A5039821451- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Abdominal Trauma and Injuries
- Healthcare Policy and Management
- Cardiac Arrest and Resuscitation
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Abdominal Surgery and Complications
- Injury Epidemiology and Prevention
- Venous Thromboembolism Diagnosis and Management
- Gun Ownership and Violence Research
- Primary Care and Health Outcomes
- Hip and Femur Fractures
- Hospital Admissions and Outcomes
- Airway Management and Intubation Techniques
- Palliative Care and End-of-Life Issues
- Sepsis Diagnosis and Treatment
- Family and Patient Care in Intensive Care Units
- Tracheal and airway disorders
- Suicide and Self-Harm Studies
- Appendicitis Diagnosis and Management
- Disaster Response and Management
- Esophageal and GI Pathology
University of Pennsylvania
2015-2024
University of Pennsylvania Health System
2019-2024
Philadelphia University
1996-2023
Hospital of the University of Pennsylvania
2006-2023
Penn Presbyterian Medical Center
2017-2023
Lockheed Martin (United States)
2022
Advanced BioNutrition (United States)
2021
United States Military Academy
2020
Harrisburg University of Science and Technology
2019
Penn Center for AIDS Research
2007-2019
Article AbstractObjective: To demonstrate the noninferiority of a telemedicine modality, videoteleconferencing, compared to traditional in-person service delivery group psychotherapy intervention for rural combat veterans with posttraumatic stress disorder (PTSD).Method: A randomized controlled trial 125 male PTSD (according DSM criteria on Clinician-Administered Scale) and anger difficulties was conducted at 3 Veterans Affairs outpatient clinics. Participants were randomly assigned receive...
The outcomes of firearm injuries in the United States are devastating. Although mortality and costs have been investigated, long-term after surviving a gunshot wound (GSW) remain unstudied.
Damage control (DC) has proven valuable in exsanguinated patients. The purpose of this study was to quantify and qualify the impact current damage principles applied a penetrating abdominal injury (PAI) population.Over 3-year period (June 1997-May 2000), 271 laparotomies for PAI, 24 patients underwent DC (8.9%). Demographics, grade, resuscitative operative parameters, acid-base status, coagulation profiles, fluid/transfusion requirements, definitive repairs, closure, complications, outcomes...
Objective To determine whether the presence of an on-site, organized, supervised critical service improves care and decreases resource utilization. Design The study compared two patient cohorts admitted to a surgical intensive unit during same period time. cohort was cared for by on-site team intensivist. control with responsibilities in multiple sites general surgeon. main outcome measures were duration stay, utilization, complication rate. Setting Study patients academic medical center....
To compare outcomes of appendectomy in an Acute Care Surgery (ACS) model to that a traditional home-call attending surgeon model.Acute care surgery (ACS, combination trauma surgery, emergency and surgical critical care) has been proposed as practice for the future general surgery. date, there are few data regarding emergencies ACS model.Between September 1999 August 2002, were staffed at faculty level by either in-house trauma/emergency (ACS model) or non-trauma taking home call (traditional...
Background The overall incidence of cervical spine injury (CSI) has been estimated from small studies; the specific types is less well established. approach to screening for CSI not studied; variation may exist based on Trauma Center (TC) level and type (academic vs. nonacademic). We attempted define different determine whether a national standard clearance (CSC) could be identified. hypothesized significant in CSC TC type. Methods In survey 615 TC, institutions were asked describe...
Background: Pneumonia occurs commonly in intubated patients and is morbid occasionally mortal. prevention strategies have been successful the intensive care unit are favorably regarded, cost effective, efficacious. Trauma often emergently prehospital or emergency department (ED) setting. Nationwide, hospital crowding has resulted prolonged ED length of stay (LOS). We sought to study association between LOS rates pneumonia. Methods: This was a 2-year retrospective case–control pneumonia risk...
Current therapies for traumatic blood loss focus on hemorrhage control and volume replacement. Severe hemorrhagic shock, however, is associated with a state of arginine vasopressin (AVP) deficiency, supplementation this hormone may decrease the need products in resuscitation.To determine whether low-dose AVP patients trauma (hereinafter referred to as patients) shock decreases their transfused during resuscitation.This randomized, double-blind placebo-controlled clinical trial included adult...
This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and 12-step facilitation (12SF) in treating cocaine abuse. Participants (N = 128) were randomly assigned to treatment conditions assessed at baseline Weeks 4, 8, 12, 26. Treatment lasted for 12 weeks. It was hypothesized that participants treated with CBT would be significantly more likely achieve abstinence from than 12SF. A series patient-treatment matching hypotheses also proposed. Across 2 different outcome...
Glycemic control improves outcome in cardiac surgical patients and after myocardial infarction or stroke. Hyperglycemic predicts poor trauma, but currently no data exist on the effect of glycemic critically ill trauma patients. In our intensive care unit (ICU), we use a subcutaneous sliding scale insulin protocol to achieve glucose levels <140 mg/dL. We hypothesized that aggressive would be associated with improved At urban Level 1 center, retrospective study was conducted all injured...
Controversy persists regarding the most efficient and effective method of cervical spine evaluation after blunt trauma. Historic guidelines for patients undergoing computed tomography (CT) head advocate imaging occiput-C2 as part that study. For remaining spine, plain radiographs (CSR) with supplemental CT are recommended. Many who require also undergo CSR, which leads to separate, discontinuous scans. We sought determine incidence this in our population. hypothesized CSR alone often proves...
BACKGROUND: Admission hypocalcemia predicts both massive transfusion and mortality in severely injured patients. However, the effect of calcium derangements during resuscitation remains unexplored. We hypothesize that any or hypercalcemia (either primary from overcorrection) first 24 hours after severe injury is associated with increased mortality. METHODS: All patients at our institution protocol activation January 2013 through December 2014 were identified. Patients transferred another...
This study aimed to identify providers involved in diagnosing ankylosing spondylitis (AS) following back pain diagnosis the USA and factors leading delay rheumatology referrals. The Truven Health MarketScan® US Commercial Database was searched for patients aged 18–64 years with a non-rheumatology setting followed by AS any during January 2000–December 2012. Patients rheumatologist visit on or before were considered referred. Cox regression used determine associated referral time after...
Objective:To compare the risk of developing uveitis in patients initiating anti-tumor necrosis factor (anti-TNF) agents (adalimumab, etanercept, and infliximab) for ankylosing spondylitis (AS).Methods:Anti-TNF-naive with a diagnosis AS without history (N = 2115) who subsequently initiated anti-TNF therapy were identified large claims database (2005 to 2011). A multivariate Cox proportional-hazards model was used received etanercept or infliximab vs adalimumab.Results:The median number days...
We sought to determine whether state firearm legislation correlated with firearm-related fatality rates (FFR) during a 15-year period.
Jenkins, Donald H. MD; Winchell, Robert J. Coimbra, Raul MD, PhD; Rotondo, Michael F. Weireter, Leonard Bulger, Eileen M. Kozar, Rosemary A. Nathens, Avery B. Reilly, Patrick Henry, Sharon Jimenez, Maria Chang, C. Coburn, Dodd, Jimm MA; Neal, Melanie L. MS; Rosen, Justin; Clemency, Jean; Hoyt, David Stewart, Ronald MD Author Information