Trauma - Brookdale

EDUCATIONAL GOALS AND OBJECTIVES

The educational objectives for the Emergency Medicine resident while in the Trauma rotation are as follows:

Patient Care

  • Demonstrate ability to rapidly and thoroughly assess victims of major and minor trauma.
  • Demonstrate ability to establish priorities in the initial management of victims of life-threatening trauma.
  • Demonstrate ability to manage fluid resuscitation of trauma victims.
  • Demonstrate ability to manage the airway of trauma victims.
  • Demonstrate ability to perform the following procedures:  oral and nasogastric intubation venous cut-downs, insertion of large bore peripheral and central venous lines, insertion of arterial lines, tube thoracostomy, local wound exploration, peritoneal lavage, vessel ligation, repair of simple and complex lacerations, splinting of extremity fractures and reduction and immobilization of joint dislocations, cricothyroidotomy resuscitative thoracotomy, pericardiotomy, cardiorraphy, aortic cross-clamping and extensor tendon repair.
  • Demonstrate ability to interpret radiographs on trauma patients, including chest, cervical, thoracic and lumbar spine, pelvic and extremity films.
  • Demonstrate ability to calculate the Glasgow Come Score and discuss its role in the evaluation and treatment of head injured patients.
  • Demonstrate ability to use spine immobilization techniques in trauma victims.
  • Demonstrate ability to diagnose and manage trauma victims with extremity fractures, dislocations and subluxations.
  • Demonstrate ability to manage soft tissue injuries including lacerations, avulsions and high-pressure injection injuries.
  • Demonstrate appropriate use of analgesics and sedatives in trauma patients.
  • Demonstrate appropriate use of antibiotics in trauma patients.
  • Demonstrate ability to direct a trauma team during complex resuscitations.
  • Demonstrate ability to coordinate consultants involved in the care of multiple trauma patients.
  • Demonstrate ability to use and interpret imaging modalities in the evaluation of trauma patients.
  • Demonstrate ability to arrange appropriate consultation and disposition of trauma patients.
  • Demonstrate ability of direct the care of trauma victims in the pre-hospital setting.
  • Demonstrate ability to direct pediatric trauma resuscitations.
  • Demonstrate ability to direct geriatric trauma resuscitations.
  • Demonstrate ability to diagnose and manage tendon injuries.
  • Demonstrate ability to manage amputation injuries and discuss the potential for re-implantation.
  • Demonstrate the ability to manage the acutely burned patient, including minor and major injuries.
  • Demonstrate the ability to diagnose and treat smoke inhalation.
  • Demonstrate the ability to assess and manage facial trauma
  • Demonstrate the ability to evaluate and manage anterior neck injuries.
  • Demonstrate the ability to assess and management penetrating and blunt chest trauma.
  • Demonstrate the ability to evaluate and manage blunt and penetrating abdominal trauma.
  • Demonstrate the ability to diagnose and treat pelvic fractures.

Medical Knowledge

  • Discuss the definitive care of the trauma victims, including operative, post-operative and rehabilitative phases of care.
  • Discuss the importance of mechanism of injury in the evaluation and treatment of the trauma victim.
  • Discuss the diagnosis and management of compartment syndrome.
  • Discuss the diagnosis and management of urogenital injuries.
  • Discuss principle of disaster management and participate in disaster drills.
  • Discuss the role of pre-hospital systems in the management of trauma patients.
  • Discuss factors unique to the evaluation and management of pediatric trauma.
  • Discuss factors unique to the evaluation and management of geriatric trauma.
  • Discuss factors unique to the evaluation and management of trauma in pregnancy.
  • Discuss the evaluation and management of spinal cord injuries.

Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to trauma.

Interpersonal and Communication Skills

  • Create and sustain a therapeutic and ethically sound relationship with patients
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills
  • Work effectively with others as a member or leader of a health care team

Professionalism

  • Demonstrate respect, compassion, and integrity
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities

Systems-Based Practice

  • Understand how trauma care affect other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Attend and participate in daily Trauma/Emergency Medicine teaching rounds
  • Attend all conferences given by the Emergency Department and Trauma Service while on rotation.
  • Evaluate and manage patients under the supervision of Trauma/Emergency Medicine faculty and senior residents.  Progressive patient care responsibilities are at the discretion of the Trauma/Emergency Medicine faculty based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.
  • Discuss and interpret results of all ancillary testing with supervisory faculty.
  • Perform procedures under faculty supervision commensurate with their post-graduate level of training and skill.

 

ROTATION INFORMATION

Where: Brookdale ED Area A – 1 Brookdale Plaza, Brooklyn, NY 11212. (718) 240-5000

When: Log on to Amion.com with password brookem to see your schedule for the month.  

Schedule requests: E-mail the chairman of the ED, Dr. Jonathan Rose for schedule requests. Please be aware that the schedule is made several months in advance

  • Email: jrose@bhmcny.org

Supervisor: Jonathan Rose, MD, Chair  

Attire: Scrubs

Expectations:  When you arrive for your shift, report to Yvonne Henry – GME office. You will need to obtain an ID and register for parking. Several weeks prior to your rotation you will need to schedule and complete EPIC training. There is a plan to make this available online. Without the latter, you cannot start your rotation. There is no traditional orientation. Acquaint yourself with the location of the important items (airway equipment, code cart, etc). Be ready to see very sick, crashing, and trauma patients on your first day. While supervision is available, you are expected to do a lot by yourself. So be ready. Update your procedural skills – you will get a lot of central lines and intubations; and review your ATLS and ACLS protocols before and during the rotation.