Primary Children's Medical Center (PCMC)

• 252 bed children's hospital, new campus opened 1990.
• A designated pediatric trauma center with formal trauma response team.
• All pediatric medical and surgical subspecialties are represented and available for consultation with ED physicians.

Primary Children's Medical Center Emergency Department

• 44,000 yearly census, 22% trauma-related
• 23% admission rate
• Currently be remodeled, to be completed in 2009
  • 9000+ square feet
  • 23 beds
  • 4 Trauma beds
• Level 1 Trauma Center that provides tertiary care for entire Intermountain West region, including all or parts of the following:
  • Montana
  • Idaho
  • Wyoming
  • Utah
  • Nevada

Transport System - LifeFlight

• Ground, rotor, and fixed wing LifeFlight transport available 24 hours/day
• One of the oldest and largest civilian medical transport programs in the U.S., and one of the few to have a pediatric team that performs scene-flights
• Specialized teams for transport of neonatal, pediatric, and adult patients
• 800+ pediatric transports per year, most controlled by ED physicians
• Aircraft include two new KingAir fixed-wing aircraft based at the SLC airport, and two Augusta helicopters made in Switzerland specifically for high altitude use
• Pediatric trauma patients transported by LifeFlight have had superior clinical outcomes when compared to international norms
• Lifeflight is the first and only civilian air ambulance organization in the United States certified by the FAA to conduct hoist and rescue operations.
• 89 rescues since May 1999.
• PCMC's referral base for transport covers approximately 10% of the continental U.S., the largest geographical area in the U.S., including the following:
  • Montana
  • Idaho
  • Wyoming
  • Western Colorado
  • Northern New Mexico
  • Arizona
  • Nevada
  • Utah

Rapid Treatment Unit (RTU)

• Opened in August 1999
• 9,000+ square feet of space for 24 patient beds
• Facilitates short stay admission (<24 hours)
• Admission criteria include any patient requiring inpatient services, such as intravenous fluid administration or airway/neurologic observation by medical personnel for a period of time not to exceed 24 hours
• Typical RTU patient diagnoses include croup, mild asthma, dehydration, ingestion, and concussion after closed head injury
• Administered by the Division of Pediatric Emergency Medicine
• Howard Kadish, MD, MBA is Medical Director of the RTU

PCMC Pediatric Intensive Care Unit

• 32 beds, located 1 floor above Emergency Department
• Remodel to be completed in 2009 that will increase beds to 44
• Pediatric intensivists and fellows work in close cooperation with
  Pediatric Emergency physicians to stabilize critically ill children
  in the ED
  

Radiology

• Radiology Department located adjacent to the ED
• Head CT scans are obtained quickly, using a high-speed spiral scanner. Sedation is rarely used.
• All radiographs are digital, multiple viewing stations available in both trauma and medical resuscitation areas, and the MD charting areas

Utah Poison Control Center

• Receives more than 48,000 calls annually, 60% concerning patients under 6 years of age
• 24-hour access to toxicologic expertise for the management of pediatric toxic ingestions
• Inpatient toxicologic consultation available