About Us

 

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    A Regional Trauma Center with Level I Designation

    Stony Brook is what’s known as a regional trauma center. This means that it has been designated by New York State to handle the most severe injuries and most complex cases. As the county’s only Level I Trauma Center, Stony Brook provides a level of care beyond the capabilities of the emergency rooms at local hospitals. In fact, patients who arrive at community hospitals with serious illness or injury are often transported to Stony Brook.   

    What does the Level I designation mean?  Although the criteria differ by state, the trauma center ranking system (Level I, II, III, IV or V) refers to the kinds of resources and the standard of care available, as well as the ability to handle a certain volume of severely injured patients. Level I is the highest designation, indicating that the most advanced care is available. Level I facilities such as Stony Brook are typically part of a comprehensive tertiary care facility that serves an entire region. They are able to provide 24-hour, in-house (as opposed to on-call) coverage by trauma surgeons, as well as prompt availability of care in specialties such as orthopaedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatrics and critical care. Level I trauma centers also take a leadership role in prevention, public education and continuing education of trauma team members, along with participating in research and quality assessment initiatives.

    Transport Services

    Because more than 300 trauma and emergency patients a month get transferred to the Stony Brook Trauma Center, we have established a patient transfer center that offers a single point of contact to streamline the process. With one number, one call and one contact, transport services are easy to schedule — and, more important, available 24/7.   

    Here’s how it works. 

    • The referring physician calls (631) 444-1911 to request a patient transfer to Stony Brook Trauma Center.
    • The Stony Brook Transfer Center is staffed 24/7 by trained EMS personnel who have expertise in coordinating the transfer of patients. The referring physician is conferenced with the appropriate Stony Brook physician who discusses the case and arranges for acceptance of the patient.
    • All ambulances are equipped with a critical care paramedic and supplemental staff are added to the transport team based upon the patient's clinical condition.
    • For neonatal and pediatric patients (including pregnant women in fetal distress), Stony Brook sends a specialized transport team that, depending on the patient’s condition, can include physicians, nurse practitioners, neonatal intensive care nurses, respiratory therapists and critical care emergency nurses. 
    • While the patient is en route to the hospital, Stony Brook’s trauma team prepares for the patient so they can immediately and seamlessly address the most critical issues upon arrival.
    • In some cases, patients may need to be transported to Stony Brook via helicopter. We operate a MediVac air transport service in partnership with the Suffolk County Police Department and have a helipad adjacent to the Emergency Department. The helicopter is piloted by a Suffolk County police officer and staffed at all times by a Stony Brook paramedic. Like our ground transport, it is available 24/7.

    Click here to view our Guidelines for Referring Physicians.

    Research 

    In addition to serving patients, Stony Brook Trauma Center is committed to numerous research endeavors. There is basic science research focusing on the physiological mechanisms involved in shock, systemic inflammation and hemorrhage. A trauma clinical research group is involved in conducting both prospective and retrospective studies examining multiple aspects of the care of trauma patients. Results from both basic and clinical research have been published and presented nationally and internationally.

    Two current research projects are Phase II spinal cord studies. Other projects, which have been recently published in professional medical journals, include:

    Bogdan Y, Tornetta P 3rd, Leighton R, Dahn U, Sagi H, Nalley C, Sanders D, Siegel J, Mullis B, Bemenderfer T, Vallier H, Boyd A, Schmidt A, Westberg J, Egol K, Kottmeier S, Collinge C. Treatment and Complications in Orthopaedic Trauma Patients with Symptomatic Pulmonary Embolism.  J Orthop Trauma. 2013 Sec 30 (Epub ahead of print).

    Fourman MS, Phillips BT, Crawford L, McClain SA, Lin F, Thode HC Jr, Dagum AB, Singer AJ, Clark RA. Indocyanine green dye angiography accurately predicts survival in the zone of ischemia in a burn comb model. Burns. 2013 Nov 11. pii: S0305-4179(13)00347-1.

    Einhorn TA, Bogdan Y, Tornetta P 3rd. Bisphosphonate-Associated Fractures of the Femur: Pathophysiology and Treatment. J Orthop Trauma. 2013 Oct 10. [Epub ahead of print]

    Rosenberg L, Krieger Y, Bogdanov-Berezovski A, Silberstein E, Shoham Y, Singer AJ. A novel rapid and selective enzymatic debridement agent for burn wound management: A multi-center RCT. Burns. 2013 Sep 26. pii: S0305-4179(13)00251-9. doi: 10.1016

    Bondarsky EE, Domingo AT, Matuza NM, Taylor MB, Thode HC Jr, Singer AJ.  Ibuprofen vs acetaminophen vs their combination in the relief of musculoskeletal pain in the ED: a randomized, controlled trial. Am J Emerg Med. 2013 Sep;31(9):1357-60.

    Talati RK, Dunkin J, Parikh S, Moore WH. Current methods of monitoring radiation exposure from CT. J Am Coll Radiol. 2013 Sep;10(9):702-7..

    Macri LK, Singer AJ, Taira BR, McClain SA, Rosenberg L, Clark RA. Immediate burn excision fails to reduce injury progression.  J Burn Care Res. 2013 May-Jun;34(3):e153-60.

    Cryer HG, Nathaens AB, BulgerEM, Calland JF, Cohen MJ, Cotton BA, Davis ML, Hemmila MR, Hess, JR, Jawa R, Kozar R, Minei J, Pavenski K, Schreiber M, Spinella PC, Ingraham AM, Moore HB.  Massive Transfusion in Trauma Guidelines.  American College of Surgeons, Committee on Trauma, Trauma Quality Improvement Program.  2013.

    Singer DD, Singer AJ, Gordon C, Brink P. The effects of rat mesenchymal stem cells on injury progression in a rat model. Acad Emerg Med. 2013 Apr;20(4):398-402..

    Marcus M, Malhotra A, Peri M, Schweitzer M, Vladislav O, Tenebaum S, Shabshin N. Kinematic shoulder MRI: the diagnostic value in acute shoulder dislocations.  Eur Radiol. 2013 Mar;23(3):855-60.

    Volkow ND, Kim SW, Wang GJ, Alexoff D, Logan J, Muench L, Shea C, Telang F, Fowler JS, Wong C, Benveniste H, Tomasi D. Acute alcohol intoxication decreases glucose metabolism but increases acetate uptake in the human brain. Neuroimage. 2013 Jan 1;64:277-83.

    Malgor RD, Bilfinger TV, McCormack J, Shapiro MJ, Tassiopoulos AK. Trends in clinical presentation, management, and mortality of blunt aortic traumatic injury over an 18-year period. Vasc Endovascular Surg. 2013 Jan;47(1):19-23.

    Jawa RS, Young DH, Stothert JC, Yetter D, Dumond R, Shostrom VK, Cemaj S, Rautiainen RH, Mercer DW. Farm machinery injuries: the 15-year experience at an urban joint trauma center system in a rural state.  J Agromedicine. 2013;18(2):98-106

    Hong KJ, Shin SD, Ro YS, Song KJ, Singer AJ. Development and validation of the excess mortality ratio-based Emergency Severity Index. Am J Emerg Med. 2012 Oct;30(8):1491-500.

    Singer AJ, Hirth D, McClain SA, Clark RA.  Lack of agreement between gross visual and histological assessment of burn reepithelialization in a porcine burn model. J Burn Care Res. 2012 Mar-Apr;33(2):286-90.

    Barbosa RR, Jawa R, Watters JM, Knight JC, Kerwin AJ, Winston ES, Barraco RD, Tucker B, Bardes JM, Rowell SE; Eastern Association for the Surgery of Trauma.  Evaluation and management of mild traumatic brain injury: an Eastern Association for the Surgery of Trauma practice management guideline.  J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S307-14.

    Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese R, Guillamondegui O, Jawa R, Maung A, Rohs TJ Jr, Sangosanya A, Schuster K, Seamon M, Tchorz KM, Zarzuar BL, Kerwin A; Eastern Association for the Surgery of Trauma. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl 4):S288-93.

    Stassen NA, Bhullar I, Cheng JD, Crandall M, Friese R, Guillamondegui O, Jawa R, Maung A, Rohs TJ Jr, Sangosanya A, Schuster K, Seamon M, Tchorz KM, Zarzuar BL, Kerwin A; Eastern Association for the Surgery of Trauma. Blunt splenic injury, selective non operative management of. an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012 Nov;73(5 Suppl):S294-300. 

    Khanna S, Dagum ABA critical review of the literature and an evidence-based approach for life-threatening hemorrhage in maxillofacial surgery.  Ann Plast Surg. 2012 Oct;69(4):474-8.

    Jawa RS, Young DH, Wagner M, Yetter D, Shostrom V, Cemaj S, Nelson L, Ramey R, Sorensen M, Schwedhelm M, Mercer DW, Stothert J.  Two hospitals with 1 trauma system: a joint approach to the care of the injured patient.  Am J Surg. 2012 Apr;203(4):454-60.

    Huston JM.  The vagus nerve and the inflammatory reflex: wandering on a new treatment paradigm for systemic inflammation and sepsis.  Surg Infect (Larchmt). 2012 Aug;13(4):187-93.

    Meisner RJ, Labropoulos N, Gasparis AP, Lampl J, Xu M, Tassiopoulos AK. Review of indications and practices of vena caval filters at a large university hospital. Vasc Endovascular Surg. 2012 Jan;46(1):21-5.

    Singer AJ, Taira BR, Anderson R, McClain SA, Rosenberg L.  Reepithelialization of mid-dermal porcine burns after rapid enzymatic debridement with Debrase®.J Burn Care Res. 2011 Nov-Dec;32(6):647-53.

    Singer AJ, Hirth D, McClain SA, Crawford L, Lin F, Clark RA. Validation of a vertical progression porcine burn model.J Burn Care Res. 2011 Nov-Dec;32(6):638-46.

    Singer AJ, Chale S, Giardano P, Hocker M, Cairns C, Hamilton R, Nadkarni M, Mills AM, Hollander JE. Evaluation of a novel wound closure device: a multicenter randomized controlled trial. Acad Emerg Med. 2011 Oct;18(10):1060-4.

    Marx WH, Simon R, O'Neill P, Shapiro MJ, Cooper AC, Farrell LS, McCormack JE, Bessey PQ, Hannan E. The relationship between annual hospital volume of trauma patients and in-hospital mortality in New York State. J Trauma. 2011 Aug;71(2):339-45; discussion 345-6.

    Singer AJ, Wang E, Taira BR, Steinhauff N, Rooney J, Zimmerman T.Controlled mild hypothermia prolongs survival in a rat model of large scald burns.  Acad Emerg Med. 2011 Mar;18(3):287-91.

    Kim WJ, Park KH, Kang YJ, Park JO, Lee CC.  Visitor injuries on Jeju Island, Korea. J Travel Med. 2011 Mar-Apr;18(2):90-5

    Loh SA, Rockman CB, Chung C, Maldonado TS, Adelman MA, Cayne NS, Pachter HL, Mussa FF.  Existing trauma and critical care scoring systems underestimate mortality among vascular trauma patients.  J Vasc Surg. 2011 Feb;53(2):359-66.

    Dunkin JM, Crum AV, Swanger RS, Bokhari SA. Globe trauma. Semin Ultrasound CT MR. 2011 Feb;32(1):51-6.

    Phillips BT, Pasklinsky G, Watkins KT, Vosswinkel JA, Tassiopoulos AK. Splenic vein turndown repair in superior mesenteric vein trauma: a reasonable alternative. Vasc Endovascular Surg. 2011 Feb;45(2):191-4.

    Taira BR, Cassara G, Meng H, Salama MN, Chohan J, Sandoval S, Singer AJ. Predictors of sustaining burn injury: does the use of common prevention strategies matter? J Burn Care Res. 2011 Jan-Feb;32(1):20-5.

    Huston JM, Tracey KJ.  The pulse of inflammation: heart rate variability, the cholinergic anti-inflammatory pathway and implications for therapy.  J Intern Med. 2011 Jan;269(1):45-53.