A5084589669- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
- Trauma and Emergency Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Dialysis and Renal Disease Management
- Intensive Care Unit Cognitive Disorders
- Poisoning and overdose treatments
- Atrial Fibrillation Management and Outcomes
- Anesthesia and Neurotoxicity Research
- Opioid Use Disorder Treatment
- Alcoholism and Thiamine Deficiency
- Anesthesia and Sedative Agents
- Muscle and Compartmental Disorders
- Urinary Bladder and Prostate Research
- Urinary Tract Infections Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Trauma Management and Diagnosis
- Stroke Rehabilitation and Recovery
- Electrolyte and hormonal disorders
- Infectious Encephalopathies and Encephalitis
- Cerebrovascular and Carotid Artery Diseases
- Cardiac, Anesthesia and Surgical Outcomes
University of New Mexico Hospital
2021-2025
University of New Mexico
2024-2025
Denver Health Medical Center
2014-2021
University of Colorado Denver
2014-2021
Controversies and practice variations exist related to the pharmacologic nonpharmacologic management of airway during rapid sequence intubation (RSI).To develop evidence-based recommendations on topics RSI.A guideline panel 20 Society Critical Care Medicine members with experience RSI emergency met virtually at least monthly from panel's inception in 2018 through 2020 face-to-face Congress. The included pharmacists, physicians, a nurse practitioner, respiratory therapist medicine, critical...
To conduct a literature review and provide summary of the evidence surrounding prehospital administration antibiotics for open fractures other major wounds. We performed search summarized following methodology established NAEMSP Prehospital Trauma Compendium. searched PubMed from inception to 23 December 2022 articles relevant Emergency Medical Services, trauma, antibiotics. Due resource limitations, Grading Recommendations, Assessment, Development Evaluation (GRADE) was not used during...
The aim of this study is to evaluate and describe the utilization safety 4F-PCC in a nonanticoagulated, surgical patient population at an academic, tertiary care center. This retrospective, single-center chart review evaluated nonanticoagulated adult patients least 18 years age who had one dose administered between 1 January 2017 30 September 2022 for or peri-procedural indication. Hemostatic efficacy following administration was primary outcome, assessed by subsequent blood product...
The aim of this study was to evaluate and describe the utilization safety 4F-PCC in a nonanticoagulated, nonsurgical patient population at an academic, tertiary care center. This retrospective, single-center chart review evaluated nonanticoagulated adult patients least 18 years age who had one dose administered between January 1, 2017, September 30, 2022, for indication. Hemostatic efficacy following administration primary outcome, secondary outcomes included assessment blood product...
Acutely injured trauma patients may develop shock from several potential mechanisms, including hypovolemic hemorrhage, neurogenic traumatic brain injury (TBI) or spinal cord injury, obstructive tension pneumothorax pericardial tamponade, a mix of these mechanisms. Regardless the cause, restoration adequate perfusion is critical importance to reduce morbidity and mortality with shock. Multiple interventions hemorrhage control, volume resuscitation intravenous fluids blood products, pleural...
Bradycardia during rapid sequence intubation (RSI) is an uncommon but serious adverse effect encountered in pediatric intubations. Atropine has historically been used the population as RSI premedication to prevent bradycardia, especially when using succinylcholine induction agent. The objective of this analysis was identify incidence bradycardia with or without atropine use.This single-center, retrospective, observational case series reviewed patients up 18 years old requiring from January...
Study Objective To describe the pharmacokinetics of fosphenytoin (FPHT) sodium injection when administered orally, and to determine relative oral bioavailability (FREL) FPHT compared with PHT based on pharmacokinetic modeling in healthy volunteers. Design Open-label, randomized, single-dose, two-period, two-sequence crossover study. Setting University-affiliated clinical research center funded by National Center Research Resources. Subjects Ten adult Intervention were randomized receive a...
On December 29, 2021, during the delta wave of Coronavirus Disease 2019 (COVID-19) pandemic, stock premanufactured solutions used for continuous kidney replacement therapy (CKRT) at University New Mexico Hospital (UNMH) was nearly exhausted with no resupply anticipated due to supply chain disruptions. Within hours, a backup plan, devised and tested 18 months prior, locally produce CKRT dialysate implemented. This report describes emergency implementation outcomes this on-site production...
Controversies and practice variations exist related to pharmacologic nonpharmacologic emergency airway management during rapid sequence intubation (RSI) (1,2). Therefore, the American College of Critical Care Medicine (ACCM)'s Board Regents established a guideline panel review this topic provide current, systematically developed recommendations guide clinical practice. Emergency is complex involves decision-making around devices chosen for laryngoscopy, medications used facilitate...
Background: Rocuronium has a longer duration of action compared to the sedative effects induction agents used during rapid sequence intubation (RSI), introducing potential window for inadequate sedation.When rocuronium is paralysis in emergency department, delays sedation have been observed, but not described Intensive Care Units (ICUs).Objectives: The primary objective proportion patients ICU who received within 15 minutes following using rocuronium.Secondary objectives include 1) time...
Background: Patients presenting to the emergency department (ED) within 72 hours of sexual assault should be offered HIV non-occupational post-exposure prophylaxis (nPEP) and directed follow-up care.However, low rates screening medication adherence have been consistently found.Strategies improve these not universally established.Objectives: To describe improvement in nPEP following medicine (EM) pharmacist involvement counseling dispensing.Methods: This single center, retrospective,...
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