Comprehensive Trauma Care
at Scottsdale Healthcare
Care of trauma patients involves many departments and services from time of injury through rehabilitation:
Our EMS providers are essential components of the trauma team. The majority of patients are treated at the scene of injury and transported by ambulance or in a medically-configured helicopter. Scottsdale Healthcare Osborn has 3 helipads located on the roof of the hospital. Specialized, dedicated elevators take patients down to the Trauma Resuscitation Room. The hospital serves as a base station to six agencies providing medical direction for more than 200 paramedics. Continuing education is provided routinely to the EMS providers.
Trauma Resuscitation Room
The trauma patient is treated initially in the Trauma Resuscitation Room (TRR) located in the Emergency Department (ED). The trauma team is notified via pagers prior to the arrival of all seriously injured patients. Team members gather in the Trauma Resuscitation Room to prepare for the incoming patient’s arrival. Once the patient arrives in the TRR, the team immediately goes into action under the leadership of the trauma surgeon.
Many physician specialists may participate in the care of the patient and include:
- Cardiothoracic surgeons
- Emergency Medicine physicians
- General surgeons • Neurosurgeons
- Oral and maxillofacial surgeons
- Orthopaedic surgeons
- Plastic and Reconstructive Surgeons
- Interventional Radiologists
- Vascular surgeons
Time is particularly important in the first hour after a serious injury. This is often referred to as "The Golden Hour" ¬ or the brief window of time in which the lives of a majority of critically injured trauma patients can be saved if definitive treatment is provided. This first 60 minutes are from the moment of injury until definitive care when the necessary, life-saving interventions can be performed.
When operative intervention is necessary, the patient is transported for emergency surgery to the operating suite. This fully equipped operating room is located on the first floor in close proximity to the TRR. It is available at all times to treat a vast array of injuries. This dedicated surgical suite and surgical staff await the patient’s arrival to facilitate this transition of care.
While the trauma patient is in the operating room, family members may wait in the surgical waiting room located on the first floor of the hospital. A surgeon will speak with family members with a report and answer questions after the operation is completed.
Intensive Care Unit
Many adult patients who are severely injured are transferred to the Intensive Care Unit (ICU) on the second floor of the hospital for close monitoring and further resuscitation. Highly-trained and experienced ICU nurses care for no more than two patients at a time. This low patient-to-nurse ratio means patients are monitored extremely closely. The Surgical Trauma Intensivist, who is a general/trauma surgeon and also is board certified in surgical critical care, is available 24 hours a day, seven days a week and is in charge of patient care in the ICU. The ICU is also staffed with other Intensivists (physicians boarded in critical care) 24 hours a day, seven days a week.
Medical Surgical Floor Care
Once the patient‘s condition no longer requires the specialized services and monitoring of the critical care unit, he/she is transferred to the surgical floor that specializes in general surgery, orthopedic surgery and neurosurgical conditions. The team, including social work and case management, meets with the patient and family to determine the most appropriate plan of care and rehabilitative needs.
Depending on the type and severity of the injury, trauma patients often require rehabilitation either in the hospital or as outpatients. Therapists are called upon early to perform evaluations. Early intervention helps patients regain the maximum level of function as quickly as possible.
Follow up Clinic/Outpatient Care
After hospital discharge, trauma patients often receive an appointment at the trauma follow-up clinics or with a surgical subspecialist(s). This follow up provides continuity of care, allowing the same surgeons to evaluate the healing process after the patient has returned home. Follow-up appointments enable patients to ask questions and obtain additional information on issues such as wound-care, medications and returning to school or work.
Family and Social Support
Support services are available from a variety of sources including social work, case management, pastoral care, neuropsychologists and psychiatrists . Coping with a sudden injury, disability, and critical illness is one of life’s greatest stressors. The team is available to help provide support as well as coordination of services during the transition from the hospital to home.