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Neurosurgery - Neurotrauma - NSUR 544


Internal Medicine and Surgery Clerkships


University of Maryland Shock Trauma Center

Description of Elective:

The Neurotrauma Service at the Shock Trauma Center treats a significant number of traumatic brain and spinal cord injured patients with various degrees of multi-system injury (approximately 1000/yr). Patients are generally transported by emergency helicopters and land ambulances and are taken to the trauma resuscitation unit (TRU). The TRU has 13 trauma bays, CT scanners, and an angiographic suite. Students will get experience working in the TRU alongside the faculty, residents, and nurses while on service. Once the patient leaves the TRU, they are sent to the operating room or to the floor. Neurosurgical patients are primarily located in the Neurotrauma Intensive Care Unit (Neuro-ICU); which includes 12 ICU-beds and 12 step-down beds, each equipped with state-of-the-art intensive care monitoring equipment, specially tailored to meet the needs of patients with traumatic brain and spine injuries. Patients with multi-trauma may be located on different floors in Shock Trauma. The emphasis is on patient management, including intracranial pressure control and pre and post-operative care.

Neurosurgery team management rounds are held daily at 6:30am and include the Director of Neurotrauma, Dr. Bizhan Aarabi, two nurse practitioners, and one PGY-3 neurosurgery resident. After daily rounds, students will be given clinical assignments such as collecting patient data, reviewing diagnostic reports with staff, and preparing for and participating in operative cases such as craniotomies, craniectomies, and cervical spinal surgeries. Students will also participate in Dr. Aarabi’s clinic in the Shock Trauma Outpatient Pavilion on Tuesdays. Students are expected to participate in weekly neurosurgery conferences on Thursdays as follows:

  • 0700 - 0730: Faculty Case Conference (S9A02)
  • 0730 - 0830: Grand Rounds (1st, 2nd, and 4th) and Morbidity & Mortality (M&M) (3rd Thursday) (S9A02)

Number of Students:


Time of Year Available:

Academic weeks 1-48


Monday through Friday - Yes
Shiftwork - No
Evenings - No
Weekends - No
Call - No

Faculty Responsible:

Bizhan Aarabi, MD
Director of Neurotrauma
(410) 328-7371  

Administrative Contact:

Alexandra Palleschi
(410) 328-8621


Last Revision: January 14, 2014