UH Rainbow Babies & Childrens Hospital has received re-verification as a Level I pediatric trauma center from the American College of Surgeons (ACS) Committee on Trauma (COT). UH Rainbow Babies & Childrens Hospital has been a continuously verified Level I pediatric trauma center for more than two decades, and is the only designated Level I pediatric trauma center in northern Ohio.. We are proud to once again be recognized as a Level I pediatric trauma center by the American College of Surgeons Committee on Trauma, said Mike Dingeldein, MD, Medical Director of the pediatric trauma center at UH Rainbow Babies & Childrens Hospital.. A Level I pediatric trauma center offers the highest level of trauma care across the continuum from injury prevention through rehabilitation. At UH Rainbow Babies & Childrens Hospital, board-certified trauma surgeons, supported by pediatric nurses and a pediatric emergency department team specially trained in the care of injured children, are all ready to respond ...

Exciting opportunity in Normal, IL for Carle Physician Group as a Pulm/Critical Care Position at Level II Trauma Center in Vibrant College Town

In this study, we found that the trauma volume of our regional trauma center was appropriate, comparable to that in level I trauma centers in the US. The American College of Surgeons Committee on Trauma criteria for level I trauma center verification include an annual number of at least 1,200 patients, of which at least 240 must have an ISS ,15 [8]. Before the establishment of the regional trauma center, there were about 250 patients with severe trauma (ISS ,15) annually in GMC Trauma Center. Previous studies have shown that the establishment of a designated trauma center and the centralization of the management of severely injured patients can result in better outcomes [5,9]. Therefore, an increased patient volume after trauma center establishment could help in fulfilling the purpose of the plan. In addition, an increasing rate of direct transportation of severely injured patients via emergency medical services (EMS) was observed in this study. In one study from Korea, the proportion of ...

List of hospitals in Pennsylvania (U.S. state), sorted by location. Abington Abington Hospital-Jefferson Health - Adult Level II Trauma Center - 4,000 staff and professionals Allentown Allentown State Hospital - 2,052 staff and employees Lehigh Valley Hospital - Adult Level I Trauma Center, Pediatric Level II Trauma Center Sacred Heart Hospital St. Lukes University Health Network - Level 1 and Level IV Adult Trauma Center Altoona UPMC Altoona - Adult Level II Trauma Center Ashland - 1,000 staff and employees Ashland Regional Medical Center - 276 staff and employees (Closed 2012) Baden Beaver Medical Center Bala Cynwyd Pennsylvania Hospital Bath Bath Community Medical Center Bartonsville St. Lukes Monroe Campus Beaver Medical Center of Beaver Bedford UPMC Bedford Memorial Bellevue Allegheny General Hospital-Suburban Campus Bensalem Rothman Specialty Hospital Berwick Berwick Hospital Center-an affiliate of Commonwealth Health Geisinger HealthSouth Rehabilitation Center Bethlehem Lehigh Valley ...

A woman has been taken to a major trauma centre after the 4x4 she was in rolled down an embankment into trees after a crash with another 4x4.. It happened on the A449 at Prestwood just before 1.30pm this afternoon, Thursday.. Two ambulances, a paramedic area support officer and the critical care paramedics from the Midlands Air Ambulance from Staffordshire, who are responding on a car today, were sent to the scene.. A West Midlands Ambulance Service spokesman said: When crews arrived they found one 4x4 with significant front end damage, but a second one down an embankment in trees after it had rolled over.. The 67-year-old woman driving the second vehicle had a fractured ankle and chest injuries. Her condition was stabilised before she was taken on blue lights to the major trauma centre at Queen Elizabeth Hospital, Birmingham.. There were two people in the other 4x4. The driver, a 50-year-old man was complaining of back pain and had multiple abrasions. The 49-year-old woman had seatbelt ...

Currently a 315-bed specialty care hospital, we are in the planning stages of our new state of the art hospital, anticipated completion in fall of 2018. As Upper Michigans Regional Medical Center, UPHS - Marquette recruits for employed and private practice positions in Marquette, Michigan, and similar positions at hospital-owned clinics in eight other communities throughout Michigans Upper Peninsula. Our dynamic medical staff of more than 200 doctors upholds the high standards of excellence while appreciating an exceptionally high quality of life. They work as a team with our employees in caring for approximately 12,000 inpatients and more than 350,000 outpatients a year. ...

A trauma center (or trauma centre) is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to an emergency department (also known as a casualty department or accident and emergency) without the presence of specialized services to care for victims of major trauma. In the United States, a hospital can receive trauma center status by meeting specific criteria established by the American College of Surgeons (ACS) and passing a site review by the Verification Review Committee.[1] Official designation as a trauma center is determined by individual state law provisions. Trauma centers vary in their specific capabilities and are identified by Level designation: Level I (Level-1) being the highest and Level III (Level-3) being the lowest (some states have five designated levels, in which case Level V (Level-5) is the lowest). The highest levels of trauma centers ...

The Trauma care focus on care delivered at fixed facilities like clinics and hospitals in which unlike most emergency room patients, the trauma patients require highly specialized care, including surgery and blood transfusions. Prehospital emergency care systems addresses prehospital trauma care at the scene and in route to fixed facilities. There are different levels of trauma care that refer to the kinds of resources available in a trauma center. These are the categories defining national standards for trauma care hospitals. A Level I Trauma Center is capable of providing total care for every injury aspect from prevention through physical medicine and rehabilitation. Level II Trauma Centre initiates definitive care for all injured patients. A Level III Trauma Center provides prompt assessment, resuscitation, intensive care, surgery, and stabilization of injured patients and emergency operations. A Level IV Trauma Center has demonstrated to provide advanced trauma life support and A Level V ...

Section 515.2045 Level II Pediatric Trauma Center a) The Level II Pediatric Trauma Director shall advise the Trauma Center Medical Director and shall be a member of the Regional Trauma Advisory Board. b) The Pediatric Trauma Center Medical Director shall be board certified in pediatric surgery or be a general surgeon, with at least two years of experience in pediatric trauma care, and have 10 hours per year of trauma-related CME, and 24-hour independent operating privileges, as evidenced by either: 1) responsibility for 50 pediatric trauma cases per year; or 2) both: A) responsibility for 10 percent of the total number of pediatric trauma cases at the trauma center per year; and B) ongoing involvement in pediatric trauma care. c) The trauma center shall provide a pediatric trauma service separate from the general surgery service. The pediatric trauma service shall be staffed by pediatric trauma surgeons who have one year of experience in trauma, who have 24-hour independent operating privileges, ...

Vol 15: Successful Conviction of Intoxicated Drivers at a Level I Trauma Center.. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.

What does it mean when a Level One Pediatric Trauma Center is designated by the American College of Surgeons (ACS)? The manager of St. Louis Childrens Hospitals Trauma Program, Diana Kraus, RN, explains.. ...

UMC, licensed for 450 beds, is the leader in comprehensive healthcare delivery in West Texas and Eastern New Mexico. UMC is home to the regions only Level I Trauma Center, the Timothy J. Harnar Regional Burn Center, the Southwest Cancer Center, Heart Center, Pediatric Level II Trauma Center, and the UMC Childrens Hospitals by delivery of state-of-the-art sophisticated patient care. UMC serves as the primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC), to train tomorrows healthcare professional. UMC has a strong and enduring partnership with Texas Tech which helps assist UMCs mission and support Techs academic pursuit of education and research. UMC is accredited annually thorough Det Norsek Veritas (DNV), a national integrated accreditation for health care organizations. UMC Health System employs 3,890 individuals on our team. The system has been honoured among the Best Places to Work in Texas and is proud of their high patient and employee satisfaction. ...

UMC, licensed for 450 beds, is the leader in comprehensive healthcare delivery in West Texas and Eastern New Mexico. UMC is home to the regions only Level I Trauma Center, the Timothy J. Harnar Regional Burn Center, the Southwest Cancer Center, Heart Center, Pediatric Level II Trauma Center, and the UMC Childrens Hospitals by delivery of state-of-the-art sophisticated patient care. UMC serves as the primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC), to train tomorrows healthcare professional. UMC has a strong and enduring partnership with Texas Tech which helps assist UMCs mission and support Techs academic pursuit of education and research. UMC is accredited annually thorough Det Norsek Veritas (DNV), a national integrated accreditation for health care organizations. UMC Health System employs 3,890 individuals on our team. The system has been honored among the Best Places to Work in Texas and is proud of their high patient and employee satisfaction. We ...

ECMC is Western New Yorkʼs Adult Regional Trauma Center, treating patients who are accident victims or facing other medical crises from across our area.

OAKLAND, Calif., May 28, 2014 (GLOBE NEWSWIRE) -- Alameda Health System (AHS) announced that its Highland Hospital campus has been verified as a Level II Trauma Center by the American College of Surgeons (ACS). Less than 10 percent of hospitals in the state of California have earned this important classification, based on totals provided by the American Hospital Directory.

Time is critical when youve suffered a severe injury and need medical help. Learn about the life-saving care at Stormont Vails Level II Trauma Center.

Regions Hospital is Minnesotas first Level 1 Pediatric Trauma Center. Our expert, specially trained team can care for your childs most serious injuries.

A series of articles examines why trauma centers dont sufficiently address the mental health consequences of traumatic injuries, and takes a hard look at trauma in Philadelphia. - Jonathan Purtle, MPH, Philadelphia Inquirer

As Wake Countys only trauma centers and a regional trauma referral center, our trauma team is standing ready to provide immediate care for the seriously injured.

St. Lucie has an outstanding healthcare system, served by four hospitals: Lawnwood Regional Medical Center and Heart Institute and Level Two Trauma Center, Martin Health System, St. Lucie Medical Center and Tradition Medical Center, which provide life-saving care for patients with critical injuries from a four-county region. There are 44 major hospitals within a 100-mile radius.. Named a top performer by the Joint Commission, Lawnwood Regional Medical Center and Heart Institute is located in the City of Fort Pierce. Lawnwood offers a 365-bed facility, medical and surgical services in orthopedics, oncology, intensive care, progressive cardiac care and birthing center. The medical center serves as the only Level II Trauma Center in the region and has the most experienced Heart Institute Team on the Treasure Coast. Recently, Lawnwood Regional Medical Center and Heart Institute opened their Level III Neonatal Intensive Care Unit which cares for the smallest and sickest newborn babies.. The St. Lucie ...

Canadian trauma units have relatively little experience with major cardiac trauma (disruption of a cardiac chamber) so injury outcome may not be comparable to that reported from other countries. We compared our outcomes to those of other centers. Records of patients suffering major cardiac trauma over a nine-year period were reviewed. Factors predictive of outcome were analyzed. Twenty-seven patients (11 blunt and 16 penetrating) with major cardiac trauma were evaluated. Injury severity scores (ISS) were similar for blunt (49.6 ± 16.6) and penetrating (39.5 ± 21.6, p = 0.20) injuries. Five of 11 blunt trauma patients, and 9 of 16 penetrating trauma patients, had detectable vital signs on hospital arrival (p = 0.43). Ten patients underwent emergency department thoracotomy and 11 patients had cardiac repair in the operating theatre. Eleven patients survived and 16 died. Survivors had a lower ISS (33.7 ± 15.4) than non-survivors (50.4 ± 20.4; p = 0.03). Two of 11 blunt trauma patients and 9 of 16

Ive been discussing the little research there is on stay and play vs scoop and run. And now, hot off the press, we have a paper about the ultimate version of scoop and run, the drive-by ambulance. This one looks at outcomes in patients who are dropped at the emergency department by private vehicle. This is the most basic form of prehospital care, with no interventions, just transportation. This type of transport is used by parents with their injured children, police who act as very basic first responders in some cities, and on occasion, gang members.. A multi-institutional group of authors used data in the National Trauma Databank to try to answer this question. They used three years worth of data, comparing outcomes from patients with ground EMS vs private transport who were treated at Level I and Level II trauma centers. Only gunshots and stabs were included, and all patients were 16 or older. The authors were focused on only one thing: mortality. This included death in the ED, and a model ...

Hackensack Meridian Health Jersey Shore University Medical Center is home to the most advanced Level II Trauma Center in the region. Over the last 25 years, our trauma team has treated over 30,000 patients - significantly increasing the number of lives saved and restoring quality of life for many.. Providing a full-service team of trauma surgeons, our center offers 24/7 immediate coverage by surgical critical care intensivists, as well as specialists in cardiac surgery, orthopedic surgery, neurosurgery, pediatric surgery, anesthesiology, and emergency medicine. Our skilled surgeons are supported by a multidisciplinary team of board certified physicians, magnet nurses, and experienced technicians.. The center also provides:. ...

Mercy Medical Center is a not for profit Catholic hospital serving the tri-state area of Iowa, Illinois and Wisconsin since 1879. Mercy - Dubuque has 263 beds while Mercy - Dyersville is a critical access hospital with 25 beds and a 40-bed nursing home. Mercy offers a full range of acute care services, including invasive cardiology and open-heart surgery, Level II trauma center, Level II regional neonatal intensive care unit, general and orthopaedic surgery, psychiatric services and inpatient physical rehabilitation. Mercy also operates two hospital-based skilled nursing units, extensive outpatient rehabilitation services, home health care, retail pharmacy and a wide range of outpatient, community and business services. Mercys 1,300 full- and part-time employees and medical staff of 230 care for more than 56,000 inpatients and outpatients each year. The hospital is accredited by The Joint Commission and achieved Magnet designation, the gold standard of patient care, in 2004 and was redesignated ...

Mercy Medical Center is a not for profit Catholic hospital serving the tri-state area of Iowa, Illinois and Wisconsin since 1879. Mercy - Dubuque has 263 beds while Mercy - Dyersville is a critical access hospital with 25 beds and a 40-bed nursing home. Mercy offers a full range of acute care services, including invasive cardiology and open-heart surgery, Level II trauma center, Level II regional neonatal intensive care unit, general and orthopaedic surgery, psychiatric services and inpatient physical rehabilitation. Mercy also operates two hospital-based skilled nursing units, extensive outpatient rehabilitation services, home health care, retail pharmacy and a wide range of outpatient, community and business services. Mercys 1,300 full- and part-time employees and medical staff of 230 care for more than 56,000 inpatients and outpatients each year. The hospital is accredited by The Joint Commission and achieved Magnet designation, the gold standard of patient care, in 2004 and was redesignated ...

Editors note: This morning, in Bethesda MD, the Executive Director of the American College of Surgeons, Dr. David Hoyt, presented the leadership of Walter Reed National Military Medical Center with a plaque recognizing its designation as an ACS-certified Level II Trauma Center. Walter Reed Bethesda is part of extraordinary chain of military health system facilities, providers, organizations, and techniques that have dramatically improved an injured service members odds of survival and recovery. As the authors of this post note, lessons learned during more than a decade of war are now being adopted into civilian care, to the benefit of children and adults in every corner of the United States and beyond. For more on emergency care, read the December Health Affairs issue, The Future of Emergency Medicine: Challenges And Opportunities.. Out of the ashes of 9-11 and the two wars that followed, a new paradigm has emerged that has benefited more than 50,000 injured warfighters and is transforming ...

Editors note: This morning, in Bethesda MD, the Executive Director of the American College of Surgeons, Dr. David Hoyt, presented the leadership of Walter Reed National Military Medical Center with a plaque recognizing its designation as an ACS-certified Level II Trauma Center. Walter Reed Bethesda is part of extraordinary chain of military health system facilities, providers, organizations, and techniques that have dramatically improved an injured service members odds of survival and recovery. As the authors of this post note, lessons learned during more than a decade of war are now being adopted into civilian care, to the benefit of children and adults in every corner of the United States and beyond. For more on emergency care, read the December Health Affairs issue, The Future of Emergency Medicine: Challenges And Opportunities.. Out of the ashes of 9-11 and the two wars that followed, a new paradigm has emerged that has benefited more than 50,000 injured warfighters and is transforming ...

West Jefferson Medical Centers emergency services include pediatric care, a level II trauma center, and a dedicated stroke and heart attack program in Marrero.

Intermountain Healthcares Utah Valley Hospital (formerly Utah Valley Regional Medical Center) offers a wide range of medical services to meet the needs of our community.

A non-profit, 370-bed hospital providing emergency, medical, surgical, obstetrical, gynecological, and acute care services to residents of Rockland and southern Orange Counties in New York; and northern Bergen County, New Jersey. The hospital also serves these communities as an Area Level II Trauma Center. Suffern. ...

In cooperation with Dylan S. Small of the Leonard Davis Institute, Penn Medicine physicians, Drs. M. Kit Delgado and Daniel Holena, co-authored the largest study to date on the comparative effectiveness of trauma center vs non-trauma center care for patients with severe, isolated head injuries.

NEW BEDFORD - Construction is underway at St. Lukes Hospital on a new $14 million intensive care unit that will more than double the size of the current ICU, Southcoast Health officials announced. The state-of-the-art unit also aligns with Southcoasts pursuit of establishing a Level II trauma center at St. Lukes Hospital in 2020, Southcoast Health said in a news release Wednesday night.

An established health system in the Midwest is hiring a spine-focused general neurosurgeon to join their level II trauma center. The health system provides service and care to more than one million residents through over 50 health care centers, a health care plan, and five hospitals. Because it is the tertiary center for the area, the neurosurgeon can anticipate seeing a wide range of cases including the occasional pediatric case. The practice has two neurosurgeons, as well as a neurosurgeon that regularly provides locums coverage. Immediate volume is available due to one of neurosurgeons slowing down and there is opportunity to capture cases that are leaving the area. An interest in MIS is required with a lot of support for interest in degenerative spine cases ...

36 Registered Nurse RN Intermediate Care IMC PRN Terre Haute, IN, USA Terre Haute Regional Hospital (THRH) is a 278-bed Level II Trauma Center, part of the Healthcare Corporation of America (HCA) health system. Regional is the only full-service hospital in the area ...... Apply Now>> ...

1/10/2018 - Nurse Director of Inpatient Surgical: Orthopedics 200+ bed, level II Trauma Center / acute care hospital located in NH, and part of the nations lar

Long Island Community Hospital is your community hospital, serving the needs of twenty-eight towns and villages throughout Suffolk County. Located in East Patchogue, Long Island Community provides leading edge healthcare solutions through a focused and compassionate team in technologically advanced facilities - including a certified Level II Trauma Center. At.... ...

Not content with producing evidence-based clinical guidelines for trauma management e.g. Head Injury Management, NICE are taking on the whole Trauma System. NICE have recently published new guidelines for fractures, complex fractures, spinal injury assessment, major trauma and major trauma service delivery. Yes, there is now a NICE guideline that covers the organisation and provision of major trauma services in pre-hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units. ...

BACKGROUND: The purpose of this study was to evaluate the impact of five trauma center characteristics on survival outcome in nine serious injury categories. METHODS: A retrospective analysis of prospectively collected data from 1992 to 1996 on patients older than 14 years of age from 24 accredited trauma centers in Pennsylvania was performed. Trauma center characteristics selected for evaluation were level of accreditation, volume of trauma admissions, presence of in-house trauma surgeons, presence of a surgical residency program, and presence of an on-site medical school. Each of these characteristics was evaluated to determine its impact on survival in the selected serious injuries. A logistic regression model was then created to evaluate the most seriously injured patients as defined by A Severity Characterization of Trauma score of | 0.50. On the basis of the logistic regression model, odd ratios were calculated treating low volume as a significant risk factor for mortality. RESULTS: Of the 88,723

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This paper highlights the importance of timely access to PTCs by demonstrating the relationship between PTC proximity and injury outcomes (defined as length of stay at the hospital). Using the concept of the golden hour, the paper also assesses spatial access of Canadian paediatric populations to PTCs. Several studies have highlighted the importance of PTCs in caring for injured children. For example, a study by Densmore et al,7 which analysed approximately 80 000 cases of paediatric trauma from 27 states in the USA, found that children who were treated in PTCs had significantly lower mortality rates than those treated in ATCs or in ATCs with a childrens unit. In addition, the author found the length of hospital stay to be much higher in ATCs and ATCs with childrens units. The author concluded that severely injured children were much better off being treated in a PTC.7 Similar results were obtained in the analysis of 13 351 patients treated at accredited trauma centres in the state of ...

TY - JOUR. T1 - The Affordable Care Act and its association with length of stay and payer status for trauma patients at a level I trauma center. AU - Undurraga Perl, Vicente Jose. AU - Dodgion, Chris. AU - Hart, Kyle. AU - Ham, Bruce. AU - Schreiber, Martin. AU - Martin, David Thomas. AU - Zonies, David. N1 - Publisher Copyright: © 2017 Elsevier Inc. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2017/5. Y1 - 2017/5. N2 - Background We hypothesized that the ACA would shorten length of stay and increase numbers of insured patients without changing trauma patient outcomes. Methods A retrospective review of adult trauma patients admitted to a level I trauma center between 2012 and 2014 was performed. Demographics, length of stay, payer status, discharge disposition, and complications before and after the ACA implementation were analyzed. Results 4448 trauma patients were admitted during the study period. Patients treated after ACA implementation were older (53 vs 51, p = 0.05) ...

SKINNER, D L et al. Severe blunt thoracic trauma: Differences between adults and children in a level I trauma centre. SAMJ, S. Afr. med. j. [online]. 2015, vol.105, n.1, pp.47-51. ISSN 2078-5135. http://dx.doi.org/10.7196/SAMJ.8499.. BACKGROUND: Trauma is a leading cause of death in the developing world. Blunt thoracic trauma represents a major burden of disease in both adults and children. Few studies have investigated the differences between these two patient groups.OBJECTIVE: To compare mechanism of injury, presentation, management and outcome in children and adults with blunt thoracic trauma.METHODS: Patients were identified from the database of the trauma intensive care unit at Inkosi Albert Luthuli Central Hospital, Durban, South Africa. Demographics and relevant data were extracted from a pre-existing database.RESULTS: Of 415 patients admitted to the unit, 331 (79.7%) were adults and 84 (20.2%) children aged ,18 years. The median injury severity score (ISS) was similar for both age groups ...

The aim of this study was to investigate and compare the injury pattern, mechanisms, severity, and mortality of adolescents and adults hospitalized for treatment of trauma following motorcycle accidents in a Level I trauma center. Detailed data regarding patients aged 13-19 years (adolescents) and aged 30-50 years (adults) who had sustained trauma due to a motorcycle accident were retrieved from the Trauma Registry System between January 1, 2009 and December 31, 2012. The Pearsons chi-squared test, Fishers exact test, or the independent Students t-test were performed to compare the adolescent and adult motorcyclists and to compare the motorcycle drivers and motorcycle pillion. Analysis of Abbreviated Injury Scale (AIS) scores revealed that the adolescent patients had sustained higher rates of facial, abdominal, and hepatic injury and of cranial, mandibular, and femoral fracture but lower rates of thorax and extremity injury; hemothorax; and rib, scapular, clavicle, and humeral fracture compared to

Level I is the highest ranking a trauma center can achieve. It signals that the hospital has an entire system of care in place to care for severely injured patients. This includes having a team of specially trained healthcare providers and extensive resources dedicated to providing trauma care 24/7. The criteria for state Level I designation mirrors that of the ACS and also requires the hospital to be re-evaluated every three years.. MDCH, in collaboration with partners in the healthcare community, recently developed and operationalized the statewide trauma system to better serve residents. A major component of the trauma system is the verification and designation of trauma facilities. MDCH will recognize hospitals in Michigan as Levels I, II, III or IV.. Bronson is proud to be a partner in the development of Michigans statewide trauma system and to have earned a Level I designation from the state, says Frank Sardone, Bronson Healthcare president and chief executive officer. Bronson has been ...

Jun 13, 2005 6:00 PM. SALT LAKE CITY - Utahs two major trauma centers for adult patients, University of Utah Hospital and LDS Hospital, have begun a period of public comment on their anticipated participation in a national clinical trial to test a new synthetic blood product in the treatment of trauma patients.. The Utah facilities are among 20 major trauma centers across the nation expected to participate in the one-year study, which will evaluate the safety and efficacy of PolyHeme?, a hemoglobin-based, oxygen-carrying blood substitute, to increase survival of critically injured and bleeding patients.. The clinical trial is being conducted under an informed consent waiver from the U.S. Food and Drug Administration (FDA) that allows for clinical research in emergency settings where it is impossible for a patient to give permission for treatment, such as in the aftermath of a motor vehicle accident.. Both the FDA and the Institutional Review Boards (IRBs) of both hospitals (responsible for ...

22 Pulmonary Critical Care Medicine, Upper Midwest Hospital Employed Pulmonology Critical Care Oppor... Minot, ND, USA Our 251-bed hospital houses a 19-bed open ICU in addition to a 10-bed Progressive Care Unit and Level II Trauma Center. Our current department is made up of one Pulmonologist/Oncologist and one ...... Apply Now>> ...

General Introduction: Altru Health System is an integrated healthcare system. We are a non-profit community health system. Our more than 190 physicians provide service to an area of more than 200,000 throughout northeastern North Dakota and northwestern Minnesota. Specialty physicians are located in our main location in Grand Forks, North Dakota. Altru Hospital is a 270-bed Level II trauma center with state-of-the-art operating rooms. Many of our physicians choose to teach medical students attending the University of ND School of Medicine and Health Sciences along with opportunities to teach surgery residents and family practice residents. Culture & Recreation: Grand Forks offers a wide range of activities that can be enjoyed in our 4 season climate: Miles of bike trails, cross country skiing, Grand Forks Symphony, Fire Hall Theater, and University of ND sports including Division I athletics. Quick access to Minnesota lake country offers all the fun of a weekend get-away to the cabin. Housing & ...

5 RN - Cirtical Care Float Nights Idaho Falls, ID, USA It serves as the regions healthcare hub, serving southeast Idaho, western Wyoming, Yellowstone National Park and parts of Montana. EIRMC is home to a Level II Trauma Center, a Level 1 ICU (of only ...... Apply Now>> ...

The increasing number of geriatric trauma patients in developed countries is a preoccupation at every stage in the continuum of trauma care. In the acute care setting, elderly patients require specific care strategies and patient outcome may be compromised by varying degrees of dedication to geriatric trauma across hospitals. We hypothesised that the performance of trauma centres in the population of geriatric patients differs to that among young adults. Analyses were based on the evaluation of hospital mortality across the 59 trauma centres of the inclusive trauma system in the province of Quebec, Canada (1999-2006). Trauma centre evaluation was based on estimates of risk-adjusted mortality generated using a random-intercept hierarchical logistic regression model. Adjustment was performed with a risk score generated by the Trauma Risk Adjustment Model. Results for young adults (16-64 years) and geriatric patients (≥65 years) were compared using hospital ranks and outliers. Among the 55 355 ...

Methods We conducted a retrospective cohort validation study of 40 418 patients with injury using a large regional trauma registry. ICDPIC-generated AIS scores for each body region were compared with trauma registry AIS scores (gold standard) in adult and paediatric populations. A separate analysis was conducted among patients with traumatic brain injury (TBI) comparing the ICDPIC tool with ICD-9-CM embedded severity codes. Performance in characterising overall injury severity, by the ISS, was also assessed.. ...

As a level I pediatric trauma center, we are committed to providing the best pediatric trauma care possible. If you have an immediate concern about the care of a patient, please call 215-590-CHOP (215-590-2467) to discuss the situation with the trauma control physician, who is a pediatric emergency medicine physician trained and experienced in pediatric trauma care.. ...

The impact of designated trauma centers on pediatric outcomes continues to be researched. Several studies show improved survival and overall improved functional outcomes for injured children when initial evaluation and resuscitation occur at designated pediatric trauma centers.8-14 Other studies show no difference in survival for children cared for at adult trauma centers.15,16 Despite the differences in findings, most pediatric trauma patients must be initially evaluated and stabilized in nonspecialty centers until arrangements for transport to an appropriate facility is made for definitive care. Because of anatomic reasons, even seemingly benign mechanisms of trauma have the potential of producing severe injuries in infants and young children. ...

Finally, some good news on homicides in Chicago. After a bloody 2012 that drew international attention for soaring gun rates and rising gang violence, homicides are down 34 percent from the same period in 2012. Killings this year have dipped to a level not seen since the early 1960s, reported The New York Times. As of Friday, June 14, at least 152 people were killed in Chicago so far in 2013, according to the Chicago Tribunes RedEye. Police officials are touting the citys aggressive new policing strategy in the citys most violent hot zones, many of which are on the South Side, the historic home of the citys Black community.. But does the lack of an adult trauma center on the South Side possibly contribute to more deaths? Possibly. Chicago-area gunshot victims who are shot more than five miles from a trauma center have a higher mortality rate, according to a new study.. The study was published by the American Journal of Public Health. Dr. Marie Crandall, professor in surgery/trauma care ...

The University of North Carolina at Chapel Hill is home to UNC Hospitals ACS verified Level I Trauma Center. This established program serves as the lead institution for the MidCarolina Regional Advisory Committee (RAC) and actively participates in the State Committee on Trauma (COT). Approximately 2000 multiply injured patients are admitted annually to the Center and are cared for by a fully-staffed infrastructure which is certified through the North Carolina Office of Emergency Medical Services (OEMS). Patient care is overseen by ABS certified Trauma/Critical Care Specialists and is directed by the General Surgical Chief Resident with assistance from a senior resident and at least two junior residents.. The UNC Trauma System contributes to several central databases, including PreMIS and the State Trauma Registry. Trauma System protocol development and application, quality improvement initiatives, and database information are managed by a fully staffed team of specialty-trained Trauma Program ...

Womens health. Staff from UofL Hospitals Center for Women & Infants and UofL Physicians-Ob/Gyn & Womens Health will be on hand at the fair to help women of all ages. The Center for Women & Infants specializes in both high-risk obstetrics and general maternity services and gives expectant families their choice of care from board-certified obstetricians and certified nurse midwives who practice with UofL Physicians-Ob/Gyn & Womens Health.. At the fair, staff will be on hand to discuss urogynecology with providers from the Female Pelvic Medicine & Reconstructive Surgery practices, fertility specialists in reproductive endocrinology and infertility, the certified nurse midwifery program, family planning services, and our newest offering - Centering Prenatal Care. Emergency care, training. The UofL Hospital Level I Trauma Center and the Burn Unit will also both provide a variety of services at the fair.. The Trauma Center is the regions only Level I trauma unit. Staff will train fair-goers to ...

Background Human polymerized hemoglobin (PolyHeme, Northfield Laboratories) is a universally compatible oxygen carrier developed to treat life-threatening anemia. This multicenter phase III trial was the first US study to assess survival of patients resuscitated with a hemoglobin-based oxygen carrier starting at the scene of injury. Study Design Injured patients with a systolic blood pressure ≤ 90 mmHg were randomized to receive field resuscitation with PolyHeme or crystalloid. Study patients continued to receive up to 6 U of PolyHeme during the first 12 hours postinjury before receiving blood. Control patients received blood on arrival in the trauma center. This trial was conducted as a dual superiority/noninferiority primary end point. Results Seven hundred fourteen patients were enrolled at 29 urban Level I trauma centers (79% men; mean age 37.1 years). Injury mechanism was blunt trauma in 48%, and median transport time was 26 minutes. There was no significant difference between day 30 mortality

The Trauma Survivors Network (TSN) was developed as a program of the American Trauma Society (ATS) to support recovery for adult trauma patients. However, the children of adult trauma patients, families of pediatric trauma patients, and pediatric trauma patients previously had scarce resources. Our institution, in collaboration with the ATS, sought to expand the TSN to support pediatric trauma patients, caregivers, and family members. We aimed to determine whether the TSN could be transferred to the pediatric population. Focus groups identified psychosocial needs of younger survivors, children of adult survivors, and caregivers. A Pediatric TSN Coordinator was hired, Pediatric TSN Peer Visitors were recruited and trained, and Pediatric TSN Activity Hour was implemented for pediatric patients and families. Since implementation 1 year ago, 26 peer visitors have been trained and have conducted approximately 200 visitations. In total, 93 patients and family members have attended Pediatric TSN ...

The role of alcohol in motor vehicle crashes has been recognized almost since the advent of motor vehicles (U.S. Department of Transportation, 1968). As early as 1936, Norway enacted legislation establishing a BAC of 0.05% as the limit for operating a motor vehicle. Still, alcohol persists as a major factor in motor vehicle injury (Cherpitel, 1993). The role of drugs other than alcohol is less clear, particularly when it comes to how extensively they are involved in real world crashes. Several recent studies have reported drugs in patients admitted to hospital for treatment of injury. Soderstrom et al. (1989) reported the presence of marijuana in almost 35 percent of trauma victims admitted to a major trauma center, with motor vehicle crashes accounting for about two-third of the patients studied. Younger patients had a higher rate of marijuana use, and alcohol was more characteristic of motor vehicle crash victims. Other studies examining drug use in trauma victims include Lindenbaum et al. ...

ORNL DAAC: The BOREAS RSS-14 team collected and processed several Level-1 GOES-7 and GOES-8 image data sets for 1994-1996, and GOES-7 Level-2 for 1994 over the BOREAS study region. This data set contains shortwave and longwave radiation images at the surface and top of the atmosphere derived from collected GOES-8 data. These GOES-8 Level-2 data cover the period from 12-Feb-1996 to 22-Oct-1996.

In a May 14 Detroit News article about the legislative negotiations on two bills that would gut Michigans auto no-fault law, the MHAs Laura Appel discusses how the government-mandated fee schedule in both measures could threaten Michigans safety net of Level I and II trauma centers ...

This study aims to compare the trauma system before and after implementing a physician-staffed helicopter emergency medical service (PS-HEMS). Our hypothesis was that PS-HEMS would reduce time from injury to definitive care for severely injured patie

Thoracic trauma is commonplace and accounts for 50-70% of the injuries found in severe trauma. Little information is available in the literature as to timing of endotracheal intubation. The main objective of this study was to assess the accuracy of the ROX index in predicting successful standard oxygen (SO) therapy outcomes, and in pre-empting intubation. Patient selection included all thoracic trauma patients treated with standard oxygen who were admitted to a Level I trauma center between January 1, 2013 and April 30, 2020. Successful standard SO outcomes were defined as non-requirement of invasive mechanical ventilation within the 7 first days after thoracic trauma. One hundred seventy one patients were studied, 49 of whom required endotracheal intubation for acute respiratory distress (28.6%). A ROX index score ≤ 12.85 yielded an area under the ROC curve of 0.88 with a 95% CI [0.80-0.94], 81.63sensitivity, 95%CI [0.69-0.91] and 88.52 specificity, 95%CI [0.82-0.94] involving a Youden index of 0.70.

Trauma research - UT Trauma & Emergency Surgery, Department of Surgery - UT School of Medicine San Antonio. In partnership with University Health System, UT Trauma provides physician services to a 22-county region Level I Trauma Center, including pediatric trauma.

Donnelley M, Duby J, Cocanour CS. Safety and efficacy of fidaxomicin in patients with Clostridium difficile infections. Clinical Medicine Insights: Therapeutics. 2013:5 75-79.. Evans CH, Duby JJ, Berry AJ, Schermer CR, Cocanour CS. Enteral albuterol decreases the need for chronotropic agents in patients with cervical spinal cord injury-induced bradycardia. J Trauma Acute Care Surg. 2014 Feb;76(2):297-302.. Feliciano DV, Moore EE, West MA, Moore FA, Davis JW, Cocanour CS, Scalea TM, McIntyre RC Jr. Western Trauma Association critical decisions in trauma: evaluation and management of peripheral vascular injury, part II. J Trauma Acute Care Surg. 2013 Sep;75(3):391-7.. Smith R, Evans A, Adams C, Cocanour C, Dicker R. Passing the torch: evaluating exportability of a violence intervention program. Am J Surg. 2013: 223-228. Michetti CP, Fakhry SM, Ferguson PL, Cook A, Moore FO, Gross R; AAST Ventilator-Associated Pneumonia Investigators. Ventilator-associated pneumonia rates at major trauma centers ...

At the end of his training Mr Fitzgerald OConnor undertook a microsurgical fellowship at the Royal London hospital followed by an international fellowship at the Royal Perth hospital in Western Australia. During his time in Australia he gained valuable experience in complex trauma reconstruction, peripheral nerve repair, breast cancer reconstruction and skin cancer surgery. Edmund was then appointed as a consultant plastic surgeon at the Royal Perth before returning to London to take up his current consultant post, helping to develop the trauma reconstruction service at Kings College Hospitals major trauma centre. Mr Fitzgerald OConnor is passionate about teaching and research. Alongside his academic position at Queen Marys university of London he has published over 30 peer review articles and presented in over 50 international conferences. Mr Fitzgerald OConnor focuses on providing the very best quality of care for each of his patients by maximising the outcomes from every operation he ...

The specialty first developed through the treatment of cranial trauma and intracranial mass lesions. Successive advances in microsurgical techniques, non-invasive imaging, neuro-anaesthesia, intensive care, image-guided surgery, and the introduction of sophisticated radio-oncological and interventional treatments have greatly enhanced and widened the scope of effective treatments. Head and spinal injuries remain a leading source of mortality and disability, and as such most neurosurgical units are an essential component of local major trauma centres. Overall, emergency and urgent activity comprises some 50% of the caseload of a neurosurgical unit, indicative of the uniquely high acuity of neurosurgical patients. General neurosurgery is typically taken to embrace spinal, trauma, oncology, CSF diversion (i.e. hydrocephalus), posterior fossa and peripheral nerve surgery. Most neurosurgeons will cover these cases on call but may refer on subsequently. New consultants are typically appointed with a ...

A 86-year old male, he was struck by car and transferred to Level I Trauma center at Siriraj hospital after injury for 30 minutes. Arrival clinical signs were coma and hypotension, lowest SBP was 50 mmHg. Primary survey found unstable pelvic fracture and severe head injury. We did REBOA at Zone I via left common femoral artery which aim to do partial balloon technique by inflation with 15-18 mL and arterial line monitoring for goal SBP around 100-120 mmHg due to his extreme age and associated traumatic brain injury. After CT scan showed no intra-abdominal injury, we did reposition the balloon to zone III under fluoroscopy. Unexpectedly, during deflation the balloon before removal, we found fresh blood through the balloon port, then ruptured balloon was suspected and confirmed with aortography. We immediately converted to remove by open technique due to balloon was failed to shrinkage through 7-Fr sheath. We reviewed the CT scan was shown calcified plaque along aorta and arteries which could be ...

Children with suspected child abuse present late to the hospital, and most arrive at hospitals that are not designated pediatric-capable major trauma centers, according to a study published online April 24 in the Emergency Medicine Journal.

Objective : Hypertension secondary to renal injury is an unusual problem, but one that occurs with some frequency in an active trauma unit. The incidence and management of posttraumatic renovascular hypertension at our Level I trauma center was reviewed. Methods : A retrospective review of a trauma database was performed on patients treated by...

Discover more about Denver Health, one of Colorados premier healthcare institutions and home to the Regions Level I Trauma Center.

All residents are given an opportunity to rotate through Orthopedic Anesthesia in Memorial Hermann-Texas Medical Center, The Roger Clemens Institute for Sports Medicine & Human Performance, and Harris Health Systems Lyndon B. Johnson Hospital. Anesthesia strategies range from the critically ill trauma patients to safe and effective delivery of anesthetic care to day surgery patients.. Memorial Hermann-Texas Medical Center is one of the largest Level I trauma centers in the nation, thereby allowing residents to participate in providing safe and effective anesthesia care to orthopedic trauma, which encompasses spinal fractures, acetabulum and pelvic fractures, and multiple extremity fractures. This includes patient with unstable cervical spine requiring advanced airway management techniques and advance fluid and coagulation management strategies.. The Division of Orthopedic Anesthesia also serves a large patient population requiring total joint replacement, adult spine surgery, elective ...

Orthopedic patients find world-class treatment for complex musculoskeletal conditions at the Inova Orthopedic Trauma and Fracture Care Program, part of Inova Trauma Center. Inova Trauma Center is Northern Virginias only level 1 trauma center. Many of our patients transfer to Inova from other healthcare facilities located throughout the mid-Atlantic and region and beyond.

Welcome to the Connecticut State Committee on Traumas web site. The purpose of this web site is to provide general information about Trauma related educational offerings, contact information for Connecticut Committee on Trauma Officers, and the details of the yearly Connecticut Trauma Conference.

Each year in the USA, 1.5-2.5 million Americans are so severely injured that they require inpatient hospitalization. Multiple conditions including posttraumatic stress disorder (PTSD), alcohol and drug use problems, depression, and chronic medical conditions are endemic among physical trauma survivors with and without traumatic brain injuries. The trauma survivors outcomes and support (TSOS) effectiveness-implementation hybrid trial is designed to test the delivery of high-quality screening and intervention for PTSD and comorbidities across 24 US level I trauma center sites. The pragmatic trial aims to recruit 960 patients. The TSOS investigation employs a stepped wedge cluster randomized design in which sites are randomized sequentially to initiate the intervention. Patients identified by a 10-domain electronic health record screen as high risk for PTSD are formally assessed with the PTSD Checklist for study entry. Patients randomized to the intervention condition will receive stepped collaborative

Creighton University Medical Center is 334-bed Level I Trauma Center that hosts a wide variety of surgical and trauma patients. Many of these patients, including and especially those with pre-existing cardiac morbidities, develop symptoms of congestive heart failure (CHF) following trauma or surgical intervention because of a combination of physiological factors including third spacing followed by self-diuresis, and decreased contractility post injury. Normally, following the onset of CHF, surgeons begin treatment based on their clinical judgment of hemodynamic parameters and radiographic findings. CHF is known to increase morbidity, mortality, hospital length of stay and overall expenditure to the health care system and preventative measures and directed treatment modalities have potential to improve patient care and healthcare economics.. BNP, also known as beta-natriuretic protein or CHF peptide, is a cardiac neuro-hormone synthesized by the cardiac myocytes. It is released as a preproBNP ...

Minority trauma patients tend to cluster at trauma centers with worse-than-expected mortality can this phenomenon help explain racial disparities in trauma outcomes? Annals of Surgery, Vol.258, No.4 (2013): 572-579. Adil H. Haider, Zain G. Hashmi, Syed Nabeel Zafar, Xuan Hui, Eric B. Schneider, David T. Efron, Elliott R. Haut, Lisa A. Cooper, Ellen J. MacKenzie, Edward E. Cornwell III.. ...

Minority trauma patients tend to cluster at trauma centers with worse-than-expected mortality can this phenomenon help explain racial disparities in trauma outcomes? Annals of Surgery, Vol.258, No.4 (2013): 572-579. Adil H. Haider, Zain G. Hashmi, Syed Nabeel Zafar, Xuan Hui, Eric B. Schneider, David T. Efron, Elliott R. Haut, Lisa A. Cooper, Ellen J. MacKenzie, Edward E. Cornwell III.. ...