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The resident ED staffing varies by time of day from a low of two residents between 04:00 and 08:00 to about eight
in the late afternoon and evening. In addition to EM residents, PGY1 residents from Family
Medicine, Internal Medicine, Anesthesiology, Ob/Gyn, Surgery and Neurosurgery, and PGY3
residents from Internal Medicine rotate through the ED. Most shifts are 10 hours. One or
two medical students also are usually present in the ED. An Em PGY3 makes the ED schedule
for upper level residents. PGY1s work 19-20 shifts, PGY2s work 17 shifts and PGY3s work 15
shifts each 28 days. |
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Trauma care is provided
through the collaboration of the trauma team and the emergency physicians. The trauma team
is notified immediately of the arrival of any patient with unstable vital signs or
penetrating trauma to the central area of the body. A PGY2 or PGY3 resident in Emergency Medicine
is present in the ED 24 hours a day, and is responsible for running the major
traumas during that time. When present, the trauma resident is responsible for running the traumas with the participation of the ED residents and under the supervision
of EM attendings. Patients not meeting criteria for immediate trauma consult are assessed
by the ED. The trauma team is then consulted if the work-up reveals a condition requiring
hospital admission or general anesthesia. Over 3,000 patients are seen in the trauma room
yearly, about 600 of which are pediatric. |
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The Pediatric ED:

The Pediatric ED is open daily from 14:00 to 02:00 and from 10:00 to 02:00 on Sundays
and holidays. All urgent or critically ill pediatric patients are seen in the Peds ED
during those times, including trauma. The medical director is part of the EM faculty and
has a joint appointment in the department of Pediatrics. The attending staff is drawn from
our Pediatric Emergency Medicine and Emergency Medicine faculty.
Residents from EM, pediatrics and family practice
rotate through this facility. From 14:00 to 17:00 pediatric trauma, including lacerations
and critically ill children are seen in the Peds ER. Others go to pediatric clinic.
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The New Mexico Regional Federal
Medical Center:
The VA hospital in Albuquerque is actually the New Mexico Regional Federal Medical
Center (NMRFMC) which cares for both VA patients, and Air Force personnel working at the
adjacent Kirtland Air Force Base, and their dependents. It is a newly completed 404 bed
hospital. The ED is administered through the UNM department of Emergency Medicine. Its
excellent emergency physicians participate in the training of EM residents.
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