A modern and advanced Level I facility, the Department of Emergency Medicine is located at Saint Marys Hospital, part of Mayo Clinic. The department provides emergency care to more than 80,000 patients each year.
The vast majority of Emergency Department patients come from Olmsted County, Minnesota — for which Rochester is the county seat — and the six adjacent counties. Of the annual Emergency Department visits, 20,000 on average are pediatric patients. The level of activity is high, with approximately 10 percent of patients admitted to an intensive care unit.
The majority of emergency medicine resident time is spent at Saint Marys Hospital, a 1,265-bed facility that is connected to the downtown Mayo Clinic campus by a convenient shuttle bus service. A pediatric hospital is also located on the Saint Marys campus.
Most patients seen in the Emergency Department are admitted to Saint Marys Hospital, where most of the receiving services are located. There are a few exceptions, including the obstetrics and gynecology, hematology/oncology, and transplantation services, which are located in or adjacent to Rochester Methodist Hospital, part of the downtown Mayo Clinic campus.
Patient care areas
The Department of Emergency Medicine is a 51-bed facility divided into five main patient care areas: critical, acute care, pediatrics, acute psychiatry and the observation unit.
Equipment in the department is state-of-the-art and includes a slit lamp, nasopharyngoscope, advanced cardiovascular monitoring capabilities and highly advanced airway equipment.
Two ultrasound machines, with capabilities to digitally store scanned images, are located in the Emergency Department. A third hand-held ultrasound machine is also available for use. Radiology is adjacent to the treatment areas and touts complete X-ray, ultrasound, CT scan, MRI and invasive radiological capabilities.
Access to the department is via an enclosed, heated drop-off garage for ambulances and patients. The helipad is located in a secured area on the roof of Saint Marys Hospital.
Respiratory therapists are present 24 hours a day in the department, which also has a full-time social worker who assists with patient care.
The critical area is a 12-bed unit where all critically ill and injured patients are roomed. Each patient stretcher is equipped with cardiovascular monitoring and a defibrillator. Computers sit at each bedside, allowing easy access to computerized medical records and online resources. Surgical lighting makes each patient bay operating-room-ready. A decontamination room exists adjacent to the critical area and immediately next to the ambulance bay.
The two acute care areas have 20 patient rooms for the evaluation of noncritical patients. Additionally, a separate ophthalmology evaluation area is fully stocked with state-of-the-art equipment. The 10-bed observation unit affords residents ample opportunity to learn observational emergency medicine.
A new pediatric emergency department opened in 2001. Attached to the adult emergency department, it is an eight-bed area with the ability to expand to 16 beds during busy evening hours. Beautifully designed, it helps children feel welcome, safe and at home.
Expansion and renovation: Building for our patients
Architect's rendering of the expanded and renovated Emergency Department entrance
The Department of Emergency Medicine staff is eagerly looking forward to the expansion and renovation of the department. Construction of this new facility began in April 2013.
The Emergency Department will increase its footprint from its current 33,000 square feet to 55,000 square feet. The expanded department will grow to 75 patient care rooms, accommodate more than 90,000 annual patient visits, and be daily surge ready and disaster ready.
Highlighted features of the new facility include:
- A universal room construct
- Three dedicated adult resuscitation rooms and one dedicated pediatric resuscitation room
- A specialized behavioral health area
- In-department X-ray and laboratory services
- An internal results waiting area (sub-waiting area)
- Enhanced decontamination capability
- A staging area that will allow for flexibility in patient evaluation and care
Nine phases of construction will occur over a two-year period, with completion anticipated in January 2015. Questions about this project can be directed to Eric T. Boie, M.D., or Martin E. Wolfe, M.D.