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THE FACILITIES

University Hospital is the major teaching hospital of the UNM School of Medicine. As the state's only Level 1 trauma center, University Hospital serves a large number of emergency patients.  The emergency department serves more than 80,000 patients annually, and more than 16 percent are admitted to the hospital. The nursing staff is ACLS and CEN certified, and many of the technicians were trained in the military.

The Emergency Department:  The Department of Emergency Medicine is located in the Barbara and Bill Richardson Pavilion and offers a full range of emergency services, including resuscitation and stabilization of the critically ill or injured patient utilizing advanced airway management techniques.  These services are provided with the full support of advanced technology such as rapid helical computerized tomography (CT), magnetic resonance imaging (MRI), ultrasound, angiography, and dedicated emergency laboratory and radiology services 24 hours a day. The ED has 83 beds including 12 pediatric beds, 10 observation beds and 7 trauma/critical care beds. The main adult ED has two pods: Sandia and Manzano each with about 20 beds. Patients desiring either emergency or urgent care go through initial triage. 50,000 patients are triaged to the Emergency Department, 10,000 plus are triaged to the Urgent Care Center and over 20,000 to the Pediatric ED.  Other non-acute patients are triaged to local community health centers and to other university clinics such as medicine and pediatrics. The ED is a county hospital, university hospital, regional referral center, and the ED for the Indian Health Service Hospital next door, so the patient population is quite mixed. It is the only level I trauma center in the state and serves as the trauma center for southern Colorado, eastern Arizona, the Navajo Nation and pueblos as well. It is an integrated emergency department, meaning that patients of all specialties are the responsibility of the ED attending and are available for evaluation by residents rotating in the ED. Patient acuity is very high with a significant number of critical trauma, medical and pediatric resuscitations every shift.


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.  The ED physicians are responsible for initial resuscitation and airway management in all patients.  Trauma patients are assessed and treated in collaboration with EM and Trauma.  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. 1,500 patients are seen in the trauma room yearly about 300 of which are pediatric.


The Pediatric ED is open 24 hours a day and is located in its own separate space with 12 primary beds plus an additional 5 observation beds. All urgent or critically ill pediatric patients are seen in the Peds ED, 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 both the EM faculty. Residents from EM, pediatrics and family practice rotate through this facility.

 

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