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Which of the following is not a description of a designated level 1 trauma center?

A patient comes into the emergency department after gunshot wounds to the lower left lateral chest. A chest tube has been placed and the patient is transferred to the intensive care unit. While a handoff report is being conducted, the patient’s heart rate increases to 134 beats per minute and the patient begins breathing at 43 breaths per minute. The nurse notes that the chest tube drainage system is beginning to rapidly fill with blood. The team begins to prepare for autotransfusion. Which of the following would be a contraindication to autotranfusion?

The nurse is caring for a patient with a compression injury to the thoracic cavity. The patient is intubated and sedated. On assessment, the patient has a heart rate of 119 beats per minute, the oxygen saturation reading is 91%, skin has a pallor, breathing is 18 breaths over the ventilator-setting rate of 12, the peak airway pressures are increasing, and crackles are auscultated throughout both lung fields. What diagnosis is most reflective of this patient’s presentation?

Following a motor vehicle collision, the patient and spouse come to the emergency room after suffering a brief loss of consciousness post airbag deployment. The CT of the head was unremarkable. The nurse provided discharge instructions to the patient and the patient’s spouse. What symptom would not be considered a reason to return to the emergency room?

The receiving level 1 trauma center receives a patient from a lower level trauma center. When reviewing the transfer documentation and medical records, it is obvious that the benefits of transferring the patient have been misrepresented. This is a violating which of the following?