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The Trauma Center
Frequently Asked Questions

Why focus on trauma?
  • Community surveys asked residents what they saw as the greatest healthcare need in our community and 42% named "trauma"!
  • More than 2,500 trauma cases are projected for Brevard and Indian River counties this year.

  • Nationwide 41 million injuries occur annually:
  • 2.3 million require hospitalization
  • 196,000 deaths due to injury
  • Ranking as cause of death 3.5
  • #1 for age group 1-46, or 47% of all deaths in this age range
  • #3 as leading cause of death overall, across all age groups
  • Cost = $671 billion annually
  • Trauma injury accounts for 30% of all life years lost in the U.S.
  • Cancer accounts for 16%
  • Heart disease accounts for 12%
  • Falls are one of the leading causes of injury.
  • Each year, 2.5 million older people are treated in emergency departments for fall injuries, and at least 250,000 older people are hospitalized for hip fractures.
  • Over 700,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.
  • Hemorrhage, or blood loss is the number one preventable cause of death in trauma. Everyone should receive training in bleeding control as part of their first aid plan. See Health First Saves at for more information.
What does it take to be designated as a trauma center?
  • Full-time trauma surgeons, Emergency Department physicians, and hundreds of dedicated physicians, nurses, specialists and technicians to cover 24 hours a day, seven days a week
  • Designated operating room
  • Designated trauma room
  • Trauma coordinator and registrar
  • Multiple medical and surgical specialists
  • CT scan and invasive radiology
  • Designated intensive care units (ICUs)
  • Staff education
  • Quality improvement programs
  • Rehabilitation programs
  • Community outreach, education, and prevention programs
What are the different trauma designations in the State of Florida?
  • Level I — Provides definitive, 24-hour care for critically injured patients, conducts trauma-related research and is, therefore, usually university-based.
  • Level II — Provides definitive, 24-hour care for critically injured patients, has the option of pursuing research, and is usually awarded to full-service, community-based regional medical centers.
What are the options for Brevard and Indian River counties?
  • Health First’s Holmes Regional Medical Center, Melbourne (Level II) Located in the heart of Brevard County along the historic Indian River.
  • Orlando Regional Medical Center, Orlando (Level I) 75 miles
  • Halifax Hospital, Daytona Beach (Level II) 106 miles
  • Lawnwood Regional Medical Center (Level II) 78 miles
  • St. Mary’s, West Palm Beach (Level II) 110 miles
How does First Flight determine which hospital or trauma center is closest?

Florida law requires patients meeting certain trauma criteria to be transported to an accredited trauma center. The pilot might not take the patient to the trauma center that is closest in miles, but rather to whichever one can be reached most quickly. Variables such as weather, wind speed, etc., are calculated to determine where the patient may receive care the fastest.

What are the most common causes of trauma injuries?

In 2012 to 2017, the injuries our patients received were caused by the following:

Motor vehicle crash








Assault and violence


Pedestrian and bicycle injuries






About Holmes Regional Trauma Center

Community partnerships

Trauma team

Injury prevention and safety programs

First Flight