A5010135049- Cardiac Arrest and Resuscitation
- Homelessness and Social Issues
- Emergency and Acute Care Studies
- Epilepsy research and treatment
- Trauma and Emergency Care Studies
- Neonatal and fetal brain pathology
- Sepsis Diagnosis and Treatment
- Disaster Response and Management
- Food Security and Health in Diverse Populations
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Otolaryngology and Infectious Diseases
- COVID-19 and healthcare impacts
- Parkinson's Disease Mechanisms and Treatments
- Telemedicine and Telehealth Implementation
- Healthcare Technology and Patient Monitoring
- Antimicrobial Resistance in Staphylococcus
- Pharmacological Effects and Toxicity Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Muscle and Compartmental Disorders
- Breastfeeding Practices and Influences
- Technology Use by Older Adults
- Mechanical Circulatory Support Devices
- Obsessive-Compulsive Spectrum Disorders
- Non-Invasive Vital Sign Monitoring
- Cardiac Ischemia and Reperfusion
University of Southern California
2016-2024
LAC+USC Medical Center
2018-2023
American College of Emergency Physicians
2019
Keck Hospital of USC
2019
UCLA Medical Center
2019
Harbor–UCLA Medical Center
2019
New York City Fire Department
2019
State Street (United States)
2019
Recent trends in prehospital tourniquet use remain underreported. In addition, the impact of on patient survival has not been evaluated a population-level study. We hypothesized that tourniquets were used more frequently Los Angeles County and their was associated with improved survival.This is retrospective cohort study using database maintained by Emergency Medical Services Agency. included patients who sustained extremity vascular injuries between October 2015 July 2019. Patients divided...
Abstract Objectives Describe the change in mobile technology used by an urban Latino population between 2011 and 2014, compare findings with national estimates. Materials Methods Patients were surveyed on medical history use. We analyzed specific areas of health capacity stratified chronic disease, age, language preference, educational attainment. Results Of 2144 patients, percentage that owned a cell phone texted in-line Pew estimates, but app usage was not. disease had reduced access to...
Background Homelessness is a rapidly growing issue throughout the United States and has important public health implications. Los Angeles, like other large urban cities, seen recent increase in homelessness. However, little known about emergency medical service (EMS) utilization by those experiencing Objective: Describe of services homeless patients. Methods: This 12-month retrospective review electronic records all 911-incidents attended Angeles Fire Department (LAFD) from January to...
AbstractObjectives Rearrest after successful resuscitation from out-of-hospital cardiac arrest (OHCA) is common and associated with worse patient outcomes. However, little known about the effect of interventions designed to prevent rearrest. We assessed association between a prehospital care protocol for immediate management return spontaneous circulation (ROSC) rates field rearrest survival discharge in patients ROSC.Methods This was retrospective study adult OHCA ROSC within large EMS...
Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, IO infusions associated with complications including fractures, infections, and compartment syndrome. We present a case where point-of-care ultrasound was identify malfunctioning needle that resulted syndrome of the lower extremity.
Introduction: Persons experiencing homelessness (PEH) use emergency medical services (EMS) at disproportionately high rates relative to housed individuals due several factors including disparate access healthcare. Limited care is compounded by higher of substance in PEH. Despite growing attention the opioid epidemic and housing crisis, differences EMS naloxone administration status has not been systematically examined. Our objective this study was describe City Los Angeles. Methods: This a...
Objective: Many emergency medical services (EMS) protocols for out-of-hospital cardiac arrests (OHCA) include point-of-care (POC) glucose measurement and administration of dextrose, despite limited knowledge benefit. The objective this study was to describe the incidence hypoglycemia dextrose by EMS in OHCA subsequent patient outcomes.Methods: This a retrospective analysis large, regional system from 2011 2017. Patients ≥18 years old with non-traumatic attempted field resuscitation...
Pediatric seizures commonly trigger emergency medical services (EMS) activation and account for approximately 5-15% of all pediatric 911-EMS calls. More than 50% children with active seizure activity do not receive prehospital antiepileptic drugs, potentially because they are recognized by EMS. The purpose this study is to evaluate specificity sensitivity paramedic identification describe the characteristics unrecognized seizures.This an 18-month prospective cohort at a single, department...
Persons experiencing homelessness (PEH) are among the most vulnerable populations and experience significant health disparities. Nationally, PEH utilize Emergency Medical Services (EMS) at disproportionately higher rates than their housed peers. Developing optimal strategies to care for has become critically important. However, limited data exists on best practices, challenges, experiences of providing PEH. The objective this study was describe experiences, challenges perspectives...
Hyperglycemia is associated with poor outcomes in critically-ill patients. This has implications for prognostication of patients out-of-hospital cardiac arrest (OHCA) and post-resuscitation care. We assessed the association hyperglycemia, on field point-of-care (POC) testing, survival neurologic outcome return spontaneous circulation (ROSC) after OHCA.
Introduction: Many dispatch systems send Advanced Life Support (ALS) resources to patientscomplaining of abdominal pain even though the majority these incidents require only Basic LifeSupport (BLS). With increasing 911-call volume, resource utilization has become more important toensure that ALS are available for time-critical emergencies. In 2015, a large, urban firedepartment implemented an internally developed, tiered-dispatch system. Under this system, patientsreporting chief complaint...
The author was convinced that if a woman in the lactation period has difference of 0.3 or higher between temperature under breast and axilla, then such is definitely able to breastfeed.
Abstract Early recognition and treatment of seizures is essential for optimal patient outcomes. Seizure activity, particularly in young children, can be subtle often go unrecognized by providers. This case series retrospectively identified 7 cases pediatric patients (14 years younger) who presented to the emergency department with active seizure activity that was prehospital care The presentation these patients, their clinical signs seizure, disposition are highlighted this series.
Venous air embolisms are rare but a cause of potentially life-threatening events with associated cardiovascular, pulmonary and neurologic effects. We report the first prehospital case venous embolism in 31-year-old male who became hemodynamically unstable after peripheral intravenous catheter unprimed tubing was placed by paramedics setting diagnosed emergency department. highlight clinical presentation, diagnosis management embolisms.
OBJECTIVES/GOALS: People experiencing homelessness vs. housed peers have higher rates of substance use disorders as well increased emergency medical services (EMS) use. However, it is unknown if EMS administers naloxone at different to people homelessness. We address patient housing status impacts administration by providers. METHODS/STUDY POPULATION: conducted a retrospective, cross-sectional analysis electronic care reports (ePCRs) for all 911-incidents attended the Los Angeles Fire...