The trauma unit and the hospitalization unit for victims of trauma and critical surgery

The trauma unit at Sheba is a renowned “super center” that specializes in the treatment of trauma victims, catering to approximately 2,800 injured individuals annually. Out of these cases, around 400 are complex and severe, requiring multi-disciplinary treatment from doctors across various fields.

Delivering the best possible care for injuries necessitates a profound understanding of trauma management and a meticulous approach that follows a well-established hierarchy and optimal timeframe. The trauma care coordinator plays a central role in coordinating the diagnostic and therapeutic activities for the injured and in supporting him and his family from the moment they arrive at the emergency medicine department (triage).

Complex treatment starts in the trauma room of the emergency medicine department, led by a trauma surgeon and skilled team. The team consists of emergency physicians, surgical and orthopedic specialists, an emergency medicine physician, as well as two nurses from the emergency medicine department. 

Once the initial processing and life-saving operations are complete, the unstable injured individual is promptly transferred to either the operating room or the interventional radiology unit to halt bleeding. The treatment of emergency conditions that necessitate surgical intervention is carried out by multidisciplinary teams of specialised surgeons, under the supervision and guidance of a trauma surgeon.

The trauma unit offers advanced monitoring and rehabilitative care for individuals with multiple-system injuries, encompassing head, chest, abdominal, pelvic, and limb injuries. The main aim of the unit is to quickly identify and treat early complications related to trauma, so they don't become a life-threatening risk for the patient.

The treatment of a wounded person who has undergone complex life-saving surgery continues in the intensive care unit or the recovery department, where the various complications of the injury are treated by a team of specialists in intensive care, while cooperating with the doctors of the trauma unit. A significant portion of the injured who are released from the intensive care unit need monitoring and more intensive care than can be provided in a regular ward. The hospital unit for trauma victims was built for these wounded.

The hospitalization unit for trauma victims provides monitoring and high-level nursing care for the injured with multi-system injuries, which include head, chest, abdomen and pelvis injuries and limb injuries. The purpose of the unit is to identify at an early stage the development of trauma-related complications and to treat them before they pose a danger to the injured person's life.

Once the condition of the wounded is stable, they are transferred to different surgical departments.  The trauma unit team continues to monitor the injured until they are released from the hospital, and during their later stay in the trauma clinic.

The Trauma Unit team

Medical staff - Dr. Yoram Klein and Dr. Nimrod Aviran. The medical responsibility for the treatment of the injured lies with the trauma units and the doctors of the surgical departments.
Nursing staff - Ilana Gilboa is a graduate of a Bachelor's degree in nursing and a basic course in intensive care treatment. The majority of the nursing team have undertaken a basic course in intensive care treatment.
Trauma Victim Treatment Coordinator - Batia Segal, the coordinator, plays a pivotal role in the comprehensive care of trauma victims, from their admission to the emergency department through their follow-up in the clinic. A graduate of the Sheba School of Nursing with an MA in nursing, Batia specializes in intensive care and has completed courses in both intensive care and emergency medicine. 

Registration - The Trauma Registry database is the backbone of the unit’s quality assurance processes. This database is a component of the centralized national database operated by the Gertner Institute's Center for Disease Control. The registration manager is Adi Alima.