Critical Care Resuscitation Unit
For Urgent Referrals to the CCRU, please visit umm.edu/referral
Daniel Haase, MD, Medical Director, CCRU
The Critical Care Resuscitation Unit – the CCRU – is a novel resuscitation unit for critically ill non-trauma adult patients who are transferred from outside hospitals in need of specialty care at the University of Maryland Medical Center (UMMC). The CCRU, located in the Shock Trauma Critical Care Tower of the R Adams Cowley Shock Trauma Center, is staffed 24/7 with experienced critical care attending physicians, advanced practice providers, critical care registered nurses, registered respiratory therapists, EMT-B certified technicians and unit secretaries.
The CCRU is modeled after the highly-effective Shock Trauma Resuscitation Unit and is designed to: collaborate with referring facilities and pre-hospital transport providers; facilitate prompt transfer of patients requiring specialized care to UMMC; and deliver immediate resuscitation to patients with time-sensitive emergencies. For more information visit our CCRU Fact Sheet.
On arrival, the CCRU is capable of advanced resuscitation, rapid initiation of invasive hemodynamic monitoring and complex supportive therapies including but not limited to:
- Veno-Venous and Veno-Arterial Extracorporeal Membrane Oxygenation (VV and VA ECMO) cannulation and management
- Massive Transfusion Events/Protocol (MTE/MTP)
- Intra-Aortic Balloon Counterpulsation (IABP) insertion and management
- Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) insertion
- External Ventricular Drain (EVD) insertion and management
- Continuous Renal Replacement Therapy (CRRT)
- Targeted temperature management using invasive and non-invasive devices
- Continuous Electroencephalographic (EEG) monitoring
- Temporary Transvenous Pacer insertion and management
- Bronchoscopy
- Esophageal Balloon Tamponade insertion and management
- Esophagogastroduodenoscopy (EGD)
When relevant, the CCRU's processes facilitate immediate access to diagnostic imaging, interventional radiology and operative theaters.
The CCRU attending physicians collaborate with UMMC sub-specialists through Maryland ExpressCare (MEC) to provide consultation and recommendations for patient management to referring physicians prior to patient transfer. In addition, the CCRU works closely with MEC to provide direct medical consultation to the transport teams en route to the CCRU. Utilizing the data provided by referring providers, nursing report and the transport teams, the CCRU prepares for patient arrival by using a strategic team approach to formulate a plan of care and prepare the resuscitation room for admission by ensuring all appropriate equipment and necessary therapies are available.
After initial resuscitation, diagnostic imaging, pertinent work-up, and/or emergent operative intervention, patients will be transferred to the appropriate specialty intensive care unit for ongoing care to allow the CCRU to remain admission ready.
The CCRU accepts adult patients with a wide array of non-traumatic critical and time-sensitive conditions, including but not limited to:
- Cardiac Emergencies
- Ascending Aortic Dissection
- Cardiogenic Shock
- Coronary Artery Disease
- Heart Failure
- Massive Pulmonary Embolism
- Acute Valvular Insufficiency
- Acute Viral Cardiomyopathy
- Vascular Emergencies
- Descending Aortic Dissection
- Ruptured Aortic Aneurysm
- Acute Mesenteric Ischemia
- Acute Limb Ischemia
- Emergency General Surgery
- Necrotizing Fasciitis and Fournier's Gangrene
- Hemorrhagic and Necrotizing Pancreatitis
- Intra-abdominal and Retroperitoneal Hemorrhage
- Abdominal Compartment Syndrome
- Esophageal Perforation
- Bowel Obstructions
- Pneumoperitoneum
- Neurologic Emergencies
- Aneurysmal Subarachnoid Hemorrhage
- Ischemic Stroke requiring Mechanical Thrombectomy
- Intracerebral Hemorrhage
- Status Epilepticus
- Space Occupying Lesions of the Brain
- Medical Emergencies
- Acute Respiratory Distress Syndrome
- Massive Gastrointestinal Bleeding
- Fulminant Hepatic Failure and Evaluation for Molecular Adsorbent Recirculating System Therapy (MARS®)
- Transplant Evaluation for Hepatic, Renal and Pulmonary Disease Processes
- Other Emergencies
- Toxicologic Emergencies such as Beta-Blocker or Calcium Channel Blocker Overdose
- Obstetric and Post-Partum Emergencies
- Severe Heat Stroke or Hypothermia
- Arterial Gas Embolism or other Hyperbaric Emergencies
The CCRU Physician Team Includes:
- Daniel Haase, MD
Medical Director
Associate Program Director, EM-SCC Fellowship
Assistant Professor of Emergency Medicine - Kevin Jones, MD, MPH
Assistant Professor of Emergency Medicine - Quincy Khoi Tran, MD, PhD
Assistant Professor of Emergency Medicine - Jeffrey Rea, MD
Assistant Professor of Emergency Medicine - Kim Boswell, MD
Assistant Professor of Emergency Medicine - Ashley Menne, MD
Assistant Professor of Emergency Medicine - Thomas M. Scalea, MD, FACS, MCCM
Physician in Chief, Shock Trauma Center
System Chief for Critical Care Services
University of Maryland Medical System
The Honorable Francis X. Kelly Distinguished Professor in Trauma
Director, Program in Trauma
University of Maryland School of Medicine
The Advanced Practice Provider Leadership Team:
- Brooke Andersen, CRNP
Clinical Program Manager for STC
Critical Care Advanced Practice Providers - Ann Matta, CRNP-BC
Senior Nurse Practitioner
Co-coordinator of UMMC NP Critical Care Fellowship
The Nurse Leadership Team Includes:
- Theresa DiNardo MSN, RN, CCRN
Nurse Manager - Kristen George, BS, BSN, MPH, RN, CCRN
Assistant Nurse Manager
Charge Nurses:
- Mary Ellen Dietrich, BSN, RN, CCRN
- Victor Giustina, BS, BSN, RN, CLNC
- Louie Lee, BSN, RN, CCRN, CEN, TCRN
- Kaitlyn Holland, BSN, RN, CCRN
- Emily Lenhart, BSN, RN, TCRN
For additional information, please send an email to: ContactCCRU@umm.edu.