Facilities - Critical Care Medicine Fellowship
The principal training facility for the Fellowship is the University of Maryland Medical Center (UMMC). Located in downtown Baltimore, UMMC is a major tertiary and primary care facility with approximately 900 beds and annually cares for more than 30,000 inpatients and 500,000 outpatients. It serves as a major regional referral center for the most serious and complicated health problems in Maryland and the Mid-Atlantic region. All UMMC physicians are faculty of the University of Maryland School of Medicine. Read more about UMMC here.
The state-of-the-art Weinberg building houses our 29-bed MICU, which serves a major investigative site for many multi-institutional clinical trials. The Medical Intensive Care Unit (MICU) is a busy tertiary care ICU for critically ill medical patients.
The Surgical ICU is a 19 bed unit that manages complex non-traumatic general and sub-specialty surgery cases. The number of beds will soon increase now that the unit has moved to the new critical care tower.
Located in Baltimore City, the R Adams Cowley Shock Trauma Center, serving as the State’s Primary Adult Resource Center (PARC), reported receiving 6,230 primary trauma patients from June 2013 to May 2014, according to the Maryland State Trauma Registry. Thomas M. Scalea, MD, FACS, MCCM, serves as the Physician-in-Chief for the Program in Trauma. Karen E. Doyle, MBA, MS, RN, NEA-BC, is the Senior Vice-President of Nursing and Operations. James V. O’Connor, MD, FACS, FACC, FCCP, holds the position of Chief of Critical Care and Deborah Stein, MD, MPH, FACS, FCCM, holds the role of Chief of Trauma. During the same time period (June 2013-May 2014) the Center had a 96 percent survival rate of the 7,930 patients received. Over this 12 month period, 82 percent of patients admitted to the Shock Trauma Center arrived by ground transportation and 18 percent arrived by air. Demographic data obtained indicate that the majority of admissions were male (65 percent) and aged 15-35 years (38 percent), followed by patients aged 56 or older (32 percent), and 36-55 (29 percent).
As the nation’s first and only integrated trauma hospital, the R Adams Cowley Shock Trauma Center is dedicated to treating the critically ill and severely injured, and employs groundbreaking research and innovative medical procedures with one goal in mind—saving lives. As one of the highest volume trauma centers in the United States, teams of providers are standing by 24/7 to receive, resuscitate, stabilize, and treat those whose lives are threatened by time-sensitive injury and illness including, but not limited to thoracic, intra-abdominal, and facial trauma; spinal cord and column injuries; brain injury; and acute complex orthopaedic injury. In addition, patients who develop life-threatening respiratory failure, multiple organ dysfunction, soft tissue infection, and sepsis may be transferred to the Shock Trauma Center where expert clinicians and sophisticated technology such as advanced hemodynamic monitoring, continuous renal replacement therapy, and extracorporeal membrane oxygenation are readily available.
The Shock Trauma Center is a multidisciplinary clinical, educational, and research institution dedicated to world-class standards in the prevention and management of critical injury and illness. Its highly specialized medical personnel and dedicated resources are focused on a single mission: To eradicate preventable death and disability and thus reduce the personal tragedy and overall costs associated with severe injury. This mission is continuously pursued through state-of-the-art clinical care services, active research, didactic and hands-on clinical education, and prevention programs.
The Trauma Center’s physical plant covers 340,000 square feet, including the expanded Critical Care Tower. The Trauma Center is designed to ensure immediate diagnostic and therapeutic access for critically injured and ill patients. Key features include:
- A dedicated, highly trained, and experienced multidisciplinary clinical staff
- A dedicated ground entrance for ambulances
- Rooftop helipad capable of handling four helicopters simultaneously
- A dedicated trauma resuscitation unit with 13 resuscitation/stabilization bays
- 10 state-of-the-art operating rooms and 12 post-anesthesia recovery beds
- 24 critical care/intensive care beds, 24 intermediate care beds, 12 acute care beds with the capacity for additional beds on an as-needed basis in the adjacent University of Maryland Medical Center
- Neurotrauma unit consisting of 14 critical care beds and 20 intermediate care beds
- Critical Care Resuscitation Unit with eight dedicated beds
- Lung Rescue Unit with 4 dedicated beds.
- Comprehensive radiology service and the Mirmiran Foundation Diagnostic Imaging Suite with two dedicated high-speed computed tomography (CT) scanners and trauma angiography suite, all accessible 24 hours a day
- A state-of-the-art, automated 24-hour STAT lab
- Sophisticated technological monitoring and clinical computer capability at the bedside
- A multi-patient hyperbaric chamber
- A trauma and specialty care ambulatory center with 14 exam rooms
- Respiratory, physical, occupational, and speech therapy services; case management; pain management; integrative medicine; nutritional services; social work and pastoral care staff; designated patient advocate; and substance abuse program
- Trauma Survivors Network
- Center for Injury Prevention and Policy
Shock Trauma continues to be the nation’s premier trauma center, advancing care and developing new life-saving techniques. It also serves as a referral center for Maryland in neurotrauma and hyperbaric medicine.
The 19-bed Cardiac Surgery ICU is a high-acuity unit that, in addition to managing complex cardiac and thoracic surgery cases, routinely employs advanced life-sustaining therapies such as extracorporeal membrane oxygenation and ventricular assist devices to help ensure good patient outcomes even in the most complex cases.
The Neurological ICU is a 22 bed unit that specializes in the management of non-traumatic complex neurologic and neurosurgical cases. Beginning in 2013 this unit has also become the home unit for UMMC's new neurocritical care fellowship.
The University of Maryland Medical Center Midtown Campus ICU, an 18 bed community unit within the University of Maryland Medical System, treats a predominantly medical ICU population. This unit provides fellows with an excellent supervised “community ICU” experience.