A5044216432- Acute Ischemic Stroke Management
- Innovations in Medical Education
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma and Emergency Care Studies
- Health and Medical Research Impacts
- Obstructive Sleep Apnea Research
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Clinical Reasoning and Diagnostic Skills
- Health Sciences Research and Education
- Cerebrovascular and Carotid Artery Diseases
- Cardiac Arrest and Resuscitation
- Cardiovascular and Diving-Related Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Intracerebral and Subarachnoid Hemorrhage Research
- Empathy and Medical Education
- Infectious Aortic and Vascular Conditions
- Ureteral procedures and complications
- Sepsis Diagnosis and Treatment
- Anesthesia and Sedative Agents
- Radiology practices and education
- Health Policy Implementation Science
- Intensive Care Unit Cognitive Disorders
- Pediatric Pain Management Techniques
University of Michigan
2012-2024
Michigan Medicine
2016-2019
Michigan United
2018
University of Chicago
2017
American Heart Association
2017
University of Virginia Health System
2017
New York State Department of Health
2017
Stony Brook University
2017
University of Rochester Medical Center
2017
Stony Brook Medicine
2017
<h3>Importance</h3> Increased patient acuity, decreased intensive care unit (ICU) bed availability, and a shortage of intensivist physicians have led to strained ICU capacity. The resulting increase in emergency department (ED) boarding time for patients requiring ICU-level has been associated with worse outcomes. <h3>Objective</h3> To determine the association novel ED-based ICU, Emergency Critical Care Center (EC3), 30-day mortality inpatient admission. <h3>Design, Setting,...
Competency-based education, including assessment of specialty-specific milestones, has become the dominant medical education paradigm; however, how to determine baseline competency entering interns is unclear-as whom this responsibility falls. Medical schools should take for providing residency programs with accurate, competency-based assessments their graduates.A University Michigan ad hoc committee developed (spring 2013) a post-Match, milestone-based student performance evaluation seven...
Medical education is a continuum from medical school through residency to unsupervised clinical practice. There has been movement toward competency-based prompted by the Accreditation Council for Graduate Education (ACGME) using milestones assess competence. While implementation of residents sets specific standards transition internship, there exists need development instruments students as they progress internship. The objective this study was develop fourth-year completing their emergency...
Abstract Background Cardiac arrest is a common and devastating emergency of both the heart brain. More than 380,000 patients suffer out-of-hospital cardiac annually in USA. Induced cooling comatose markedly improved neurological functional outcomes pivotal randomized clinical trials, but optimal duration therapeutic hypothermia has not yet been established. Methods This study multi-center randomized, response-adaptive, (dose) finding, comparative effectiveness trial with blinded outcome...
Stroke incidence and mortality are declining rapidly in developed countries. Little data on ethnic-specific stroke recurrence trends exist. Fourteen-year trend estimates were evaluated Mexican Americans non-Hispanic whites a population-based study.Recurrent was ascertained prospectively the BASIC (Brain Attack Surveillance Corpus Christi) project Texas, between 2000 2013. Incident cases followed forward to determine 1- 2-year recurrence. Fine & Gray subdistribution hazard models used...
Education research and scholarship are essential for promotion of faculty as well dissemination new educational practices. Educational frequently spend the majority their time on administrative commitments a result educators often fall behind research. The objective this advance is to promote scholarly productivity template others follow.We formed Medical Research Group (MERG) education leaders from our emergency medicine residency, fellowship, clerkship programs, residents with focus...
A 42-year-old man presented with 3 weeks of blurry vision in the right eye. His exam was significant for decreased eye, diffuse retinopathy both eyes, and serous retinal detachment The patient found to be hypertensive blood pressure 256/160 mmHg. He diagnosed emergency end-organ damage due features chorioretinopathy. admitted abnormal urinalysis, elevated troponin, EKG. After appropriate control his pressure, labs normalized. Hypertensive emergencies can manifested first eyes. When choroid...
Background and Purpose— The American Heart Association/American Stroke Association Department of Health Coverdell Program convened a stakeholder meeting in upstate NY to develop recommendations enhance stroke systems for acute large vessel occlusion. Methods— Prehospital, hospital, leadership were invited (n=157). Participants provided goals/concerns developed prehospital triage interfacility transport, rating each using 3-level impact (A [high], B, C [low]) implementation feasibility (1 2,...
Cardiac arrest is a common and devastating emergency of both the heart brain. More than 380,000 patients suffer out-of-hospital cardiac annually in United States. Induced cooling comatose markedly improved neurological functional outcomes pivotal randomized clinical trials, but optimal duration therapeutic hypothermia has not yet been established.
Patient transfers among medical facilities are high-risk situations. Despite this, there is very little training of physicians regarding the and legal aspects transport medicine.To examine effects a one hour, educational intervention on Emergency Medicine (EM) residents' Critical Care (CC) fellows' knowledge interfacility patient transfers.Prior to intervention, physician 12 key concepts in transfer was assessed using pre-test instrument. A interactive, session followed immediately...
Emergency physician (EP) turnover is a significant issue that can have strong economic impact on hospital systems, as well implications research efforts to test and improve clinical practice. This work particularly important researchers planning randomized trials directed toward EPs because large degree of within group would attenuate the effectiveness desired intervention. We sought determine incidence factors associated with EP workforce changes.In an attempt change, data from INSTINCT...
Background and Purpose— The National Institutes of Health (NIH) StrokeNet provides a nationwide infrastructure to advance stroke research. Capitalizing on this unique opportunity, the NIH Training Core (NSTC) was established with overarching goal enhancing professional development diverse spectrum professionals who are embedded in clinical trials network StrokeNet. Methods— This special report descriptive account rationale, organization, activities NSTC since its inception 2013. Current...
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Introduction: Data indicate approximately 60% of stroke patients use Emergency Medical Systems (EMS) to access medical care. EMS is associated with improved door physician and CT times in treatment. Rural areas, however, may have limited its impact on tPA delivery this setting unknown. Hypothesis: We assessed the hypothesis that treated would be lower rural areas compared urban areas. also examined important time intervals between groups. Methods: Prospective, observational study using...
Introduction: When emergency medical services (EMS) responds to a field call for patient experiencing stroke symptoms, the response is emergent, necessitating use of lights and siren (L&S) allow expedited transport stroke-capable center. With expanded endovascular therapy (EVT) large-vessel occlusion (LVO), many centers are transferring larger numbers LVO patients EVT-capable definitive care. Interestingly, EMS systems do not respond or inter-facility transfers emergently with L&S....
The COVID-19 pandemic has created opportunities for innovation, ingenuity, and system reengineering. next big investment in health care should be intentional embedded partnerships between clinicians, designers, architects who can collaborate to help solve care’s greatest challenges.