A5039521171- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
- Trauma Management and Diagnosis
- Disaster Response and Management
- Child and Adolescent Health
- Gastrointestinal Bleeding Diagnosis and Treatment
- Traumatic Ocular and Foreign Body Injuries
- SARS-CoV-2 and COVID-19 Research
- Burn Injury Management and Outcomes
- Cannabis and Cannabinoid Research
- Nosocomial Infections in ICU
- Helicobacter pylori-related gastroenterology studies
- Asthma and respiratory diseases
- Traffic and Road Safety
- Acute Ischemic Stroke Management
- Web Applications and Data Management
- Injury Epidemiology and Prevention
- Tracheal and airway disorders
- Healthcare Decision-Making and Restraints
- Opioid Use Disorder Treatment
- Electronic Health Records Systems
- Respiratory and Cough-Related Research
University of Massachusetts Chan Medical School
2011-2021
University of California, Los Angeles
2017
ABSTRACT The purpose of this article was to characterize practices buprenorphine/naloxone (B/N) diversion in a region with high prescribing prevalence. A cross-sectional, open-ended survey administered individuals entering opioid addiction treatment programs two New England states. authors obtained formative information about the knowledge, attitudes, beliefs, practices, and street economy B/N diversion. interviewed 51 individuals, 49 which were aware medication. Of that number, 100% had...
Introduction: As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads across the globe, physicians face challenges of a contagious pandemic including which patients to isolate, how conserve personal protective equipment, and who test. The current protocol at our hospital is place anyone with new cough, dyspnea, or fever into airborne contact precautions consider them for testing. Unfortunately, symptomatic presentations disease 2019 (COVID-19) are proving more variable than...
Moshing is a violent form of dancing found world-wide at rock concerts, festivals, and electronic dance music events. It involves crowd surfing, shoving, moving in circular rotation. source increased morbidity mortality. The goal this study was to report epidemiologic information on patient presentation rate (PPR), transport hospital (TTHR), injury patterns from patients who participated mosh-pits. Materials Methods Subjects were patrons mosh-pits seeking medical care single venue. events...
Early recognition and pre-notification by emergency medical services (EMS) improves the timeliness of department (ED) stroke care; however, little is known regarding effects on care should EMS providers fail to pre-notify. We sought determine if potential patients transported EMS, but for whom did not provide pre-notification, suffer delays in ED door-to-stroke-team activation (DTA) as compared other available cohort pre-notified-those arriving private vehicle.We queried our prospective...
Endotracheal intubation is a common intervention in critical care patients undergoing helicopter emergency medical services (HEMS) transportation. Measurement of endotracheal tube (ETT) cuff pressures not practice referred to our service. Animal studies have demonstrated an association between the pressure ETT on tracheal mucosa and decreased blood flow leading mucosal ischemia scarring. Cuff greater than 30 cmH2O impede capillary flow. Multiple prior recommended as maximum safe inflation...
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.
Introduction: The use of warning lights and siren (WLS) increases the risk ambulance collisions. Multiple studies have failed to demonstrate a clinical benefit patients. We sought investigate degree which providers understand data incorporate it into their practice.Methods: authors distributed an anonymous survey prehospital under medical direction at staff quality assurance meetings. surveys asked providers' agreement with four statements: transport shortens times; improves patient outcome;...
This is a report of thoracic vertebral fracture in 79-year-old male survivor out-of-hospital cardiac arrest with chest compressions provided by LUCAS 2 (Physio-Control Inc.; Lund Sweden) device. the first such literature being noted where an automated compression device was used. Marshall RT , Kotecha H Chiba T Tennyson J . Thoracic spine mechanical CPR. Prehosp Disaster Med. 2016;31(6):684-686.
Over-inflation of endotracheal tube (ETT) cuffs has the potential to lead scarring and stenosis trachea.1, 2,3, 4 The air inside an ETT cuff is subject expansion as atmospheric pressure decreases, happens with increase in altitude. Emergency medical services helicopters are not pressurized, thereby providing a good environment for studying effects altitude changes pressures. This study aims explore relationship between pressures helicopter air-medical transport program.ETT were initially...
Abstract Introduction The time interval from diagnosis to reperfusion therapy for patients experiencing ST-segment elevation myocardial infarction (STEMI) has a significant impact on morbidity and mortality. Hypothesis It is hypothesized that the required interfacility patient transfers community hospital regional percutaneous coronary intervention (PCI) center using an Advanced Life Support (ALS) transfer ambulance service no different than utilizing “911” ALS ambulance. Methods Quality...
Introduction: Although emergency medical services (EMS) standing-order protocols provide more efficient and accurate on-scene management by paramedics, online direction (OLMD) has not been eliminated from practice. In this modern era of OLMD, no studies exist to describe the prevalence reasons for contacting OLMD.Objectives: The primary goal study was quantity calls direction. We also sought determine time diverted physicians due OLMD. Finally, we hoped identify any areas potential...
Abstract Objectives If a patient wishes to refuse treatment in the prehospital setting, providers and consulting emergency physicians must establish that possesses capacity do so. The objective of this study is assess agreement among performing assessments. Methods This involved 139 28 medicine physicians. Study participants listened 30 medical control calls pertaining were asked interpret whether patients scenarios had treatment. Participants also reported their comfort level using modified...
Abstract Introduction: Emergency Medical Services (EMS) providers are trained to place endotracheal tubes (ETTs) in the prehospital setting when indicated. Endotracheal tube cuffs traditionally inflated with 10cc of air provide adequate seal against tracheal lumen. There is literature suggesting that many ETTs well beyond accepted safe pressures 20-30cmH 2 O, leading potential complications including ischemia, necrosis, scarring, and stenosis wall. Currently, EMS do not routinely check ETT...
Asthma is an episodic disease of the airways characterized by inflammation and constriction bronchi. It has a significant societal impact with over 25 million persons affected in United States alone annually accounts for approximately 3300 deaths US. Standard therapy acute severe asthma effective most patients, but controversies exist surrounding care impending or actual respiratory failure patient. Non-invasive positive pressure ventilation been multiple case reports, lacks large trial...