Mount Sinai Hospital
The Mount Sinai ICU is a 16 bed closed medical-surgical intensive care unit. In addition to serving Mount Sinai hospital, it provides critical care services to the adjacent Princess Margaret Hospital as well as being committed to receiving patients via Criticall, accounting for 30% of all admissions. The case-mix comprises general medical cases, post-operative and surgical complications (gastrointestinal, orthopedic oncology, ENT), hematological malignancies and bone marrow transplantation and obstetrical complications. Areas of expertise and research interest include the ventilatory management of ARDS, management of the bone-marrow transplant patient and critical illness in pregnancy. The ICU provides conventional and non-conventional ventilatory support, including high frequency oscillation and nitric oxide administration. Dialysis is performed as Continuous Renal Replacement Therapy initiated by the ICU staff and monitored by the Nephrology unit, as well as intermittent hemodialysis. The multidisciplinary team comprises a full time pharmacist, dietitian, physiotherapist and social worker, in addition to the medical staff, and active academic Nursing and Respiratory Therapy departments. Critical care residents alternate weeks between a “first call” responsibility, where they will be responsible for running rounds under the supervision of the attending physician and a “second call” role where they are responsible for managing stable longer-term ICU patients, consults and follow-up of patients recently transferred to the wards. The medical resident on call is responsible for hospital cardiac arrests during weekdays, under the supervision of a Critical Care resident. Critical care residents do home call with backup from the ICU attending on a 1 in 3 basis and are sometimes required to do in-house call, from 1 to 3 times per month. Formal teaching takes place daily at noon, including teaching sessions by members of the multidisciplinary team and simulation-based training. Critical care residents are responsible for teaching junior trainees and for a monthly Morbidity and Mortality rounds.