Phone Call Helps Trauma Patients Headed to Hospital


Zachary Lutsky
Zachary Lutsky

Board certified in emergency medicine, Dr. Zachary Lutsky serves as an attending physician in the Emergency Department at Santa Clara Valley Medical Center. With experience in areas ranging from treating strokes to gunshot wounds, Zachary Lutsky, MD, knows the importance of managing trauma patients on their way to the emergency room.

Following a severe accident, as a patient is rushed to the hospital, the emergency medical services (EMS) team prepares for effective treatment by calling ahead to alert the hospital about the patient’s need for immediate care. This call can save valuable time by preparing the emergency room staff members who can set up any needed equipment or prepare for a blood transfusion or other critical procedure.

The EMS team must communicate to the hospital important information such as the patient’s age and gender, how the trauma happened, and what the injuries appear to be. It will also share vital signs, including pulse and blood pressure, to provide further context for treatment.

Studies have shown the critical importance of this phone call for providing effective trauma care, even with minimal time before arrival at the hospital.


Wellness Strategies for Emergency Medicine Residents

Zachary Lutsky
Zachary Lutsky

Emergency medicine physician Dr. Zachary Lutsky spent over a decade working at Cedars-Sinai Medical Center, one of the busiest Level 1 trauma centers in Los Angeles. Before joining the center, Dr. Zachary Lutsky completed his residency at Harbor-UCLA Medical Center.

Residents working in emergency departments are at elevated risk of burnout. It is crucial that residency programs emphasize wellness strategies as part of the residency program.

Sleep — Residencies in emergency medicine often require long shifts and an irregular schedule, which can negatively impact circadian rhythms. Experts suggest staggering shifts from 6 p.m. to 3 a.m. and 3 a.m. to 12 p.m., rather than scheduling residents to work through the night.

Stress Management — Residents must build up resilience to handle the stressful circumstances they work under. To support residents, the American Medical Student Association (AMSA) set up the online resource Medical Student Well-Being to help students create a personal wellness plan.

Balance — Separation between work and home life is essential to preventing burnout. Residents should spend at least one hour a day focusing on non-work-or-school-related activities and set aside time to be with family and friends.

Medical Emergencies – Strokes

Stroke pic

An emergency medicine physician, Zachary Lutsky, MD, has over a decade of experience in treating patients at a level-1 trauma center. While there, Dr. Zachary Lutsky dealt with such life-threatening medical events as strokes.

A stroke happens when blood vessels in the brain either become obstructed such that they cannot supply oxygen-rich blood to the brain or break open, resulting in bleeding in the brain. In either case, the blood isn’t getting where it needs to go, and without that blood, brain cells start to die.

Depending on the vessels impacted, strokes produce differing symptoms. For instance, strokes in the “right brain” may cause vision problems and paralysis affecting the body’s left side. A stroke in the “left brain” may cause paralysis on the body’s right side and speaking problems.

Although people may think of strokes as a brain disease, they’re often caused by health problems related to the circulatory system. Conditions like high blood pressure, high cholesterol, and heart disease raise the risk of having a stroke.

The Causes of Common Salivary Gland Infections


 Salivary Gland pic
Salivary Gland

An established Southern California emergency medicine practitioner, Zachary Lutsky, MD, has a dozen years of experience with Cedars-Sinai Medical Center. Experienced in a full range of conditions, Dr. Zachary Lutsky has assisted patients experiencing conditions of the ear, nose, and throat.

One area of the mouth susceptible to infections and other issues such as salivary stones is the salivary glands, which produce upwards of a quart of fluid on a daily basis. An essential lubricating fluid that allows swallowing, saliva also assists in digestion and safeguarding the teeth against bacteria.

Common bacterial infections include sialadenitis, which occurs when the duct of the parotid gland leading to the mouth becomes blocked. This is often associated with older people who have developed salivary stones, but may also impact infants in the weeks following birth. Characterized by a painful, pus-filled lump, the condition can also lead to high fever.

Another issue is viral infection, with flu and mumps resulting in swollen parotid glands on either side of the face. In cases of mumps, the “chipmunk cheek” swelling process is preceded by symptoms such as headache and fever, typically 48 hours prior. With early treatment a key to quick recovery, worrisome symptoms should be checked with a physician as soon as possible.