The SICU is witness to some miraculous comebacks and cures, partially borne of the hard work and efforts of the entire team using the latest knowledge in trauma and surgical critical care. It is also a hotbed for education. It is a place where physiology, anatomy, pharmacology, and many other disciplines coalesce and come to life.
Patients at the brink are nursed back using not only common sense medicine but also the latest advances in critical care. All clinical decisions are once again the responsibility of the surgical resident directed by the attending.
Critical Care and Acute Care Surgery attending staff are always present overseeing patient management and ensuring that only the very best possible care is administered to our patients. Staff is always available to the ACS resident for consultation.
Because of the very heavy trauma and emergency surgery volume at our institution, occupancy is nearly always 100%, and beds are in much demand. An additional role of the chief ACS resident and the Surgical Critical Care fellow is delegation of ICU beds and resources.
Because of the intensive nature of surgical critical care, a large portion of the team's time is spent here. Learning occurs at all stages of training. Four Surgical Critical Care fellows are actively involved in the care of these patients.