Rounding Out Care and Research

Acute care emergency surgery services 

The primary mission of the Acute Care Emergency Surgery (ACES) Service at the R Adams Cowley Shock Trauma Center is to provide timely surgical assessment, operative and/or non-operative management of the acutely ill, non-trauma surgical patient. Under the leadership of Jose J. Diaz, Jr., M.D., professor of surgery, University of Maryland School of Medicine and chief of acute care surgery, R Adams Cowley Shock Trauma Center, ACES is staffed 24/7 by an experienced team versed in a wide spectrum of disease states, ranging from routine and complex presentations of appendicitis, cholecystitis, bowel obstruction with or without incarcerated hernia, to skin and soft tissue infections. The ACES service is also capable of caring for the most complex surgical diseases, such as severe pancreatitis, perforated peptic ulcers, mesenteric ischemia, complicated diverticulitis, intestinal fistulas, complex ventral hernias, bowel perforation or infarction and the acute surgical abdomen. The ACES service is even equipped to accept patients directly from the operating room should the need arise. ACES is easily accessible through University of Maryland ExpressCare at 410-328-1234. 

Pediatric ECMO now available

The University of Maryland Children’s Hospital recently established a Pediatric ECMO Program. Within the pediatric intensive care unit, young patients, from newborns to young adults, now have access to life-saving cardiopulmonary support for such reasons as pneumonia, infections, congenital heart disease and asthma. To arrange to have a patient transferred or to quickly speak with a member of the ECMO team, call University of Maryland ExpressCare for Kids at 410-328-1234 or 1-800-373-4111.

Women's center for continence and pelvic health

Women with pelvic floor disorders have a clinic to call their own! The University of Maryland’s Women’s Center for Continence and Pelvic Health recently opened on the downtown campus. A physician team of urogynecologists and urologists work together, providing comprehensive diagnostic and treatment services, to care for women who suffer from a range of pelvic floor disorders, including urinary incontinence and pelvic organ prolapse. Appointments can be made by calling 1-855-289-1508.

Cardiac surgery webcast available online

Log on to umm.edu/webcasts and watch as Teng Lee, M.D., assistant professor of surgery at the University of Maryland School of Medicine, performs a hybrid arch debranching operation. Aortic arch aneurysms are traditionally treated with open surgery, which involves putting the patient on a heart-lung machine, temporarily stopping blood flow to the head and body. The hybrid arch debranching repair is less invasive than the traditional surgery and has a lower risk. In fact, the Hybrid Arch Debranching approach has dramatically lowered the morbidity and risk of total arch replacement for aortic aneurysms. During surgery, the aortic arch is ‘de-branched’ by sewing bypass grafts to the aortic arch blood vessels, and then an endograft is placed to seal off the aneurysm. With this operation, there is no need for the heart-lung machine and circulatory arrest. The hybrid arch debranching procedure is ideal for a patient who has multiple medical issues (such as diabetes or high blood pressure) in addition to a thoracic aortic aneurysm and is considered too high-risk for a traditional operation. The hybrid arch debranching surgery allows patients to undergo a bypass and endograft in the same procedure, reducing their hospital stay and improving their chances at long-term success. 

Turn down the volume

Serious injuries to pedestrians listening to headphones have more than tripled in the past six years, according to new research from the University of Maryland School of Medicine and the University of Maryland Medical Center. In many cases, cars or trains are sounding horns that pedestrians cannot hear, leading to fatalities in nearly three-quarters of cases. “Everybody is aware of the risk of cell phones and texting in automobiles, but I see more and more teens distracted with the latest devices and headphones in their ears,” says lead author Richard Lichenstein, M.D., associate professor of pediatrics at the University of Maryland School of Medicine and director of pediatric emergency medicine at the University of Maryland Medical Center. “Unfortunately, as we make more and more enticing devices, the risk of injury from distraction and blocking out other sounds increases.”

Dr. Lichenstein and his colleagues studied retrospective case reports from the National Electronic Injury Surveillance System, the U.S. Consumer Product Safety Commission, Google News Archives and Westlaw Campus Research databases for reports published between 2004 and 2011 of pedestrian injuries or fatalities from crashes involving trains or motor vehicles. Cases involving headphone use were extracted and summarized. The research was published online on Jan. 16 in the journal Injury Prevention. Researchers reviewed 116 accident cases from 2004 to 2011 in which injured pedestrians were documented to be using headphones. Seventy percent of the 116 accidents resulted in death to the pedestrian. More than two-thirds of victims were male (68%) and under the age of 30 (67%). More than half of the moving vehicles involved in the accidents were trains (55%), and nearly a third (29%) of the vehicles reported sounding some type of warning horn prior to the crash. The increased incidence of accidents over the years closely corresponds with the documented rising popularity of auditory technologies with headphones.

Parkinson's patients and exercise

Researchers from the University of Maryland School of Medicine and the Baltimore VA Medical Center found that Parkinson’s patients who walked on a treadmill at a comfortable speed for a longer duration (low-intensity exercise) improved their walking more than patients who walked for less time but at an increased speed and incline (high-intensity exercise). The investigators also found benefits for stretching and resistance exercises. “Our study showed that low-intensity exercise performed for 50 minutes three times a week was the most beneficial in terms of helping participants improve their mobility. Walking difficulty is the major cause of disability in Parkinson’s disease. These results show that exercise in people with Parkinson’s disease can make a difference in their function. Exercise may, in fact, delay disability and help to preserve independence,” says Lisa Shulman, M.D., principal investigator and professor of neurology at the University of Maryland School of Medicine. Appointments for movement disorders may be made by calling 410-328-4323. 

This page was last updated: November 7, 2013

         
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