A5090048564- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Sepsis Diagnosis and Treatment
- Healthcare Policy and Management
- Central Venous Catheters and Hemodialysis
- Abdominal Trauma and Injuries
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Innovations in Medical Education
- Ultrasound in Clinical Applications
- Diversity and Career in Medicine
- Traffic and Road Safety
- Phonocardiography and Auscultation Techniques
- Homelessness and Social Issues
- Poisoning and overdose treatments
- Medical Education and Admissions
- Drug-Induced Hepatotoxicity and Protection
- Chronic Disease Management Strategies
- Migration, Health and Trauma
- Disaster Response and Management
- Trauma Management and Diagnosis
- Emergency Medicine Education and Research
- Forensic Toxicology and Drug Analysis
- Primary Care and Health Outcomes
Stanford University
2021-2024
Palo Alto University
2024
Baystate Health
2023
University of Colorado Denver
2010-2021
Denver Health Medical Center
2010-2021
Health and Hospital Corporation
2010-2016
Agency for Healthcare Research and Quality
2015
World Health Organization Regional Office for the Eastern Mediterranean
2013
Denver School of Nursing
2013
Emerge
2010
Abstract The fourth Society for Academic Emergency Medicine (SAEM) Guidelines Reasonable and Appropriate Care in the Department (GRACE‐4) is on topic of emergency department (ED) management nonopioid use disorders focuses alcohol withdrawal syndrome (AWS), disorder (AUD), cannabinoid hyperemesis (CHS). SAEM GRACE‐4 Writing Team, composed physicians experts addiction medicine patients with lived experience, applied Grading Recommendations Assessment Development Evaluation (GRADE) approach to...
Precision medicine is data-driven health care tailored to individual patients based on their unique attributes, including biologic profiles, disease expressions, local environments, and socioeconomic conditions. Emergency (EM) has been peripheral the precision discourse, lacking both a unified definition of clear research agenda. We convened national consensus conference build shared mental model develop agenda for EM.
To evaluate whether using long-axis or short-axis view during ultrasound-guided internal jugular and subclavian central venous catheterization results in fewer skin breaks, decreased time to cannulation, posterior wall penetrations.Prospective, randomized crossover study.Urban emergency department with approximate annual census of 60,000.Emergency medicine resident physicians at the Denver Health Residency Emergency Medicine, a postgraduate year 1-4 training program.Resident blinded study...
Patients with repeated hospitalizations represent a group potentially avoidable utilization. Recent publications have begun to highlight the heterogeneity of this group. Latent class analysis provides novel methodological approach utilizing administrative data identify clinically meaningful subgroups patients inform tailored intervention efforts.The objective study was distinct adult superutilizers.Retrospective cohort analysis.Adult who had an admission at urban safety-net hospital in 2014...
Dyspnea is one of the most common emergency department (ED) symptoms, but early diagnosis and treatment are challenging because multiple potential causes. Impedance cardiography (ICG) a noninvasive method to measure hemodynamics that may assist in ED decision making.To determine rate change working initial plan by adding ICG data during course clinical evaluation elder patients presenting with dyspnea.The authors studied convenience sample dyspneic 65 years older who were EDs two urban...
Multiple-organ failure (MOF) is common among the most seriously injured trauma patients. The ability to easily and accurately identify patients in emergency department at risk for MOF would be valuable. aim of this study was derive internally validate an instrument predict development adult using clinical laboratory data available department.We enrolled consecutive from 2005 2008 Denver Health Trauma Registry, a prospectively collected database urban Level 1 center. Multivariable logistic...
Abstract The Patient‐Centered Outcomes Research Institute ( PCORI ) was established by Congress in 2010 to promote the conduct of research that could better inform patients making decisions reflect their desired health outcomes. has five national priorities for around which specific funding opportunities are issued: 1) assessment prevention, diagnosis, and treatment options; 2) improving healthcare systems; 3) communication dissemination research; 4) addressing disparities; 5) methods...
Background: Dyspnea is one of the most common emergency department (ED) symptoms, but early diagnosis and treatment are challenging because multiple potential causes. Impedance cardiography (ICG) a noninvasive method to measure hemodynamics that may assist in ED decision making. Objectives: To determine rate change working initial plan by adding ICG data during course clinical evaluation elder patients presenting with dyspnea. Methods: The authors studied convenience sample dyspneic 65 years...
Abstract This retrospective study analyses the fate and associated risk factors of 99 patients who underwent laparotomy for hepatic trauma from 1977 to 1986. Blunt (88 patients) stab wounds (7 had mortality rates 36 14 per cent respectively. The overall death rate was 35 cent. Multiple a significantly higher each additional system that seriously injured. Pre-operative shock raised 20 58 (P < 0.001). For over 50 years age, increased 30 (younger 63 = 0.028). Minor required relatively...
To describe the epidemiology and characteristics of emergency department (ED) visits by older adults for motor vehicle collisions (MVC) in United States (U.S.).We analyzed ED MVCs using data from 2003-2007 National Hospital Ambulatory Medical Care Survey (NHAMCS). Using U.S. Census data, we calculated annual incidence rates driver or passenger MVC-related examined visit characteristics, including triage acuity, tests performed hospital admission discharge. We compared (65+ years) younger...
Background: Prehospital emergency care is a vital component of healthcare access, and medical services (EMS) plays an essential role in delivery. Understanding the distribution trauma EMS calls at neighborhood level would be beneficial to identify at-risk communities facilitate targeted interventions. Objectives: The primary objective was evaluate characterize 9-1-1 ambulance contacts for trauma-related events Denver. secondary co-existence determine if these emergencies occur same...