Acute Care & Trauma Surgery

Acute Care and Trauma Surgery team in front of Pegasus Medical transport helicopter.UVA’s Division of Trauma and Emergency General Surgery provides patient care services for traumatic injury in central Virginia. UVA is a Level I Trauma Center and functions as an entity within the Clinical Care Services of the UVA Health System.

The Adult Trauma Service admits approximately 1,100 severely injured patients per year.  The Pediatric Trauma Service admits approximately 175 patients between the ages of 0 – 17 per year.  There are approximately 1,900 injury admissions per year to the medical center. Under the direction of Jeffrey S. Young, M.D. and J. Forrest Calland, M.D., the service is covered by a Chief Surgical Resident, two Critical Care Residents (PGY 2), two Interns (PGY 1), and two Nurse Practitioners.  The service also cares for general surgical and critical care burn patients.

Faculty and Administration

Jeffrey S. Young, MD, MBA, FACS

Professor of Surgery
Chief, Acute Care Surgery Division
Medical Director, Surgery Specialty Service Line
Director, Trauma Center
Phone: (434) 982-3549 | Fax: (434) 924-2260 | jsy2b@virginia.edu

Administrative Assistant
Amy Bunts, CPC
asb2h@virginia.edu


J. Forrest Calland, MD, FACS

J. Forrest Calland, MD, FACS

Associate Professor of Surgery
Director, Surgical Critical Care Fellowship
Co-Director, Surgical Trauma Intensive Care Unit
Associate Medical Director, Trauma Center
Phone: (434) 982-4278 | Fax: (434) 924-2260 | jfc3t@virginia.edu

Administrative Assistant
Amy Bunts, CPC
asb2h@virginia.edu


Michael D. Williams, MD, FACS

Michael D. Williams, MD, FACS

Associate Professor of Surgery
Director of the UVA Center for Health Policy;
The Frank Batten School of Leadership and Public Policy
Associate Chief Medical Officer for Clinical Integration
Phone: (434) 982-6077 | Fax: (434) 924-2260 | mdw9g@virginia.edu

Administrative Assistant
Tonya Jordan
tdj8g@virginia.edu


photo of carlos tache-leon, md

Carlos A. Tache-Leon, MD, FACS

Assistant Professor of Surgery
Phone: (434) 982-4411 | Fax: (434) 924-2260 | cat2n@virginia.edu

Administrative Assistant
Andrea Tucker
amt3s@virginia.edu


zequan yang, md

Zequan Yang, MD

Associate Professor of Surgery
Phone: (434) 982-4411 | Fax: (434) 924-2260 | zy6b@virginia.edu

Administrative Assistant
Andrea Tucker
amt3s@virginia.edu


Rudolph Rustin, MD

Rudolph Rustin, MD

Associate Professor of Surgery
Director, Emergency General Surgery
Phone: (434) 982-6077 | Fax: (434) 924-2260 | rr5jb@virginia.edu

Administrative Assistant
Tonya Jordan
tdj8g@virginia.edu


Photo of John Davis

John P. Davis, MD

Assistant Professor of Surgery
Phone: (434) 982-3549 | Fax: (434) 924-2260 |jd4rs@virginia.edujd4rs@virginia.edu

Administrative Assistant
Amy Bunts, CPC
asb2h@virginia.edu


NameContact
Kathy Butler, MSN, RN, TCRN
Trauma Program Manager
Pager: (434) 924-0000
kmb4r@virginia.edu
Shannon Critzer, BA
Admin Assistant/Data Specialist
Office: 434-928-5566
Valerie Quick, MSN, RN, EMT-I
Clinical Program Coordinator - PIPS
Office: 434-982-3420
valquick@virginia.edu
Liz Cochran
Injury Prevention Coordinator
434-409-5849
cec6mk@virginia.edu
Michelle Pomphrey, MLT, RN, CSTR
RN Administrative Coordinator - Trauma Registry
Office: 434-243-4858
mld6e@virginia.edu
Sera Downing, BS
RN Administrative Coordinator - Trauma Registry
Office: 434-924-1770
sld4y@virginia.edu
Donna Johansen
Data Specialist
Office: 434-924-1770

Pegasus (In Virginia)
1-800-552-1826

Pegasus (Outside of Virginia)
1-800-882-4354

UVA Emergency Dept.
434-924-0211

Trauma Service Office
434-924-1770

Jeffrey Young, MD
Trauma Director  434-982-3549

Trauma Chief Resident
434-924-0211 (page chief or beeper #1560)

Trauma Statistics and Catchment Area
StatisticsMarch 1, 2017 – February 28, 2018
Total Injury Related Admissions1,685
Blunt Trauma94.30%
Penetrating Trauma4.99%
Thermal0.71%
Trauma Mortality5.10%
Interfacility Transfers700
Trauma Admissions 65 or greater655
Adult Trauma Service Admissions954
Pediatric Admissions103
Direct Admits22
Total Trauma Activations1,128
Total Injury Admissions ISS 0-9948
Total Injury Admissions ISS 10-15332
Total Injury Admissions ISS 16-24264
Total Injury Admissions ISS = 25 or Greater115
ED to OR Admissions146
ED to ICU Admissions4,247
Total Trauma Activations1,128
Highest Trauma Response Activations192
Intermediate Trauma Response Activations386
Lowest Trauma Response Activations550

The UVA Trauma Service serves central Virginia, and certain areas of eastern West Virginia.

Counties in the primary service area (for ground and air transport) include:

  • Albemarle
  • Louisa
  • Orange
  • Fluvanna
  • Nelson
  • Buckingham
  • Greene
  • Madison
  • Augusta

Counties in the secondary service area (usually Pegasus transport) include:

  • Page
  • Rockingham
  • Amherst
  • Culpeper
  • Spotsylvania
  • Goochland
  • Appomatox
  • Rockbridge
Other Services

The Nutrition Support service at the University of Virginia for surgical patients has a long history of managing very complicated patients.   The nutrition support specialists include a very experienced group of dedicated Registered Dietitians, including Kate Willcutts, Kelly O’Donnell, Amy Berry, Theresa Fessler, and Christie Moulder.  The most common patients that we see include patients with gastrointestinal failure, fistulae, and critical illness.  Unique strengths of the program include the nutritional management of patients in the intensive care unit with highly specialized needs, as well as those with complicated gastrointestinal tract disease.  The service is also very involved with the bariatric/weight loss surgery program that is headed by Dr. Bruce Schirmer.  New efforts from this group include more efficient ways to deliver appropriate nutrition to all patients on the surgical services.

This is an exciting period for efforts designed to keep the patient safe during their hospital stay.  If there was always an attending surgical intensivist available to be at the bedside of every patient at all times then no such technology would be necessary.  Acknowledging that expert computer systems can possibly watch for dangerous patters of physiologic decompensation may make it possible to alert clinicians when things go awry.  Algorithms are designed with specific clinical decompensation scenarios in mind and are capable of determining which patients will have respiratory decompensation, hemorrhage, or sepsis over the following 24 hour period.  Our group has the most experience and capability of any center in the world in this area.  This is likely due to the successful collaboration of mathematician, physicists, architects, surgeons, intensivists, and data specialists.  The era of big data has arrived and it will be used to save the lives of inpatients at the University of Virginia using this technology for years to come.

In general surgery, the University of Virginia is the only hospital to provide robotic-assisted abdominal operations in central, western and southern Virginia. The EGS Division offers robotic-assisted laparoscopic operations to treat hiatal hernia and severe gastric reflux disease (Nissen operation), gallbladder surgery, ventral hernia and inguinal hernia repairs. The single port surgery for cholecystectomy reduces 4 small incisions to one small incision. Robotic-assisted laparoscopic hernia repair benefits patients by reducing postoperative pain and shortened recovery time. The robotic system provides surgeons with 3D views and makes difficult procedures less complicated.

We have embarked on a new era of remote access for patients to the specialty care at the University of Virginia.  We have established relations over time with clinics at great distance who refer patients to our division and are now very excited to offer them the ability to interact with a UVA surgeon without having to travel.  Patients will be able to see their surgeon, meet their surgeon, and ask any question they would as if they were in a face-to-face encounter.  Patients who live at great distance however will not be faced with as many as four trips to the Medical Center or Grounds.  In the new system, the patients will go to their local primary care provider and undergo an exam by clinicians at that site while being viewed and interacting with faculty within our division.  Faculty members will be able to solicit physical exam findings and other data in a high fidelity, high resolution audio-visual format.  It is expected that we will save patients hours of travel time as well as many, many miles.

The Division of Acute Care Surgery and Outcomes Research is engaged in a 7 year initiative to train the next generation of educators in Sub-Saharan Africa. We have three surgeons that work overseas full time in dedicated positions that serve to support residencies and partnership with local surgeons. To date the number of residents in Rwanda has doubled and we are on track for a successful accomplishment of program goals. Never before has a program like this been carried out with local leaders in control of the budgetary process. Likewise there has never been any similar program that focuses on long term mentorship rather than short term relief. Stay tuned for details as monitoring and evaluation efforts continue to assess what we are accomplishing.

The trauma service has worked with the Department of System Engineering for several years examining the flow of information during critical events. This has resulted in several presentations and manuscripts at scientific meetings.

This has also led to the development of a secure radio communication system for the trauma service, which is currently being piloted.

Our goal for these projects is to improve safety, increase situational awareness, and improve information flow in situations where time is critical and where lives are on the line.

The program has also sponsored 2-3 medical students each summer in the Medical Student Summer Research Program to work on research projects related to trauma, critical care, system engineering, and critical communications.

We also have collaborated with emergency medical services, and emergency management in these projects, and hope to develop processes that will allow us to become aware of critical patients in our geographic area earlier so we can optimize their treatment.