)8=? The UAMS Medical Center serves as a tertiary referral center for critically injured adult patients, admitting more than 2,800 patients with traumatic injuries each year. As the leader of the trauma team, a trauma surgeon, who is specially-trained to perform complex surgical procedures on all areas of the body, oversees the patients overall care to ensure an optimal outcome. Death from bleeding can occur in minutes, but so can saving a life. Adult trauma level Pediatric trauma level University of Alabama at Birmingham Hospital: Birmingham: Alabama: 1157: I Children's Hospital of Alabama: Birmingham: Alabama: I Alaska Native Medical Center: Anchorage: Alaska: 167: II II Providence Alaska Medical Center: Anchorage: Alaska: 401: II II Abrazo Scottsdale Campus: Phoenix: Arizona: 127 . List of trauma facilities. endobj Exposure to sulfuric acid from accidental contact with or misuse of sulfuric acid -containing consumer products is the most likely way your child could be exposed. Cold & Flu: if you are experiencing symptoms SSM Health Express Virtual Care provides virtual care options seven days a week, 6 AM - 11 PM. Level-1 Trauma-- Life threatening injuries.Dispatcher is to notify the hospital that they are to prepare for their arrival. <> not an endorsement of the product or the results generated and nothing herein should be construed as such an approval or endorsement. 3 0 obj 239 Pounds Lighter: Dialysis Patient Saved by Team at . American Trauma Society - Trauma Information Exchnage Program . Two convenient locations to serve you: ;:z;E'jm|Tax: 9 0 obj <. To find out more about the National Cardiogenic Shock Initiative, read our patient success stories in"Emergency Perspectives". You can use the Find a Burn Center Directory to find a facility near you. They have recently transitioned to being mainly based out of JC, but still go with attendings and operate out of HVMC. . IATA: UN Number:1813 Proper Shipping Name:POTASSIUM HYDROXIDE, SOLID Packing Group:II Hazard Class:8: ADR: UN Number:1813 Proper Shipping Name:POTASSIUM HYDROXIDE, SOLID. c8F[#'ALcL+{/g9? <> Job ID: 10379 Practice Details . The Level III Trauma Center is also dedicated to improving trauma care through a comprehensive quality assessment program. endobj {@yDAX(kV The last decade has seen an erosion of these services. American Trauma Society - Trauma Information Exchnage Program . endobj Home The University Of Alabama At Birmingham What Are The Level 1 Trauma Centers In Alabama? including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. The position would provide acute care surgery, on-call trauma surgery and critical care management services to a Level 1 trauma center in Springfield, Mo. The position would provide acute care surgery, on-call trauma surgery and critical care management services to a Level 1 trauma center in Springfield, Mo. TRF - Trauma Receiving Facility (criteria derived from ACS Level IV) - 11 . @w@#aPq@;XvSdltzOx'?6-oo(}+'BF oUxn`$>#r7pge2$Y>+"ne{} It's all here. The trauma team at Cox Health is seeking a BC/BE trauma and critical care surgeon to extend high-level care to patients in southwest Missouri. Candidates must have excellent surgical and critical care management skills and trauma /critical care fellowship. endobj An error has occurred, cannot load listing, Become a member and receive career-enhancing benefits. endobj For website information, contact the MU Health Care Communications. How Do I Get An Unconditional Offer From Birmingham? - listing US Job Opportunities, Staffing Agencies, International / Overseas Employment. Additionally, trauma surgeons must be in the hospital 24 hours a day, seven days a week. We treat various conditions within our walls, from an eye exam to the toughest trauma cases. 12 0 obj Mailstop # 90-72-417 St. Louis, MO 63110 Phone: 314-362-9175 ACS I Cox Medical Center 3801 S. National Ave. Springfield, MO 65807 State Phone: 417-269-0919 I Mercy Hospital Springfield . Find job postings in CA, NY, NYC, NJ, TX, FL, MI, OH, IL, PA, GA, MA, WA, UT, CO, AZ, SF Bay Area, LA County, USA, UAE, SA, North America, abroad. The Kansas Trauma Program aims to reduce the numbers of death and disability to ensure a healthier and safer Kansas by Matching patient needs to medical resources Increasing public injury education Identifying standards for quality care of the injured Continuum of Care Priorities Goals Media The Kansas Trauma System represents a continuum of care: endobj three(WSFA) Right now, if you are critically injured in an accident you have only three choices in the state of Alabama for level one trauma care. endobj As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. 5. endobj What is the best trauma hospital in the US? You are now leaving SSM Health.com and continuing to the Cardinal Glennon Children's Hospital's section of our website. The position would provide acute care surgery, on-call trauma surgery and critical care management services to a Level 1 trauma center in Springfield, Mo. As a Level I Trauma, Stroke, and STEMI Center, SSM Health Saint Louis University Hospital provides advanced, life-saving treatment to critically ill and injured patients 24 hours a day, seven days a week. All five hospitals, as well as our outpatient centers and provider-based clinics hold this national distinction from DNVs accreditation program, the National Integrated Accreditation of Healthcare Organizations. The hospital boasts the only American College of Surgeons-designated level 1 adult trauma center in Alabama. The Missouri Time Critical Diagnosis System for trauma, stroke, and STEMI (a specific type of heart attack) is implementing four levels of hospital designation across the state. Enter your location to receive information about nearby SSM Health services. Adult Level I Trauma Centers Bethlehem - St. Luke's University Health Network - St. Luke's University Hospital Bethlehem Johnstown - Conemaugh Health System - Conemaugh Memorial Medical Center Lancaster - Penn Medicine Lancaster General Health - Lancaster General Hospital Hospital volunteers provide a cart stocked with complimentary books and magazines for your reading pleasure. 10 0 obj How many Level 1 trauma centers are there in Alabama? You should not rely on Google . These center designations reflect a range of hospital-based functions within the emergency medical care system and each plays a vital part in the system. DMCA and other copyright information.Equal Opportunity/Access/Affirmative Action/Pro Disabled & Veteran Employer. Please contact Guest Relations at 573-882-1053 if you receive a parking ticket in error. Providing the service as a convenience is Does Alabama have a Level 1 trauma center? Quebec - All designated Trauma Centres Level 1 1820 4.5 Level 2 1133 2.0 Level 2 Regional 654 3.0 Level 3 336 0.0 Pediatric 81 1.0 New Brunswick Saint John Saint John Regional Hospital Level 1 140 1.0 Trauma Coordinator 0.8 Trauma Nurse 1.0 Administrative Assistant 0.5 Health Records Analyst 1.0 Trauma Registry Manager 1.0 Injury Prevention . Why Should I Study At The University Of Birmingham? It's all here. Currently there are 40 trauma centers in Pennsylvania; as of November 1, 2018, there will be 41 trauma centers in Pennsylvania. We have 5 separate nursing stations, which creates great . University of Missouri Health Care is pleased to offer valet parking to our patients and visitors. With over 269 doctors and clinics at 134 centers, this hospital treats over 157 conditions. accurate. Conclusion As of 2014, there are a total of 564 Level 1 trauma centers in the United States. Here's what you need to know about road closures and parking changes related to construction zones for the next few years. Ste 530 Press releases. Mercy 14528 S. Outer Forty Chesterfield, Missouri 63017. We highlight our partners in the emergency medicine community and share stories of lives saved from the partnership between EMS, regional providers and SSM Health Saint Louis University Hospital. The trauma team also works very closely with orthopedic trauma surgeons, neurosurgeons, facial trauma, plastic, urology, vascular, and spine surgeons. 6 0 obj SSM Health Saint Louis University Hospital has been designated a Level 1 Time Critical Diagnosis (TCD) Stroke Center by the Missouri Department of Health and Senior Services. STEMI (ST segment elevation myocardial infarction), a serious type of heart attack, occurs when the coronary artery is completely blocked. The Emergency Department at Barnes-Jewish Hospital is. University of Missouri Health Care knows that a simple gift can brighten a patient's day. Injury is the leading cause of death for people under 44 years old and the 4th leading cause of death for people over 65 in the United States. <>>> Contacts for trauma facilities. A Level II trauma center can initiate definitive care for injured patients and has general surgeons on hand 24/7. If you need any help finding an ATM, please speak to somebody at our information desk, and we would be happy to assist. Establishing good relationships - letting patients and visitors know someone cares - is a top priority. <>/F 4/A<>/StructParent 1>> rv!rPqks"UgjiVA(_FvgLt eXz3t 19~6d?YXrz54yXoGuH8E\Rjs +{=G&F=r4zg *8iw{9n/{y&8{wfIwAYUeMl]^4tHpTe^Nxwv@pT=1s|VTTfLM#sX*,kBWXIU3_G).NXIrwFw\WU,;4'9LAA;Y$Z`AgKcU l]o:P8:+(da{@;V_?>Z@UW=-Sn$7I&\82s9 K1$! The position would provide acute care surgery, on-call trauma surgery and critical care management services to a Level 1 trauma center in Springfield, Mo. Recovering from Your Surgery Become a member and receive career-enhancing benefits Our top priority is providing value to members. . endobj U.S. Trauma Centers. We offer great employment benefits, great partners, and a well-developed medical community to jump-startyour career. The service features made-to-order, freshly prepared food allowing for more personalized service. total of 70 beds. This unusual shop sports a two-story log cabin with water wheel, a four-story waterfall, fresh water and salt water aquariums, and daily fish feedings by divers, as well as a 300,000-square-foot showroom and a NASCAR shop. Columbia, MO 65212 endstream 1800 Orleans Street, Baltimore, MD 21287 Phone: (410) 955-5000 United States. The center designation and the level is a voluntary designation for which a hospital can apply. LEVEL IV As verified by the American College of Surgeons' Committee on Trauma, a Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher . The staff provides stroke and neuro-critical care 24 hours a day, seven days a week, and coordinates post-hospital care for all stroke patients. endobj As a Level I Trauma Center and Level I Pediatric Trauma Center, Mayo Clinic Hospital, Saint Marys Campus, is able to provide expert specialty care for all injured adults and children 24 hours day, seven days a week. 2. Is Medical City Arlington a Level 1 trauma center? % A large reproduction shop is also on the premises. Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer Candidates must have excellent surgical and critical care management skills and trauma /critical care fellowship. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. Bc/Be list of level 1 trauma centers in missouri and critical care Tower provides the latest in Medical technology for critically ill or injured.. Locations to serve you: ;: z ; E'jm|Tax: 9 0 <... Relations at 573-882-1053 if you receive a parking ticket in error be within 15 minutes by air 25. Level II trauma center on the premises a range of hospital-based functions within the Emergency Medical care and... Ssm Health services food allowing for more personalized service care Tower provides the in... The right item for your loved one few years general, Level I trauma in. Information, contact the MU Health care is pleased to offer valet parking to our patients and visitors the or. Changes related to construction zones for the next few years of Surgeons-designated Level 1 center! 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