A5016588269- Ultrasound in Clinical Applications
- Venous Thromboembolism Diagnosis and Management
- Hemodynamic Monitoring and Therapy
- Cardiac Arrest and Resuscitation
- Acute Myocardial Infarction Research
- Cardiac, Anesthesia and Surgical Outcomes
- Radiology practices and education
- Central Venous Catheters and Hemodialysis
- Radiation Dose and Imaging
- Atrial Fibrillation Management and Outcomes
- COVID-19 Clinical Research Studies
- Vascular Procedures and Complications
- Sepsis Diagnosis and Treatment
- COVID-19 diagnosis using AI
- Acute Ischemic Stroke Management
- Pulmonary Hypertension Research and Treatments
- Diversity and Career in Medicine
- Trauma and Emergency Care Studies
- Infective Endocarditis Diagnosis and Management
- Non-Invasive Vital Sign Monitoring
- Cardiovascular Effects of Exercise
- Emergency and Acute Care Studies
- Simulation-Based Education in Healthcare
- Ectopic Pregnancy Diagnosis and Management
- SARS-CoV-2 detection and testing
Carolinas Medical Center
2015-2025
Atrium Medical Cente
2021
University of Alabama at Birmingham
2021
Carolinas Healthcare System
2018
Memorial Hermann
2011
University of North Carolina at Chapel Hill
2011
Montefiore Medical Center
2008-2009
Albert Einstein College of Medicine
2009
ACADEMIC EMERGENCY MEDICINE 2011; 18:912–921 © 2011 by the Society for Academic Emergency Medicine Abstract Objectives: The objective was to determine whether serial bedside visual estimates of left ventricular systolic function (LVF) and respiratory variation inferior vena cava (IVC) diameter would agree with quantitative measurements LVF caval index in hypotensive emergency department (ED) patients during fluid challenges. authors hypothesized that there be moderate inter‐rater agreement...
Cardiac arrest patients with a shockable rhythm are more likely to survive an out-of-hospital cardiac (OHCA) compared nonshockable rhythm. An electrocardiogram (ECG) is the most common way identify rhythm, but it can miss clinically significant ventricular fibrillation (vfib). We sought determine percentage of OHCA that demonstrated vfib on echo. Secondary analysis echo images recorded from prior study our group, Real-Time Evaluation and Assessment for Sonography-Outcomes Network (REASON),...
RATIONALE: Critical care ultrasonography (CCUS) is rapidly evolving with new evidence being published since the prior 2016 guideline. OBJECTIVES: To identify and assess best regarding clinical outcomes associated five CCUS applications in adult patients publication of previous guidelines. PANEL DESIGN: An interprofessional, multidisciplinary, diverse expert panel 36 individuals including two patient/family representatives was assembled via an intentional approach. Conflict-of-interest...
Abstract Objectives Central venous catheter ( CVC ) placement is a common procedure in critical care management. The authors set out to determine echocardiographic features during saline flush of any type . hypothesis was that the presence rapid swirl right atrium on bedside echocardiography would confirm correct tip, similar accuracy postplacement chest radiograph CXR ). Methods This prospective convenience sample emergency department (ED) and intensive unit (ICU) patients who had CVCs...
Introduction: Most pulmonary embolism response teams (PERT) use a radiologist-determined right ventricle to left ratio (RV:LV) cut-off of 1.0 risk-stratify (PE) patients. Continuous measurements from computed tomography angiograms (CTPAs) may improve risk stratification. We assessed associations CTPA cardiac with acute clinical deterioration and advanced PE interventions. Methods: This was retrospective study registry used by eight affiliated emergency departments. an artificial intelligence...
Objective To prospectively compare ultrasound (US) versus CXR for confirmation of central vascular catheter (CVC) placement. Secondary objective was to determine the incidence pneumothorax (PTX) and US with completion times. Methods Investigators performed saline flush echo test, evaluated each anterior hemithorax pleural sliding after subclavian or internal jugular CVC Measurements main results 151 total (135 in emergency department, 16 intensive care unit) patients placement, mean age...
Emergency ultrasound (EUS) has been recognized as integral to the training and practice of emergency medicine (EM). The Council Medicine Residency-Academy Ultrasound (CORD-AEUS) consensus document provides guidelines for resident assessment progression. Accredited Graduate Medical Education (ACGME) adopted EM Milestones residents' progress during their residency training, which includes demonstration procedural competency in bedside ultrasound. objective this study was assess use perceptions...
Abstract Background Traditional simulation‐based education prioritizes participation in simulated scenarios. The educational impact of observation compared with remains uncertain. Our objective was to compare the performances observers and participants a standardized simulation scenario. Methods We assessed learning differences between scenario using convergent, parallel, quasi‐experimental, mixed‐methods study 15 ( N = 30). Fifteen first‐year residents from six medical specialties were...
Objectives Accurate and reliable criteria to rapidly estimate the probability of infection with novel coronavirus-2 that causes severe acute respiratory syndrome (SARS-CoV-2) associated disease (COVID-19) remain an urgent unmet need, especially in emergency care. The objective was derive validate a clinical prediction score for SARS-CoV-2 uses simple widely available at point Methods Data came from registry data national REgistry suspected COVID-19 EmeRgency care (RECOVER network) comprising...
Objectives Rapid bedside assessment of left ventricular (LV) function can aid in the evaluation critically ill patient and guide clinical management. Our primary hypothesis was that mitral valve E-point septal separation measurements would correlate with contemporaneous fractional shortening LV systolic when performed by emergency physicians. secondary as a continuous variable predict using linear regression model. Methods We studied prospective convenience sample patients undergoing...
To evaluate observer agreement using qualitative goal-directed echocardiographic criteria for right ventricular (RV) dysfunction prognostication in submassive pulmonary embolism (PE).Two emergency physicians and 2 cardiologists independently reviewed 31 packets of video clips consisting at least 3 windows obtained by from normotensive patients with PE. Nine were repeated to assess intraobserver agreement. Right on echocardiography as follows: RV enlargement was present, a right-to-left basal...
Develop and validate a prognostic model for clinical deterioration or death within days of pulmonary embolism (PE) diagnosis using point-of-care criteria.We used prospective registry data from six emergency departments. The primary composite outcome was (respiratory failure, cardiac arrest, new dysrhythmia, sustained hypotension, rescue reperfusion intervention) 5 days. Candidate predictors included laboratory imaging right ventricle (RV) assessments. developed 935 PE patients. Univariable...
We sought to determine associations of early electrocardiogram (ECG) patterns with clinical deterioration (CD) within 5 days and RV abnormality (abnlRV) by echocardiography in pulmonary embolism (PE).In this prospective, multicenter study newly confirmed PE patients, initial ECG were examined. Initial included lead-specific ST-segment elevation (STE) or depression (STD), T-wave inversion (TWI), supraventricular tachycardia (SVT), sinus tachycardia, right bundle branch block as complete...
Objectives. To characterize the association between pulmonary embolism (PE) severity and bleeding risk with treatment approaches, outcomes, complications. Methods. Secondary analysis of an 11-hospital registry adult ED patients treated by a PE response team (August 2016–November 2022). Predictors were risk. The primary outcome was approach: anticoagulation monotherapy vs. advanced intervention (categorized as “immediate” or “delayed” based on whether received within 12 hours diagnosis not)....
Abstract Background We determine the predictive value of transthoracic echocardiographic (TTE) metrics for clinical deterioration within 5 days in adults with intermediate-risk pulmonary embolism (PE). Methods This was a prospective observational study PE patients. To associations TTE and predictors deterioration, we used univariable analysis, Youden’s index optimal thresholds, multivariable analyses to report odds ratios (ORs) or area under curve (AUC). Results Of 306 patients, 115 (37.6%)...