Published Mar 2, 2005
Is there such a thing as a CRNA who works exclusively (or semi-exclusively) with the Trauma Service? Maybe serves to put in lines and intubate folks in the ICU and respond to Alerts in the ER in addition to providing intraop anesthesia?
Looking for something that will combine Anesthesia with a little more work with Trauma patients.
Is there such a thing as a CRNA who works exclusively (or semi-exclusively) with the Trauma Service? Maybe serves to put in lines and intubate folks in the ICU and respond to Alerts in the ER in addition to providing intraop anesthesia?Looking for something that will combine Anesthesia with a little more work with Trauma patients.
Go to work at a level 1 Trauma center- you'll get trauma. You'll intubate in the ICU when others can't. Exclusively?- I am not familiar with anyone doing that but there probably is someone, somewhere!
Check out R. Adams Cowley Shock Trauma hospital in Baltimore. That is all they do.
I did a clinical there when I was at MCV/VCU. Great experience.
I know of a few combat support hospitals and forward surgical teams that could use some help overseas right now............
The Army ought to pay you extra for recruiter duty!
I work at Detroit Receiving Hospital in the SICU. The CRNA is paged during codes and intubation requests. They work independant of the MDA during these situations. The only time I have seen an MDA on our unit was during a fiberoptic intubation that was extremely difficult, in which time the CRNA paged the MDA for assistance. The MDA watched as the CRNA performed the intubation. The CRNA's also respond to all trauma codes that enter the ER (very busy) and intubate if the resident physicians have problems. The CRNA will continue care for the patient if they are a surgical candidate, and transport the patient to the ICU.
From the conversations with the CRNA's, they love the autonomy that DRH offers. The case load is high along with the aquity level.
Check out R. Adams Cowley Shock Trauma hospital in Baltimore. That is all they do.I did a clinical there when I was at MCV/VCU. Great experience.their website:http://www.umm.edu/shocktrauma
I wouldn't guess that there is non-stop Trauma resuscitation/operations going on there. What else do they do? The page you sent was pretty short on info about CRNAs... Do they just sit around waiting for traumas or do they participate in care of post-op patients as well?
university of MD has both an ER and then there is shock trauma - and yes - shock trauma is all trauma.
They have a regular daily schedule where they do cases. These cases are on their trauma admits from days past. For example, lots of major orthopedic procedures are done post trauma incident as well as, dressing changes, trachs, neuro procedures. CRNAs are involved with those cases as well as being the Trauma ER CRNA who waits around for traumas to occur. They usually then accompany the admit to the OR if needed.
I live in Houston and the county hospital is a level 1 Trauma center. Baylor College of Medicine has an CRNA program and CRNA's and SRNA's, residents, and MDA's staff the General OR. The exclusive elevators connect Anesthesia, OB Anesthesia and the ER. So, several times a shift, we would grab the code box and run to the Trauma room or floor for a code. It was a lot of fun. For a serious trauma case, there are usually 5 anesthesia people: one gives the drugs, one types the computer record, one runs the rapid infuser, others put in the lines, etc. There are openings occasionally. I'm sure that there are other trauma hospitals that employ CRNA's, but I only personally know this one.
I am new to this site. I graduated from anesthesia school in 1998 and have a few years under my belt. If you have any questions to ask a crna, just email me.
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