Category Archives: Emergency

The Beaumont Blog Has Moved!


beaumont blog has moved

The Beaumont Health System blog has moved to a new address: We’ll continue to publish the articles you’ve come to enjoy, along with new and improved features and content throughout the months.

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Student volunteers experience emergency medicine apprenticeship

Congratulations to five college student who recently completed our new Emergency Medicine Apprenticeship in December.

The five student volunteers, who were picked out of many applicants, were: Alexis Allen, Brandon Hana, Diane Hermiz, Brett LeVesseur and Katie Schell. They were selected as student volunteers for a three-month program, which kicked off last October.

Emergency apprentices

Theses health-care students got a look at how the Emergency Center operates day-to-day at Beaumont. The apprenticeship program gives students the unique opportunity to work side-by-side with emergency physicians, nurses, physician assistants and technicians.

The program had the students providing comfort care to emergency patients, performing patient screenings, transporting patients and assisting with medical-supply stocking. They also attended lectures  and workshops on health care and medical issues, observed procedures, shadowed physicians and participated in simulation labs.

Jeffrey Ditkoff, M.D., director of Emergency Medicine Operations, is behind the apprenticeship program.

“The student volunteers were incredibly enthusiastic and hard-working,” Dr. Ditkoff says. “They all had a great time participating in the program, and they inspired the physicians they worked with to remember the things that led us to go into medicine in the first place.”

Beaumont’s Emergency Medicine Apprenticeship is available to current volunteers who meet the program’s criteria. If you’re interested in becoming a Beaumont volunteer, learn more or register here.

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Should I Take My Child to the Emergency Center or Urgent Care? | Ask a Beaumont Doctor

by James Ziadeh, M.D., chief of emergency services at Beaumont Hospital, Royal Oak; Pediatric Emergency Center

Ask A Beaumont Doctor ZiadehEvery parent faces this dilemma at some point: When your child becomes sick or injured, whether it’s a weekend fall on the playground or a fever spiking in the early morning hours, you have a quick decision to make. Should you head straight to a hospital emergency center or an urgent care clinic?

After-hours clinic (often called “urgent care”) are a good option if your pediatrician’s office is closed and your child has a fever, flu-like symptoms, mild injuries like a non-displaced fracture or a cut, or an earache, cough, cold, sore throat or skin irritation.

For anything more serious, you should get to a hospital emergency center staffed by pediatric-trained physicians as soon as possible.

Injuries and illnesses worthy of a trip to the emergency center include:

  • wheezing or shortness of breath
  • severe lacerations that might require sedation to close
  • displaced fractures
  • fainting, dizziness, weakness
  • bleeding that can’t be stopped
  • abdominal pain
  • fever with convulsions or any fever in children under three months
  • confusion or changes in mental status
  • coughing or vomiting blood
  • severe headache, head injuries
  • blood in the urine, or bloody diarrhea

Children receive excellent emergency care in a child-friendly environment at Beaumont’s emergency centers. The Beaumont Pediatric Emergency Center in Royal Oak offers board-certified pediatric emergency physicians and pediatric nurses on site 24 hours a day, seven days a week. Services are also supported by specialists in nearly every pediatric and surgical specialty.

Our pediatric emergency physicians work closely with their colleagues at Beaumont Hospital, Troy and Beaumont Hospital, Grosse Pointe to ensure your family has access to our expertise no matter which Beaumont emergency center you visit.
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Tales from Beaumont One

Beaumont One air medical transportation provides inter-hospital and on the scene transportation for critically-ill and injured patients. The Beaumont One team of highly trained flight nurses and paramedics are trained to perform highly skilled technical procedures to cover a wide variety of injuries and emergencies they may encounter.

Beaumont One - GibbsIn our first Tale from Beaumont One, we interviewed flight nurse Jeremiah Gibbs, who has been flying in Beaumont One since 2012. Jeremiah tells us why he decided on a career in flight care and tells us some of his most memorable stories of life in the sky.

What is your education? Where did you train?

I originally attended Oakland University pursuing a degree in engineering but decided to take an EMT course with a friend on my off days so that I could work on an ambulance. I took to that job, really enjoyed it and ended up attending Superior Medical Education to complete my EMT Paramedic training. After nine years of working as a paramedic in Oakland County, I went to Macomb Community College and got my nursing degree.

What prior work experience have you had?

I started in EMS as an EMT basic, then moved to paramedic level, then critical care paramedic. I became a RN at Beaumont on the cardiac unit, then transitioned to the EC and worked there as a staff nurse. I eventually became Beaumont Royal Oak’s EMS coordinator, then started on Beaumont One in 2012 as a flight nurse, while also continuing as EMS coordinator.

What led you to Beaumont One?

I went to nursing school for two reasons: I wanted to become an EMS coordinator and I wanted to work in flight care.

When I heard Beaumont was developing a flight program, I was very excited to work with critically unstable patients and do something that only 60 or so other nurses in Michigan get to do. Flight nurses are the most diverse nurses in the state. We’re required to maintain many certifications and skill competencies because the patients we transport can range from high risk OB/GYN and pediatrics to trauma, ICU, cardiac and neuro. We’re trained on complex, high-level life support devices such as balloon pumps, LVAD’s, Impella devices, ventilators and nitric oxide administration. The challenge of maintaining proficiency in treating these types of patients and using this equipment is a big part of what makes this job great and challenging.

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Pediatric emergency medicine director readies for Afghanistan deployment

Next week, Edward Walton, M.D. – a lieutenant commander in the Navy Reserve and head of the Pediatric Emergency Center and Beaumont Children’s Hospital – will deploy to war-torn Afghanistan to care for injured soldiers and nationals.
“I would encourage everyone to serve in some way. It doesn’t have to be in the military. I’ve gotten so much more out of my service than I’ve given," says Dr. Walton.

“I would encourage everyone to serve in some way. It doesn’t have to be in the military. I’ve gotten so much more out of my service than I’ve given,” says Dr. Walton.

“Our primary mission is to care for the troops,” he says, “but another part of our mission is to care for the children hurt by war. We’re over there to win hearts and minds and what better way to do that than to care for someone’s child?”

Between 15 and 20 percent of the patients cared for at the NATO medical facilities throughout Afghanistan have been children.

Dr. Walton joined the Navy Reserve two years ago. “I thought I had a skill my country could use,” he says. “Our country has given me great opportunities and I am privileged to be able to give back. There are still soldiers in harm’s way and someone needs to be there to care for them.”

As a lieutenant commander, Dr. Walton will report to his home base in Saginaw and will then fly to San Diego to do casualty training with others in his medical unit. He’ll then proceed to an Army base to complete combat training with M4 assault rifles and side arms. “After our training, we’re expected to deploy to Afghanistan in mid-Pediatric emergency medicine director readies for Afghanistan deployment August. We’ll be ‘sand sailors’ then,” he says.

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“Marvelous care” won’t be forgotten

On Jan. 26, Terry Donovan finished his fish dinner at Hogan’s restaurant in Bloomfield Hills, walked out to the parking lot and died.

“They said I was clinically dead,” Terry explains of his cardiac arrest. A good samaritan immediately intervened and started chest compressions that saved his life.

Terry and his family spent a few weeks trying to identify the good samaritan, but their search came up empty. The unidentified man wasn’t the only person involved in saving Terry’s life and he made it a point to make sure he thanked each and every one of his nurses and doctors at Beaumont Hospital, Royal Oak, whose quick action and care, saved his life and preserved his brain function.

“Everybody went above and beyond what I could’ve expected,” said Terry, who chose Nurses Week to surprise the staff because, “They deserve as much recognition as I can give them.”

Yesterday Terry was back in the hospital to deliver his personal thanks for the “marvelous care” he received. Armed with personalized notes and bouquets of forget-me-nots, Terry made his rounds to all of the departments he was with during his stay – emergency, cardiac intensive care  and cardiac progressive care. Addressing all of his caregivers, Terry offered a few words of thanks and left them with a traditional Irish blessing, “May the road rise up to meet you, may the wind be ever at your back. May the sun shine warm upon your face and the rain fall softly on your fields.”

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Stay on the slopes: Prevent skiing and snowboarding injuries

by James Bicos, M.D. and Joseph Guettler, M.D., board-certified orthopedic sports medicine surgeons, Beaumont Health System

Skiing/snowboarding safetyMillions of people across Michigan and around the country enjoy skiing and snowboarding during the winter months. Despite widespread popularity of these sports, few participants really prepare for the amount of stress carving up a slope can put on the human body. Many snow sports injuries can be prevented through common sense, proper equipment and proper conditioning.

The most common types of skiing or snowboarding injuries are caused by dangerous terrain, collisions and falling or exiting lifts. Issues that can increase your risk of injury include:

  • fatigue and time spent on slopes without adequate rest
  • faulty or improper equipment
  • dehydration
  • altitude sickness
  • not observing posted warning signs
  • skiing or snowboarding above your ability level

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Beaumont Medical Transportation assisting storm victims in New York

ground_transport_beaumont(Photo courtesy of Yahoo! News)

A photo appearing on the homepage of Yahoo! today shows medical transportation workers from Beaumont Health System assisting in the evacuation of patients from New York’s Bellevue Hospital. According to the article, “About 500 patients at the city hospital near the East River in Manhattan are affected. Bellevue has one of the busiest emergency departments in the city.”

(Notice one of the workers with the Detroit Tigers baseball cap showing some Detroit love.)

Update: We were lucky enough to get some additional photos from some of our transport workers live on the scene. You’ll see some photos of the destruction of the storm as well as the lines of ambulances there to assist.

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Angioplasty: time is a factor

Robert Swor, M.D., emergency medicine, Beaumont Hospital, Royal Oak, talks about a recent article appearing in the Wall Street Journal about evidence showing that, “every minute hospitals can shave off ‘door to balloon’ time lowers a patient’s risk of death and serious damage to the heart muscle.”

The sooner a heart attack patient arriving to an emergency center gets an angioplasty, the lower the patient’s risk of serious damage to the heart muscle or death. At Beaumont, Royal Oak, we average 67 minutes for standard treatment with angioplasty when entering our emergency center. That entails the time it takes from the patient entering the hospital to getting the angioplasty completed, which is a procedure where a catheter with a small balloon is inserted and inflated to open a blocked artery.

According to the article, the standard for hospitals to meet is 90 minutes or less. Beaumont has been a leader in providing such “reperfusion therapy” for heart attack patients and was one of the first hospitals in the world to routinely provide emergency angioplasty to these patients. Beaumont has a multidisciplinary team that continuously works to shorten our “door to balloon” times.

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