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Sat Dec 13 09:51:06 GMT 2008

I guess the crucial piece is to get monies to pay an extra 2-3 trauma / critical care trained personnell.

Sanjay Gupta

--- On Thu, 12/11/08, moore677 at aol.com <moore677 at aol.com> wrote:

> From: moore677 at aol.com <moore677 at aol.com>
> Subject: Re: TRAUMA AND SURGICAL INTENSIVIST COVERAGE
> To: trauma-list at trauma.org
> Date: Thursday, December 11, 2008, 7:33 PM
> You are saying that even though the trauma surgeons were
> critical care trained/boarded, they did not rotate as the
> attending in the trauma/surgical ICU?? How many medical
> intensivists rotated in the trauma/surgical ICU?? Did the
> dedicated surgical intensivist take trauma call?
> 
> Dell.................
> 
> 
> -----Original Message-----
> From: nappio at aol.com
> To: Trauma &amp; Critical Care mailing list
> <trauma-list at trauma.org>
> Sent: Thu, 11 Dec 2008 5:40 pm
> Subject: Re: TRAUMA AND SURGICAL INTENSIVIST COVERAGE
> 
> 
> 
> I trained at geisinger.  All the trauma surgeons were
> critically care trained 
> but it was a closed unit with dedicated med intensivists
> and only one dedicated 
> surg crit care.  The trauma attending and residents round
> on the patients via 
> sit down rounds with the icu team in the am, and the
> dedicated icu team follows 
> the hour to hour business.dn
> ------Original Message------
> From: moore677 at aol.com
> Sender: trauma-list-bounces at trauma.org
> To: trauma-list at trauma.org
> ReplyTo: Trauma & Critical Care mailing list
> Sent: Dec 11, 2008 18:40
> Subject: TRAUMA AND SURGICAL INTENSIVIST COVERAGE
> 
> Are there any U.S. Level I trauma centers that still have
> the medical 
> intensivists contribute a significant amount of care to
> your patients?? If so, 
> and what is their role exactly and how much time do they
> spend in the ICU?
> We are a high volume ACS Level I (4000 trauma service
> admissions) with a new 
> general surgery residency and 8 trauma surgeons.? Two of
> the eight are surgical 
> intensivists and do their own critical care.? Over 90% of
> the care of our ICU 
> patient's?are currently?done by the medical
> intensivists.? We are trying to 
> develop a?SCC service?whereby we as surgeons can do the
> majority of the teaching 
> and rounding, but I fear we would need to take on at least
> 2-3 more surgical 
> intensivists.? Monies are not available for this.
> 
> Suggestions?
> 
> 
> Forrest "Dell" Moore, MD
> Trauma Critical Care Surgery
> St. Joseph's Hospital and Medical Center
> Phoenix, AZ
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