Better Outcomes for Pediatric Trauma

100 + Years of providing specialized care for children

100 + Years
  • 1887 Hospital opens and begins providing care to people of all ages
  • 1914 We treat pediatric scarlet fever and diphtheria epidemic
  • 1940's Sister Kenny teaches how to treat kids with polio at Minneapolis General
  • 1960's Care for kids ranges from preemies and newborns to care for trauma and burns
  • 1968 First Pediatric Intensive Care Unit in Minnesota opens at Minneapolis General kids
  • 1989 HCMC is Minnesota's first Level I Trauma Center for adults and children
  • 1990's HCMC Trauma staff leads statewide training task force to improve trauma care for kids
  • 2010 Verified as a Level I Pediatric Trauma Center
  • 2012 Becomes a verified Children's Hospital
  • 2013 New Pediatric Intensive Care Unit is designed by patients and families

Our Level l Your #1

Our Level l Your #1

HCMC has a culture of Trauma. We use a systems-based approach on all of our critically injured patients from age 0 – 100+. While pediatric patients cannot be treated like little adults, our critical care staff are well-versed in performing critical care procedures and operating with HCMC's systems-based approach on all patients. The outcomes speak for themselves and the stories are inspirational.

Only at HCMC – we are the only Level l Pediatric Trauma Center with traumatic brain injury, critical burn care, and emergency hyperbaric treatment just for children.

Only at HCMC
  • The Pediatric Brain Injury Program is among the best in the nation. Our program follows the patient from their admission into the hospital all the way through their stay to their return to their home and school setting.
  • The Burn Center is verified by the American Burn Association as a critical burn center. Our highly trained, multidisciplinary team works closely with patients and families in a supportive, state-of-the-art environment to meet their unique needs and achieve the highest level of functioning.
  • HCMC has the region's only hyperbaric medicine chamber that treats emergencies 24/7/365 Hyperbaric oxygen has been used safely and effectively to treat certain medical conditions such as carbon monoxide poisoning, gas gangrene and other conditions, including, for example, bone infection that has not responded to customary treatment, damage to tissues from radiation therapy, and crush injuries.

No matter how serious, we have better outcomes for children

No matter how serious, we have better outcomes for children

Every year Hennepin County Medical Center submits information on Pediatric Intensive Care Unit (PICU) patients to a national database that analyzes clinical data and compares HCMC with other PICUs locally and across the country. The most recent results show that, once again, outcomes for HCMC patients are among the best in country. The standardized mortality rate is lower than average, meaning patients have superior outcomes, despite the fact that patients seen in the HCMC PICU are significantly sicker than patients cared for in the comparison groups.

The Virtual PICU Systems (VPS) analyzes clinical data and compares HCMC with other PICU's from across the country. The most recent report includes PICU patients from July 2013 to December 2014. The clinical data analyzes the "Risk of Mortality" and "Standardized Mortality Ratios" for patients in the HCMC PICU. HCMC had extremely favorable results, and these results are consistent with every other report we have received:

  1. HCMC Risk of Mortality is higher, meaning with patients are statistically significantly sicker compared to 62 other PICUs, and HCMC's Standardized Mortality Ratios are statistically significantly lower than our comparative group.
  2. HCMC had among the lowest standardized mortality ratio of the comparative group.

The median PIM 2 and mean PRISM 3 severity of illness results demonstrate that HCMC PICU patients are statistically sicker as a group than the VPS reference group. This would suggest that HCMC's risk of mortality would be greater, however, the unadjusted mortality rate is lower (although not statistically different) than the VPS reference group. The standardized mortality ratio (SMR) compares the predicted mortality (or risk of mortality) to the observed mortality (or the unadjusted mortality). When using PRISM 3 data to determine the expected mortality, HCMC's SMR is statistically significantly lower than the VPS reference group.

Two severity of illness scoring systems are used for comparing clinical data:

  • Pediatric Index of Mortality (PIM) 2 data: uses physiological data from the first hour of PICU admission to predict intensive care outcomes in children.
  • Pediatric Risk of Mortality (PRISM) 3 Score: uses the most extreme physiological values (highest and lowest) from the first 12 hours of PICU admission to predict risk of mortality.
Minnesota's original pediatric trauma center

Minnesota's original pediatric trauma center / the first Level l Trauma Center in Minnesota, the third in the U.S.

  • HCMC has been a Level I Adult and Pediatric Trauma Center since 1989.
  • HCMC was the first Level I Trauma Center in the state, and one of the first three in the nation.
  • In 2006, trauma requirements changed for pediatrics and we consistently met the requirements and were designated a Level l Pediatric Trauma Center in 2010.
  • HCMC is a national model for total-system trauma care. 

HCMC is a children's hospital with a full array of services

HCMC is a children's hospital with a full array of services for kids
  • Pediatric subspecialties include:
    • Infectious disease
    • Neurology
    • Surgery
    • Pulmonary
    • Urology
    • Dermatology
    • Cardiology
    • Growth and nutrition
    • Plastic surgery
    • Psychiatry and psychology
  • Patients have access to pediatric Physical Therapy, Occupational Therapy and Speech Language-Pathology.
  • We have full time child life specialists, as well as a trauma social worker and pediatric social worker.
  • HCMC provides low-dose radiology treatment, which includes techniques, programs and practices to ensure the best image quality while reducing radiation to the child and delivering only what's needed to get a clear image. This often results in being able to reduce the patients' exposure by one-half or even down to one-tenth of would normally be used.