A5027993541- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Electronic Health Records Systems
- Information and Cyber Security
- Trauma and Emergency Care Studies
- Artificial Intelligence in Healthcare and Education
- Advanced Malware Detection Techniques
- Disaster Response and Management
- Healthcare Technology and Patient Monitoring
- Ethics in Clinical Research
- Telemedicine and Telehealth Implementation
- Digital Mental Health Interventions
- Trauma Management and Diagnosis
- Heart Rate Variability and Autonomic Control
- Respiratory Support and Mechanisms
- Mobile Health and mHealth Applications
- Radiology practices and education
- ECG Monitoring and Analysis
- Cardiac electrophysiology and arrhythmias
- Digital Imaging in Medicine
- Radiomics and Machine Learning in Medical Imaging
- Injury Epidemiology and Prevention
- Chronic Disease Management Strategies
- Autopsy Techniques and Outcomes
- Neuroethics, Human Enhancement, Biomedical Innovations
University of California, San Diego
2018-2025
University of California San Diego Medical Center
2024
University of California System
2023
UC San Diego Health System
2019-2022
University of California, San Francisco
2021
Uniformed Services University of the Health Sciences
2020
University of California, Davis
2020
University of Arizona
2010-2017
Maricopa Medical Center
2014-2016
Arizona Department of Health Services
2015-2016
Importance Rapid digitalization of health care and a dearth digital education for medical students junior physicians worldwide means there is an imperative more training in this dynamic evolving field. Objective To develop evidence-informed, consensus-guided, adaptable competencies framework the design development curricula institutions globally. Evidence Review A core group was assembled to oversee Digital Health Competencies Medical Education (DECODE) framework. First, initial list created...
Bystander cardiopulmonary resuscitation (CPR) significantly improves survival from out-of-hospital cardiac arrest but is provided in less than half of events on average. Telephone CPR (TCPR) can increase bystander rates and improve clinical outcomes.To investigate the effect a TCPR bundle care process measures outcomes.A prospective, before-after, observational study adult patients with not receiving before 9-1-1 call between October 1, 2010, September 30, 2013.A program, including...
As a result of the extensive integration technology into healthcare system, cybersecurity incidents have become an increasing challenge for industry. Recent examples include WannaCry, nontargeted ransomware attack on more than 150 countries worldwide that temporarily crippled parts National Health Service in United Kingdom, and 2016 Los Angeles's Hollywood Presbyterian Medical Center. The attacks cost millions dollars lost revenue fines, as well significant reputational damage. Efforts are...
Mobile devices increasingly function as wireless tracking beacons. Using the Bluetooth Low Energy (BLE) protocol, mobile such smartphones and smartwatches continuously transmit beacons to inform passive listeners about device locations for applications digital contact tracing COVID-19, even finding lost devices. These use cryptographic anonymity that limit an adversary's ability these stalk a user. However, attackers can bypass defenses by fingerprinting unique physical-layer imperfections...
Cyberattacks on healthcare systems are increasing in frequency and severity. Hospitals need to integrate cybersecurity preparedness into their emergency operations planning response mitigate adverse outcomes during increasingly likely cyber events. No data currently exist regarding the level of United States hospital for attacks. We surveyed managers assess these events.Fifty-seven representing hospitals across participated an online Qualtrics survey current procedures hazards.Survey...
Importance Cyberattacks on health care delivery organizations are increasing in frequency and sophistication. Ransomware infections have been associated with significant operational disruption, but data describing regional associations of these cyberattacks neighboring hospitals not previously reported, to our knowledge. Objective To examine an institution’s emergency department (ED) patient volume stroke metrics during a month-long ransomware attack geographically proximal separate...
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Background: Education experts are starting to explore the potential uses of wearable technology and augmented reality in simulation-based training. In this article, we summarize our experiences with using Google Glass training discuss future directions advanced technology. Methods: Emergency medicine residents medical students participated a pilot study where each team captain was asked wear during 15 separate sessions. Video obtained from analyzed utilized debriefing sessions for students....
Medical education today frequently includes standardized patient (SP) encounters to teach history-taking, physical exam, and communication skills. However, traditional wall-mounted cameras, used record video for faculty student feedback evaluation, provide a limited view of key nonverbal behaviors during clinical encounters.In 2013, 30 second-year medical students participated in an end-of-life module that included SP which the SPs Google Glass their first-person perspective. Students...
Abstract Objective The coronavirus disease 2019 pandemic has inspired new innovations in diagnosing, treating, and dispositioning patients during high census conditions with constrained resources. Our objective is to describe first experiences of physician interaction a novel artificial intelligence (AI) algorithm designed enhance abilities identify ground‐glass opacities consolidation on chest radiographs. Methods During the wave pandemic, we deployed previously developed validated...
In cardiac arrest, the ventricular fibrillation (VF) waveform, particularly amplitude spectral area (AMSA) and slope, predicts return of spontaneous circulation (ROSC), but it is unknown whether predictive utility differs in an acute myocardial infarction (MI), prior MI, or normal myocardium if waveform can distinguish underlying state. We hypothesized that a swine model VF AMSA slope predict ROSC after shock independent substrate from nonacute MI state.MI was induced by occlusion left...
Importance Patients with inequitable access to patient portals frequently present emergency departments (EDs) for care. Little is known about portal use patterns among ED patients. Objectives To describe real-time usage trends patients and compare demographic clinical characteristics between users nonusers. Design, Setting, Participants In this cross-sectional study of 12 teaching 24 academic-affiliated EDs from 8 health systems in California, Connecticut, Massachusetts, Ohio, Tennessee,...
Glucagon-like peptide-1 (GLP-1) has protective effects in the heart. We hypothesized that GLP-1 would mitigate coronary microvascular and left ventricular (LV) dysfunction if administered after cardiac arrest resuscitation (CAR). Eighteen swine were subjected to fibrillation followed by resuscitation. Swine surviving return of spontaneous circulation (ROSC) randomized receive an intravenous infusion either human rGLP-1 (10 pmol·kg −1 ·min ; n = 8) or 0.9% saline ( for 4 h, beginning 1 min...
Emergency 9-1-1 callers use a wide range of terms to describe abnormal breathing in persons with out-of-hospital cardiac arrest (OHCA). These descriptors can obstruct the telephone cardiopulmonary resuscitation (CPR) process.We conducted an observational study emergency call audio recordings linked confirmed OHCAs statewide Utstein-style database. Breathing fell into 1 8 groups (eg, gasping, snoring). We divided population and without for investigate impact these on patient outcomes CPR...
Out-of-hospital cardiac arrest (OHCA) is a leading cause of death. The 2010 American Heart Association Emergency Cardiovascular Care (ECC) Guidelines recognize emergency dispatch as an integral component medical service response to OHCA and call for all dispatchers be trained provide telephone cardiopulmonary resuscitation (T-CPR) pre-arrival instructions. To begin measure improve this critical intervention, study describes nationwide survey public safety answering points (PSAPs) focusing on...
OBJECTIVES: Healthcare ransomware cyberattacks have been associated with major regional hospital disruptions, but data reporting patient-oriented outcomes in critical conditions such as cardiac arrest (CA) are limited. This study examined the CA incidence and of untargeted hospitals adjacent to a ransomware-infected healthcare delivery organization (HDO). DESIGN, SETTING, AND PATIENTS: cohort compared two academic an HDO under cyberattack during pre-attack (April 3–30, 2021), attack (May...