Sec. 441.108. Emergency services category 1—comprehensive emergency medical services

Comprehensive emergency medical services provide immediate, complete and advanced care for all patients, including those requiring the most complex and specialized techniques. In addition to meeting the qualifications of a category 2 facility, a category 1 facility should have an anesthesiologist, internist, surgeon and, if applicable, an obstetrician or pediatrician, all of whom are specially trained in resuscitation and are available 24 hours a day to the emergency department. Continuous 24-hour laboratory support should be available, including such services as the determination of blood gases, blood pH, cardiac output, oxygen consumption, oxygen content, plasma protein, serum electrolytes, blood volume, hematologic determination and blood sugar. Capability for hemodialysis and extracorporeal oxygenation must also be present.