The Trauma Center at UofL Hospital has a long-standing history of being the local, regional and national leader for trauma and burn care in Western Kentucky and Southern Indiana. Last year alone, our trauma center provided care for over 3,600 patients who needed the highly-specialized services of our multi-disciplinary Trauma Program. We are the regionâ€™s only American College of Surgeons (ACS) Verified Level I Trauma Center for adults and we are one of only two Level I adult trauma centers in the Commonwealth of Kentucky. Additionally, we are the regionâ€™s only Level 1 burn unit.
An ACS-Verified Level I Trauma Center means that the institution has achieved the highest level of verification to deliver care to the most severely injured patients who need it most. It means that we are equipped to handle any and all significant injuries in our state-of-the-art facility. We are staffed with an experienced and dedicated team of professionals who are available 24 hours a day, seven days a week.We would like to take this opportunity to thank you for trusting us with your patients and for supporting our program. We realize that we cannot be a Trauma Center without the hard work and dedication of many individuals outside of our organization. Our regional partners, referring hospitals and pre-hospital providers are critical in our mission of providing the best available care to those in our community.
The Level I Trauma Center at UofL Hospital has provided trauma care for more than 100 years. Able to handle any emergent situation, the Trauma Center is capable of treating patients simultaneously by utilizing:
- 43 patient bays
- 20 trauma/surgical ICU beds
- 16 burn beds
- 6 stroke beds
- 50 critical care beds
UofL Hospital treats more than 3,600 trauma and burn patients annually; over 50 percentÂ of those patients reside in counties outside Jefferson County and its bordering counties. The number of patients seen outside the Louisville area makes the UofL Hospital Trauma Center a critical local, regional and statewide resource.
2018 Trauma Center Annual Report
As the areaâ€™s only Level I Trauma Center, no other facility in the region has the staff, resources and technology to manage the complex medical care a seriously injured patient can require at a momentâ€™s notice. The Emergency Department provides a multidisciplinary approach to deliver optimal care for trauma emergencies.
The Emergency Department is staffed with a team of faculty, emergency medicine residents, physician assistants and a specialty-trained nursing staff that provides emergency services 24 hours a day, seven days a week. We are also the areaâ€™s only decontamination facility for chemical and biological decontamination of individuals exposed to hazardous materials.
UofL Hospital has two trauma surgical intensive care units (ICU) specializing in caring for the most critically ill and injured patients. By working as a team, their mission is to provide compassionate and evidence-based care to patients and families who have endured a traumatic injury. Each trauma ICU has been recognized by the American Association of Critical-Care Nurses (AACN) with the Silver Beacon Award for Nursing Excellence.
The trauma nurse practitioners are an integral and valuable part of the UofL Hospitalâ€™s Trauma Team. We have four trauma nurse practitioners that work collaboratively with the attending physicians and surgical residents to ensure continuity of care to our trauma patients. They work closely with the case managers and social workers to help coordinate the discharge process.
During their daily patient rounding, they:
- Perform medical procedures
- Monitor patientsâ€™ progress
- Assist in wound care
- Provide patient and family education
UofL Hospital is equipped with 14 inpatient and eight outpatient operatingÂ room suites, with two suites dedicated to the treatment of the most critically injured patients.Our operating rooms are fully staffed 24/7/365 and ready for use within minutes of a traumaÂ patientâ€™s arrival.
Trauma Performance Improvement
Our mission as a Level I Trauma Center is to deliverÂ unequaled services driven by evidence-based treatmentÂ guidelines, education and research. The trauma service hasÂ a rigorous, formal internal performance improvement processÂ that uses a multidisciplinary approach for rapid problemÂ identification, data-driven analysis and resolution of issuesÂ within the quality control framework of our institution.
Our trauma registry provides the backboneÂ for trending performance and outcome data,data analysis, performance and identificationÂ of system-related issues. The registry staff bringsÂ a wealth of knowledge with a combined 42 yearsÂ of trauma data experience.Â The trauma registry maintains a record for each trauma patient admitted to the hospital.The staff collects over 250 data points of information on each patient, including ICD-9 codingÂ and an injury severity score (ISS).Year-to-year, the registry staff studies the patterns, severity and causes of injuries that affectÂ our community. This information is used for research that will improve care of injured patientsÂ in the communities we serve.
UofL Hospitalâ€™s Trauma Institute is dedicated to providing educationalÂ opportunities for both professionals as well as the community.The Trauma Institute offers a multitude of trauma certification,outreach and injury prevention courses throughout Kentucky andÂ Southern Indiana including:
- Emerging Street Drugs - presentation on which illicit/prescription drugs are on the rise, and theÂ latest findings and treatments for the pre-hospital and hospital provider
- Risky Business â€“ targeted at alcohol and drug use, distracted driving, speeding and violence
- Straight Talk - one-day education program for juvenile fire-setters
- Help Me Iâ€™m Falling - fall prevention and education for older adults and adults with disabilities
- Fire and Burn Safety - for older adults and adults withÂ disabilities to prevent scald/burn injuries in the home or seniorÂ living facilities and to review escape routes within their home
- Safe Boating and Swimming â€“ focused on making safety on andÂ in the water a priority by educating about life jackets, avoidingÂ alcohol and taking a safe boating class
- Kentucky Trauma and Emergency Medicine Symposium â€“Â a conference providing the new and emerging trends in trauma care
- Pre-Hospital Burn Education â€“ burn education and training for emergency medical servicesÂ personnel on the importance of proper initial burn care and management
- Geriatric Trauma â€“ education on identifying the unique characteristics and management of theÂ geriatric trauma patient
- Burn, Blast and Crush Injuries â€“ providing initial care and management of complex patient injuries
Advanced Trauma Life Support (ATLS) - this courseÂ teaches how to assess a patientâ€™s condition, resuscitateÂ and stabilize the patient and determine if a patientâ€™sÂ needs exceed a facilityâ€™s capacity. It also covers howÂ to arrange for a patientâ€™s inter-hospital transfer andÂ ensure that optimum care is provided throughout theÂ process. UofL Hospital provides a cadaver lab forÂ the surgical skills portion of the class which has beenÂ extremely well received.
Advanced Burn Life Support (ABLS) - provides guidelines in assessment and management of burnÂ patients from the scene of the burn injury through the first 24 hours after injury. The courses areÂ open to MDs, RNs, LPNs, physician assistants, nurse practitioners, therapists and paramedics, fireÂ service and other emergency care personnel.
TNCC (Trauma Nursing Core Course) â€“ Emergency Nurses Association developed this course toÂ establish a standardized body of trauma nursing knowledge. It combines interactive learning withÂ scenario-based assessments to give nurses a comprehensive learning experience.
RTTDC (Rural Trauma Team Development Course) â€“ this course emphasizes a team approach toÂ the initial evaluation and resuscitation of the trauma patient at a rural facility. With more thanÂ 60 percent of the countryâ€™s trauma deaths occurring in rural areas, the course assists ruralÂ health care professionals in determining the need to transfer the patient to a higher level of care.Â The intended audience includes physicians, nurse practitioners, physician assistants, nurses,Â pre-hospital personnel, technicians and administrative support personnel.
Questions? Â Please contact:
Danelle Jones, RN, TCRN
Trauma Outreach and Education CoordinatorÂ
UofL Hospital Re-Verified as a Level I Trauma Center by the American College of Surgeons
UofL Hospitalâ€™s Trauma Center is verified as a Level I Trauma Center by the Verification Review Committee (VRC), an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS). This achievement recognizes University Hospitalâ€™s dedication to providing optimal care for injured patients. Established by the American College of Surgeons in 1987, the COTâ€™s Consultation/Verification Program for Hospitals promotes the development of trauma centers in which participants provide not only the hospital resources necessary for trauma care, but also the entire spectrum of care to address the needs of all injured patients. This spectrum encompasses the pre-hospital phase through the rehabilitation process.
Verified trauma centers must meet the essential criteria that ensure trauma care capability and institutional performance, as outlined by the American College of Surgeonsâ€™ Committee on Trauma in its current Resources for Optimal Care of the Injured Patient manual.
The ACS Committee on Traumaâ€™s verification program does not designate trauma centers. Rather, the program provides confirmation that a trauma center has demonstrated its commitment to providing the highest quality trauma care for all injured patients. The actual establishment and the designation of trauma centers is the function of local, regional, or state health care systems agencies.
Our Trauma Center is always looking to improve outcomes using evidence-based practices. These bestÂ practices are the results of identifying areas of research or performance improvement from directÂ patient care experiences. Many of our performance improvement projects develop into research studiesÂ that will ultimately improve patient outcomes. This collaborative research project has been selectedÂ for poster presentation at the American Association for the Surgery of Traumaâ€™s Annual Meeting.Â
Patients who undergo splenectomies during trauma care are at a life-long risk for developingÂ episodes of rapidly progressive septicemia, known as overwhelming post-splenectomy sepsis (OPSS).Â In an effort to reduce these risks, splenectomy patients are recommended to receive vaccinationsÂ against pneumococci, meningococci, Haemophilus influenzae type b and influenza virus.Â Patients should also be placed on an appropriate re-vaccination schedule and be educated regardingÂ the importance of fever or infectious symptoms given their asplenia. Patients at UofL Hospital areÂ routinely administered vaccines prior to discharge and provided with appropriate education regardingÂ the risks of post-splenectomy infection. This includes a formal conversation from a trauma practitioner,Â as well as written information provided at discharge.Â However, since most patients do not follow up with their trauma providers beyond their initial period ofÂ injury convalescence, little is known about compliance in regards to post-splenectomy risk reductionÂ over time. Despite uniform education prior to discharge, most patients undergoing splenectomy forÂ trauma at our institution were unaware of the risks of OPSS and did not follow our recommendedÂ guidelines for risk reduction. Though OPSS is rare, it carries a significant mortality. Further researchÂ targeting methods to improve compliance with recommendations is indicated.
Celebrating over 100 years of service to our community: 1911-2017
1911:Â Louisville City Hospital starts accident service, representing the first designation in the country of a service whose primary mission was the care of patients with injuries and fractures
1938: Dr. R. Arnold Griswold named Chair of the Department of Surgery and later invented an innovative device for fracture reduction â€“ the â€śGriswold Machine.â€ť Dr. Griswold also worked with the Louisville Police Department to make station wagon cars available for transport of the injured.
1942: Louisville City Hospital changes name to Louisville General Hospital
1953: Louisville General Hospital treats four victims from Louisvilleâ€™s first serious airplane crash at StandifordÂ Field. Of the 41 people on board, 25 die.
1982: University Hospital named Level 1 Trauma Center
1989: Trauma Center treats 13 gunshot victims of (then) worst workplace shooting in U.S. history that took place at Standard Gravure
1999: Emergency Departmentâ€™s $13 million expansion completed, more than doubling its size. â€śRoom 9â€ť is remodeled, a dedicated room used to treat critically ill trauma patients.
2000: University Hospitalâ€™s Emergency Department featured on episode of TLCâ€™s Trauma, Life in the ER
2004: Jockey Tony Dâ€™Amico treated in Trauma Center after being seriously injured in Nov. 3 race at Churchill Downs. The 49-year-old rider suffered a fractured left collarbone, four fractured ribs and a punctured lung.
2006: Full renovation of Burn Unit (regionâ€™s only adult burn unit) completed. New unit features five ICU treatment beds and hydrotherapy tub.
2015: Successful Level I trauma re-verification visit from the American College of Surgeons
2016: Trauma Program Social Workers added to the Trauma Center team
2017: Stop the Bleed featured as national outreach program
2017:Â Implemented Pivot to Peace Intervention Network, providing resources to patients who have been hospitalized due to a violent injury.
2018:Â Successful Level 1 trauma re-verification visit from the American College of Surgeons.Â
2018:Â Opened newly expanded and renovated, 16-bed Burn Center.
In October 2017, UofL Hospital became part of a community network dedicated to reducing violence in our city. Our Pivot to Peace Intervention Network provides resources to patients who have been hospitalized due to a violent injury. Our Trauma Community Health Worker and Trauma Social Workers are here for you.
Through the Pivot to Peace Intervention Network, we can provide resources during and beyond hospitalization for your specific needs. This can include referrals for:
â€˘ Â Â Â Â Post-discharge follow-up
â€˘ Â Â Â Â Educational needs
â€˘ Â Â Â Â Counseling
â€˘ Â Â Â Â Job placement
â€˘ Â Â Â Â Other services you and your family may need to heal
We are committed to working with you and your family to find the connections you need to stay safe and move forward with your life.
Questions? Please contact:
Manager, Injury Prevention
firstname.lastname@example.org or (502) 562-7088
UofL Hospital has partnered with the Trauma Survivors Network (TSN) to further expand support to our trauma patients. The TSN is a community of patients and families like you who are looking to connect with one another and rebuild their lives after a traumatic injury. Joining this community can help build support and provide resources.
Following a trauma, hospitalization and resulting recovery can be filled with uncertainty, anxiety and frustration. The main goal of the TSN is to help you connect with others and rebuild your life following injury. UofL Hospital and the American Trauma Society provide the programs and recovery resources patients, families, and communities need to manage healing and improve their lives. This partnership is committed to supporting and growing the TSN by providing important resources, fostering new relationships and promoting resiliency.
Trauma Survivors Network Resources
The national TSN website provides a place for trauma patients and their loved ones to connect with others and get the information they need to help rebuild their lives.
It also provides practical information on injuries and how they are treated. During your hospitalization, and throughout your recovery process, you will have access to the following programs and resources:
Trauma Survivors Network (traumasurvivorsnetwork.org)
-an online community where trauma survivors and their families share information while providing support to one another:
- Access NextStepsTM (nextstepsonline.org) â€“ an online class designed to help survivors manage life after a serious injury
- The Traumapedia â€“ an online resource for information where you can learn about trauma care and rehabilitation
- Trained Peer Support Volunteers
- Specialized approach connects our patients with peers that have endured similar events and injuriesÂ
- Bedside peer support visits provide hope and insight into the healing process from those who have lived experiences
Trauma Survivors Network support groups â€“
meets on the second Wednesday of the month from 6 p.m. â€“ 7 p.m. in the Glassroom, which is located in the basement of the Ambulatory Care Building:
- Share experiences and help others
- Feel less alone, anxious and afraid
- Learn new skills for coping with trauma
- Connect to local and national resources
Snack and chat
- Spend time with patients and family members
- Enjoy light refreshments
- Join in discussions of support, recovery and emotional impact of trauma
For more information, contact:
Lindsey K. Journey, MSW, LCSW, CCTP
Trauma Program Social Worker
Jenny Youngberg, MSSW, CSW
Trauma Program Social Worker
Dr. Brian Harbrecht, Professor of Surgery in the Department of Surgery at UofL and Director of Trauma Surgery at UofL Hospital, and Dr. Raymond Orthober, Assistant Professor of Emergency Medicine and Medical Director of Louisville Metro EMS, will lead UofL's participation in a Department of Defense (DOD)-funded clinical trial aimed at improving survival among people who have difficulty breathing after a trauma.
UofL will join nearly two dozen emergency medical service agencies across the country in the prehospital Airway Control Trial (PACT), which is an $8.8 million, four-year study, beginning at the end of 2019 that will test different strategies to help patients breathe at the scene of a trauma to see if one works better than another at increasing survival.
This is an â€śexception from informed consentâ€ť trial, which means that since the trial requires performing a potentially life-saving procedure in traumatically injured patients who are too injured to give consent to the trial, they will be automatically enrolled if they fit the criteria. Once patients are stable, they and/or their families will be notified that they were enrolled, and they can opt out of continued participation at that point. Learn more at https://www.litesnetwork.org/pact-efic.