Trauma

North Carolina has developed an inclusive trauma system that is organized, multi-disciplinary and evidence-based in its approaches to providing quality care and improving measurable outcomes for all defined injured patients.

EMS, hospitals, other health systems, and clinicians participate in defined roles with leadership, advocacy, injury prevention, education, clinical care, performance improvement, and research resulting in integrated trauma care.

For general questions regarding North Carolina’s Trauma System, send an email to amy.douglas@dhhs.nc.gov

To access the latest Trauma Contact List, please click below. 

North Carolina Trauma Center Contacts

THE NORTH CAROLINA TRAUMA CENTER

Trauma Centers are reviewed, with a site visit, for renewal state designation three years after the initial state designation. Thereafter, a state renewal designation site visit occurs every four years. Should the trauma center wish to obtain or maintain American College of Surgeons (ACS) verification/reverification, they may seek a state renewal designation in conjunction with an ACS site visit every three years to meet the ACS review requirement.

Map of North Carolina showing Trauma Regional Advisory Committee (RAC) affiliations by county and the locations and levels of NC trauma centers. Counties are grouped into eight color-coded RAC regions: Duke RAC, Triad RAC, Mid Carolina RAC, Southeastern RAC, Eastern RAC, Mountain Area RAC, Metrolina RAC, and Capital RAC. Trauma centers are identified with symbols indicating Level I, Level II, or Level III status. Several counties have hospitals affiliated with more than one RAC. Catawba County includes Catawba Valley Medical Center, affiliated with Metrolina RAC, and Frye Regional Medical Center, affiliated with Triad RAC. Iredell County includes Iredell Memorial Hospital and Davis Regional Medical Center, affiliated with Triad RAC; Lake Norman Regional Medical Center, affiliated with Metrolina RAC; and FirstHealth Richmond Memorial Hospital, affiliated with Mid Carolina RAC. Wake County includes Duke Raleigh Hospital, affiliated with Duke RAC; Rex HealthCare, affiliated with Mid Carolina RAC; and WakeMed Hospital and WakeMed Cary, affiliated with Capital RAC. Map produced by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, August 2026.

other trauma resources