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Current Trauma Status Report - Southern Nevada Health District

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UMC <strong>Trauma</strong> Center<br />

The UMC trauma center is unique in that it is a stand alone trauma center. That is, the trauma<br />

resuscitation bays, trauma ORs, trauma computed tomography (CT) scan and trauma ICU beds are<br />

separate and distinct from the hospital and the trauma center staff do not rely on the hospital to<br />

support those areas on a daily basis. There are only four other freestanding trauma centers in the<br />

country. Please see the Appendix for a survey of the other four freestanding trauma centers in the US.<br />

Typically, a trauma center’s ED and resuscitation area is contained within a hospital’s ED. During<br />

1992, the UMC trauma center moved from the ED to its own building. The 18,000 square-foot <strong>Trauma</strong><br />

Center includes 11 resuscitation beds (or trauma treatment areas), 3 dedicated trauma operating<br />

suites, a 14-bed trauma intensive care unit as well as state-of-the-art rapid sequence CT scanner and<br />

an angiography suite. Adjacent to the building is a helipad for air transport of trauma patients.<br />

There are 10 trauma surgeons staffing the trauma center as well as 8 neurosurgeons, 20 emergency<br />

medicine physicians, 15 anesthesiologists, a trauma fellow, many surgical residents and medical<br />

students, and several registered nurses trained in trauma care.<br />

UMC also has a robust trauma research program. Linked to the UMC <strong>Trauma</strong> Center is the <strong>Trauma</strong><br />

Institute, an organization dedicated to research on a wide variety of trauma topics. In addition, the<br />

<strong>Trauma</strong> Center works closely with the UMC’s Rancho Rehabilitation Center, UMC’s burn and wound<br />

care center and provides replantation services.<br />

UMC is the only trauma center in <strong>Southern</strong> <strong>Nevada</strong> . It was originally verified by the ACS as a Level II<br />

trauma center in 1989 and became a Level I in 1999. UMC was last re-verified in 2002, with verification<br />

set to expire in 2005. The hospital will be undergoing the re-verification process during or before<br />

December 2004.<br />

UMC treated 3,899 patients who met trauma activation criteria in 2003. Most of these are from within<br />

30 miles of the hospital, but they also see patients from outlying areas including California, Arizona<br />

and Utah. The majority of trauma patients treated at UMC are there as a result of a motor vehicle<br />

crash.<br />

<strong>Southern</strong> <strong>Nevada</strong> <strong>Trauma</strong> Patient<br />

The UMC trauma registry includes patients who are activated based on trauma field triage criteria, all<br />

admitted patients regardless of activation or trauma consult status, all transfers in from referring<br />

facilities and all deaths. The trauma registry does not include minor trauma patients that were brought<br />

to the trauma center and treated by the emergency medicine physician staff. During 2003, there were<br />

an additional 8,390 minor trauma patients brought to the trauma center as well.<br />

Page 35

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