1 Innovations in Care Directorate for Medicine Annual Report 2016
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- On the scene—an Emergency Medical Technician team rushes through the rain after dark to a patient on the helipad under the watchful gaze of a waiting helicopter.
- Level II Trauma Center Capabilities Will Represent a New Platform for Patient Care
- The Emergency Medicine team working together in the central module, with the charge nurse leading
06 Paresh R Patel, MD Chief, Department of Emergency Medicine Walter Reed National Military Medical Center LTC
| MC
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Chair, Military and Emergency Medicine Uniformed Services University COL
MC
| USA
Department of Emergency Medicine
On the scene—an Emergency Medical Technician team rushes through the rain after dark to a patient on the helipad under the watchful gaze of a waiting helicopter.
Em er gency Me dicin e The Department of Emergency Medicine (ED) at Walter Reed National Military Medical Center serves as the safety net for military beneficiaries in the National Capital Region and is ready 24/7 to take care of all kinds of emergencies. The staff includes over 20 physicians, 40 nurses, 15 medics/corpsmen and 15 medical support assistants with a wide range of academic interests and areas of specialization. The department has 28 beds, including three Fast Track beds for minor complaints and two dedicated trauma rooms for emergent resuscitations. Emergency Department personnel are the
first responders for Walter Reed Bethesda in the event of a Chemical, Biological, Radiological or Nuclear Event (CBRNE) in the Washington, DC area.
In addition to providing quality, emergency care to our patients, the Emergency Department is also highly involved in training tomorrow’s leaders in military medicine. Over the course of the year, over 100 interns and students rotate through the Emergency Department . Medical
students from
Uniformed Services University and from civilian medical schools (through the Health Professions Scholarship Program), nursing students, and medics/corpsmen/airmen all train in our department.
Emergency Department care is a complex team process. It all starts with patient registration and triage performed by our dedicated medical support assistants and triage nurses to direct patients to the appropriate level of medical care. Patients are directed to either our main Emergency Department or Fast Track for minor complaints. The Emergency Department charge nurse orchestrates the movement and delivery of care by our dedicated team of physicians, nurses and corpsmen/medics. Our Consulting Services and departments of pathology, pharmacy and radiology support our patients’ clinical needs. Our patient transporters provide additional valuable services to meet our patients’ needs.
Represent a New Platform for Patient Care The Emergency Department is the gateway to the hospital trauma care system and serves as a Level II American College of Surgeons Certified Trauma Center. Having deployed to combat zones, the medical staff at WRB has trauma experience rarely seen in the civilian world
. Throughout history, military medicine has been pivotal to the advances made in trauma medicine. This proud tradition continues as the military’s Joint Trauma System continues to provide quality, up-to- date Clinical Practice Guidelines (CPGs) that benefit not only uniformed personnel in combat, but also military beneficiaries and civilians.
to provide expanded trauma care by becoming a participating Maryland Level II Trauma Center, the Emergency Department will play an expanded role in stabilizing and assessing these patients when they first arrive. At Walter Reed Bethesda, we look forward to the possibility of expanding upon our long, distinguished history of caring for victims of trauma.
The Emergency Medicine team training together to perform the rapid resuscitation of a simulated patient.
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