A5061603953- Hospital Admissions and Outcomes
- Diversity and Career in Medicine
- Trauma and Emergency Care Studies
- Innovations in Medical Education
- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Trauma and Injuries
- Gun Ownership and Violence Research
- Frailty in Older Adults
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Simulation-Based Education in Healthcare
- Medical Education and Admissions
- Abdominal Surgery and Complications
- Public Health Policies and Education
- Organ Donation and Transplantation
- Muscle and Compartmental Disorders
- Anatomy and Medical Technology
- Healthcare Systems and Technology
- Intensive Care Unit Cognitive Disorders
- Traumatic Ocular and Foreign Body Injuries
- COVID-19 and healthcare impacts
- Traumatic Brain Injury and Neurovascular Disturbances
- Suicide and Self-Harm Studies
- Advances in Oncology and Radiotherapy
Medical University of South Carolina
2020-2024
University of Kentucky
2013-2018
Albert B. Chandler Hospital
2015-2018
American College of Surgeons
2018
University of Kentucky HealthCare
2015-2017
McKinsey & Company (United States)
2016
Background: Care of the trauma patient requires a well-coordinated intensive effort during golden hour to optimize survival. Purpose: We hypothesized that this program would improve knowledge, satisfaction, self-confidence, and simulated team performance. Methods: A pre-, post-test design with N = 7 BSN nurses, 21 years age, less than 2 care unit nursing experience. Setting: Trauma unit, single-center academic Level 1 center. Results: Improvement was shown in perception structure (paired t...
The objective of this study is to evaluate the safety and quality computed tomographic angiography thoracic aorta (CTA-TA) exams performed using intraosseous needle intravenous access (ION-IVA) for contrast media injection (CMI).All CTA-TA at institution between 1/1/2013 8/14/2015 were reviewed retrospectively identify those which had been ION-IVA (ION-exams). ION-exams then analyzed determine aortic attenuation contrast-to-noise ratio (CNR). Linear regression was used how rate other...
Paroxysmal sympathetic hyperactivity ( PSH ) affects approximately 10% of survivors acquired brain injury and is associated with substantial morbidity. The most effective maintenance therapies include oral β‐blockers α‐2 antagonists. We report the use rectal propranolol for symptomatic control in a critically ill patient an altered gastrointestinal tract whom intake was contraindicated. A 15‐year‐old C aucasian male no past medical history admitted status post all‐terrain vehicle rollover...
In 2012, we implemented a ready open trauma intensive care unit (TICU) bed process. Our hypothesis was that this process would decrease emergency department (ED) length of stay (LOS) in cost-effective manner without worsening clinical outcomes.We developed charge nurse patient assignment to facilitate bed. We also provided team training for early ICU resuscitation. All Level 1 activations admitted directly the TICU before and after implementation were examined. Patients taken operating room...
Solid organ transplantation has emerged as a life-saving treatment for many patients suffering from end-stage failure. Organs have been successfully recovered after variety of aggressive interventions. We propose that decompressive laparotomy, when clinically indicated, should be considered in the resuscitation potential donors. A thorough literature review examining interventions on donors was conducted experience with unique case at this institution. Articles were reviewed types performed...
Critical Care Medicine: December 2014 - Volume 42 Issue 12 p A1650 doi: 10.1097/01.ccm.0000458708.82723.6d
Introduction: Comfort level with bedside procedural skills directly correlates number of procedures performed. However in internal medicine and family practice residency programs, there is a reported wide variability procedure experience. Moreover, 50% residents by Huang et al were not comfortable performing central venous lines (CVL) at the minimum required five as set American Board Internal Medicine (ABIM). Hicks showed to be CVLs double quadruple ABIM requirement. The purpose this study...
Hockensmith, Lindsay MSa; Hamilton, David A. Jr MD, MBAb; Willett, Kara BSN, RN, CCRNc; Talley, Cynthia L. MDc; O’Donnell, Patrick PhDb Author Information