New trauma centers could do more harm than good

When Southern Nevada Health District board members vote later this month on whether more Level III trauma centers should be opened in Clark County — MountainView, Southern Hills and Centennial Hills hospitals have filed applications to do so — what happened to Giulian Grasso should be taken into consideration.

Four years ago, he was a healthy 15-year-old, dreaming of becoming a Navy SEAL. On April 22, 2012, while skateboarding in Boulder City, he hit a manhole cover and fell. The fall knocked him unconscious.

He was taken by paramedics to the closest trauma center, St. Rose Dominican Hospital, Siena Campus, a Level III trauma center not required to have trauma surgeons in-house. Medical personnel told his mother, LaDonna Grasso, that her son awakened during the ride and identified himself.

“We had to wait a long time for tests,” she said.

Once the tests were done, she said a doctor told her that Giulian had a brain bleed that couldn’t be handled by St. Rose. He’d have to be transferred to University Medical Center, where highly skilled Level I trauma surgeons could operate. UMC contracts with 147 specialists.

According to UMC records, by the time an ambulance brought Grasso to its pediatric trauma center, two hours and 47 minutes had passed since the first call for help. Within 20 minutes, he had lifesaving brain surgery. After the surgery, Grasso was placed in a medically induced coma until he could be transferred to a Philadelphia rehabilitation hospital.

“Doctors said if I had been in the right trauma center at the start, I probably would have walked out of the hospital,” 19-year-old Giulian Grasso said recently, sitting in a wheelchair in the Henderson home he shares with his mother. He is unable to use his left arm. He talks slowly and is trying to learn to walk again.

“To me, all Level III’s do is make it take longer to get the care you need,” Giulian Grasso said.

That belief is shared by Dr. Meena Vohra, chief of pediatrics at UMC’s Children’s Hospital of Nevada.

“Without proper tests, it’s hard to decide what shape a patient is in,” she said. “Giulian talked, so he was taken to a Level III. If it wasn’t there, he’d have immediately gone to UMC or Level II Sunrise and probably wouldn’t be so hurt now.”

Katie Ryan, a spokeswoman for St. Rose-Siena, said the only Level III hospital in Henderson performs its job well.

Representatives of MountainView, Centennial Hills and Southern Hills hospitals say that even more Level IIIs would enhance patient care. In a letter supporting Centennial Hills’ application for a Level III center, North Las Vegas Fire Chief Jeff Lytle wrote it would “potentially increase survivability rates for trauma patients.”

Yet statistics sent by St. Rose-Siena to the health district for the years 2010 to 2015 show its Level III center operated on just six of 2,866 patients. Seven patients went to intensive care.

More than 160 patients were transferred to UMC or Sunrise.

More than 2,300 patients were discharged and the rest were admitted to a basic floor.

So if data mean anything, the present Level III trauma center at St. Rose-Siena provides little critical or lifesaving care.

A 2006 study in the New England Journal of Medicine found a minimal difference in the outcomes of patients treated at a traditional emergency room or a Level III trauma center.

What is different between an emergency room and a Level III trauma center, however, is the “trauma activation fee” that goes into effect when a patient is taken to a trauma center. It is a fee for trauma expertise that is applied on top of the cost of whatever hospital care is provided.

According to UNLV’s Center for Health Information, St. Rose-Siena increased its trauma activation fee 83.7 percent from 2008 to 2014, from $4,848 to $8,906.

“It’s all about the money,” Giulian Grasso said. “I’ve only got half a brain now, and I figured that out.”

Paul Harasim’s column runs Sunday, Tuesday and Friday in the Nevada section and Thursday in the Life section. Contact him at pharasim@reviewjournal.com or 702-387-5273. Follow @paulharasim on Twitter.

News
Nature Conservancy Ranch
The Nature Conservancy just bought the 900-acre 7J Ranch at the headwaters of the Amargosa River, north of Beatty. The property could become a research station, though ranching will continue.
Swift water rescue at Durango Wash in Las Vegas
On Thursday, February 14, 2019, at approximately 8:42 a.m., the Clark County Fire Department responded to a report of a swift water incident where people were trapped in the Durango wash which is located near 8771 Halcon Ave. Personnel found one person who was trapped in the flood channel. The individual was transported to the hospital in stable condition. Video by Clark County Fire & Rescue.
Flooding at E Cheyenne in N. Las Vegas Blvd.
Quick Weather Around the Strip
Rain hits Las Vegas, but that doesn't stop people from heading out to the Strip. (Mat Luschek/Review-Journal)
Aaron Semas, professional bull rider, talks about his traumatic brain injuries
Aaron Semas, professional bull rider, talks about his traumatic brain injuries. The Cleveland Clinic will begin researching the brains of retired bull riders to understand the impact traumatic brain injuries have on cognition. (Bizuayehu Tesfaye/ Las Vegas Review-Journal) @bizutesfaye
Matt Stutzman shoots arrows with his feet
Matt Stutzman who was born without arms shoots arrows with his feet and hits the bullseye with remarkable accuracy. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
Secretary of Air Force Emphasizes the Importance of Nellis AFB
US Secretary of the Air Force Heather Wilson visited Nellis Air Force Base during Red Flag training and described how important the base is to the military.
Former Northwest Academy student speaks out
Tanner Reynolds, 13, with his mother Angela McDonald, speaks out on his experience as a former student of Northwest Academy in Amargosa Valley, which includes abuse by staff member Caleb Michael Hill. Hill, 29, was arrested Jan. 29 by the Nye County Sheriff’s Office on suspicion of child abuse.
Former Northwest Academy students speak out
Tristan Groom, 15, and his brother Jade Gaastra, 23, speak out on their experiences as former students of Northwest Academy in Amargosa Valley, which includes abuse by staff and excessive medication.
Disruption At Metro PD OIS Presser
A man claiming to be part of the press refused to leave a press conference at Metro police headquarters, Wednesday January 30, 2019. Officers were forced to physically remove the man. (Mat Luschek/Review-Journal)
Clients at Las Vegas’ Homeless Courtyard talk about their experience
Clients at Las Vegas’ Homeless Courtyard talk about their experience after the city began operating around the clock. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
Las Vegas parts ways with operator of homeless courtyard
Jocelyn Bluitt-Fisher discusses the transition between operators of the homeless courtyard in Las Vegas, Thursday Jan. 24, 2019.(Caroline Brehman/Las Vegas Review-Journal)
Las Vegas police and Raiders partner with SafeNest
Las Vegas police and the Raiders partner with SafeNest on Project Safe 417 (the police code for domestic violence is 417). The program partners trained SafeNest volunteer advocates with Metropolitan Police Department officers dispatched to domestic violence calls, allowing advocates to provide immediate crisis advocacy to victims at the scene of those calls. (K.M. Cannon/Las Vegas Review-Journal) @KMCannonPhoto
North Las Vegas police chief discusses officer-involved shooting
North Las Vegas police chief Pamela Ojeda held a press conference Thursday, Jan. 24, regarding an officer-involved shooting that took place on Jan. 21. The incident resulted in the killing of suspect Horacio Ruiz-Rodriguez. (Mat Luschek/Las Vegas Review-Journal)
Volunteers gather for annual Clark County homeless count
Volunteers gather for the annual Southern Nevada Homeless Census, Tuesday, Jan. 22, 2019. (Chase Stevens/Las Vegas Review-Journal)
Who can understand hospital price lists?
Lists of costs for procedures, drugs and devices are now posted the websites of hospitals to comply with a new federal rule designed to provide additional consumer transparency. Good luck figuring out what they mean.
People in Mesquite deal with a massive power outage
People in Mesquite respond to a major power outage in the area on Monday, Jan. 21, 2019. (Mat Luschek/Las Vegas Review-Journal)
Group helping stranded motorists during power outage
A group of Good Samaritans are offering free gas to people in need at the Glendale AM/PM, during a massive power outage near Mesquite on Monday, Jan. 21, 2019. (Mat Luschek/Las Vegas Review-Journal)
U.S. Sen. Jacky Rosen falls at Las Vegas parade
U.S. Sen. Jacky Rosen of Nevada fell and injured her wrist at the Martin Luther King Day parade in Las Vegas on Monday, Jan. 21, 2019. (Nathan Asselin/Las Vegas Review-Journal)
Local astronomers host super blood wolf moon viewing
The Las Vegas Astronomical Society paired with the College of Southern Nevada to host a lunar eclipse viewing Sunday night. Known as the super blood wolf moon, the astronomical event won't occur for another 18 years. (Rachel Aston/Las Vegas Review-Journal) @rookie__rae
Tate Elementary shows academic progress after categorical funding
Students at Tate Elementary in Las Vegas has benefited from a program to boost education funding in targeted student populations, known as categorical funding. One program called Zoom helps students who have fallen below grade level in reading. (K.M. Cannon/Las Vegas Review-Journal) @KMCannonPhoto
The third annual Women’s March in Las Vegas
The third annual Women’s March in Las Vegas. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @btesfaye
First former felon to work for Nevada Department of Corrections
After his father died, Michael Russell struggled for years with drug addiction. When he finally decided to change for good, he got sober and worked for years to help others. Now he is the first former felon to be hired by the Nevada Department of Corrections. (Rachel Aston/Las Vegas Review-Journal) @rookie__rae
Three Square helps TSA workers
Three Square Food Bank donated over 400 care bags to TSA workers affected by the government shutdown Wednesday, filled with food, personal hygiene products and water.
Las Vegas furniture store donates to Clark County firehouses
Walker Furniture donated new mattresses to all 30 Clark County firehouses in the Las Vegas Valley, starting today with Station 22. (Mat Luschek/Las Vegas Review-Journal)
Mount Charleston Gets Heavy Snow, Fog
Mount Charleston saw heavy snow today, and fog in lower elevations as a cold front swept across the Las Vegas Valley. (Benjamin Hager/Las Vegas Review-Journal)
Krystal Whipple arrested in Arizona
Krystal Whipple, charged in the killing of a Las Vegas nail salon manager over a $35 manicure, is expected to return to Nevada to face a murder charge.
Holocaust survivor on acceptance
Holocaust survivor Celina Karp Biniaz, who was the youngest person on Schindler’s List, talks about the most important message for people to understand from her life and experiences.
Holocaust survivor speaks about telling her story
Holocaust survivor Celina Karp Biniaz, who was the youngest person on Schindler’s List, tells of opening up about her experiences during Sunday’s event at Temple Sinai.
Jesus Jara State of the Schools address
Clark County School District Superintendent Jesus Jara delivers his State of the Schools address on Friday, Jan. 11, 2019. (Amelia Pak-Harvey/Las Vegas Review-Journal)
Life
MAGIC fashion convention showcases men's clothing trends
The MAGIC fashion convention has come to Las Vegas at the Mandalay Bay Convention Center to showcase some of the hottest clothing trends for men. (Nathan Asselin/Las Vegas Review-Journal)
Former Army medic’s Afghanistan story told in new book
The graphic novel “Machete Squad” is based on journals written by Las Vegan Brent Dulak.
Las Vegas man talks about losing his wife
Dwayne Murray, 37, lost his wife, LaQuinta while she was at Centennial Hills Hospital. A jury awarded him $43 million last week after it said the hospital failed to perform the standard of care in administering a drug for her sickle cell disease.
Barber sets up shop in grandfather’s old shop
Andres Dominguez’s new barber shop is filled with memories of his grandfather, who ran the El Cortez landmark for more than 30 years. (John Przybys/Las Vegas Review-Journal)
Life and times of a 90-year-old horse player
Leo Polito of Las Vegas describes meeting legendary jockey and trainer Johnny Longden on the beach at Del Mar. Mike Brunker/Las Vegas Review-Journal.
Learning the history of singing bowls
Presentation at Summerlin Library teaches residents about the history of singing bowls (Mia Sims/Las Vegas Review-Journal)
Learning live-saving techniques in Stop the Bleed class
Leslie Shaffer, an AMR paramedic, shows how to control bleeding during a Stop the Bleed course at the Summerlin Library. The class is designed to teach anyone how to control and stop life-threatening bleeding. (Mia Sims/Las Vegas Review-Journal)
Vicki Richardson speaks about on the power of art
Artist and arts advocate Vicki Richardson talks about the power of art to inspire and challenge. (John Przybys/Las Vegas Review-Journal)
DressCoders pairs tech with haute couture
DressCoders is a startup focused on haute couture garments. The company uses illuminated thread that is washable and can be sewn right into the fabric. (Mat Luschek/Las Vegas Review-Journal)
CES 2019: Brava infrared oven
In cooking with the Brava infrared oven,there’s no preheating. the bulbs can reach 500 degrees in less than a second. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Sinks Merge Style And Utility
Study could determine cause of Alzheimer’s, Parkinson’s diseases
Dr. Aaron Ritter, director of clinical trials at the Cleveland Clinic Lou Ruvo Center for Brain Health, discusses his research on how inflammation in the brain impacts Alzheimer’s and Parkinson’s diseases. (Jessie Bekker/Las Vegas Review-Journal)
Holocaust survivors talk about tragedy and friendship
Janos Strauss and Alexander Kuechel share their perspectives on life. (John Przybys/Las Vegas Review-Journal)
'Siegel Cares' Santa delivers toys to kids at Siegel Suites in Las Vegas
Siegel Cares, the charitable wing of The Siegel Group, delivered toys to families at their apartment complexes in Las Vegas. (K.M. Cannon/Las Vegas Review-Journal)
Revisiting “Christ the King” sculpture
A longtime admirer of the sculpture at Christ the King Catholic Community in Las Vegas shares her perspective. (Bizuayehu Tesfaye/Las Vegas Review-Journal @bizutesfaye)
Henderson couple adds another school to their generosity
Bob and Sandy Ellis of Henderson, who donate to several Clark County School District schools, have added Matt Kelly Elementary in Las Vegas to their list of schools where every student gets new shoes, socks and a toy. (K.M. Cannon/Las Vegas Review-Journal)
Terry Fator Christmas House
Arguably better than a hotel holiday display, is Terry and Angie Fator's home located in southwest Las Vegas.
UNLV Winter Graduation Packs Thomas & Mack
UNLV's 55th winter commencement ceremony included approximately 2,146 undergraduate and graduate students who recently completed their studies. (Benjamin Hager/Las Vegas Review-Journal)
Build-A-Bear comes to Reed Elementary School
Students participated in a Build-A-Bear-Workshop at Doris Reed Elementary School in Las Vegas, Thursday, Dec. 13, 2018.
Rev. Father Seraphim Ramos talks about Greek Orthodox icons during an interview with the LVRJ
Rev. Father Seraphim Ramos talks about Greek Orthodox icons during an interview with the Las Vegas Review-Journal at St. John the Baptist Greek Orthodox Church. Bizuayehu Tesfaye/Las Vegas Review-Journal @bizutesfaye
Masjid Ibrahim Islamic Center art depicts names of God
Masjid Ibrahim Islamic Center founder Sharaf Haseebullah talks about new diamond-shaped art panels featuring some of the 99 names of Allah at the main entrance the Las Vegas mosque. (K.M. Cannon/Las Vegas Review-Journal)
Holiday poultry with Tim and Chemaine Jensen of Village Meat & Wine
Tim and Chemaine Jensen of Village Meat & Wine explain the different types of poultry available for the holidays. (Heidi Knapp Rinella/Las Vegas Review-Journal)
Catholic Charities hosts early Christmas meal
Students from the Bishop Gorman High School football and cheerleader team helped to serve food at the Christmas meal sponsored by the Frank and Victoria Fertitta Foundation at Catholic Charities of Southern Nevada on Sunday. (Rachel Aston/Las Vegas Review-Journal)
Incarcerated Christmas
This is the fourth year HOPE for Prisoners has worked with the Nevada Department of Corrections to create a Christmas for prisoners to visit their families. (Rachel Aston/Las Vegas Review-Journal)
2018 Homeless Vigil
Straight From The Streets holds its 23rd annual vigil to remember the 179 homeless individuals who died in Clark County this year.
Getting through the Holiday blues
Psychologist Whitney Owens offers advice on keeping your mental health in check during the Holiday season in Henderson, Thursday, Dec. 13, 2018. (Caroline Brehman/Las Vegas Review-Journal)
Operation Homefront Holiday Meals for Military
Operation Homefront Holiday Meals for Military program gave meal kits to 200 families at Veterans of Foreign Wars Post 10047 in Las Vegas Wednesday, Dec. 12, 2018. It all started with a chance encounter in a supermarket in Utica, N.Y., near Fort Drum. A soldier, his wife and infant had a handful of grocery items they couldn't afford. A Beam Suntory employee picked up the $12 cost for the groceries. The program has grown from providing 500 meal kits to military families in 2009 to providing more than 7,000 nationally this holiday season.K.M. Cannon Las Vegas Review-Journal @KMCannonPhoto
An elegant Tea Party for substance abuse and homeless women
An elegant Tea Party for substance abuse and homeless women at WestCare Women Children Campus in Las Vegas. Bizuayehu Tesfaye/Las Vegas Review-Journal @bizutesfaye
Former 51s manager Wally Backman chats about new job
Former Las Vegas 51s manager Wally Backman talks about his new job with the independent league Long Island Ducks during the Baseball Winter Meetings in Las Vegas, Nevada, on Dec. 10, 2018. (Ron Kantowski/Las Vegas Review-Journal)
Inside the kitchen at Springs Preserve
The staff of Divine Events do party preparation in the kitchen at Divine Cafe at Springs Preserve. With nine parties the following day, this is a particularly busy time for the crew. (Heidi Knapp Rinella/Las Vegas Review-Journal)
ad-high_impact_4
TOP NEWS
News Headlines
Home Front Page Footer Listing
You May Like

You May Like