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Thanks to Braden, Raghu, Dr. Beattie, Dr. Kessler, and many others, the Elmhurst ED has been reorganized to enhance patient care and resident learning. The changes have been described in a file under the “Polices” tab above.  Briefly, below, is a summary:

• Gone is the distinction between medical and surgical patients. Patients will be triaged to A & B equally. Therefore, everyone (including internal medicine and outside rotating EM residents) will be getting both A & B side shifts.
• The trauma team is now made up of 2 residents from B side, and 1 resident from A side. This is designated on the schedule as a “T”.
• If you are not on the Trauma (T) team, you will be expected to assist with any cardiac room resuscitations if a “Cardiac team to the cardiac room” is called.
• The PGY-3 in the B room will act as a “float”, seeing patients on both sides of the B room. The PGY-3 is responsible for clearing backboards.
• The PGY-3 in the B room will also be responsible for assigning roles prior to trauma alerts. They are responsible for knowing who will manage airway, access, and charting of the patients in the trauma room.

A note about trauma signout:

The trauma team will round with the trauma attending 30 minutes prior to signout. Each resident will then sign out their trauma patients directly to their replacement resident at 7:00 (i.e. PGY3 to PGY3, A-Trauma to A-Trauma, etc.). The new trauma team will then round with the trauma attending 30 minutes after signout. If you are doing a DAT/NAT shift, you are on the trauma team, but will see patients primarily on the A side. It is therefore important that you keep close track of your trauma patients and consult with the Trauma/B attending frequently.

For more details, see the EHC Roles document under the “Policies” tab.

Posted on Sunday, August 10th, 2008 at 7:17 pm by Nick. Filed under Policies, News.
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