A5040118021- Emergency and Acute Care Studies
- Nursing Roles and Practices
- Cardiac Arrest and Resuscitation
- Primary Care and Health Outcomes
- Hospital Admissions and Outcomes
- Clinical Reasoning and Diagnostic Skills
- Maternal and Perinatal Health Interventions
- Acute Myocardial Infarction Research
- Injury Epidemiology and Prevention
- Heart Failure Treatment and Management
- Healthcare Systems and Technology
- Airway Management and Intubation Techniques
- Medical Education and Admissions
- Trauma and Emergency Care Studies
- Opioid Use Disorder Treatment
- Diversity and Career in Medicine
- Innovations in Medical Education
- Reproductive Health and Contraception
- Botulinum Toxin and Related Neurological Disorders
- Maternal and fetal healthcare
- Magnesium in Health and Disease
- Potassium and Related Disorders
- Nursing Diagnosis and Documentation
- Patient-Provider Communication in Healthcare
- Radiology practices and education
Harvard University
2008-2023
Massachusetts General Hospital
2009-2022
Beth Israel Deaconess Medical Center
2009-2016
Tufts Medical Center
2014
Brigham and Women's Hospital
2009
Cambridge Health Alliance
2009
North Shore Medical Center
2009
Boston Children's Museum
2009
University of Vermont
2008
Boston University
2005-2008
Despite the resurgence of early tourniquet use for control exsanguinating limb hemorrhage in military setting, its appropriate role civilian emergency medical services (EMS) has been less clear.To describe experience prehospital an urban, EMS setting.A retrospective review care reports was performed from January 1, 2005 to December 2012. Data, including time duration placement, scene time, mechanisms injury, and patient demographics, underwent descriptive analysis. Outcomes data...
Hospital readmissions are common and costly and, in some cases, may be related to problems with care processes. We sought reduce after percutaneous coronary intervention (PCI) a large tertiary facility through programs target vulnerabilities predischarge, discharge, during re-presentation the emergency department. During initial hospitalization, we assessed patients' readmission risk validated score used discharge checklist ensure access appropriate medications close follow-up for high-risk...
To assess the time to treatment for emergency department (ED) patients with critical hyperkalemia and determine whether timing of was associated clinical characteristics or electrocardiographic abnormalities.The authors performed a retrospective chart review ED laboratory diagnosis (potassium level > 6.0 mmol/L). Patients presenting in cardiac arrest who were referred dialysis excluded. Patient charts reviewed find received specific and, if so, what attributes initiation treatment.Of 175...
Abstract Competency in the application of point‐of‐care ultrasound (POCUS) has come to be an expected fundamental skill set for advanced practice providers (APPs) emergency department. Both American College Emergency Physicians and Society Medicine Physician Assistants approve endorse POCUS use by APPs. However, clinical exposure this setting is often variable without structure. training must evolved into a system where developed skills are compatible with need expectations At our...
Study Objectives: Intranasal delivery of naloxone to reverse the effects opioid overdose by Advanced Life Support (ALS) providers has been studied in several prehospital settings. In 2006, response increase opioid-related overdoses, a special waiver from state allowed administration intranasal Basic (BLS) our city. This study aimed determine: 1) if patients who received 2-mg dose nasal administered BLS required repeat dosing while emergency department (ED), and 2) disposition these patients....
Abstract Gender inequity is pervasive in medicine, including emergency medicine (EM), and well documented workforce representation, leadership, financial compensation, resource allocation. The reasons for gender inequities academic EM, are multifactorial include disadvantageous institutional parental, family, promotion policies; workplace environment culture; implicit biases; a paucity of women physician leader role models, mentors, sponsors. To address some the challenges career advancement...
As emergency department (ED) visits continue to increase nationwide, the utilization of advanced practice providers (APPs) has been steadily increasing. Academic centers face unique challenges in inclusion APP staff into educational and teaching environment. Effort should be made both take advantage support mission academic while bolstering clinical care provided by staff. This paper highlights some considerations incorporating APPs EDs as discussed at Society for Emergency Medicine Annual...
The gender pay gap among physicians is a well documented and persistent problem has profound impact on earnings over career lifetime. This paper describes examples of concrete initiatives three institutions took to identify address gaps. Salary audits at two academic emergency departments highlight the importance not only ensuring equity in salary same rank but also monitoring whether women are achieving equal representation higher ranks leadership, elements that typically contribute...
To determine the availability of emergency contraception (EC) in Massachusetts departments (EDs) and to identify patient, hospital, system factors that could affect access EC.This was a prospective, cross-sectional study all EDs using two structured scenarios: one, patient asking for EC condom failure (patient scenario); other, social worker about client who sexually assaulted night before (social scenario). Calls were made during day shifts requesting information from nurse or doctor. The...
A 60-year-old woman was admitted to the hospital because of abdominal pain, dyspnea, and diplopia. Several hours after presentation, she unable phonate clearly or protrude tongue, proximal weakness arms legs developed. diagnostic test performed.
Objective Older adult falls are a national issue comprising 3 million emergency department (ED) visits and significant mortality. We sought to understand whether ED revisits hospitalisations for fallers differed from non-fall patients through secondary analysis of longitudinal, statewide cohort patients. Design performed using the non-public Patient Discharge Database data California Office Statewide Health Planning Development. This is 5-year, longitudinal observational dataset, which was...
The Society for Academic Emergency Medicine Board of Directors convened a task force to elucidate the current state workforce, operational, and educational issues being faced by academic medical centers related advanced practice providers (APPs). surveyed emergency department (ED) chairs residency program directors (PDs).The survey was distributed Association Chairs (AACEM)-member their respective PDs in 2021. We 125 with self-identified PDs. sampled hiring, state-independent laws, scope...
Physician assistants (PAs) are expanding their role in academic emergency departments (EDs). There no published models for how to integrate PAs into departmental educational activities, scholarship, and operations outside of a PA residency approach. We created professional development program that would provide them with opportunities all aspects our department mission forum personal growth ongoing education. The provides resources including protected time mentorship become content expert an...
Abstract Objective Physician assistant (PA) and nurse practitioner (NP) staffing is increasingly common in emergency departments (EDs), with variable physician supervision. We examined the feasibility of using publicly reported metrics as a measure ED performance by model. Methods classified convenience sample 915 EDs model National Emergency Department Inventory‐USA 2016 follow‐up survey. Staffing models included 24/7 attending coverage PAs/NPs, without PAs/NPs coverage. linked Hospital...
For hospital-affiliated accountable care organizations (ACOs), emergency represents a unique challenge for coordination of and major source ACO leakage. The authors analyzed department (ED) visits among members to assess the potential impact ambulance transport on use in-network versus out-of-network EDs. To better understand factors influencing EDs, 2018 claims data from regional subset large in greater Boston area were analyzed. Within this population, multivariable logistic regression was...