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Divisions: Trauma, Critical Care, and Emergency Surgerylast updated: 04/01/2013
Welcome to the Division of Trauma, Critical Care and Emergency General Surgery
Contact Information for Trauma Surgery
VCU Medical Center’s Division of Trauma, Critical Care and Emergency General Surgery received a three-year verification from the American College of Surgeons as a Level 1 trauma center, making it one of only two nationally recognized trauma centers in the state. The recognition is awarded to hospitals that demonstrate their ability to provide the highest quality of care for all injured patients. As a verified trauma center, VCU Medical Center offers 24-hour, on-site surgical staff, dedicated operating room space and round-the-clock access to laboratory services and subspecialties including cardiac surgery, neurosurgery, plastic surgery, anesthesiology and radiology.
A major component of the academic mission of the division is to foster the development and maturation of the General Surgeon. This development not only involves clinical experience but also an exposure to and understanding of the basic physiological principles of surgery.
Housestaff
While the faculty members in the Division have the ultimate administrative and legal responsibility for the patients, the division’s philosophy places strong emphasis on the individual resident’s sense of responsibility, his/her participation in unit teamwork
and the leadership capabilities of the Chief Residents. The housestaff are responsible for organizing and conducting weekly didactic teaching conferences. In addition, the housestaff have a primary participatory role in over 95% of the operations done by the service.
Emergency Room triages and resuscitation, nutritional and metabolic management, and direct participation in critical care are other experiences included in the divisional rotations. Only through direct participation in patient care activities can surgical maturation occur. Ample opportunity to develop organizational and clinical skills exists as our patient admissions are exceeded only by the four major Departments of Surgery, Medicine, Pediatrics and Obstetrics (in that order).
Clinical Programs and Patient Care
The Division consists of ten full-time trauma surgeons, two intensivists, a nurse-manager/trauma coordinator, two trauma registrar nurses, a trauma social worker, a trauma researcher, and part-time support for a psychologist studying the epidemiology of penetrating trauma.
The housestaff on this service include a PGY V, VI, two PGY II, and two PGY I residents. The trauma section will work in close collaboration with the Department of Emergency Medicine.
Critical Care
The 865-bed VCU Medical Center is a regional referral center for the state and is the region's only Level I Trauma Center. The center offers nearly 200 specialty areas, many of national and international note.The 28-bed Surgical Trauma Intensive Care Unit experiences on average 1400 admissions per year and specializes in patients with trauma and surgical critical care. These Units are staffed with two PGY II and one PGY I surgical housestaff, and one PGY II anesthesia houseofficer. During these ICU rotations, there are many opportunities for resuscitation and management of critically ill surgical patients working directly with ICU attendings certified in Critical Care, anesthesia residents, medical students and superb ICU Critical Care nurses.
Responsibilities include helping the surgical team with daily patient management, reading assignments and teaching rounds. The resident supervises or performs central line placement and right heart catheterization, percutaneous endoscopic gastro-jejunostomy (PEG-J), and flexible bronchoscopy. The resident also assists in fluid, ventilator management, and nutritional care of critically ill surgical patients. This rotation prepares residents to assume the full care of the patient with multiple system problems emphasizing cardiovascular, pulmonary and nutritional intervention.
Emergency Department
The emergency rooms at VCU Medical Center comprise one of the largest emergency service areas in the country (85,000 square feet) with 117,000 visits annually.Emergency Services is composed of four separate but adjoining emergency rooms:
Acute Medicine
Acute Surgery/Trauma
Child/Adolescent
OB/GYN.The Department of Emergency Medicine has been established with a full cadre of dedicated, fully-trained Emergency Room Physicians. During their first year, surgical interns spend one month rotating through Emergency Services, which provides an outstanding experience in trauma, evaluation of abdominal pain, suturing, treatment of severe medical problems, and cardiopulmonary resuscitation.
LifeEvac Virginia
LifeEvac Virginia is a full-service air medical transport system with three strategically-placed bases: Petersburg, Fredericksburg; and Mattaponi.
Our aircraft are available 24/7/365, providing safe and rapid transport by helicopter of critically ill and injured patients. As a regional resource, LifeEvac Virginia cooperates with all other tertiary and community hospitals to help ensure optimal patient care. Emergency medical transports are coordinated to ensure that patients are transported to facilities with the highest appropriate levels of care necessary to meet their acute needs. Whether it be the transfer of an ICU patient from one hospital to another or complicated trauma request from an EMS provider, our competent crews continue to provide critical and lifesaving interventions surrounded by exceptional compassionate patient care.
Research Opportunities
The areas of research in which a house officer can participate reflect the clinical interest of the faculty members. These areas include: sepsis, shock, abdominal compartment syndrome, trauma, burn injury, nutrition and gastrointestinal physiology. Available approaches include studies of mediators of the injury response, implication of free oxygen radicals in tissue injury, mechanisms of lung injury, pre-hospital trauma care, trauma resuscitation, and violence and injury prevention.
Conferences
M&M Conference - Tuesday's 1:00-2:00pm, Main 9 Conf Room
Weekly case presentations, discussion, and literature review by surgery residents with radiology and medicine input.Trauma Conference - Wednesday's 7:30 - 9:00am, Main 9 Conf Room
Weekly case presentations, discussion, and literature review by surgery residents in collaboration with trauma attendings and emergency room physician attendings.Michel Aboutanos, MD Division Chair
Rahul Anand, MD
Therèse Duane, MD
Paula Ferrada, MD
Stephanie Goldberg, MD
Christopher Hogan, MD
Rao R. Ivatury, MD
Ajai Malhotra, MD
Julie Mayglothling, MD
James Whelan, MD
Martin J. Mangino, PhD (Research)Location/Delivery Address:
West Hospital, 15th Floor, East Wing
1200 E. Broad St.
Richmond, VA 23298Mailing address:
P.O. Box 980454
Richmond, VA 23298-0454Phone: (804) 827-1207
Fax: (804) 827-0285
SURGERY DIVISIONS Plastic & Reconstructive Surgery