(THA) served as designer and architect of record on the recently opened major expansion and renovation for Baylor Medical Center at Garlands emergency department. The project included extensive renovation of the existing 20,300 square feet and the addition of 4,300 additional square feet. The new space accommodates three radiology rooms, one trauma room with seven critical care treatment rooms, a new triage unit, and 18 treatment rooms.This was a unique project in that the design and construction had to be mindful of a facility in place for 60 years, and that all the work had to occur while the department maintained operations with as little disruption as possible, said Karen Thrasher, AIA, NCARB, director for THA.A key element of THAs design was optimizing the available square footage for treatment with the inclusion of eight rapid medical exam rooms….