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Mon Dec 15 14:29:21 GMT 2008

Dell,

We are a Level I  Trauma Center with around 1700 trauma admissions/year.  We have a (woefully undersized) 24 bed Med-Surg ICU that is staffed by surgical, and medical intensivists, as well as a smattering of anesthesiologists, all of whom rotate from the medical to the surgical side.  Some of the medical folks are pulmonologists.  All of this might be changing, however, as we look to change the structure to a medical AND surgical ICU, with the medical side under the direction of a pulmonologist, and the surgical side directed by one of our trauma/critical care surgeons.

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of moore677 at aol.com
Sent: Saturday, December 13, 2008 4:16 PM
To: SSherry at LHS.ORG; trauma-list at trauma.org
Subject: Re: TRAUMA AND SURGICAL INTENSIVIST COVERAGE

 Are there other trauma surgeons out there willing to share with me the make up of their trauma/surgical ICU.? PLease tell me how many surgeons, anesthesiologists, ED, and pulm/med intensivists make up your staff coverage.? This info would also be greatly beneficial.? Please tell me how many trauma admissions you have as well as whether you are a level I or II.

Dell................

-----Original Message-----
From: Sherry, Scott :LPH Trauma <SSherry at LHS.ORG>
To: moore677 at aol.com
Sent: Sat, 13 Dec 2008 1:45 pm
Subject: RE: TRAUMA AND SURGICAL INTENSIVIST COVERAGE

OHSU - portland oregon. has trauma cc trained intensivists for the trauma icu. there is one EM/IM/CC and one Anesthesia CC ICU intensivist in the rotation.

Legacy emanuel protland oregon?- 8 ICU trauma intensivists rotate through trauma er, icu, ward.

From: trauma-list-bounces at trauma.org on behalf of moore677 at aol.com
Sent: Thu 12/11/2008 3:40 PM
To: trauma-list at trauma.org
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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