Department of Emergency Medicine

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Emergency Medicine

Emergency Medicine at the Hospital of the University of Pennsylvania

Emergency Entrance at HUPThe Emergency Department of the Hospital of the University of Pennsylvania (HUP) is located in the heart of University City in West Philadelphia and has an annual volume of over 66,400 patients a year.

The patient population is diverse, as the ED functions as the major tertiary care center for the entire Philadelphia region. There is a high level of acuity in the HUP ED with an admission rate of 22%, representing 30-35% of the admissions to the hospital.

All patients in the ED are initially evaluated by a house-officer and then seen by an attending Emergency Department faculty member. There are 2-4 faculty members on duty 24 hours a day, 7 days a week to provide close supervision and quality teaching of residents and students. A senior emergency medicine resident is on duty at all times to provide additional supervision and management of operations, as a "junior attending."

In 1995 the HUP ED was completely renovated, creating a 28,000 square foot new department with 4 resuscitation rooms, a 1400 square foot trauma resuscitation space, 4 negative pressure rooms, one secured psychiatric evaluation room and 20 additional rooms, not including the Fast Track area. The HUP ED will be further renovated in late 2013. In 2011, the ED was expanded to add a 17 bed Emergency Department Observation Unit ("EDOU"). The department is unique in that all charting is computerized in the "EMTRAC" system with 72 computer terminals in the clinical area and immediate access to patients' past and present records. Laboratory and radiology reports are accessible on the same terminals.

The administration has provided the necessary financial and ideological support to create a clinical department of the highest caliber with new monitors, digital radiology imaging (PACS units), slit lamp, panorex equipment, spiral CT scanner within the department and in-room x-ray equipment in 6 resuscitation rooms.

All Penn medical students take Emergency Medicine as a required third year clinical rotation and all surgery, medicine and ob/gyn interns rotate through the ED as part of their respective training programs.