- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Disaster Response and Management
- Healthcare Policy and Management
- Child and Adolescent Health
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Abdominal Trauma and Injuries
- Respiratory Support and Mechanisms
- Trauma Management and Diagnosis
- Radiation Dose and Imaging
- Mechanical Circulatory Support Devices
- Ultrasound in Clinical Applications
- Opioid Use Disorder Treatment
- Blood transfusion and management
- Appendicitis Diagnosis and Management
- Health Systems, Economic Evaluations, Quality of Life
- Traumatic Brain Injury Research
- Food Allergy and Anaphylaxis Research
- Cardiac, Anesthesia and Surgical Outcomes
- Injury Epidemiology and Prevention
- Child and Adolescent Psychosocial and Emotional Development
- Traumatic Ocular and Foreign Body Injuries
- Older Adults Driving Studies
- Orthopedic Infections and Treatments
University of Oklahoma
2013-2024
Tulsa Community College
2024
University of Oklahoma Health Sciences Center
2023
University of Colorado Boulder
2023
Carolinas Medical Center
2023
University of California, San Francisco
2023
Tulane University
2023
Louisiana State University Health Sciences Center New Orleans
2023
The University of Texas at Austin
2023
University of Washington
2023
There are few evidence-based measures of emergency medical services (EMS) system performance. In many jurisdictions, response-time intervals for advanced life support units and resuscitation rates victims cardiac arrest the primary EMS The association former with patient outcomes is not supported explicitly by literature, while latter focuses on a very small proportion population thus does represent sufficiently broad selection patients. While these metrics have their place in performance...
Following the 2015 White House launch of Stop Bleed (STB) campaign various educational programs have emerged to teach hemorrhage control principles public. The STB seeks translate battlefield medicine successes civilian sector by empowering general public stop life-threatening bleeding.1–3 Tourniquet use on in Afghanistan and Iraq, often non-medically trained service members, has saved an estimated 1,000 2,000 lives.4 In response horrific Sandy Hook, Connecticut school shootings, American...
Previous studies of basic cardiopulmonary resuscitation (CPR) indicate that both chest compression rate (CCR) and depth (CCD) each are associated with survival probability after out-of-hospital cardiac arrest. However, an optimal CCR-CCD combination has yet to be identified, particularly respect age, sex, presenting rhythm, CPR adjunct use.To identify ideal the highest functionally favorable assess whether this varies or use.This cohort study used data collected between June 2007 November...
Millions of pediatric patients require some level emergency care annually, and significant barriers limit access to appropriate services for large numbers children. The American Academy Pediatrics has a strong commitment identifying care, working surmount these obstacles, encouraging, through education system changes, improved levels available all
Exsanguination remains the leading cause of preventable death among victims trauma. For adult and pediatric trauma patients in prehospital phase care, methods to control hemorrhage hemostatic resuscitation are described this joint consensus opinion by American College Surgeons Committee on Trauma, Emergency Physicians, National Association EMS Physicians.
Mental and behavioral health (MBH) visits of children youth to emergency departments are increasing in the United States. Reasons for these range from suicidal ideation, self-harm, eating substance use disorders outbursts, aggression, psychosis. Despite increase prevalence conditions, capacity care system screen, diagnose, manage patients continues decline. Several social determinants also contribute great disparities child adolescent (youth) health, which affect MBH outcomes. In addition,...
The opioid crisis is a growing concern for Americans, and it has become the leading cause of injury-related death in United States. An adjunct to respiratory support that can reduce this high mortality rate administration naloxone by Emergency Medical Services (EMS) practitioners patients with suspected overdose. However, clear evidence-based guidelines direct EMS use overdose have not been developed. Leveraging recent Agency Healthcare Research Quality (AHRQ) systematic review on...
Mental and behavioral health (MBH) emergencies in children youth continue to increasingly affect not only the emergency department (ED), but entire spectrum of medical services for children, from prehospital community. Inadequate community institutional infrastructure care with MBH conditions makes ED an essential part safety net these patients. As a result, increasing number are referred evaluation broad emergencies, depression suicidality disruptive aggressive behavior. However, challenges...
One of the primary concerns associated with open fractures is development a fracture-related infection (FRI). To minimize risk developing an FRI and subsequent morbidity, prophylactic antibiotics should be administered to patients as soon possible. While antibiotic recommendations for severe are somewhat debatable, use cephalosporin remains mainstay treatment. Though administration prehospital does represent expansion EMS responsibilities, there have been several other treatment expansions...
Tranexamic acid (TXA) is being administered already in many prehospital air and ground systems. Insufficient evidence exists to support or refute the administration of TXA, results are pending from several studies currently progress. We have created this document aid agencies systems best practices for TXA based on available evidence. This has been endorsed by American College Surgeons–Committee Trauma, Emergency Physicians, National Association EMS Physicians.
ABSTRACT Injury is the leading cause of death in children older than 1 year, and make up 22% population. Pediatric readiness (PR) nation's emergency departments state trauma medical services (EMS) systems conceptually important vital to mitigate mortality morbidity this The extension PR community has become a focused area for training, staffing, education, equipment at all levels center designation, there evidence that higher level department independently associated with long-term survival...
On March 13, 2019 the EMS Examination Committee of American Board Emergency Medicine (ABEM) approved modifications to Core Content Medicine. The is used define subspecialty Medicine, provides basis for questions be during written examinations, and leads development a certification examination blueprint. defines universe knowledge treatment prehospital patients that necessary practice It informs fellowship directors candidates full range content might appear on examinations.
Regionalization of medical resources by designating specialty receiving centers, such as trauma and stroke within emergency services (EMS) systems is intended to ensure the highest-quality patient care in most efficient fiscally responsible fashion. Significant advances past decade induction therapeutic hypothermia following resuscitation from cardiac arrest a time-driven, algorithmic approach management septic patients have created compelling arguments for similar designation specialized...
Advanced diagnostic imaging modalities, including ultrasonography, computed tomography, and magnetic resonance imaging, are key components in the evaluation management of pediatric patients presenting to emergency department. Advances technology have led availability faster more accurate tools improve patient care. Notwithstanding these advances, it is important for physicians, physician assistants, nurse practitioners understand risks limitations associated with advanced children limit...
Purpose. There is a paucity of data regarding EMS stretcher-operation-related injuries. This study describes and analyzes characteristics associated with undesirable stretcher operations, or without resultant injury in large, urban agency. Methods. In the agency, all stretcher-related "misadventures" are required to be documented, regardless whether results. All reports between July 1, 2009 June 30, 2010 were queried retrospective analysis, avoiding Hawthorne effect operations. Results....
This is a joint policy statement from the American Academy of Pediatrics, College Emergency Physicians, Nurses Association, National Association Medical Services and Technicians on pediatric readiness in emergency medical services systems.
Objective. Elderly patients are becoming an increasingly larger proportion of our population, and there is a paucity data regarding the epidemiology geriatric refusing transport. Treatment refusal rates range from 5% to 15% in many studies. This study sought test hypothesis that constituted increasing those persons prehospital Methods. was retrospective analysis query large urban EMS service. Results. There were total 22,347 adult transport refusals recorded during 16-month period....