At Baystate Medical Center adult critically ill medical and surgical inpatients are cared for in a 24 bed Intensive Care Unit. The annual volume is approximately 1,900 patients, 45% surgical and 55% medical. The Intensive Care Unit is run by Board Certified Critical Care Specialists whose primary disciplines are Anesthesia, Internal Medicine, or Surgery.
The surgical team generally consists of an upper-level resident, plus two or three interns or junior residents rotating from the Surgical, Anesthesia, or Emergency Medicine Programs. The medical team includes three senior medical residents plus three to four interns rotating from Medicine, Medicine/Pediatrics, or Emergency Medicine. Each team may also include a Critical Care fellow and students from Tufts University School of Medicine, other medical schools, and local schools for allied health professionals.
House staff gain experience in all aspects of intensive care including utilization of state-of-the-art equipment and advanced therapeutic techniques. About half of the patients receive in-dwelling arterial lines and about 60% are mechanically ventilated. Typical clinical conditions include respiratory failure, renal failure, septic shock, cardiogenic shock, intracranial pressure monitoring and control, gastrointestinal bleeding, and complex post-operative care.
The Intensive Care Unit maintains an active educational program, including bedside teaching rounds, daily classroom teaching sessions, visiting lecturers, and a core curriculum of ICU subjects repeated on a monthly basis. The Critical Care faculty are active clinical researchers with recent published research in outcome assessment, severity scoring, novel therapeutics for shock and AIDS, value-based care, cost analysis, ethics, sedatives, and neuromuscular blocking agents. A two-year internal medicine based Critical Care Fellowship, accredited by the ACGME, is available.