Critical Care Service
The Medical ICU
The Medical ICU at Jefferson Abington Hospital focuses on a multidisciplinary, team-based approach to care. There are 2 Medical ICUs with a total of 23 beds. They are managed by two resident teams. Daily rounds occur each morning with a team consisting of a Pulmonary/Critical Care attending, one upper-year resident, two interns, critical care pharmacist, critical care nurse, respiratory therapist, and medical students. Each intern is expected up to 5 patients at a time with the upper-year resident overseeing care of the entire team. Residents will routinely perform procedures such as placement of central venous catheters, arterial lines, and nasogastric tubes with guidance by the Pulmonary/ Critical Care attending. Bedside Point-of-Care-Ultrasound (POCUS) is also heavily emphasized on this rotation and used routinely as an educational tool and aid in the diagnostic work-up of our patients.
The Medical ICU rotation engages residents in caring for the sickest patients in our community. We routinely accept transfers from other hospitals to aid in the care of the critically ill patients requiring a high level of care. We are exposed to a diverse pathology that includes rare and unique diseases. Interns and upper-year residents gain valuable leadership experience in managing a critical care unit. At night, our ICU team has significantly increased autonomy in the care of managing critically ill patients. Pulmonary/Critical Care attending coverage is available 24 hours per day for patients in the Medical ICU.
The Cardiac ICU
The Cardiac ICU has a similar structure to the Medical ICU but with an emphasis on cardiology. Daily rounds occur each morning with a team consisting of a Cardiac ICU attending, one upper-year resident, one intern, critical care pharmacist, cardiac ICU nurse, respiratory therapist, and medical students. Residents will learn about cardiac procedures such as left/right heart catheterization, pericardial windows, and cardiac devices such as mechanical circulatory support devices (intra-aortic balloon pumps, LVADs, RVADs), AICDs, trans-venous/trans-cutaneous pacing, and Swan-Ganz catheterization.
The focus of this rotation intends to strengthen residents’ cardiac evaluation (improving EKG and echocardiogram interpretation) and understanding cardiac physiology. The Cardiac ICU team also works closely with the Cardiothoracic ICU team in the co-management and pre-operative management of surgical patients.