Welcome to Trauma and Critical Care Surgery

 The Trauma, Critical Care, and Acute Care Division of the UNC Department of Surgery and UNC Healthcare Systems is dedicated to fulfilling several missions including:

  • To provide the highest quality care for injured and critically ill patients.
  • To develop and implement multidisciplinary research programs designed to investigate the physiologic, metabolic, and pathologic states affecting patients with multiple-injuries.
  • To provide high quality relevant education to medical students, residents, nurses, and paramedical personnel in areas relating to the care of the injured patient.
  • To provide a rich clinical and research environment to facilitate the training of Critical Care Fellows.
  • To provide Community Outreach Programs, to direct educational forums (e.g. ATLS), and to advocate and implement injury prevention programs.

The University of North Carolina at Chapel Hill is home to UNC Hospitals’ ACS verified Level I Trauma Center. This established program serves as the lead institution for the MidCarolina Regional Advisory Committee (RAC) and actively participates in the State Committee on Trauma (COT). Approximately 2000 multiply injured patients are admitted annually to the Center and are cared for by a fully-staffed infrastructure which is certified through the North Carolina Office of Emergency Medical Services (OEMS). Patient care is overseen by ABS certified Trauma/Critical Care Specialists and is directed by the General Surgical Chief Resident with assistance from a senior resident and at least two junior residents.

The UNC Trauma System contributes to several central databases, including PreMIS and the State Trauma Registry. Trauma System protocol development and application, quality improvement initiatives, and database information are managed by a fully staffed team of specialty-trained Trauma Program Staff.

Teaching is a central mission of the Division. Medical students, residents, fellows, and nurses participate in regularly scheduled teaching rounds. In addition to weekly General Surgery Grand Rounds, the Critical Care Service maintains a weekly Critical Care Grand Rounds schedule and hosts a critical care-specific mortality and morbidity conference. The Multi-disciplinary Trauma Conference (MTC) facilitates discussion amongst trauma specialists in related medical and surgical fields.

The Trauma, Acute Care and Critical Care services function under the direction of Preston B. Rich, MD, MBA, FACS. Dr. Rich is also the Program Director of the Critical Care Fellowship Program.  Sean Montgomery, MD serves as the director of the SICU and the Associate Director of the Critical Care Fellowship. Elizabeth Dressen, MD, Anthony Charles, MD, MPH, FACS, Sasha Adams, MD, Daryhl Johnson, MD, Amy Rezak Alger, MD and Anthony A. Meyer, PhD, MD, actively participate in these programs.