Emergency Critical Care and Resuscitation Fellowship

Welcome to the Hartford Hospital Division of Emergency Critical Care

Over the past five years, we have worked diligently to develop a comprehensive program to address the ongoing critical care burden affecting Emergency Departments across the country. Due to an aging population and people living longer with more chronic diseases, the volume and time spent managing critical care in the emergency department has increased exponentially. This burden is expected to continue to worsen over the coming decade and requires an advanced-trained team to help manage this population. Our team consists of Emergency physicians (majority with fellowship training in Critical Care, Resuscitation, Ultrasound, and Toxicology), house staff (EM residents and Fellows), ED Nurses (with additional critical care training), Advanced Practitioners (with additional critical care education), Respiratory Therapists, and Pharmacists. The team is either consulted from within the Emergency Department or manages patients placed in the Emergency Critical Care Unit (ECCU) directly.

Since its inception, the Division of Emergency Critical Care has actively been involved with advancing research in Emergency Critical Care. Most recently, the Division was tasked by Regeneron Pharmaceuticals to carry out patient recruitment and testing to determine the efficacy of anti-spike SARS-COV-2 Monoclonal Antibodies for the treatment of patients with COVID-19. We have worked to improve the early detection of Traumatic Brain Injury (TBI) with a biomarker-based assay for Central Nervous System (CNS) injury, and are currently working alongside our colleagues in the Division of Advanced Heart Failure and Mechanical Circulatory Support, to identify patients in the Emergency Department that would benefit from early ECMO cannulation (I-SPEEED Trial).

Our commitment to education is evident through our initiatives, both regionally and nationally. We have continuously provided real-time clinical training to Residents, Fellows, Medical Students, and Nurses/APRNs. Our clinical pathways have been adopted throughout the healthcare system and we have brought many of the ICU pathways to the Emergency Department. Our team is actively involved in assisting in the development of Emergency Critical Care Teams and Programs throughout the country, as it is our goal to meet and provide the resources to overcome the ongoing and predicted demands facing Emergency Departments.

Matthew B. Tichauer MD
Director, Division Emergency Critical Care and Emergency Critical Care Unit (ECCU)

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