Critical Care and Traumatology at CHUS
Getting Organized to Save More Lives
Model Imported from the United States
A multidisciplinary team has been notified by ambulance attendants of the pending arrival of a polytraumatized person and get prepared. All specialists likely to be involved (nurses, emergency physician, radiologist, anesthesiologist, surgeon, etc.) rush to the emergency room to organize a plan of care before the patient is brought in. This time-saving procedure helps increase the probability of survival and decrease the risk of consequences. The CHUS is the only Quebec-based hospital that has implemented this model. Dr. Marcel Martin, claims that this model, imported from the United States, decreased the mortality rate in the emergency room from 8% to 2%.
A maximum of 15 to 18 minutes is required to correct the patient’s vital problems. Then, if necessary, the patient is sent to the operating room.
Decreasing need for surgery
At the CHUS, 95% to 98% of injured people are “embolized”, which prevent them from being sent to the operating room. Embolization is fast, easy to endure, and makes the healing process easier. The CHUS is one of the most active Quebec-based hospitals in this field.
The CHUS, a Supraregional Reference Centre
Each year, the CHUS deals with several hundreds of life-threatening emergencies (about twice a day). Patients come from the Eastern Townships, Arthabaska, Drummondville, Granby, Cowansville, etc. The CHUS, as a supraregional university hospital, can deal with the most severe cases occurring within its large area served.
The ultra-specialized interventions are split up between the CHUS’s two components, the Hôtel-Dieu or Fleurimont Hospital, with ambulances being sent to either according to the patient’s needs. When the patient is brought in the Critical Care and Traumatology Unit, his/her health is – directly or indirectly - taken in charge by about 60 professional, from the physician to the nutritionist, including the social worker and laboratory technicians.
The CHUS maintains state-of-the-art facilities in order to address the clientele’s needs and assume responsibility for being a reference centre.
The Third Best “Intensive Care” in North America
The Intensive Care Unit is being notified of the arrival of a patient at the same time as the emergency room, which allows intervention planning and room preparation.
The team is made of nurses, physicians, occupational therapist, physiotherapist, respiratory therapist, pharmacist, etc. These specialists work all together to ensure that the patient recovers most of his/her capabilities. In case of an accident victim, rehabilitation begins the day following the accident, which is unique to the CHUS. Exercises are made in the patient’s room whenever it is convenient for him/her. At the beginning, exercises can be limited to simple leg stretching in order to avoid ankylosis and muscular weakness. All patients receive rehabilitation training, regardless of the nature of their traumatism, in order to maximize rehabilitation and minimize the consequences.
The results, in terms of patient rehabilitation, show that the intensive care provided at the CHUS is ranked third best in North America. Our team is our main asset. All specialists have the same objective: the person’s survival and social rehabilitation.