as an official heart station for cardiac emergencies; a year later it was designated as a micro-surgical reimplantation center for the City of New York, by 1983 as a level one trauma center, and by 1988 as a head and spinal cord injury center. In 1990, it established an accredited residency training program in Emergency Medicine. The building that formerly served as the hospital's psychiatric facility started to be used as a homeless intake center and a men's homeless shelter in 1998. The publication of the Bellevue Literary Review, the first literary magazine to arise from a medical center, commenced in 2001; Bellevue Literary Press was founded six years later as a sister organization of the Bellevue Literary Review. In April 2010, plans to redevelop the former psychiatric hospital building as a hotel and conference center connected to NYU Langone Medical Center fell through. The aftermath of Hurricane Sandy in October 2012 required evacuation of all patients due to power failure and flooding in the basement generators. Bellevue was renamed NYC Health + Hospitals/Bellevue in November 2015 as a reflection of its parent organization's rebranding. Medical firsts Multiple firsts were performed at Bellevue in its early years. In 1799, it opened the first maternity ward in the United States. By 1808, the world's first ligation of the femoral artery for an aneurysm was performed there, followed by the first ligation of the innominate artery ten years later. Bellevue physicians promoted the "Bone Bill" in 1854, which legalized dissection of cadavers for anatomical studies; two years later they started to also popularize the use of the hypodermic syringe. In 1862, the Austin Flint murmur was named for Austin Flint, prominent Bellevue Hospital cardiologist. By 1867, Bellevue physicians were instrumental in developing New York City's sanitary code, the first in the world. One of the nation's first outpatient departments connected to a hospital (the "Bureau of Medical and Surgical Relief for the Out of Door Poor") was established at Bellevue that year. In 1868, Bellevue physician Stephen Smith became first commissioner of public health in New York City; he initiated a national campaign for health vaccinations. A year later, Bellevue established the second hospital-based, emergency ambulance service in the United States. In 1889, Bellevue physicians were the first to report that tuberculosis is a preventable disease; five years later was the successful operation of the abdomen for a pistol shot wound. William