Clinical Care

Remarkable Patient Care

Clinical CareAt the BerbeeWalsh Emergency Departments, we pride ourselves on continuously providing the highest quality of emergency care for our patients. Given Madison’s excellent access to primary care, our emergency departments (EDs) care for the highest acuity patients presenting along the full spectrum of illness and injury. Providing patient and family-centered care in every decision, we put our patients first by focusing on their unique medical and emotional needs. We are fortunate to work alongside an excellent team of skilled and compassionate nurses, techs, social workers, pharmacists, respiratory therapists, case managers, and care coordinators who are similarly dedicated to providing the highest quality of care.

In an effort to provide exemplary care, all clinical care is reviewed through our quality improvement programs. This includes a robust peer review process with monthly M&M conferences, as we strive to continually improve the care we provide.

The BerbeeWalsh Department of Emergency Medicine is proud of the care we provide our patients, and on behalf of the department, I encourage you to explore more.

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Ciara Barclay-Buchanan, MD
Vice Chair of Clinical Operations
cbb@medicine.wisc.edu

Where We Work: Clinical Sites & Services

University Hospital

UW Hospitals and ClinicsUniversity Hospital (UH) is the 505-bed flagship hospital for UW Health and one of only two comprehensive Level 1 trauma and burn centers (adult and pediatric) in the state. The 505-bed hospital is one of just 25 U.S. hospitals named to Newsweek’s “Top 100 Global” hospitals list.

The 41,000 square-foot ED is designed to meet the critical medical needs of roughly 65,000 patients each year. The ED has 47 traditional adult ED beds, a 10-bed EM-led Clinical Decision Unit (CDU), a three-bed Multiple Purpose Procedure (MPP) area, and a six-bed Flexible Care Area (FCA) including a four-bed fast track treatment space and two physician-in-triage/intake rooms termed CareSTART (Safe and Timely Assessment and Rapid Treatment). We are also fortunate to have 24/7 pharmacists and social workers in our department.

Our critical care faculty also clinically staff University Hospital’s state-of-the-art, 18-bed intensive care unit plumbed for multimodality monitoring and eICU cameras. 

Our dedicated 11-bed pediatric emergency department is affiliated with the American Family Children’s Hospital and is staffed by seven physicians who are board certified in pediatric emergency medicine, as well as a team of dedicated pediatric nurses, pediatric respiratory therapists, and child life specialists. The 14,000 patients treated here annually account for 22% of total patients seen at the UH ED, and pediatric patients requiring hospitalization are admitted directly to the American Family Children’s Hospital.

East Madison Hospital

UW Health East Madison Hospital

One of the most advanced wellness centers in the country with full medical/surgical inpatient services, UW Health East Madison Hospital on the east side of Madison is adjacent to a planned $255 million expanded hub for specialty care.

Our faculty, residents, and advanced practice providers provide care to a diverse group of patients in this community setting where services and specialties available continue to expand. The 16-bed emergency department cares for approximately 20,000 adult and pediatric patients annually, and our faculty also provide medical direction for a newly opened ICU.

U.S. News & World Report ranked the University of Wisconsin Hospitals and Clinics (which include University Hospital and East Madison Hospital) No. 1 in the state for the last ten years in a row.

Veterans Hospital and Beloit Memorial Hospital

As one of the nation’s distinguished five-star VA medical centers, the William S. Middleton Memorial Veterans Hospital is an 87-bed acute care facility providing tertiary care to 130,000 veterans across Wisconsin and northern Illinois. It also includes one of the few heart, lung, kidney, and liver transplant and LVAD programs within the VA. The Madison VA is physically contiguous with University Hospital and houses an 11-bed ED that provides care to 16,000 adult patients annually and is accredited as a Level 3 Geriatric Emergency Department by the American College of Emergency Physicians. Our faculty provide 12 hours of attending physician coverage daily.

A busy Level III trauma center that is part of the Beloit Health System, Beloit Memorial Hospital is an 111-bed community hospital and 26-bed ED is located 45 miles south of Madison on the Wisconsin/Illinois border. The ED cares for approximately 36,000 patients annually. This hospital hosts our residents during their PG2 and PG3 years and provides a clinical home for our fellows to grow as independent providers.

Prehospital Services

Our Prehospital division includes active EMS, critical care transport, and HEMS programs. Our EMS board-certified/eligible faculty provide medical direction and education throughout Dane County. Our Med Flight program is unique as Emergency Medicine physicians are core members of the team, caring for critically ill and injured adult, pediatric, and neonatal patients across a large catchment area via air and ground transport.

Extracorporeal Cardiopulmonary Resuscitation (ECPR)

Available at the BerbeeWalsh Emergency Department at University Hospital and on UW Med Flight, extracorporeal membrane oxygenation (ECMO) is a method of life support that uses a cardiopulmonary bypass machine to temporarily assume the work of the heart and lungs in cases of extreme cardiac or respiratory failure. It is a life-saving option for patients who have not responded to other respiratory therapies.

Established in 2019, the UW ECPR program has been tremendously successful⁠—the neurologically intact survival rate for out-of-hospital cardiac arrest (OHCA) victims receiving ECPR at UW is 36.3%, compared to the national average of 8.1% for conventional CPR (CCPR). In 2020, UW was awarded the prestigious ELSO Center of Excellence Gold Award. This award recognizes our exceptional commitment to evidence-based processes and quality measures, specialized equipment and supplies, advanced education of all staff members, patient satisfaction, and ongoing clinical care and education.

Learn how we are collaborating with first responder agencies to help them recognize when an adult or pediatric patient may need ECMO therapy.

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BerbeeWalsh Department of Emergency Medicine         UW Health