For more than two decades, Dr. Zachary Lutsky has practiced emergency medicine as an attending physician. Dr. Zachary Lutsky has delivered timely care to patients suffering from acute traumatic injuries, including severe burns.
Burns caused by heat, chemicals, or the sun vary in degrees of severity. First-degree burns affect the outermost layer of the skin and can be treated with first aid. However, when first-degree burns cover a large portion of the body, such as an intense sunburn, a trip to urgent care may be helpful.
Second- and third-degree burns are far more serious and always require medical attention. In a second-degree burn, a deeper layer of skin is burned, leaving large, weeping blisters. Second-degree burns are especially dangerous if they cover more than 10 percent of the body or if they appear in sensitive areas, such as the face, groin, and hands.
A third-degree burn of any size, due to the extensive tissue damage, should be treated as an emergency. Third-degree burns can make the skin appear brown or charred and are often painless because of nerve damage.
Dr. Zachary Lutsky served as an attending physician in the emergency department at Cedars-Sinai Medical Center, Los Angeles, for 11 years. Over his tenure at the Level 1 trauma center, Dr. Zachary Lutsky treated patients with a variety of serious injuries.
Though the meaning of the designation “Level 1” can vary from state to state, certain characteristics are common nationwide. Level 1 means that the facility offers trauma patients the highest level of surgical care. A Level 1 trauma center can usually care for patients with any type of injury and can provide the full range of support services, including those related to rehabilitation and trauma prevention.
Sometimes, different parts of a facility will have different designations. A facility may, for instance, be a Level 1 trauma center for pediatrics and a Level 2 center for adults.
Patients can expect a Level 1 trauma facility to deliver care on a 24-hour basis. Moreover, that care may be general or specialized. For example, procedures may be aided by specialists like plastic surgeons, anesthesiologists, cardiologists, radiologists, and other professionals.
Dr. Zachary Lutsky is a respected physician in Southern California who has extensive experience in meeting the needs of trauma patients. Among Dr. Zachary Lutsky’s areas of expertise are emergency medicine and he also has a particular interest in flu epidemics.
An article published in Science last year drew attention to the way in which the flu has adapted in recent decades in dense urban areas of the United States. In normal situations, the flu only occurs in cold and dry seasons, as the virus is often spread via coughing or sneezing and cannot survive long in warmer, more humid environments.
Researchers recently found that, with more and more people living in close proximity, natural flu regulation has stopped functioning as it once did. When the virus only needs to journey a few inches to the next person, it never loses the ability to spread, even during hotter months. At the same time, seasonal winter spikes are not as severe or widespread, because more people have encountered and successfully fought off the virus.
What the study points to is a need to reshape health workers’ strategies for controlling the flu in areas where it persists year round.
Dr. Zachary Lutsky serves the public as a board-certified emergency room physician. Most recently in practice at Santa Clara Valley Medical Center, Dr. Zachary Lutsky applied an in-depth knowledge of shock and its treatment.
Shock is a life-threatening medical condition in which the blood pressure drops so low that vital organs do not receive sufficient oxygen. There are a number of types of shock, each of which has a different root cause.
Anaphylactic shock, for example, results from an allergic reaction. It occurs when exposure to an allergen activates an excessive immune response that causes a tightening of the airways, a change in heart rhythm, and swelling of the facial tissues.
Cardiogenic shock occurs due to severe heart damage, most often from a heart attack or other serious cardiac condition. This can cause a number of structural or functional abnormalities, such as paralysis or tears in the heart muscle, and prevent the heart from pumping enough blood.
Hypovolemic shock follows a similar process in that excessive blood or fluid loss leaves the heart incapable of pumping properly. Septic shock, on the other hand, develops due to an inflammatory response associated with the toxins of a systemic infection, while neurogenic shock arises as a result of injury or trauma to the spinal cord.
Any case of shock constitutes a medical emergency. Without the delivery of fluids to raise blood pressure and treatment targeted at the cause of shock, the patient can go into organ failure and die.