The Department of Emergency Medicine has nine divisions, each actively involved in training and research.
As a member of the FDNY voluntary hospital 9-1-1 system, Mount Sinai EMS responds to nearly 10,000 calls a year with its advanced life support and two basic life support units. Mount Sinai EMS aims to ensure that all our patients receive unrivaled, innovative, compassionate, and efficient mobile health care services in a matter that is fully integrated and aligned with the strategy and excellence of the Mount Sinai Health System. To achieve this goal, Mount Sinai physicians participate on the NYC Regional EMS Advisory Committee to develop city-wide EMT and Paramedic protocols, promote quality initiatives in the five boroughs, and lead the way with innovative clinical research and demonstration projects in the area of mobile integrated health care.
Our Emergency Management program is dedicated to providing a critical response to disasters that may occur in the hospital or the community. The program is responsible for overseeing planning, mitigation, response, and recovery from incidents to ensure that the hospital is available to continue its mission to provide medical care to the community. The program emphasizes preparing and training hospital employees in their response roles, teaching employees how to prepare their homes and families to be disaster ready, and working closely with city agencies to ensure that the community is aware of resources and training that may help in the event of a possible future incident. Mount Sinai Emergency Management participates in the Greater New York Hospital Coordinating Council for Emergency Preparedness and works with the New York Department of Health and Mental Hygiene and the New York State Department of Health. The program continues to develop partnerships and seeks grant funding to enhance our readiness and training.
The Emergency Ultrasound Division promotes the use of bedside ultrasound in the evaluation and management of patients in the Emergency Department. Using portable technology and goal-directed exams, we can assess basic cardiac function, abdominal pain, and thoracic disorders at the bedside. Ultrasound is also widely employed to assist in bedside procedures such as central and peripheral venous access, paracentesis, abscess aspiration, and others.
Emergency Medicine residents undergo a dedicated bedside ultrasound rotation during their intern year, and a course is available for medical students as well. Our ultrasound research focuses on pneumothorax detection, ectopic pregnancy evaluation, and assessment of deep vein thrombosis.
Our Department has received considerable national and international attention for its vision and innovation. We are committed to providing the additional resources needed by our aging population to enable comprehensive evaluations and coordinated management and discharge planning.
The Emergency Department is part of the interdepartmental Global Health Center, which has the goal of using evidence-based solutions to improve the delivery of medical care for the underserved worldwide. Emergency Medicine residents can enter the Global Health Residency track during their third year, participating in monthly seminars that focus on a range of global health topics. During their fourth year, selected residents participate in an intensive two-week training session to review important skills needed for effective field projects and research, followed by an elective at a "partner site" where they implement or participate in a project of their choice. Current research in the department focuses on injury surveillance.
Mount Sinai has been a driving force in emergency department informatics, and both major training sites offer the highest levels of technology geared towards patient care. Our emergency departments have fully implemented electronic health records, including computerized physician order entry, charting and results retrieval, as well as integration with clinics and inpatient units. Mount Sinai's Emergency Department information system has received several awards, and Elmhurst was chosen to pilot an EDIS to be implemented at all city hospitals.
We provide didactic and bedside teaching of pediatric emergency medicine to Pediatric, Emergency Medicine, and Family Medicine residents, as well as fourth-year medical student sub-interns. Within the Pediatric Emergency Division, we have highly successful faculty dedicated to ultrasound, simulation, community outreach, research, and education.
The Research Division is committed to developing and enhancing the research skills of the Department’s faculty, fellows, residents, and students and to providing the resources and support needed to conduct state-of-the-art clinical, translational, and health services research. Consistently ranked in the top ten NIH-funded EM research programs in the country, the Division is home to a cadre of world-class clinician-scientists studying an array of conditions to advance medical knowledge, preserve health, and improve health care.
With the launch of the Simulation Teaching and Research (STAR) Center, we have matched our world-class educators and cutting-edge programs with a state-of-the-art simulation center. Emergency Medicine residents of all levels come to the center for small group and individual sessions. We are also dedicated to advancing the field of medicine, using simulation to study other topics, such as resuscitation devices and techniques.
The Toxicology Division is well integrated into patient care, physician education, and hospital administration. The Division provides bedside consultation service, offering care for a wide scope of clinical poisonings, including drug overdoses, drug interactions, toxic environmental exposures, and envenomations. The Division is invested in education and research projects that advance toxicology and emergency medicine internationally and has participated in several conferences in Latin America as a representative of the Mount Sinai program. The division has been recognized by the residency with three teaching awards in the last five years for its bedside teaching and its comprehensive lecture series.
As part of the Pharmaceutical and Therapeutics (P&T) Committee, the Division works with departments throughout the hospital to select its formulary and to limit pharmaceutical errors. The division works closely with the NYPCC and participates in its monthly Consultants’ Conference and annual Intensive Review Course every March. In collaboration with the NYPCC, the Division is studying differences in clinical management of the poisoned patient among different medical specialties. Other research interests include innovative treatment approaches to alcohol withdrawal and the prophylactic treatment to prevent Post-Traumatic Stress Disorder.