The ACGME requirement for Trauma/Critical Care management training of fellows is met in this 16-bed ICU. There are 900 major trauma cases per year admitted to St. Barnabas Hospital, and 250-300 are admitted to the Trauma ICU each year. At least 50% of patients in this ICU has suffered from critical injury due to penetrating or blunt trauma. Some 50% of the trauma patients have significant neurosurgical critical illness.
This service is fully integrated with the Department of Surgery. In addition to excellent surgical critical care training, the focused programs in this unit allow fellows to gain experience in being part of the trauma team. Also, they participate in operating room anesthesia procedures, perform procedures not routinely done at Montefiore such as percutaneous tracheotomy, and are responsible for CRRT techniques such as CVVH and SLED.
The CCM fellows will participate in the trauma case conferences, grand rounds and core curriculum lectures including the trauma journal club and M&M conferences as required by ACGME.