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Highland Hospital serves as a training facility for four accredited medical training programs in Emergency Medicine, Internal Medicine, General Surgery, and Oral and Maxillofacial Surgery. Until then, just know that Highland Hospital is ready. Alameda Health System (AHS) Highland Hospital is located in Oakland, CA with the county’s only Level I Trauma center. We will get through this storm, and the beauty of the Bay Area will come back to life. Support us and, I promise, we will take care of your family like they are our own. All I ask is that you keep us protected and allow us to work. Her interests include medical education, technology in medical education. I feel lucky to have the chance to help my community. She is currently Attending Physician at Highland Hospital in Oakland, CA. We will be very tired along this journey. There will not be many chances for quality time with our families. We will have long days and sleepless nights. This is what we’ve spent our entire careers getting ready for. I know it’s scary for everyone watching and listening at home. Our colleagues all over the world are on the frontlines of the devastation and we all can see their struggles. No one can predict what the coming weeks will bring. This is why I’m an emergency physician at a safety net hospital. My colleagues and I are ready to ensure everyone receives the best care possible. I am not naive enough to think that we can take care of people without forcing our administrators to help. Physicians from my institution and all around the country are fighting to ensure that we have enough of what we need. We appreciate the advocacy from everyone - healthcare is a team sport. Make sure we are safe so we can work every day and all day. Make sure we have beds, ventilators and equipment to do our jobs. Make sure we have a safe environment to save lives. Make sure we have enough personal protective equipment. Our hospital systems and administrators may not be on the frontline taking care of patients, but they are going to have to step up. If there’s any place that can handle chaos, while offering amazing care, it’s Highland Hospital. How do I know this? I’ve worked all over the country.

I work alongside some of the most intelligent clinicians, nurses and ancillary staff in medicine. Just know, if you do, we are ready to provide the highest level of care possible. This pandemic is what we think about and plan around. We are the emergency department with a reputation for consistently rising to the occasion. We are the safety net hospital, major trauma center and long-standing training center for emergency care in Alameda County.

We are the emergency staff at Highland Hospital in Oakland. But I can tell you, we are ready to deal with this. The world seems defenseless against the novel coronavirus. Events in China, Italy and New York City are terrifying. All rights reserved.I know everyone is scared. Low-dose ketamine combined with a reduced dose hydromorphone protocol produced rapid, profound pain relief without significant side effects in a diverse cohort of ED patients with acute pain.Ĭopyright © 2013 Elsevier Inc. Ninety percent of patients reported that they would have the medications again. Most patients (80%) reported only weak or modest side effects. The summed pain intensity difference and percent summed pain intensity difference scores were 25 (95% confidence interval, 21-30) and 58% (95% CI, 49-68) at 30 minutes and 41 (95% CI, 34-48) and 50% (95% CI, 42-58) at 60 minutes, respectively. At 15 minutes, the mean reduction in NRS pain score was 5.0 (SD, 2.8). Of 30 prospectively enrolled patients with severe pain (initial mean NRS, 9), 14 reported complete pain relief (NRS, 0) at 5 minutes the mean reduction in NRS pain score was 6.0 (SD, 3.2). Dissociative side effects were assessed using the side effects rating scale for dissociative anesthetics. Patients were monitored throughout for adverse events. Pain intensity was assessed at 12 intervals over 120 minutes using a 10-point verbal numerical rating scale (NRS). We administered 0.5 mg of intravenous (IV) hydromorphone and 15 mg of IV ketamine, followed by optional 1 mg hydromorphone IV at 15 and 30 minutes. This was a prospective observational study of adult patients with severe pain at an urban public hospital. We assessed the analgesic effect and feasibility of low-dose ketamine combined with a reduced dose of hydromorphone for emergency department (ED) patients with severe pain.