THE DIVISION OF TRAUMA AND CRITICAL CARE

Howard University Hospital is one of the major trauma centers in the District of Columbia. It is an accredited Level I Trauma Center with major trauma admissions exceeding 600 per year.

The trauma service at Howard University Hospital is managed by an in-house "Code Yellow Trauma Team" under the leadership of a chief resident, with an attending back-up. There is also a full complement of highly trained and readily available specialists on-call 24 hours a day. After appropriate initial resuscitation and management, critically injured patients are admitted to a multidisciplinary 11 bed Surgical Intensive Care Unit (SICU). Surgical interns and residents are required to rotate through the SICU. Supervision and teaching are provided by two full-time surgical intensivists. There is also a complement of well trained nursing staff other support personnel. Because of the multispeclalty nature of the Surgical Intensive Care Unit's patient population, surgical residents have an excellent opportunity to learn the management of a wide range of surgical and medical problems.

This division also runs and coordinates the Nutritional Support Services for the hospital. This affords an excellent learning opportunity for surgical residents to become proficient in the evaluation and treatment of malnourished patients. Daily Nutritional Support rounds are conducted by surgical residents and surgical intensivists.

Daily, didactic bedside teaching is augmented by a monthly, hospital-wide conference on trauma and related issues. Recognized authorities in the field of trauma, critical care, and nutritional support services are sponsored regularly.