A5027027905- Trauma and Emergency Care Studies
- Abdominal Surgery and Complications
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Emergency and Acute Care Studies
- Disaster Response and Management
- Hip and Femur Fractures
- Cardiac Arrhythmias and Treatments
- Streptococcal Infections and Treatments
- Atrial Fibrillation Management and Outcomes
- Injury Epidemiology and Prevention
- Cardiac Structural Anomalies and Repair
- Intestinal and Peritoneal Adhesions
- Anesthesia and Pain Management
- Esophageal and GI Pathology
- Mechanical Circulatory Support Devices
- Inflammatory Myopathies and Dermatomyositis
- Central Venous Catheters and Hemodialysis
- Cardiac pacing and defibrillation studies
- S100 Proteins and Annexins
- Restraint-Related Deaths
- Organ Transplantation Techniques and Outcomes
- Traumatic Ocular and Foreign Body Injuries
- Amoebic Infections and Treatments
- Infectious Diseases and Tuberculosis
Penn State Milton S. Hershey Medical Center
2023-2024
Lancaster General Hospital
2023-2024
Massachusetts General Hospital
2023-2024
Mount Sinai Hospital
2023-2024
University of Arizona
2007-2024
Temple University Hospital
2023-2024
Medical College of Wisconsin
2023-2024
University of California, Irvine Medical Center
2023-2024
Hartford Hospital
2023-2024
General University Hospital of Patras
2023-2024
Objective: The use of "care bundles" in the prevention ventilator-associated pneumonia (VAP) and other intensive care unit (ICU) complications have been increasingly used critical practice. However, effective implementation these strategies represents a challenge busy Level I trauma ICU. We devised daily "Quality Rounds Checklist" (QRC) tool for ICU to increase compliance with prophylactic measures identify areas improvement quality care. Methods: A prospective before-after design was...
Background The COVID-19 pandemic has had far-reaching effects on healthcare systems and society with resultant impact trauma worldwide. This study evaluates the in Washington, DC Metropolitan Region as compared similar months 2019. Design A retrospective multicenter of all adult centers region was conducted using registry data between January 1, 2019 May 31, 2020. March 2020 through defined COVID-19, February 28, pre-COVID-19. Variables examined include number contacts, admissions, mechanism...
Abstract Background Thoracic surgeons have been incorporating enhanced recovery after surgery (ERAS) protocols into their practices, not only to reduce narcotic usage but also improve complication rates and decrease lengths of stay. Here, we describe the utility a regional block technique that can be used for patients undergoing urgent or elective thoracic surgical procedures suffering from rib fractures. Methods We report our initial one-year experience with these erector spinae plane (ESP)...
Most patients with anorectal abscess are diagnosed clinically based on pain, erythema, warmth, and fluctuance. Some patients, however, present subtle or atypical signs. CT is easily accessible commonly used for diagnosis delineation of abscess. The purpose this study to determine the sensitivity scan in detecting perirectal abscesses see if immune status impacts accuracy CT. A retrospective was conducted identify from 2000 2009 International Classification Diseases, 9th Revision code 566...
BACKGROUND Leak following surgical repair of traumatic duodenal injuries results in prolonged hospitalization and oftentimes nil per os treatment. Parenteral nutrition (PN) has known morbidity; however, leak patients often have complex hospital courses resulting barriers to enteral (EN). We hypothesized that EN alone would be associated with (1) shorter duration until closure (2) less infectious complications length stay compared PN. METHODS This was a post hoc analysis retrospective,...
Introduction The utility of pancreaticoduodenectomy (PD) for high-grade traumatic injuries remains unclear and data surrounding its use are limited. We hypothesized that PD does not result in improved outcomes when compared with non-PD surgical management grade IV–V pancreaticoduodenal injuries. Methods This is a retrospective, multicenter analysis from 35 level 1 trauma centers January 2010 to December 2020. Included patients were ≥15 years age the American Association Surgery Trauma...
Recent studies have suggested worse outcomes for patients hospitalized during the beginning of academic calendar, though these findings not been reproduced among trauma patients. This study compares year with those at end year.Retrospective registry analysis a large urban level I center. Patients admitted April/May (ENDYEAR group) or July/August (FRESH between 1998 and 2007 were included. Demographic injury parameters recorded, compared including crude mortality, complication rate, length...
BACKGROUND Duodenal leak is a feared complication of repair, and innovative complex repairs with adjunctive measures (CRAM) were developed to decrease both occurrence severity when leaks occur. Data on the association CRAM duodenal are sparse, its impact outcomes nonexistent. We hypothesized that primary repair alone (PRA) would be associated decreased rates; however, improved recovery do METHODS A retrospective, multicenter analysis from 35 Level 1 trauma centers included patients older...
Total parenteral nutrition (TPN) is associated with known costs, including the use of invasive procedures, which may be necessary to optimize care. Our purpose was document TPN in trauma patients over time as well concurrent changes TPN-associated complications.Retrospective analysis all consecutive admitted surgical intensive care unit during a period 6 years from Level I center. Comparative cohorts and matched case-control approaches were used analyze difference outcomes between without...
Case: Immunomodulatory injections are becoming common long-term treatments for neuromuscular diseases such as multiple sclerosis (MS), although they carry a risk of local site infection. We describe case 57-year-old man who developed necrotizing fasciitis the anterior thigh secondary to intramuscular (IM) interferon-beta-1A MS, ultimately developing septic shock and requiring serial debridements source control. Conclusions: This is first reported from chronic IM MS deserves particular...
Background In 2006, a multi-disciplinary “Code Critical Airway” (CCA) Team was created at our institution. The objective of this study is to examine the demographics and outcomes patients for whom CCA activated. Methods A retrospective review conducted activated from 2008-2020. Data 2006-2008 not available due timing implementation hospital’s electronic medical record system. early period experience with CCAs (2008-2014) compared later (2015-2020) activations. Results There were 953 Over...
BACKGROUND AND OBJECTIVES: Severe traumatic brain injury (sTBI) represents a diffuse, heterogeneous disease where therapeutic targets for optimizing clinical outcome remain unclear. Mean pressure reactivity index (PRx) values have demonstrated associations with in sTBI. However, the retrospective derivation of mean value diminishes its bedside significance. We evaluated PRx temporal profiles patients sTBI and identified time thresholds suggesting optimal neuroprognostication. METHODS:...
Himmler, Amber N. MD; Wahl, Caitlin M. Trankiem, Christine T. Najjar, Samer S. Johnson, Laura MD Author Information