Monthly Archives: March 2014

BMC’s Multidisciplinary Team Delivers Exceptional Care to Trauma & Critically Ill Patients

BY: BOSTON TRAUMA STAFF, March 31, 2014

One of the many strengths of Boston Medical Center is the commitment of the many specialty services that are available 24 hours a day, seven days a week to any ill or injured patient in need.  The Trauma Center at BMC is the longest continuously verified Level I trauma program in the city of Boston and has earned the reputation of one of the country’s finest trauma programs and is one of several Centers of Excellence at Boston Medical Center. We achieve excellence with the help of dedicated staff members from various specialties and departments whom all play an integral role in caring for our patients.

For example when a trauma patient is brought to Boston Medical Center we have a Trauma Activation Process in place to respond to patients’ needs in a timely fashion. Among them include a trauma surgeon, emergency medicine attending physician, residents, nurses and other staff as needed respond. All are prepared to provide timely care to patients in their most critical state.

Image

 

From the emergency department the trauma patient is either admitted to a definitive treatment area, i.e. operating room, critical care unit or surgical floor. Our multidisciplinary trauma team continues to care for the critically injured patients throughout their hospital stay. We have trauma nurse practitioners/physician assistants, respiratory therapists, rehabilitative specialists, dietitians, case managers and social workers available at patient’s bedside to assist as needed.

Image

 

We also rely on the expertise and experience of the multidisciplinary services provided by Surgical Critical Care, Neurosurgery, Orthopaedic Surgery, Vascular and Endovascular Surgery, Radiology, Pediatrics, Obstetrics, Oral & Maxillofacial Surgery, Otolaryngology, Ophthalmology and Urology to provide comprehensive care to all trauma and critical care patients. These team members work closely with the Division of Acute Care & Trauma Surgery/ Surgical Critical Care to provide the high level of monitoring, continuous consultation and individualized plans of care for each patient. We all work together to minimize length of stay while maximizing outcomes and return to normal activity.

Image

 

This multidisciplinary group meets regularly to review clinical and systems issues in our practice and continually seeking opportunities for improvement.

Image

 

We appreciate the dedication, commitment and compassion of our multidisciplinary teams in caring for our trauma and critically ill patients. It’s with their help we continue to provide exceptional care without exception.

National Poison Prevention Week: here are 10 tips to keep you and your family safe

painkillers.JPG

By Katy Muldoon | kmuldoon@oregonian.com 

National Poison Prevention Week, which runs through March 22, seems a fine opportunity to share some tips from the Oregon Poison Center, which received 55,000 calls last year, more than 45 percent involving young children.

The most common calls for all ages have to do with drugs people take to relieve pain – from over-the-counter remedies, such as acetaminophen, to such narcotics Vicodin and Oxycontin.

Reach the center at 1-800-222-1222. Consider programming the number into your phone in case you need it.

The center, located at Oregon Health & Science University, offers around-the-clock information and treatment resources, and serves those who live in Oregon, Alaska and Guam. Plus, it has an information-richwebsite, from which we’ve gleaned these poison-prevention tips:

1. Store all medicines in a cabinet that’s locked or has child-resistant latches; keep them of reach of children and pets.

2. Only take medications recommended by your health-care provider.

3. Properly dispose of all unused, unneeded or expired prescription medication. Ask your pharmacist how.

4. Buy products with child-resistant caps – but remember: Child-resistant doesn’t mean child-proof. Tightly close caps of such things as toilet cleaners, drain openers, detergent, kerosene and antifreeze, all of which can be poisonous.

5. Be careful when using medicines or cleaners. If the phone or doorbell rings, close the cap securely before answering.

6. Never put poisonous substances in empty food bottles or containers.

7. Take the online “My Safe Home” tour

8. Check out this list of toxic plants considered poisonous if ingested. 

9. As gardening season begins, remember that all pesticides are poisonous and can seriously affect people, pets and wildlife.

10. Remember that the solvents used in some cleaning products can be poisonous; if you use them, make sure you’ve got good ventilation and that products are stored out of reach of children.

— Katy Muldoon

Courtesy of Oregon Live.

BMC Surgery Bootcamp Prepares Medical Students for Surgery Internship

Image

Andrew Glantz, MD, FACS supervising medical students performing a small bowel resection procedure

BY: BOSTON TRAUMA STAFF, MARCH 17, 2014

The Department of Surgery offers fourth year medical students interested in pursuing a surgery internship the opportunity to participate in a month-long surgery elective rotation. Dr. Alik Farber an Associate Professor of Surgery and Radiology at BUSM and Chief of the Division of Vascular and Endovascular Surgery at BMC is also the director of this fourth year medical school elective, BMC Surgery Bootcamp, which is designed to expose students to crucial knowledge and technical skills important for a surgical internship as well as for a surgical career.

Twelve students in their final year of medical school at Boston University participated in the surgery bootcamp. The rotation included didactic lectures, hands-on skills laboratory, a mock pager experience, and focused rotations. The last week of the bootcamp instructed by our very own trauma surgeon, Dr. Andrew Glantz, exposed students to real-life surgical scenarios. The medical students performed various procedures that included a small bowel resection, gall bladder, colostomy, thoracotomy, tracheotomy, excision of skin lesion, below knee amputation and J tube placement.  This experience provided them with an opportunity to act as lead surgeons on various operations allowing them to understand the steps involved in the procedures and the complications that can occur if preformed incorrectly.

There were many valuable learning experiences from this surgical bootcamp and for Brittany Hastings having the opportunity to work in teams was by far one of the most enriching. She remarked that this was the first time she worked so closely with many of her medical school colleagues who are also pursuing surgery and was amazed by how much she learned from them. Kaitlin Peace another medical student who participated in the surgery bootcamp is also in the Air Force and will be attending San Antonio Military Medical Center for her surgery residency. She mentioned that this surgical experience has helped reinforce her interest in surgery and has made her even more excited to get started on her residency this summer.

This surgery bootcamp has been held at BMC for two-years now and Dr. Glantz has been spearheading the anatomy portion of it from the very beginning. Dr. Glantz along with our team of trauma surgeons among them Tracey Dechert, Robert Schulze, Dorothy Bird, Beda Sarkar and surgical fellows Mark Kromer and Chaitan Narsule assisted with this bootcamp and are influential mentors to many of our aspiring surgeons.

And the winning captions for the Boston Trauma Caption Contest are…..

 

 

Image

 

Thanks to everyone who submitted an entry to the Boston Trauma Caption Contest. We received many creative submissions some of which were very hilarious! Our judges selected top three winning captions to receive Boston Trauma prizes:

BMC Ambulance Bay is….

1st place: Now hiring full time valets!

2nd place: Hosts the highest attended daily ambulance convention in the state!

3rd place: Accessible, active and always on alert!

Congratulations to the winners! We appreciate everyone’s commitment, dedication and enthusiasm and encourage you to stay tuned to Boston Trauma!

Remember to:
Like Us on Facebook: http://www.facebook.com/bostontrauma
Follow Us on Twitter: http://www.twitter.com/bostontrauma
Bookmark our Blog: http://www.boston-trauma.com

NHTSA Proposes First-Ever Side Impact Test for Child Restraint Systems

Proposal includes new 3-year-old crash test dummy

WASHINGTON – The U.S. Department of Transportation’s National Highway Traffic Safety Administration (NHTSA) today proposed upgrades to the federal motor vehicle safety standard for child-restraint systems to ensure child passengers are protected in side crashes. The proposed upgrades would include a first-ever side impact test for car seats sold in the U.S. that are designed for children weighing up to 40 pounds.

“As a father of two, I know the peace of mind this proposed test will give parents,” said Transportation Secretary Anthony Foxx. “We all want to make sure our children’s car seats are as safe as possible, and today’s proposal will give parents and car-seat makers important new data on how car seats perform in side crashes.”

In the proposed test simulating a side-impact vehicle crash, car seats must demonstrate they can safely restrain a child by preventing harmful head contact with an intruding vehicle door and reducing the crash forces transmitted to the child’s head and chest. NHTSA estimates that the proposal would save five lives and prevent 64 injuries annually.

“Car seats are an essential tool for keeping young children safe in vehicles and have a proven track record of saving lives,” said NHTSA Acting Administrator David Friedman. “Today we continue to build on our extensive child seat safety program by adding side-impact crash protection for the first time.”

Under the proposal, car seats would be tested in a specially designed sled test that simulates a “T-bone” crash, where the front of a vehicle traveling 30 mph strikes the side of a small passenger vehicle traveling at 15 mph. The sled test is the first of its kind in the world being proposed for regulation, as it simulates both the acceleration of the struck vehicle and the vehicle door crushing toward the car seat. In addition to using an existing 12-month-old child dummy, the proposed test will also utilize a newly developed side-impact dummy representing a 3-year-old child. The agency proposed a 3-year timeframe for car-seat manufacturers to make any necessary changes to meet the proposed requirements upon final rule publication.

The agency’s Notice of Proposed Rulemaking is being published in the Federal Register and members of the public will have the opportunity to comment on the proposal for 90 days. Parents, guardians and care providers can search for current child seat safety recalls and find where they can get help installing child car seats through the free Safercar.gov App available on Apple iOS enabled devices through the Apple App Store.

Courtesy of http://www.nhtsa.gov/