UNIVERSITY MEDICAL CENTER
ADULT EMERGENCY DEPARTMENT
• Level I trauma center
• Level II pediatric trauma center
• Nevada's only burn care center
• Hyperbaric medicine center
• 508 bed accredited hospital
• 56 bed adult ED
• 11 bed trauma center
• 20 bed pediatric ED
• 26.8% admission rate
• 11.2% critical care admissions
University Medical Center (UMC) of Southern Nevada is the premier academic and tertiary care hospital in the state . Our Adult Emergency Department serves as the front door to the hospital for the vast majority of patients, and we pride ourselves on delivering the highest level emergency care in the Las Vegas region. Last year we provided outstanding emergency care and service to over 125,000 patients, including 33,000 pediatric and 11,000 trauma patients.
We offer extensive specialist coverage, including pulmonary and surgical critical care, HIV-medicine, gastroenterology, nephrology and transplant nephrology, hematology/oncology, cardiology, neurology, interventional radiology, general surgery, pediatric surgery, trauma surgery, ophthalmology, otolaryngology, urology, obstetrics & gynecology, pediatrics, psychiatry, and a wide-breadth of surgical specialties.
See our awards here.
Read about our Emergency Department initiatives below:
CARDIAC ACTIVATION PROGRAM
First developed in 2006 by emergency physician Ross Berkeley, M.D., the UMC Cardiac Activation system facilitates rapid patient stabilization and transfer to the Cardiac Catheterization Lab for emergent percutaneous coronary intervention (PCI), available 24 hours a day, 7 days a week. Dr. Berkeley continues to coordinate the UMC Cardiac Activation system for Emergency Department management of patients with acute ST-segment elevation myocardial infarction (STEMI). Under this program, the door-to-balloon (D2B) time for emergent PCI has dramatically improved, with consistent achievement of D2B times <90 minutes. UMC is a Joint Commission certified Acute Myocardial Infarction (AMI) Center with the American College of Cardiology - Platinum Achievement Award for AMI.
PGY-3 emergency medicine residents are able to initiate the Cardiac Activation system, which activates the Catheterization Lab, once they demonstrate clinical competency in EKG assessment.
CODE WHITE PROGRAM
The UMC stroke management program began in part as a PGY-3 emergency medicine resident healthcare delivery project, and has evolved into a fully-developed system throughout the institution, which is certified as a Primary Stroke Center. A 'Code White' activation is initiated for patients who present with signs of acute stroke, which facilitates rapid mobilization and coordination of hospital resources, including stat CT availability and involvement of a stroke neurologist. UMC is a Joint Commission certified Primary Stroke Center with a Gold Plus Achievement Award for Stroke.
THERAPEUTIC HYPOTHERMIA PROGRAM
Emergency physician David Slattery, M.D. developed the Las Vegas program to initiate pre-hospital hypothermia on patients with return of pulses after cardiac arrest. He spearheaded the implementation of the UMC therapeutic hypothermia program, with the goal of improving neurologic outcome in patients who remain unconscious after successful resuscitation from cardiac arrest.
SEVERE SEPSIS PROGRAM
Developed in conjunction with a multi-disciplinary team, a standardized protocol is utilized to help identify and rapidly resuscitate patients with severe sepsis and septic shock. Elements of early goal-directed therapy, both invasive and non-invasive, are applied to improve patient outcome.
RAPID MEDICAL ASSESSMENT (RMA)
Always ahead of the curve, the UMC Adult Emergency Department has had a physician-in-triage program since 2009. Medical director J.D. McCourt, M.D. and assistant medical director David Obert, D.O. redesigned the triage process in 2011, with the goal of having patients evaluated by a physician as soon as possible after arrival. Termed Rapid Medical Assessment (RMA), this streamlined process provides improved patient care and safety while addressing critical issues of ED wait time and overcrowding. The key to success is surrounding the patient with a triage team with the authority and tools to make a rapid assessment, initiate care orders and determine the next steps in evaluation and management— before patients are even brought back to an ED room. The RMA process has greatly improved the door-to-doctor time for patients presenting to the Adult ED.
CHEST PAIN CENTER
The UMC Chest Pain Center, the first full-scale chest pain evaluation center in Nevada, was established in 1996. UMC acheived status as an Accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care in 2009.
After initial evaluation and management in the Emergency Department, patients at low to intermediate risk of acute coronary syndrome are admitted to a discrete unit staffed by specialized RNs. The Chest Pain Center's systematic approach to patient evaluation and accelerated diagnostic protocol allows for thorough, yet cost-effective and rapid assessment. Dr. Berkeley, Director of the UMC Chest Pain Center, has worked collaboratively with members of the Emergency Department, Cardiology Department, and Internal Medicine to refine and streamline the protocol for assessment of patients experiencing acute chest pain.