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Region's Only Level II Trauma Center

logosMary Washington Hospital is a Level II Trauma Center in the State of Virginia and therefore a part of the network of trauma care in the Commonwealth of Virginia. We serve the Rappahannock Region (REMS), including the city of Fredericksburg, and Spotsylvania, Stafford, Caroline, King George, Fauquier, Culpeper, Orange, and Westmoreland counties.

As a Level II Trauma Center we initiate definitive care for all injured patients including 24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. Our patients with critical injuries are continually supported and cared for by highly experienced trauma care experts using the latest in life-saving equipment and technology.

Mary Washington Hospital Trauma Services Team manages injuries that occur from the following and more:

  • Motor vehicle crashes
  • Pedestrian injuries
  • Falls
  • Motorcycle crashes
  • Bicycle crashes
  • Sports injuries
  • Stab wounds

We provide comprehensive care, caring for you from initial injury through to your recovery. In certain situations, Mary Washington Hospital Trauma Center may need to send patients for specialized care when the injury involves significant burns, or involves children with complex injuries.

Our Team of Trauma Experts

The Trauma Center team includes surgeons who are board-certified in trauma and who have advanced training and certification in trauma and critical care. Our staff also includes registered nurses and technicians specializing in trauma injuries, radiologists, anesthesiologists, rehabilitation, respiratory therapists and specialists in neurosurgical, orthopedic, cardiac, and related fields.

The trauma center is staffed by in-hospital, board-certified trauma surgeons who are available 24/7 for immediate care who work under the guidance of an interim trauma director. Trauma care is delivered by a multidisciplinary team with advanced training and certification in trauma.

Our trauma team provides care in the following areas:

  • Emergency Departments
  • Radiology
  • Operating Rooms
  • Surgical Intensive Care Units
  • Laboratory
  • Physical Therapy and Rehabilitative Medicine
  • Respiratory
  • Surgical sub-specialists and other medical disciplines

Trauma Staff

Trauma Physicians

Trauma Advanced Practice Providers

Trauma Administration

  • Courtney Caton, MSN, RN, CEN, TCRN: Trauma Program Manager
  • Wendy Batkins, Angela Eckenrod, Ashley Cumberlidge, Danielle Kinsey: Trauma Registry Coordinators

Emergency Medical Services (EMS) Partnerships

Regional emergency medical services (EMS) partnerships for pre-hospital trauma care include Rappahannock EMS (REMS), air flight medical companies, area fire and safety agencies, and state and local law enforcement. These strategic partnerships play vital roles in supporting the infrastructure for our trauma center.

Trauma Injury and Prevention

At Mary Washington Healthcare, we’re committed to empowering individuals in our community. Our goal is to help everyone establish healthy habits and routines that promote safety and well-being. As part of this effort, we actively participate in injury prevention programs across Fredericksburg, Stafford, and the surrounding areas in Virginia. By educating our community about safety and wellness, we contribute to preventing injuries.

Fall Prevention for Children

Young children are more likely to get hurt from falling. Falls are a common reason why kids end up in the hospital, especially those under 4 years old.

Here are some important safety tips:

  1. Keep an eye on babies: Never leave babies alone on furniture like beds, tables, or sofas—even if they haven’t started rolling over yet. Instead, put them on the floor or in a crib with safe sides.
  2. Baby walkers aren’t safe: Baby walkers might seem fun, but they cause more injuries than anything else. They let little ones get to places where they could fall down stairs or other risky spots.
  3. Stairs and windows: Install gates at the top and bottom of stairs until kids can climb safely. Also, move chairs, cribs, and beds away from windows. Kids can quickly climb to window edges and fall—even from windows opened just a little bit.
  4. Secure windows: Use window guards or locks to keep children from falling out. Window screens aren’t strong enough. If you need fresh air, open the window from the top.
  5. Adjust the crib: As babies grow, lower the crib mattress. Stop using the crib when the top rails are less than 3/4 of the child’s height.
  6. Watch for slippery surfaces: Make sure rugs don’t slide by using something grippy underneath them.
  7. Choose safe play equipment: Pick playthings that are close to the ground and safe for small children.

Remember these tips to keep kids safe from falls!

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Playground Safety Tips

Every year, lots of kids end up in the emergency room because of playground accidents. We want you to stay safe, so here’s what you need to know:

  1. Supervision matters: Always keep an eye on kids to prevent pushing, shoving, and crowding around playground equipment.
  2. Age-appropriate play: Make sure kids play on equipment that’s right for their age. No monkey bars for little ones! Keep them away from equipment where they might fall from a height of six feet or more.
  3. Check the ground: Look at the surface under playground equipment. Avoid asphalt, concrete, grass, and soil. Good surfaces include hardwood fiber, mulch chips, pea gravel, fine sand, or shredded rubber—they can cushion falls.
  4. No drawstrings! Cut off hood and neck drawstrings from kids’ outerwear. These can get caught on slides and other playground equipment.
  5. Watch their heads: Kids shouldn’t play near spaces where their heads could get stuck, like openings in guardrails or between ladder rungs.
  6. Inspect equipment: Check playground equipment for safety. No loose bolts, sharp edges, or jagged points.
  7. Beware of hot metal: Before young kids play on metal equipment, feel it first. Metal gets super hot in the sun and can burn skin.
  8. Avoid hazards: Look out for broken glass, exposed concrete, or tree stumps around the playground.
  9. Stay sway from traffic: Fences or walls between the playground and the street keep kids safe from cars. Install playground equipment at least six feet away from fences, walls, or trees.

Remember, play is fun, but safety comes first!

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Bike and Skateboard Safety

Riding bikes and skateboards is awesome, but safety comes first! Here’s what you need to know:

  1. Bike Rules
    1. Bikes follow the same rules as cars. Ride on the right side of the road with traffic.
    2. Use hand signals to show when you’re turning.
    3. Respect traffic signals and stop signs.
    4. Always look left, right, and left again before crossing a street.
  2. Helmet Time!
    1. Whenever you ride a bike, scooter, or skateboard, wear a helmet.
    2. Make sure it fits just right: Sit it flat on your head, about two finger widths above your eyebrows. The side buckles should form a “V” under your ears. Buckle the chinstrap so only two fingers fit between your chin and the strap.
  3. Extra Gear: For scooters, skates, or skateboards, use wrist guards and elbow/knee pads.
  4. Helmet Check
    1. Look for a helmet with a special sticker saying it meets safety standards (CPSC).
    2. Check the date it was made; if it’s older than 5 years, get a new one.
    3. After any crash, replace your helmet – it did its job protecting you!

Stay safe out there!

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Water Safety Tips for Kids
  1. Supervision is key: Never leave a child alone near water. This includes bathtubs, pools, spas, toilets, and other water sources. Even a second of unsupervised time can be dangerous.
  2. Secure pool areas: Install a five-foot fence around your pool or spa. Make sure the gate is self-closing and out of a child’s reach. Keep fence openings no wider than four inches to prevent squeezing through.
  3. No flotation devices alone: Don’t rely solely on flotation devices or swimming lessons to protect your child. Active supervision is essential.
  4. Avoid night swimming: Swimming after dark increases the risk of accidents. Stick to daylight hours for water activities.
  5. Know the conditions: Be aware of local weather conditions before swimming or boating. Avoid muddy water, weak ice, and unknown areas.
  6. No diving in shallow water: Diving into shallow water can cause spinal injuries. Avoid diving in above-ground pools or areas with uncertain depths.
  7. Buddy up: Always swim or boat with a buddy. The buddy system enhances safety.
  8. Wear life jackets: Everyone, regardless of swimming ability, should wear Coast Guard-approved personal flotation devices during water-related activities.
  9. Stay sober: Avoid alcohol or drugs when participating in water activities.
  10. Designate a water watcher: Assign an adult to actively supervise children around water, even if a lifeguard is present.

Remember, these precautions can help prevent accidents and keep our kids safe around water!

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River Safety

Being safe when on or near a river is also very important. Unfortunately, most river drowning victims don’t make it to the hospital and the tragedy turns into a recovery mission instead of a rescue. Popular riverside parks are not always a safe place for swimming, and everyone should wear a personal flotation device when they are on or near a river. The river may look calm on the surface, but there are dangerous undercurrents tree branches underneath that cannot be seen. Also, shoreline rocks and logs can be extremely slippery.

For more information about staying safe near or on rivers, visit fredericksburgva.gov/786/River-Safety.

If someone is in trouble in the water, call 911 immediately.

Reach or Throw, Row, Don’t Go:

  • Reach: Use a fishing pole, towel, boat oar, etc.
  • Throw: A rope is best - you can then pull in the person. Otherwise throw something that will float - a ball, a plastic bottle, a lifebuoy. This will keep the person afloat until help comes.
  • Row: It's not safe to go near a swimmer with the boat motor running. Use the oars to bring the boat close enough to reach or throw.
  • Don't Go: Without expert training and experience in lifesaving techniques, you could put yourself in danger along with the person you are trying to help.

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Staying Safe Around School Buses and on Foot

Riding the school bus is really safe. But kids need to be careful when getting on and off because that’s when accidents can happen. Kids walking around are more likely to get hurt than others.

Bus Safety

  1. Hang out 10 feet from the road while waiting for your bus. That’s about as long as a big car or five steps.
  2. No horsing around at the bus stop.
  3. Wait until the bus stops moving before you get on.
  4. Hold onto the handrail so you don’t trip getting on or off.
  5. Don’t push when entering or leaving the bus.
  6. Keep away from the sides of the bus. This is called the “Danger Zone.”
  7. When crossing in front of the bus, make sure you can see the driver and they can see you. Never walk behind it!
  8. Before stepping onto the road, stop and look left, right, then left again to check for cars.
  9. If you drop something near the bus, tell your driver before picking it up so they know where you are.

Walking Safety

  1. Follow all traffic lights and signs like a pro.
  2. Always cross at street corners where there are signals or painted lines for walking across.
  3. Don’t dash out between parked cars or mid-block where cars aren’t expecting people to cross.
  4. Always double-check both ways before crossing: left, right, then left again.
  5. Stick to sidewalks whenever they’re there.
  6. If there’s no sidewalk, walk facing cars so you can see them coming.
  7. Keep your eyes peeled for cars all time time—they might not always see you!
  8. Hold hands with a grown-up in parking lots—it keeps everyone safe!
  9. Streets are no place for games—keep playtime away from traffic!

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Staying Safe Around Dogs

Each year in Virginia, kids end up in the emergency room due to dog bites. But don’t worry! You can avoid getting bitten by following these simple safety tips:

  1. Approach with caution: Don’t go near a dog you don’t know. Some dogs may feel scared or protective. When riding your bike or rollerblading, avoid getting too close to dogs. They might want to chase you.
  2. Stay calm and still: If a strange dog approaches you, stay calm. Don’t scream or run away. Be still like a tree. Avoid eye contact, and don’t turn and run. Back away slowly.
  3. If knocked over: Roll into a ball and lie still like a log. This helps prevent further harm.
  4. Ask permission to pet: Always ask the owner before petting a dog. Not all dogs like to be touched. Don’t play with a dog unless an adult is supervising.
  5. Report unusual behavior: If you see a stray dog or one acting strangely, tell an adult immediately. Avoid direct eye contact with the dog.
  6. Be respectful: Don’t bother a dog that’s sleeping, eating, or caring for puppies. Let the dog see and sniff you before petting.
  7. Before getting a dog: Consult with professionals to choose a suitable breed for your household. Never leave infants or young children alone with any dog.
  8. First aid for bites: Wash the wound thoroughly with soap and water. Seek medical attention right away. Report the bite to local authorities.

Remember, dogs are our friends, but safety always comes first!

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Home Fire Safety Tips

Every year, fires can cause serious harm. Here’s how to stay safe:

  1. Smoke alarms: Install smoke alarms on every floor of your home and test them each month.
  2. Heaters and stoves: Keep objects at least three feet away from heaters, stoves, and wood-burning devices. Turn off and unplug heaters when you’re not using them.
  3. Smoking safety: Use big ashtrays and wet cigarette butts before emptying them. Never smoke when you’re tired, lying down, or in bed.
  4. Cooking precautions: Wear tight sleeves while cooking and use oven mitts. Don’t leave pans unattended.
  5. Emergency response: Remember “STOP, DROP, and ROLL” if your clothes catch fire. For burns, cool them with water and seek medical help if they’re severe. Don’t use butter or grease on burns.
  6. Escape plan: Know two ways out of each room. Practice your fire escape plan. If there’s a fire, get out and call 911.

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Gun and Firearm Safety

Preventing firearm injuries is crucial. Here’s how:

  1. Safe storage: Keep firearms unloaded and securely locked using a safe, locked box, trigger lock, or chamber lock. Store ammunition separately from firearms.
  2. Risk reduction: If you have a family member who is depressed or suicidal, remove firearms from your home.
  3. Before sending your child to someone’s house: Ask if firearms in their home are stored unloaded and locked. Inquire about separate ammunition storage. Check if there are shotguns and rifles, not just handguns. If you’re unsure about another home’s safety, invite children to play at your place.
  4. Talk to your children: Discuss firearm risks in places they visit or play. Teach them to leave a firearm alone and immediately inform an adult if they find one. Instruct them to leave the room and tell an adult if another child shows them a weapon.

Open communication and safe practices can prevent firearm-related injuries.

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Avoid Distracted Driving

When you’re behind the wheel, your full attention should be on driving. Anything else can be dangerous. There are three types of distractions:

  • Visual Distractions: These happen when you take your eyes off the road. Avoid looking away while driving.
  • Manual Distractions: These occur when you take your hands off the steering wheel. Keep both hands on the wheel.
  • Cognitive Distractions: These happen when your mind isn’t focused on driving. Stay mentally engaged.

Remember, distractions like texting, talking on the phone, using GPS, or eating can lead to accidents.

Did you know?

  • Sending or reading a text message takes about 5 seconds. At 55 mph, that’s like crossing a football field blindfolded!
  • Young drivers (under 20) are at higher risk of distraction-related crashes.
  • Texting makes accidents up to 23 times more likely.
  • Almost half of teens have been in a car with a texting driver.

Stay safe out there, and NEVER drink and drive!

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Fall Prevention for Seniors

Every year, many older adults suffer serious injuries or permanent disability due to home fires or falls. Adults aged 65 and older are twice as likely to be harmed by falls or fires compared to the general population.

Here are some important tips to prevent falls:

  1. Stay active: Regular exercise helps build strength, balance, and coordination. Try activities like walking, tai chi, or gentle stretching.
  2. Clear pathways: Keep stairs and walkways free from tripping hazards. Remove clutter, loose rugs, and obstacles.
  3. Eye checkup: Visit an eye specialist annually to ensure good vision. Clear vision helps prevent accidents.
  4. Improve lighting: Brighten your home. Turn on lights before using stairs, and consider adding night-lights along the path from the bedroom to the bathroom.
  5. Bathroom safety: Use non-slip mats in the tub or shower. Install handrails for support.
  6. Choose the right shoes: Wear sturdy, well-fitted shoes with non-slip soles. Avoid high heels.
  7. Medication review: Ask your pharmacist to review all your medications. Some drugs can affect balance.

Remember, taking these precautions can significantly reduce the risk of falls and keep you safe.

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Poison Safety for Seniors

Seniors are at special risk for poisoning. In Virginia, many seniors end up in the hospital or even die because they use medicines and household products incorrectly. As we age, we often need more medicines, but our bodies struggle to process drugs and chemicals. Reading labels becomes harder, and mistakes are easier to make.

How to Prevent Poisoning

  • Always read the label before taking medicine or using household products. Turn on the light and put on your glasses if needed.
  • Take medicines exactly as your doctor orders. Your pharmacist or healthcare provider can help you organize your drugs effectively.
  • Only take medicine prescribed for you!
  • If possible, get all your prescriptions from the same pharmacy.
  • Ask your pharmacist before starting a new drug to avoid interactions.
  • Keep food and household products separate to prevent mix-ups.
  • Store household products in their original containers.
  • Never mix different household products; it could create poisonous gas.
  • Install carbon monoxide alarms.
  • Write down the Poison Center phone number (1-800-222-1222) and keep it near every phone.

First Aid for Poisoning

  • If something toxic splashes in your eyes, rinse with water for 15 minutes.
  • For skin exposure, rinse with water for 15 minutes.
  • If you breathe in poison, get fresh air immediately.
  • Swallowed something non-food? Drink water or milk.
  • Call the Poison Center at 1-800-222-1222.

Remember: In case of poisoning, call the experts right away! You can reach them 24/7 at 1-800-222-1222. Stay safe

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