Trauma/Critical Care
Stanford University Medical Center 's Trauma/Surgical Critical Care program provides the full range of patient care services for both adult and pediatric trauma patients. Stanford's Trauma Center was established in 1986 and is designated by Santa Clara County and the American College of Surgeons as a Level I trauma center. It serves both Stanford Hospital and Lucile Packard Children's Hospital.
The program serves primarily northern Santa Clara and southern San Mateo counties and also collaborates with Santa Cruz , San Benito , Monterey , Alameda and Stanislaus counties to coordinate trauma patient care and provide referral resources for their patients who require highly specialized care.
Injury is the major under-appreciated health problem in United States . It is the major cause of death between ages 1 and 44. The number of trauma-related deaths annually approaches 150,000. On a daily basis, this is the equivalent of a fully-loaded 747 plane crashing with no survivors. The resulting loss of productive years of life exceeds that of cancer and cardiovascular disease combined, with associated societal costs exceeding $500 billion annually. In fact, based upon the best available data, injury will equal or surpass communicable disease in the year 2020 as the number one cause of disability-adjusted-life-years world-wide.
Trauma Surgeons
Dr. David A. Spain, MD, the Trauma Medical Director, graduated from Wayne State University School of Medicine in 1986, and completed his General Surgery Residency at UMDMJ-Robert Wood Johnson Medical School in 1992. He then completed a fellowship in trauma/burns/critical care at the University of Louisville , where he then joined the faculty to become an Associate Professor of Surgery. In 2001, he joined Stanford as Professor of Surgery and Chief of Trauma/Surgical Critical Care. Dr. Spain 's research interests are in shock, sepsis and multiple organ failure. In addition to trauma and critical care, Dr. Spain also performs the full range of complex and emergency general surgery.
Susan I. Brundage, M.D., M.P.H., graduated from the University of Iowa Medical School and completed her General Surgery residency at Georgetown University . Following a Trauma/Critical Care fellowship, where she also obtained a Masters in Public Health degree, she joined the faculty at Baylor University . Dr. Brundage was recruited to the Trauma program at Stanford in 2001, as the Director of Trauma Research. Her basic science research focuses on the initiation of the inflammatory cascade following hemorrhagic shock. Her clinical interests are in patient outcomes following trauma. Her operative interest in addition to trauma is in emergency general surgery.
Rochelle A. Dicker, M.D., joined the Trauma program in 2002. She completed her General Surgery residency at the University of Vermont and then obtained further training in Trauma and Critical Care at University of California San Francisco . While at UCSF, Dr. Dicker also completed a Center for Disease Control-sponsored fellowship in Violence and Injury Prevention. Dr. Dicker will be coordinating Stanford's efforts in this area. Clinically, she performs all aspects of general, emergency and trauma surgery.
David Gregg , M.D., is a longstanding member of the Trauma Team. He has served several crucial roles in the Trauma program, including Acting Director, and is an integral member of the team. Dr. Gregg is in private practice at the Menlo Clinic.
Program Priorities
The Vision of the Trauma Program at Stanford University Medical Center and Lucille Packard Children's Hospital is:
to achieve national prominence through leadership and innovative contribution to the care of injured and critically ill patients.
The Missions of the Trauma Program are to:
1. provide the highest quality of care for all injured and critically ill children and adults of the Peninsula and Greater Bay Area
2. provide comprehensive and effective violence and injury prevention programs for both children and adults
3. advance knowledge and improve patient care through injury and critical illness research
4. develop a trauma outcomes research program that focuses on the psychological effect of trauma on patients and their families and initiate treatment to minimize the long-term consequences.
Our goal is to develop a patient-centered program that will address the needs of each patient but which will also enable us to address these larger issues and improve the results for all trauma patients (Figure).
Surgeons in this section see patients for trauma follow-up and general surgery care at the Boswell Clinic . This website will provide access to contact information, general information about Bariatric Surgery, maps and directions. For profiles of the surgeons in this section please see the following website http://www.stanfordhospital.com/findPhysician/search/searchDoc.pl .
