A5035114395- Ultrasound in Clinical Applications
- Trauma Management and Diagnosis
- Radiation Dose and Imaging
- Diabetic Foot Ulcer Assessment and Management
- Trauma and Emergency Care Studies
- Pleural and Pulmonary Diseases
- Streptococcal Infections and Treatments
- Central Venous Catheters and Hemodialysis
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- COVID-19 and Mental Health
- Traumatic Ocular and Foreign Body Injuries
- COVID-19 and healthcare impacts
- Healthcare professionals’ stress and burnout
- Congenital Diaphragmatic Hernia Studies
- Intravenous Infusion Technology and Safety
- Spinal Fractures and Fixation Techniques
- Sepsis Diagnosis and Treatment
- Pneumothorax, Barotrauma, Emphysema
- Bone and Joint Diseases
- Body Contouring and Surgery
- Wireless Body Area Networks
- Poisoning and overdose treatments
- Aortic Disease and Treatment Approaches
University of California, San Diego
2014-2024
University of California San Diego Medical Center
2019-2023
UC San Diego Health System
2015-2023
Undersea and Hyperbaric Medical Society
2020
Sutter Medical Center
2018
San Francisco General Hospital
2013
Highland Hospital
2009
The objective was to assess anxiety and burnout levels, home life changes, measures relieve stress of U.S. academic emergency medicine (EM) physicians during the COVID-19 pandemic acceleration phase.
IMPORTANCE Chest radiography (chest x-ray [CXR] and chest computed tomography [CT]) is the most common imaging in blunt trauma evaluation.Unnecessary leads to greater costs, emergency department time, patient exposure ionizing radiation.OBJECTIVE To validate our previously derived decision instrument (NEXUS Chest) for identification of patients with very low risk thoracic injury seen on (TICI).We hypothesized that NEXUS would have high sensitivity (>98%) prediction TICI major clinical...
Unnecessary diagnostic imaging leads to higher costs, longer emergency department stays, and increased patient exposure ionizing radiation. We sought prospectively derive validate two decision instruments (DIs) for selective chest computed tomography (CT) in adult blunt trauma patients.From September 2011 May 2014, we enrolled patients over 14 y of age presenting eight US, urban level 1 centers this observational study. During the derivation phase, physicians recorded presence or absence...
Abstract Objectives The objective was to provide a longitudinal assessment of anxiety levels and work home concerns U.S. emergency physicians during the COVID‐19 pandemic. Methods We performed longitudinal, cross‐sectional email survey clinically active (attending, fellow, resident) at seven academic departments. Follow‐up surveys were sent 4 6 weeks after initial assessed following: patient exposure, availability testing, workplace anxiety/stress, changes in behaviors, performance on...
Since the first medical student ultrasound electives became available more than a decade ago, in undergraduate education has gained increasing popularity. More dozen schools have fully integrated their curricula, with several institutions planning to follow suit. Starting June 2012, working group of emergency faculty at California began meet discuss barriers as well innovative approaches implementing education. It clear that an ongoing collaborative could be formed barriers, exchange ideas,...
Background The role of hyperbaric oxygen therapy (HBOT) in necrotizing soft tissue infections (NSTI) is mainly based on small retrospective studies. A previous study using the 1998–2009 National Inpatient Sample (NIS) found HBOT to be associated with decreased mortality NSTI. Given argument advancements critical care, we aimed investigate continued Methods 2012–2020 was queried for NSTI admissions who received surgery. 60,481 patients between were included, 600 (<1%) underwent HBOT....
Abstract Background Chest radiography ( CXR ) is the most common imaging in adult blunt trauma patient evaluation. Knowledge of yields, attendant costs, and radiation doses delivered may guide effective chest utilization. Objectives The objectives were to determine diagnostic yields computed tomography [ CT ]), estimate charges exposure per injury identified, delineate assessment points evaluation at which decision instruments for selective would have greatest effect. Methods From December...
Abstract Background In the era of frequent head‐to‐pelvis computed tomography (CT) for adult blunt trauma evaluation, we sought to update teachings regarding aortic injury by determining 1) incidence injury; 2) proportion patients with isolated (without other concomitant thoracic injury); 3) clinical implications (hospital mortality, length stay [LOS], and rate surgical interventions); 4) screening value traditional risk factors/markers (such as high‐energy mechanism widened mediastinum on...
The genicular nerve block (GNB) performed under ultrasound is a common procedure in the perioperative and outpatient setting for treatment of surgical knee pain osteoarthritis. It provides motor-sparing analgesia to knee, making it potential alternative other modes management emergency department (ED). We present an elderly woman with acute-on-chronic osteoarthritic which was relieved week after GNB during her ED visit. In patients pain, guided has provide short-term refractory analgesia....
The use of chest computed tomography (CT) to evaluate emergency department patients with adult blunt trauma is rising. NEXUS Chest CT decision instruments are highly sensitive identifiers thoracic injuries. However, many without injury exhibit one more the criteria so cannot be classified "low risk." We sought determine screening performance both individual and combined as predictors inform imaging decisions in "non-low-risk" patients.This was a secondary analysis data on derivation...
Study Objective. To evaluate the ability of ultrasonography as a radiographic technique to visualize ingested tablets in human stomach. Design. Prospective, ultrasonographer‐blinded, pilot study. Setting. Tertiary care medical center. Subjects. Fifteen healthy adults (12 male, 3 female; mean age 35.5 yrs). Intervention. After fasting for at least 12 hours, subjects were randomized either ingest total 10 (four acetaminophen, four ibuprofen, and two multivitamin tablets) with 500 ml water or...
A spontaneous diaphragmatic hernia (SDH) occurs when intra-abdominal contents extend into the thoracic cavity through a defect in diaphragm after sudden increase pressure. SDH is one of rarest surgical emergencies with less than 30 reported cases literature (1,2). In our case 94-year-old female presented to emergency department respiratory distress unilateral breath sounds and was diagnosed SDH. The only treatment option for (3,11). However, nasogastric tube decompression gastrointestinal...
Artisanal diving fishermen in Yucatán, Mexico have high rates of decompression sickness as a result frequently unsafe practices with surface supplied compressed air. In this study, we investigated the prevalence dysbaric osteonecrosis (DON), type avascular necrosis, most susceptible joints cohort these fishermen.We performed radiographs bilateral shoulders, hips, and knees 39 surveyed them about their medical histories. We pairwise correlations to examine if fishermen's behaviours affected...