Page 2-3:History of Grossman Burn Center

Page 4:Dr. Peter H. Grossman biography

Page 5:Zubaida Hasan - A Miracle Story

Page 6:First Aid Information

Page 7:Save the Date, Grossman Burn Center Open House

Page 8:EMS Crossword Puzzle

RESEARCH MEDICAL CENTER · 2316 E . MEYER BLVD · KANSAS CITY, MO 64132

NOVEMBER 2013

A PUBLICATION FOR OUR EMS PROVIDERS • NOVEMBER 20138

Grossman Burn Center Expands to Kansas CityFirst Grossman Burn Center in the Midwest Scheduled to Open Fall 2013

The Grossman Burn Center (GBC) will establish a burn center at Research Medical Center in Kansas City, MO. The eight bed facility will offer a full range of acute and reconstructive surgical care, as well as an outpatient clinic. The new burn center is scheduled to open on December 4, 2013.

The Grossman Burn Center at Research Medical Center is GBC’s first facility in the Midwest and its second collaboration with the Hospital Corporation of America (HCA), the nation’s leading provider of healthcare services. In addition to serving the greater Kansas City metropolitan area, the new burn center also is expected to draw patients from the eight additional HCA Midwest Health System hospitals located within the surrounding 150 mile catchment area.

GBC Medical Director Dr. Peter H. Grossman commented, “Our new Kansas City burn center marks a milestone in the history of the Grossman Burn Centers. Expanding beyond our traditional base of operations in California and the Southwest not only validates our surgical achievements, but our business model as well. It is an extremely exciting and important development.”

In addition to its affiliation with HCA, GBC currently has hospital partnerships with IASIS Healthcare, a privately held operator of 19 acute care hospitals throughout the United States, and with Adventist Health System, which operates 19 hospitals and more than 200 clinics, outpatient centers, and home care agencies. As part of its national expansion strategy, GBC is actively pursuing new hospital affiliations in markets throughout the United States that can support new burn care resources.

Research Medical Center chief executive officer Kevin J. Hicks stated, “At Research Medical Center we constantly seek to improve our already award-winning patient care through the addition of new and better service offerings. As a respected tertiary care center in Kansas City, and as a Level 1 Trauma Center, our hospital is among the most important healthcare resources in the region. Partnering with the Grossman Burn Center not only gives us a valuable new patient care resource, but it aligns us with the best, most experienced burn surgeons in the country. We look forward to a long and productive partnership with our new colleagues at The Grossman Burn Center.”

Research Medical Center is a dual campus, 490 bed facility licensed as a tertiary care center and a Level 1 Trauma Center. The hospital is part of the HCA Midwest Health System, part of the larger HCA Healthcare family based in Nashville, TN.

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EMS Crossword Puzzle

Across3. A mild burn that feels hot, hurts, and reddens. It does not exhibit

blistering or charring of tissue.4. The vascular inner mesodermic layer of skin. The epidermis is the

outer layer of skin and the dermis is underneath that.7. Therapy treatment of injury by physical or mechanical means in

order to promote recovery9. The surgical removal of burned flesh.10. A skin graft that is ‘harvested’ from an undamaged area of the

patient and transplanted to the burned area12. A piece of body tissue that is surgically removed and then

transplanted or implanted to replace a damaged part or compensate for a defect

13. Tight-fitting elastic garments worn to reduce scarring17. Expanding energy and using nutrients at an accelerated pace19. The death of cells or tissues20. To transplant or implant tissue

Down1. A biological dressing used as a covering for a burned area.

It is cadaver skin (also called hemograft)2. The therapeutic use of water4. A device used to slice tissue from donor sites to be grafted onto

burned areas.5. Insoluble fibrous protein of vertebrates that is the main component of

the fibrils of connective tissue.6. Therapy that focuses on activities of daily living, such as dressing,

eating, bathing, etc.8. The transfer of fluid into a vein. Often used to give blood to a patient11. A burn that produces painful blisters and some superficial

destruction of the dermis beneath the burn14. A clear compound used as an antiseptic15. Homograft between genetically identical or nearly identical

individuals16. Grafts taken from a donor of one species and grafted onto another species18. A severe burn that destroys the epidermis, and dermis and

sometimes other tissue as well blood containing nutrients and oxygen to the tissues

Answers (in the order the questions are listed): Across: firstdegree, dermis, physicaltherapy, debridement, autograft, skingraft, pressuregarments, hypermetabolic, necrosis, graftDown: allograft, hydrotherapy, dermatome, collagen, occupationaltherapy, transfusion, seconddegree, silvernitrate, isograft, xenograft, thirddegree

A PUBLICATION FOR OUR EMS PROVIDERS • NOVEMBER 20132

History of GBC

The Grossman Burn Centers were born out of a tragic event back in 1958, when a

catastrophic fire struck Our Lady of Angeles parochial elementary school in Chicago.

Four nuns and ninety-three children, several of whom were so badly charred it was

impossible to tell if they were girls or boys, perished. Many of the bodies were taken

to Cook County Hospital and evaluated by emergency room resident, Dr. A. Richard

Grossman, my father. The experience had a profound effect on the young doctor

and was a driving force behind his vision to create a world-class comprehensive

burn treatment facility dedicated to providing the best burn care anywhere. My dad

subsequently moved to Los Angeles and set about achieving that vision. In 1969, he

convinced Sherman Oaks Community Hospital, located in a suburb of Los Angeles,

to devote two beds exclusively to burn care. By 1978, the burn center had expanded

into a free-standing, 30-bed specialty unit. In 1995, I joined my father in practice and

together, with an oustanding team of health care professionals have restored the lives of

many burn survivors.

Today the Grossman Burn Center’s flag ship program is at West Hills Hospital and

Medical Center in West Hills, California. With the expansion to 35 burn care beds,

the Grossman Burn Center at West Hills Hospital remains one of the largest and most

comprehensive burn centers in the country. Additionally, The Grossman Burn Centers

have units in California at San Joaquin Community Hospital in Bakersfield, and in

Arizona at St. Luke’s Medical Center in Phoenix.

This is an extremely exciting time at Grossman Burn Center, with our expansion to

Research Medical Center in Kansas City. As we expand into the Midwest one thing

remains constant: the dedication of our entire medical team - doctors, nurses, midlevel

providers and techs, to deliver on the promise we make in our Mission Statement.

There are many challenges we all face, but I am confident we have the best medical

professionals to ensure this happens; we have to, for the sake of our patients. My

sincere thanks for the dedication you bring to your work every day.

Peter Grossman, MD

SAVE THE DATEThe Grossman Burn Center Open House.

Come, be a part of this momentous occasion.

TUESDAY, DECEMBER 3RD

More information to come.

RESEARCH MEDICAL CENTER · 2316 E . MEYER BLVD. , KANSAS CITY, MO 64132 7

Mica Wiemann is the Program Coordinator for the new Grossman Burn Center at Research Medical Center in Kansas City, Missouri. She comes to Grossman with an extensive background in marketing and management, and recently completed her MBA from Baker University. She is also a former Flight Attendant and Inflight Supervisor for Southwest Airlines. She worked for the airline during 9/11 and brings valuable emergency and Critical Incident Stress Management training from her experience. Mica is married to Jacob, a Lee’s Summit Firefighter, Registered Nurse, and Lt. Commander for the US Navy. Mica and Jake keep their lives busy and fun with their two boys - Mark, age 6, and Cooper, age 4. When asked about her excitement for working as the Program Co-ordinator, Mica replies, “I am very passionate about the opportuni-ty I will have to make a positive impact on people’s lives. I cannot wait to get out there and share with the greater Kansas City com-munity about the amazing benefits of the Grossman Burn Center at Research Medical Center!” We are very excited to have Mica on board as the newest addition to the Grossman Burn Center family!

RESEARCH MEDICAL CENTER · 2316 E . MEYER BLVD. , KANSAS CITY, MO 64132 3

Mission/PurposeAt Grossman Burn Centers, our mission is not merely to ensure patient survival, but to restore patients to as close to their pre-injury condition as possible – functionally, cosmetically and emotionally, in a nurturing, compassionate and personal environment.

What Makes Us Different?The professionals on staff are among the most passionate and skilled in the industry. They are driven by a deep and sincere empathy for the trauma endured by burn survivors. Few injuries impact individuals and families as emotionally as burns. Burns often change how individuals perceive themselves, and how they are perceived by others. For this reason, The Grossman Burn Center spends as much time on burn-prevention education, and on supporting burn survivors in the months and years after their treatment, as it does in treating and restoring patients.

GBC InnovationEver on the lookout for new ways to improve patient outcomes, Grossman Burn Centers have recently completed and published a scientific study evaluating the efficacy of fractional CO2 lasers on reducing discoloration and scarring of mature burn injuries. Unlike traditional CO2 lasers, which perform a thin, general ablation (removal) of the entire skin surface,

fractional lasers work by aiming a laser beam that has been divided into thousands of microscopic columns (each one is just one-tenth the diameter of a human hair) onto an area of skin. The laser columns penetrate the outer layer of skin (epidermis), down into the dermis and create tiny wounds which stimulate a natural healing process that produces fresh collagen and elastin, two natural proteins which give skin a healthy appearance. Results of this study showed that a series of treatments produced improvement in the appearance and texture of scar tissue. Though this procedure may not work on every patient, we now have another option to address burn scarring.

Outpatient Care at the Grossman Burn CenterApproximately 1.4 million people in the United States seek medical treatment for burn injuries each year. Of those cases, most do not require hospitalization. But even seemingly minor burns may require specialized medical attention. The Grossman Burn Center outpatient team implements a multifaceted approach that ensures healing in the shortest possible timeframe. The outpatient team provides detailed information designed to assist outpatients in understanding and caring for their injuries. The Outpatient Clinic, based within Research Medical Center, will be open Monday – Friday and is staffed by a burn expert.

A PUBLICATION FOR OUR EMS PROVIDERS • NOVEMBER 20136

First Aid InformationIf a burn, chemical injury, or electrical injury occurs, IMMEDIATE ACTION MAY MAKE A DIFFERENCE!

DO!· Remove the victim from the source of burning.· Smother flames-Stop, Drop and Roll!· If clothing is saturated with hot liquid, remove it.· Cool the burn immediately with cool water for 15 minutes – NO ice

· Remove any jewelry from burn injured area· Cover all burns· If the burn is larger than the size of an arm, cover it with a clean, dry cloth while seeking emergency care. Keep the person warm.

DO NOT!· Break any blisters· Apply butter or grease; trapped heat worsens the burn and promotes infection.

· Apply ice, which may cause more injury· Apply creams or ointments

DO!· While protecting yourself from contact, brush off any powdered chemicals off the skin

· Remove all clothing· Continuously flush the injured area with low-pressure running water

DO NOT!· Attempt to neutralize the chemical

DO!· Protect yourself! Disconnect the power source, or move it with a non-conductive object like a broomstick before touching the victim If the victim has caught fire, smother the flames with a heavy blanket Administer CPR if necessary

· If CPR is not necessary, Cool the burn with water

The following conditions may require immediate medical attention:• A burn that encompasses a larger area of the body than the

palm of the hand• A burn to a critical area of the body such as the face, hands,

feet or genitals• A burn that is white, gray, leathery or painless

Please be advised that the depth of a burn injury is not always immediately apparent to the untrained eye.

When in doubt, call The Grossman Burn Center at Research Medical Center. 816-276-HEAL (4325)

A PUBLICATION FOR OUR EMS PROVIDERS • NOVEMBER 20134

Dr. Peter H. Grossman

RESEARCH MEDICAL CENTER · 2316 E . MEYER BLVD. , KANSAS CITY, MO 64132 5

Zubaida was 9 years old. She was a member of a nomadic family that consisted of her two parents and eight other children. She and her family are from the Farah province of Afghanistan. In August of 2001, Zubaida was pouring kerosene into an indoor home cooking stove while it was hot. The fuel ignited and she caught on fire. She sustained burns to her face, neck, chest and arms. When the fire was extinguished, her father took her to a nearby medical provider where she was given ointments. As her condition worsened, her father decided to travel to Iran for treatment. She was admitted to a hospital in Iran for 20 days and then discharged. The doctors there suggested to her father to take her home to die. Zubaida did not die, but her injuries resulted in horrible disfigurement, severe functional impairment and a crippled self-esteem.

In February, 2002, on the recommendation of local shopkeepers, Zubaida’s father, Muhammad, sought help from the Americans for his severely burned daughter. She was taken to the American Army base in Kabul. There, Zubaida met with American military doctors and they decided to contact the U.S. State Department to see what could be done.

The State Department contacted Dr. Peter Grossman, a Plastic and Reconstructive Surgeon at The Grossman Burn Center in Sherman Oaks, California. With the aid of the Children’s Burn Foundation, a Southern California based charitable organization that lends financial and social assistance to burn-injured children who have no means of getting help any other way Zubaida was brought to America for treatment at The Grossman Burn Center.

Zubaida, completed twelve major surgeries over a course of one year and within a short period of time, the transformation was astounding. She began school for the first time in her life at Round Meadow Elementary School in Calabasas, California and learned to speak English in 12 weeks. She attended psychotherapy and physical therapy, as well as, developed many wonderful friendships with her classmates at school. She had her first slumber party on her 11th birthday, March 22nd, 2003. Zubaida says she would like to be a pediatric doctor and help rebuild her country when she grows up.

Virtually all who came in contact with her gravitated towards her, sorrowful over her tragedy, amazed by her courage, reveling in her transformation. So many people have come together to help this one little girl and give her something that she was almost robbed of . . . her childhood. Zubaida will always be scarred but when you meet her you realize how beautiful and vibrant she is. This triumph over tragedy story of one little girls unbreakable spirit and iron will, as well as, the goodwill of mankind is truly inspirational.

(Excerpt taken from http://www.grossmanburnfoundation.org/zubaida.html)

Zubaida Hasan - A Miracle Story

Peter H. Grossman, MD is a board-certified plastic surgeon whose private medical practice is divided between cosmetic and reconstruc-tive surgery and the care of the burn-injured patient. A graduate of Northwestern Uni-versity and the Chicago Medical School, Dr. Grossman continued his medical education with a general surgery residency at Cedars Sinai Medical Center, a plastic and recon-structive surgery residence at the University of Missouri, Kansas City, and fellowships in breast reconstructive surgery and aesthetic and endoscopic surgery at the University of Alabama, Birmingham.

Dr. Grossman returned to Los Angeles in 1995 and began practice at what has become the Grossman Medical Group. He is the Medical Director of the Grossman Burn Centers. He has served as chairman of Region 9 of the Ameri-can Burn Association, which includes Califor-nia, Oregon, Washington, and Hawaii, and has been appointed as an expert reviewer by the Medical Board of California since 2001.

The diverse nature of Dr. Grossman’s prac-tice, inclusive of cosmetic surgery, burn, and reconstructive surgery, has made him one of the most sought after surgeons in the region. In addition to being the author of numerous articles in multiple publications and peer review journals, Dr. Grossman’s accomplish-ments have been featured on national and international television programs, including ABC’s Prime Time Live, The Learning Chan-nel, and the Discovery Health Channel. He has lectured extensively around the United States on topics related to cosmetic surgery and the treatment of burns. Dr. Grossman and the Grossman Burn Center have established a nationwide reputation for quality patient care.

Dr. Grossman serves as the current President of the Los Angeles Society of Plastic Surgeons and is a member of many honorary societ-ies (listed in his curriculum vitae). He has authored or co-authored over 35 articles in medical journals, and written or contributed to six text books.