The Acute Care Surgery (ACS) division is dedicated to caring for all patients with life-threatening surgical disease. To that end, any and all patients admitted to Robert Wood Johnson University Hospital (RWJUH) or being evaluated in the Emergency Department of RWJUH with life-threatening surgical illness continue to be cared for by in-house ACS faculty. The ACS division continues to experience record-setting growth and ongoing success.
The Center for Wound Healing at RWJ provides a multi-disciplinary physician panel that uses the most advanced technologies and treatments for the care and management of chronic, non-healing wounds. Our center provides:
The Surgical Critical Care Service is a busy consultation service that provides 24-hour-a-day care to all critically ill surgical and trauma patients. The service had nearly 2,200 admissions last year.
The surgical intensivists from the division of acute care surgery and the Department of Anesthesia staff three separate service lines within critical care: Surgery/Trauma ICU, Cardiothoracic Surgery ICU and Neuro Critical Care. The intensivists are part of a large multi-disciplinary team within the Surgical ICU (SICU) that consists of dedicated nurse practitioners and physician assistants, the critical care-trained nursing staff, pharmacists, nutritionists, chaplains, physical and occupational therapists, speech therapists, case managers, social workers and students. Ongoing educational efforts on the Surgical Critical Care Service are directed toward Robert Wood Johnson Medical School students, residents from the departments of aurgery, anesthesia and emergency medicine, and fellows in surgical critical care and pulmonary critical care who rotate in the SICU.
Over the last several years, the SICU team has developed numerous evidence-based protocols designed to improve patient care, to improve communication within the team by providing a common language for all health care providers, and to provide consistency in practice patterns amongst all of the intensivists. We currently have protocols for ventilator management and weaning, sedation and analgesia communication, nutrition, GI prophylaxis, venous thromboembolism prophylaxis, sepsis and subarachnoid hemorrhage. Newer evidence-based protocols for traumatic brain injury are forthcoming.
The Trauma Program is one of the three pillars in the division of acute care surgery. Robert Wood Johnson University Hospital houses one of the three Level 1 Trauma Centers in the state. All trauma surgeons in the division are American Board of Surgery, double board certified and fellowship trained in general surgery and surgical critical care, respectively. We provide 24-hour coverage for the Level 1 Trauma Center 365 days a year, now caring for more than 2,600 injured patients annually. Our commitment is to institutional, local and regional excellence in quality patient care, preventative community outreach, and innovative national and international trauma education. This commitment has led to an increase in utilization of the Trauma Center statewide, nationally and internationally.
Our center provides state-of-the-art surgical procedures such as rib fixation and micro-plating for chest wall reconstruction in patients with traumatic chest wall injuries. Using cutting-edge surgical techniques, trauma faculty repair flail chest and multiple rib fracture injuries to lessen respiratory compromise, ease pain and enhance patients' return to a fully functional, pre-trauma life. A dedicated team of nurses, nurse practitioners, students, residents and fellows, led by the acute care surgery faculty, cares for a largely diverse trauma patient population and considers it our great success when our trauma patients and their families are reunited in health.