- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Diversity and Career in Medicine
- Venous Thromboembolism Diagnosis and Management
- Gun Ownership and Violence Research
- COVID-19 and healthcare impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Education and Admissions
- Healthcare professionals’ stress and burnout
- COVID-19 and Mental Health
- Pressure Ulcer Prevention and Management
- Genomics and Rare Diseases
- Economic and Financial Impacts of Cancer
- Neurofibromatosis and Schwannoma Cases
- Pelvic and Acetabular Injuries
- Global Health Workforce Issues
- Genomic variations and chromosomal abnormalities
- Suicide and Self-Harm Studies
- Sepsis Diagnosis and Treatment
- Vascular Procedures and Complications
- Autopsy Techniques and Outcomes
- Surgical site infection prevention
- Pneumothorax, Barotrauma, Emphysema
- Emergency and Acute Care Studies
Crozer-Keystone Health System
2020-2024
Loma Linda University
2019-2023
Loma Linda University Medical Center
2020-2023
Memorial Healthcare System
2023
Virginia Commonwealth University
2023
New York Medical College
2023
Trinity Health
2023
ProMedica Toledo Hospital
2023
Spartanburg Regional Medical Center
2023
Prisma Health
2023
Despite the widespread institution of modern massive transfusion protocols with balanced blood product ratios, survival for patients traumatic hemorrhage receiving ultramassive (UMT) (defined as ≥20 U packed red cells [RBCs]) in 24 hours) remains low and resource consumption high. Therefore, we aimed to identify factors associated mortality trauma UMT resuscitation era.An Eastern Association Surgery Trauma multicenter retrospective study 461 from 17 centers who received RBCs hours was...
BACKGROUND Patients with traumatic brain injury (TBI) are at high risk of venous thromboembolism events (VTE). We hypothesized that early chemical VTE prophylaxis initiation (≤24 hours a stable head CT) in severe TBI would reduce without increasing intracranial hemorrhage expansion (ICHE). METHODS A retrospective review adult patients 18 years or older isolated (Abbreviated Injury Scale score, ≥ 3) who were admitted to 24 Level I and II trauma centers from January 1, 2014 December 31 2020...
ABSTRACT BACKGROUND Despite the high incidence of blunt trauma in older adults, there is a lack evidence-based guidance for computed tomography (CT) imaging this population. We aimed to identify an algorithm guide use Pan-Scan (Head/C-spine/Torso) or Selective Scan (Head/C-spine ± Torso). hypothesized that patient’s initial history and exam could be used imaging. METHODS prospectively studied patients aged 65+ at 18 Level I/II centers. Patients presenting >24 h after injury who died upon...
BACKGROUND This study aimed to determine the clinical impact of wound management technique on surgical site infection (SSI), hospital length stay (LOS), and mortality in emergent colorectal surgery. METHODS A prospective observational (2021–2023) urgent or surgery patients at 15 institutions was conducted. Pediatric traumatic injuries were excluded. Patients classified by closure technique: skin closed (SC), loosely (SLC), open (SO). Primary outcomes SSI, LOS, in-hospital rates....
The coronavirus disease 2019 pandemic and associated policies have had important downstream consequences for individuals, communities, the healthcare system, they appear to been accompanied by rising interpersonal violence. objective of this study was evaluate incidence injuries owing violence after implementation a statewide stay-at-home order in Pennsylvania March 2020.Using Trauma Outcome Study registry, we conducted retrospective cohort patients with gunshot wounds, stab blunt...
Blunt cardiac injury is caused by large deceleration forces seen in motor vehicle accidents and can range from non-life-threatening arrhythmias to potentially fatal conditions such as valve disruption. A 28-year-old man presented following a accident involving direct blunt-force chest trauma. He developed papillary muscle rupture resulting mitral dysfunction. Diagnosis was delayed due concomitant pathology. of valvular injuries may be difficult trauma patient. Though rare, should included...
Sternoclavicular joint septic arthritis is rarely seen in the general population. The majority of cases are intravenous drug users. Given lack reported literature, there no standardized treatment algorithm for this disease. Described methods range from medical management to wide local debridement. incidence sternoclavicular will likely continue increase with rising usage drugs United States. Within past year, our institution treated four cases.
Background: We sought to examine health-care-associated infections (HAIs) among patients undergoing an appendectomy at academic medical centers (AMCs) and non-AMCs during the coronavirus disease 2019 (COVID-19) peri-pandemic. hypothesized that AMCs would have higher rates of post-operative HAIs first wave pandemic. Patients Methods: performed a post hoc analysis prospective, observational, multi-center study aged >18 years who underwent for acute appendicitis before (pre-CoV), (CoV), after...