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Winter 2013

Trauma team adds new faces

Le Bonheur’s trauma team has added new members. The newest additions include:
Trauma Coordinator Justin Brewer, RN, MSN, CPEN
Justin Brewer, RN, MSN, CPEN, first joined Le Bonheur in 2002 as a charge nurse in the Emergency Department. He became part of the Nursing Administration team last year and will now serve as a trauma coordinator. Brewer received a Master of Science in Nursing-Administration degree from Chamberlain College of Nursing. He is currently working on a master’s degree in business administration.

General Surgeon Regan Williams, MD
Regan F. Williams, MD, is a Tennessee native who grew up in Clarksville, Tenn.  She received her undergraduate degree from Austin Peay State University in biology and chemistry and medical training at the University of Tennessee Health Science Center. Williams completed her general surgery training in Memphis, during which time she participated in two years of research at St. Jude Children’s Research Hospital in the laboratory of Andrew Davidoff.  She finished her training in pediatric surgery at Le Bonheur Children’s Hospital in 2013 and joined UT Le Bonheur Pediatric Specialists this year.

General Surgeon Tim Jancelewicz, MD
Tim Jancelewicz, MD, comes to Le Bonheur from Ontario, Canada, where he recently completed a fellowship in pediatric surgery at The Hospital for Sick Children in Toronto. Jancelewicz graduated from Columbia University College of Physicians and Surgeons in New York City and completed his general surgery training at the University of California, San Francisco. He will serve as assistant professor of Surgery and Pediatrics at Le Bonheur Children's Hospital and the University of Tennessee Health Science Center.

Trauma Registrar Mary “Becky” Riddles
Mary “Becky” Riddles has served as a clinic assistant to the Pediatric Surgery group since 2011.  She has recently joined to the Trauma Department as a trauma registrar, bringing 15 years of clinical pediatric experience.  She is a National Certified Medical Assistant (NCMA) and has experience in coding as well.

Study reviews child abuse, duodenal injuries association

Duodenal, or intestinal, injuries can occur in children for a number of reasons, including motor vehicle accidents, sports injuries, ATV accidents, bike accidents, and non-accidental trauma.  A recent 20-year retrospective study by the ATOMAC group, which includes Le Bonheur and five other free-standing children’s hospitals, found a disturbing trend among the youngest patients sustaining duodenal injury. The study is published in the Journal of Trauma and Acute Care Surgery (January 2013, Vol 74, No 1).  

Looking at patients younger than 5 years old, reviewers found 32 children with duodenal injuries out of 21,542 total trauma admissions.  Interestingly, 62.5 percent of the injured patients were victims of non-accidental trauma. Even more telling was that 100 percent of children younger than age 2 were victims of non-accidental trauma. 

The authors concluded that duodenal injuries in the very young pediatric trauma patient are rare.  However, when they occur, patients must undergo a child abuse work up, especially if younger than 2 years.  One of the reviewers, Dr. Barbara Gaines commented, “Stated more bluntly, unless that child is known to have been in a motor vehicle crash, they probably were abused.”

Le Bonheur opens new Pediatric Surgery Trauma Clinic

Le Bonheur’s Pediatric Surgery Trauma Clinic opened in August and sees trauma and burn patients for follow-ups, as well as initial burn evaluations. Led by a pediatric trauma surgeon, the clinic includes trauma nurse practitioners, physical therapy and outpatient clinic staff. The clinic is open on Wednesdays from 12:15 - 4 p.m.

”Clinic has been a great success thus far. We are striving to be better in the future by decreasing patient wait times, increasing physician/patient interaction time and implementing safety awareness and education to our patients and families. We are proud of all those who dedicated themselves to getting the clinic up and running in an effort to continue improving the care of injured children in our tri-state area,” said Anissa Revels, program manager for Trauma.
Copyright © 2013 Le Bonheur Children's Hospital, All rights reserved.

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