Section of Critical Care
Medical Intensive Care
The MICU at HUP is dedicated to the care of the most critically ill patients in the Philadelphia Metropolitan Area. The HUP MICU serves its local West Philadelphia population, a diverse array of patients from the HUP medical floors, and many patients referred to HUP from ICUs at regional hospitals. In addition to the general medical population, the HUP MICU serves a large number of solid organ and stem cell transplant patients as well as those with end–stage organ failure awaiting transplant.
Under the direction of Barry D. Fuchs, MD, MS, the HUP MICU has 27 beds and over 20 attending physicians with specialty certification in Medical Critical Care. The multidisciplinary critical care team additionally includes a critical care fellow, resident physicians, a critical care bedside nurse, a respiratory therapist, an advanced practitioner, and a critical care pharmacist, who conduct bedside rounds together 7 days a week. The extended care team also includes respiratory therapists, nutritionists, physical and occupational therapists, speech pathologists, and social workers who are experienced in the special needs of critically ill patients. The HUP MICU invites patients and family representatives to attend daily bedside rounds in order to facilitate communication, understanding, and participation in decision–making.
In addition to utilizing a team structure of specialized providers, the HUP MICU employs many clinical protocols based on medical evidence and international guidelines to ensure standardized, safe care of the highest quality. HUP MICU teams have expertise in providing complex and cutting edge therapies such as therapeutic hypothermia after cardiac arrest, extra–corporeal membrane oxygenation (ECMO) for severe respiratory failure, and early mobilization of mechanically ventilated patients to prevent deconditioning.
The HUP MICU is also the site of multiple educational programs, providing the core critical care experience for Penn medical students, medical residents, and critical care fellows, and is home to a number of robust research programs designed to advance the field of critical care.
The mission of the Philadelphia VAMC MICU is to provide high quality critical care to our nations veterans. The unit is under the direction of Joshua B. Kayser, MD, MPH, a member of the Penn section of Critical Care. The ICU is a combined medical/cardiac care unit staffed by Penn Pulmonary/Critical Care and Cardiology attending physicians, with 24/7 coverage by Internal Medicine hospitalists and physician extenders. In addition to offering multidisciplinary excellence in patient care, the VA MICU is also the site for multiple clinical, educational and research programs including a robust ICU palliative care service, training of 3rd and 4th year Penn medical students and end–of–life research. In sum, the MICU team takes great pride meeting its obligation of “Serving Those Who Served”.
Procedure and Resuscitation Service
The HUP Procedure and Resuscitation Service (PARS) provides two major services: expertise in common bedside procedures and provision of non–ICU critical care throughout the hospital via the Rapid Response Team. Staffed by an attending intensivist and an advanced practitioner, PARS performs central venous catheter placement, thoracentesis, paracentesis, lumbar puncture, and arterial line placement for both ICU and non–ICU patients throughout the hospital. PARS offers faculty–directed training of internal medicine residents and critical care fellows in the performance of point–of–care ultrasound for both diagnostics and bedside procedures. The HUP Medical Rapid Response Team (RRT), staffed by a critical care nurse and the PARS attending physician, functions as a mobile ICU team to offer emergency care for hospital patients whose clinical status worsens. The critical care outreach provided by the RRT serves to initiate expert critical care at the earliest possible moment in the development of critical illness, facilitates triage decisions and the process of transferring patients to the ICU, and trains residents in the management of emergencies including respiratory and cardiac arrest.
Good Shepherd Penn Partners Long–term Acute Care
For patients requiring extended medical and nursing care for weaning of mechanical ventilation or management of complex medical problems, Good Shepherd Penn Partners Specialty Hospital at Rittenhouse provides outstanding long–term acute care. GSPP's long–term acute care programs involve physician–led interdisciplinary teams of medical professionals, including critical care, hospitalist, and specialty physicians, registered nurses, care managers, clinical dieticians, physical therapists, occupational therapists, speech/language pathologists, respiratory therapists, and psychologists, for highly individualized care tailored to patient and family needs.
For more information or an appointment, please call: 800–789–PENN
The Section of Critical Care spans multiple hospitals, offering a broad range of clinical services and expertise.