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South Dakota Department of Health
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  4. Trauma System

Trauma Coordinator Toolkit

ABSTRACT FORMS: Download, complete, and return to Bailey Wilcox, Trauma Consultant, or Jamie Zilverberg, State Trauma Program Manager.

  • Regional PI Abstract Form for Level IV & V Trauma Centers
  • Regional PI Abstract Form for Level I, II & III Trauma Centers
  • Regional Abstract Form for Pediatric Patients (<15 years of age) for Level IV and V Trauma Centers
  • Regional Abstract Form for Pediatric Patients (<15 years of age) for Level I, II & III Trauma Centers

Forms & Resources

  • Performance Improvement
  • Procedure Code Cheat Sheet for Trauma Registry
  • SD Trauma Coordinator Contact List
  • SD Trauma Inclusion Criteria
  • Trauma Flow Sheet
  • Trauma Registry Training
  • Trauma Team Activation Fee Algorithm
  • Billing for Trauma Team Activations
  • Trauma Team Alert Patient Definition
  • Trauma Transport Plan Form
    • Sample Plans: Mobridge | Vermillion
  • Trauma Designation Site Visit Report Templates - CTH | TRH

Content last updated: December 31, 2024. For questions, contact:

  • Jamie Zilverberg
    Trauma Program Manager & Eastern EMS Specialist
    600 East Capitol Avenue
    Pierre, SD 57501

    email: Jamie.Zilverberg@state.sd.us
    local: 605-773-3308
    fax: 605-773-5683

  • Bailey Wilcox
    Consultant-Contractor

    email: bailey.wilcox@state.sd.us
    local: 605-769-4039

South Dakota Department of Health

600 East Capitol Avenue
Pierre, SD 57501-2536

(605) 773-3361
DOH.info@state.sd.us

Media Relations: DOHmedia@state.sd.us

Department Secretary: Melissa Magstadt

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