

Talk it out with friends and family to integrate the trauma into our life story?.Bury the pain and move on, the heart a little more closed than before?.

It can be interesting to observe how we respond to them. We experience what I like to call ‘mini traumas’ throughout life. Over time this has been shown to affect the brain, especially the prefrontal cortex, amygdala, and hippocampus. It might come without warning, so we are always hypervigilant even when nothing stressful is occurring. With a shock trauma, because it was a one-off event, there is time after the shock to integrate what happened, receive counseling or therapy, be supported by friends and family, and return to a feeling of safety gradually. For some, this develops into depression and what has been called PTSD. When we have experienced a shock trauma, psychological distress in the form of emotional pain, anxiety, anger, and sleep issues are common for two weeks after the event (PHOENIX, 2019). Our ability to recover from trauma depends partly on the KIND of trauma we have experienced. The floorplan aids patient flow by interfacing with existing facilities providing critical and post-surgical care.You might be surprised to know there are different kinds of trauma. The Tower features 10 operating rooms, a family and visitors’ lounge, and 64 new and replacement critical care beds strategically located to respond to increased patient intake. The new landing pad increases the center’s capacity for air medical transport patients to four – providing a lifesaving alternative to traditional ground transportation. One of the most notable additions to the care network is a second, specially-designed helipad for Medevac and Maryland ExpressCare helicopters. The R Adams Cowley complex is named for the theory’s pioneer and founder of the UMMC shock trauma program.Īs a key component in Maryland’s shock trauma infrastructure, Shock Trauma Critical Care Tower is designed to minimize inefficiencies in patient transport and care. Swift medical attention is one of the many variables influencing a trauma patient’s outcome in fact, the concept of a “golden hour” in medical intervention has shaped trauma care for decades. Supporting this volume, a transparent atrium juxtaposed with a contextually responsive limestone base becomes the public face for the nation’s foremost trauma hospital and an important new entry for the larger institution.

To counter this resulting bulk, the primary patient spaces are elevated as a glass and terra cotta volume whose luminous, layered facades provide privacy, reduce solar heat gain, and allow natural light to permeate the interior. The design solution cantilevers the west façade above a University street, allowing for important, additional building area within the upper footprints. The challenge was to bring light, air, and amenities to the hospital’s most demanding spaces housing its most critically ill patients, despite height restrictions and site limitations on the last contiguous parcel of land at this Baltimore institution. Original facilities were designed to handle only a third of current patient volume therefore, maximization of program in the expansion was of utmost importance. An infill project for a dense, urban medical campus, this expansion dramatically increased inpatient capacity for the R Adams Cowley Shock Trauma Center and the adjacent emergency and general surgery departments.
