Our Services Anesthesiology Asthma (Adult) Asthma (Pediatric) Cardiology Child Study Center Dentistry Diabetes (Adult) Diabetes (Pediatric) Ear, Nose & Throat Emergency Services Family Medicine Gastroenterology Hematology & Oncology Infectious Diseases Internal Medicine Medical Education Neonatology Neurosurgery Women's Health Ophthalmology Orthopaedics Pediatrics Physical Medicine Psychiatry Radiology Rehabilitation Special Care Center Surgery Urology-Men's Health Emergency Medicine Successfully Responding to Crisis Situations Dr. John Coffey, Chairman, Emergency Medicine (center), Dr. Stacy Nunberg, Vice Chair, Emergency Medicine, and Dr. Elan Levy, Attending, ER, discussing patient report. Under the leadership of Dr. John Coffey, Chairman, Emergency Medicine, Bronx-Lebanon’s Emergency Department (ED) has become one of the best and busiest in the New York metropolitan area, with 137,000 patient visits annually. “Our highly experienced physicians, nurses, and support staff are experts in successfully responding to and treating all adult and pediatric medical and surgical conditions, as well as mental health problems,” stated Dr. Coffey. As a direct result of the continuing demand for emergency services, Bronx-Lebanon has increased its ED capacity to include a new EMS intake area, nursing workstation, and expanded stretcher bays. Four additional code room beds are also in place. “We are proud of our life-saving efforts, successful patient outcomes, and the high quality emergency care we deliver to our community. We are grateful for the recognition and trust that our community and EMS have placed in us.” - Dr. John Coffey, Chairman, Emergency Medicine. An Advanced Cardiac Life Support (ACLS) EMS ambulance was added to the existing fleet. As a result, Bronx-Lebanon’s ED is experiencing higher patient volume, as well as significant increases in the severity of illnesses treated, including more patients in the advanced stages of complicated conditions, such as heart disease, hypertension, asthma, and diabetes. These patients often require extensive medical workups, transfer to the OR for surgical intervention, or admission. Frequently, such patients require continuing care in the Intensive Care Units by the Division of Critical Care, or close monitoring in the Observation area. ER Attending Physicians (LtoR): Dr. John Magnan, Dr. Arshanoush Ahmadi, and Dr. Craig Mochson, caring for patient in trauma area. Critically ill patients with life-threatening conditions are immediately treated in Bronx-Lebanon’s state-of-the-art code and trauma rooms. There, the staff perform cardiac monitoring and pacing, defibrillation, intubation, and mechanical ventilation, as well as administer intravenous medications. Bronx-Lebanon’s 911 designation as a Stroke Center is helping patients suffering from a possible stroke obtain immediate care in the ED, and receive the vital medications necessary. The staff of its dedicated adult and pediatric asthma rooms are also addressing the high incidence of this disease in the Bronx. As a New York State designated Heart Attack Percutaneous Coronary Intervention (PCI) Treatment Center, Bronx-Lebanon’s ED is successfully responding to this most serious problem. It utilizes cutting edge technology to treat heart attacks by opening blocked coronary arteries. This lifesaving treatment is being performed thanks to the Emergency Department’s close collaboration with the Department of Medicine and its Division of Cardiology. Dr. Charles Martinez, Medical Director, EMS (second from right) and ER team members (LtoR): Tina Burnham, PCT, Dr. Walid Zaza, Attending, and Abiba Cisse, PCT, responding to patient emergency. Dr. Roy M. Vega, Director, Pediatric Emergency Department, attending to pateint. In the pediatric area, Dr. Roy Vega, Director, Pediatric Emergency Department and his team are diagnosing and treating all types of conditions in children. “Families in the Bronx can take comfort in knowing that we will provide their children with superior emergency care,” stated Dr. Vega. Bronx-Lebanon receives ED cases through the Fire Department of New York’s 911 system, and also operates six ambulances, including four basic life support and two advanced life support vehicles. These ambulances provide vital assistance to the community in emergency related situations. “We have a strong working relationship with the FDNY and NYPD. They depend on us and have total confidence in our ability to respond to any kind of trauma or life-threatening emergency,” stated Dr. Charles Martinez, Medical Director, EMS. For those individuals or families with mental health emergencies, Bronx-Lebanon’s Comprehensive Psychiatric Emergency Program (CPEP) is responding to the challenge. Its staff, including a special Mobile Crisis team, is stabilizing and resolving emotional crisis situations. The ED staff also works closely with the hospital’s Managed Care Department and managed care providers (PCPs) to expedite the referral process. When ER patients are discharged, Community Physician Liasons (CPLs) take on a vital role as the communications link with PCPs, as well as in arranging for appropriate follow-up, including referral to the hospital’s BronxCare outpatient network. “As busy as the ER can become, the staff makes every effort to attend to the needs of our patients,” stated Dr. Stacy Nunberg, Vice Chair, Emergency Medicine. ER patients have available to them the most advanced radiology services, including diagnostic films, sonography, CT scans, and magnetic resonance imaging. Consulting physicians from other specialty areas at Bronx-Lebanon are called in to provide the most comprehensive care whenever necessary. Additionally, the ER is fully computerized, an important tool in monitoring and tracking patients through the course of their Emergency Department stay. Dr. Elizabeth Tillem, Emergency Management Medical Director, attending to ER patient. Dr. Stacy Nunberg, Associate Medical Director, ER checking the heartbeat of patient. ““We are proud of our life-saving efforts, successful patient outcomes, and the high quality emergency care we deliver to our community. We are grateful for the recognition and trust that our community and EMS have placed in us.” - Dr. John Coffey, Chairman, Emergency Medicine For those individuals or families with mental health emergencies, Bronx-Lebanon’s Comprehensive Psychiatric Emergency Program (CPEP) is responding to the challenge. Its staff, including a special Mobile Crisis team, is stabilizing and resolving emotional crisis situations. Once ER patients are treated and discharged, referrals are made to the hospital’s BronxCare outpatient network or to their private physician in the community for appropriate follow-up. The ER staff also works closely with the hospital’s Managed Care Department and Managed Care providers to expedite the referral process. “As busy as the ER can become, the staff makes every effort to attend to the needs of our patients,” stated Dr. Stacy Nunberg, Associate Medical Director, ER. ER patients have available to them state-of-the-art radiology services, including magnetic resonance imaging, PET, and CT scans. Consulting physicians from other specialty areas at Bronx-Lebanon are often called in to provide the most comprehensive care. Additionally, the ER is fully computerized, an important benefit in monitoring and tracking patients through the course of their Emergency Department stay.