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Shock Trauma Intensive Care - TSUR 546


R.A. Cowley Shock Trauma Center

Description and Goals:

In this clinical sub-internship, you will be a working member of the team in the trauma and neurological ICUs at the R. Adams Cowley Shock Trauma Center. The Center is the clinical hub of the State of Maryland's system of emergency care, the Maryland Institute for Emergency Medical Services Systems. Each year, approximately 6.000 injured patients are admitted to the Center. Approximately 80% are admitted directly from the scene via State Police Medevac Helicopter or ambulance and approximately 15% are transferred to the center from other hospitals. The center is staffed and equipped to deliver state-of-the-art care to the critically injured.

Students will admit patients to the unit, perform history, physical and laboratory assessments, and present patients on rounds and provide ongoing care. The student will perform any indicated procedures for his/her patient under unit physician supervision. The student will attend unit teaching conferences and relevant institutional conferences, including daily lectures, bi-weekly M & M conferences, Grand Rounds lectures, , surgical anatomic dissection (using fresh cadavers) once every other week, as well as formal Sub Intern student oral case presentations. During the fall months, mock residency interviews are offered in preparation for residency interviews. Instructive critiques are offered for both the mock interviews and the oral presentations. The Sub Internship offers the Fundamental Critical Care Support (FCCS) lecture series and the student may obtain a certificate with completion of the course.

During the rotation the student will learn about the clinical evaluation and management of various critical care problems including shock, heart failure, myocardial ischemia/infarction, respiratory failure, ARDS, renal failure, hepatic failure, GI bleeding, sepsis, multi-organ failure and ethical issues. The student will become familiar with techniques such as fluid resuscitation, transfusion therapy, vasoactive drug therapy, invasive hemodynamic monitoring, airway management, ventilator support, renal replacement therapy, antibiotic usage and blood gas analysis. Student activities are closely supervised by attending surgeons and fellows.

Number of Students:


Time of Year Available:

Academic weeks 1-48


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

Faculty Responsible:

Dr. Ali Tabatabai  

Administrative Contact:

Wendy Hackshaw


Last Revision: January 9, 2014