A5061417258- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Acute Ischemic Stroke Management
- Acute Myocardial Infarction Research
- Airway Management and Intubation Techniques
- Mechanical Circulatory Support Devices
- Disaster Response and Management
- COVID-19 and healthcare impacts
- Traumatic Brain Injury Research
- Trauma Management and Diagnosis
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury and Neurovascular Disturbances
- Respiratory Support and Mechanisms
- Injury Epidemiology and Prevention
- Heart Failure Treatment and Management
- Clinical practice guidelines implementation
- Healthcare Systems and Practices
- Epilepsy research and treatment
- Sepsis Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Neonatal and fetal brain pathology
- Cardiac Imaging and Diagnostics
- ECG Monitoring and Analysis
- Venous Thromboembolism Diagnosis and Management
UCLA Medical Center
2016-2025
Harbor–UCLA Medical Center
2016-2025
Los Angeles County Museum of Art
2016-2025
University of California, Los Angeles
2016-2025
Pioneer (United States)
2014-2024
Los Angeles County Department of Health Services
2014-2024
Health and Human Services Agency
2014-2024
University of Pittsburgh
2023
Long Beach Medical Center
2021
University of North Carolina Health Care
2021
Mobile stroke units (MSUs) are ambulances with staff and a computed tomographic scanner that may enable faster treatment tissue plasminogen activator (t-PA) than standard management by emergency medical services (EMS). Whether how much MSUs alter outcomes has not been extensively studied.In an observational, prospective, multicenter, alternating-week trial, we assessed from MSU or EMS within 4.5 hours after onset of acute symptoms. The primary outcome was the score on utility-weighted...
While ultrasound (US) has continued to expedite diagnosis and therapy for critical care physicians inside the hospital system, technology been slow diffuse into pre-hospital system. Given diagnostic benefits of thoracic (TUS), we sought evaluate image recognition skills two important TUS applications; identification B-lines (used in US pulmonary edema) lung sliding comet tails pneumothorax). In particular evaluated impact a focused training module system that utilizes as providers. 27 Paris...
The purpose of this study was to evaluate sex differences in out-of-hospital cardiac arrest (OHCA) characteristics, interventions, and outcomes.This is a retrospective analysis from regionalized system. Data on patients treated for OHCA are reported single registry, which all adult were identified 2011 through 2014. Characteristics, treatment, outcomes evaluated with stratification by sex. adjusted odds ratio (OR) survival good neurological outcome (cerebral performance category 1 or 2)...
Airway management is a critical component of out-of-hospital cardiac arrest (OHCA) resuscitation. Multiple airway techniques are available to EMS clinicians including bag-valve-mask (BVM) ventilation, supraglottic airways (SGAs), and endotracheal intubation (ETI). Important goals include achieving optimal oxygenation ventilation while minimizing negative effects on physiology interference with other resuscitation interventions. NAEMSP recommends:Based the skill clinician resources, BVM, SGA,...
Airway management is a cornerstone of emergency medical care. This project aimed to create evidence-based guidelines based on the systematic review recently conducted by Agency for Healthcare Research and Quality (AHRQ). A technical expert panel was assembled evidence using Grading Recommendations Assessment, Development, Evaluation (GRADE) methodology. The made specific recommendations different PICO (population, intervention, comparison, outcome) questions reviewed in AHRQ created good...
Uncontrolled hemorrhage is the most preventable cause of death following traumatic injury; children may be called to act as bystanders when control necessary. The earliest age that can learn remains undetermined. We aimed identify whether aged 8 12 years and how use a combat application tourniquet (CAT) appropriately place tighten it achieve control. conducted prospective study old. A trained facilitator taught CAT placement on manikins in small group sessions. After each session, we...
BACKGROUND In 2021, 42,939 people died in US traffic crashes, and 40% of the dead were alive when first responders arrived. The Department Transportation recently set a target zero roadway fatalities identified post-crash care as essential to achieving this goal. While there are research agendas for violent injury, suicide, other areas, is effort define agenda help meet new national goal fatalities. METHODS This original study consisted four-round modified Delphi process culminating an...
Use of supraglottic airways by emergency medical services (EMS) clinicians has increased for patients all ages. However, data are limited on real-world use in the prehospital setting, including success rates, complications, and paramedic experience. The objective this study was to determine frequency successful i-gel® insertion associated describe perception use. This a prospective adult at four fire-based EMS Provider Agencies Los Angeles (LA) County from June September 2021. All paramedics...
Post-resuscitation care of cardiac arrest patients at specialized centers may improve outcome after out-of-hospital (OOHCA). This study describes experience with regionalized resuscitated patients.Los Angeles (LA) County established in 2006. Since 2010, protocols mandate transport nontraumatic OOHCA field return spontaneous circulation (ROSC) to a STEMI Receiving Center (SRC) hypothermia protocol. All SRC report outcomes registry maintained by the LA Emergency Medical Services (EMS) Agency....
Objectives: To determine the causes of software misinterpretation ST elevation myocardial infarction (STEMI) compared to clinically identified STEMI identify opportunities improve prehospital identification. Methods: We ECGs acquired from July 2011 through June 2012 using LIFEPAK 15 on adult patients transported by Los Angeles Fire Department. Cases included ≥18 years who received a ECG. Software interpretation ECG (STEMI or not) was with data in regional EMS registry classify as true...
Background Public health emergencies may significantly impact emergency medical services responses to cardiovascular emergencies. We compared out-of-hospital cardiac arrest (OHCA) and ST-segment‒elevation myocardial infarction (STEMI) during the 2020 COVID-19 pandemic 2018 2019 evaluated of California's March 19, stay-at-home order. Methods Results conducted a population-based cross-sectional study using Los Angeles County registry data for adult patients with paramedic provider impression...
Background. The Broselow tape is widely used to rapidly estimate weight and facilitate proper medication dosing in pediatric patients. Objective. We aimed determine the accuracy of prehospital use tape. Methods. prospectively enrolled a consecutive sample patients transported emergency department (ED) at Harbor–UCLA Medical Center from February 2008 January 2009. Eligible subjects arrived via ambulance were less than 145 cm tall, upper limit height for measurements. Subjects excluded if they...
In 2002, the West-African nation of Gabon established an emergency medical system (EMS), Service d'Aide Médicale Urgente (SAMU), in Libreville, yet few people access it. Our objective was to describe Libreville residents' knowledge and attitudes toward SAMU effort understand why this service is underutilized. Qualitative interviews consisting nine open-ended questions were conducted on a convenience sample twenty patients, three visitors two patient/visitor dyads at Jeanne Ebori Hospital...
Background. Prehospital identification of STEMI and activation the catheterization lab can improve door-to-balloon (D2B) times but may lead to decreased specificity unnecessary resource utilization. The purpose this study was examine effect electrocardiogram (ECG) transmission on false-positive (FP) cath activations time reperfusion. Methods. This is a retrospective cohort from registry in large metropolitan area with regionalized cardiac care emergency medical services (EMS) ECG...
Manual ventilation using a self-inflating bag device paired with facemask (bag-valve-mask, or BVM ventilation) invasive airway (bag-valve-device, BVD is fundamental management skill for all Emergency Medical Services (EMS) clinicians. Delivery of manual ventilations challenging. Several strategies and adjunct technologies can increase the effectiveness ventilation. NAEMSP recommends:All EMS clinicians must be proficient in bag-valve-mask ventilation.BVM should performed two-person technique...