Wilford Hall's emergency department much more than that

  • Published
  • By Master Sgt. Kimberly A. Yearyean-Siers
  • 59th Medical Wing Public Affairs
LACKLAND AIR FORCE BASE, Texas (AFNS) --  At first glance, Wilford Hall Medical Center's emergency department appears to be just another level-1 trauma center, treating patients from not only Lackland Air Force Base but from San Antonio and the surrounding areas. Yet, much more is going on there than people realize.

"The emergency department has a three-fold mission beyond the primary one of treating illness and injuries," said Col. (Dr.) James King, commander of the 59th Emergency Medical Squadron. "We are involved in research projects, education and training programs, and maintaining operational readiness with approximately 10 percent of the department supporting overseas contingency operations."

Research is being done in a wide variety of areas to include finding antidotes for cyanide poisoning, which is common in house fires, chemical explosions and is also used by terrorists; the use of ultrasound to diagnose collapsed lungs during emergency care; and determining at what point in the treatment process it is most effective to administer medication into the bone marrow, known as an intraosseous infusion, to improve resuscitation and survival rates.

The 59th Emergency Medicine Squadron received more than $1.2 million in grant money to support these research projects, which will effect treatments in many areas of medicine.

"The outcomes of these research projects reach far beyond the realm of emergency medicine," said Lt. Col. (Dr.) Rob Thaxton, associate director of the wing's emergency medicine residency program. "They will have applications not only in clinical treatments, but will be used in the field to decrease warfighter mortality rates."

Other projects have a direct impact on patient care in the emergency department, helping to improve access to care and educate patients.

"I saw people being frustrated by long waiting times in the emergency department," said Maj. (Dr.) Annette Williams, emergency medicine physician.

Major Williams researched emergency department practices and her findings are being used to develop an emergency department process improvement project.

"I wanted people to know how much the emergency department cares and strives to give them the best care we are able," said Major Williams. "The research project also demonstrated that many patients felt they received the best care, even for non-urgent complaints in the emergency department."

Another priority of the emergency department is supporting the hospital's graduate medical education program. The department has 48 residents who regularly score among the highest in the country and the emergency department residency program recently received a 5-year accreditation from the Accreditation Council for Graduate Medical Education/Resident Review Committee for Emergency Medicine. This organization is responsible for certifying emergency medical programs across the country.

"For the first time in 30 years the emergency department has received the maximum 5-year accreditation," said Colonel Thaxton. "Without the hard work and commitment of the staff and residents, this would have never been possible."

Along with supporting the graduate medical education program for physicians, the emergency department is vital in conducting training for nurses and medical technicians.

As with all departments at WHMC, members of the 59th Emergency Medical Squadron are deployed throughout the world including areas of operation in both Iraq and Afghanistan, where the skills they learned in the emergency department are put to use.

"When I deployed, I saw first-hand how the doctors, nurses and medical technicians were able to treat the wounded without missing a beat, "said Colonel King. "They were able to provide the highest quality of care and I believe a lot had to do with the opportunities and things they do every day in the WHMC emergency department."

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