A5045550751- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Airway Management and Intubation Techniques
- Patient Safety and Medication Errors
- Trauma and Emergency Care Studies
- Medical Malpractice and Liability Issues
- Innovations in Medical Education
- Trauma Management and Diagnosis
- Disaster Response and Management
- Abdominal Trauma and Injuries
- Restraint-Related Deaths
- Tracheal and airway disorders
- Cardiac Arrest and Resuscitation
- Pancreatitis Pathology and Treatment
- Healthcare Policy and Management
- Bacterial Identification and Susceptibility Testing
- Hemodynamic Monitoring and Therapy
- Anesthesia and Sedative Agents
- Cardiovascular Syncope and Autonomic Disorders
- Hospital Admissions and Outcomes
- Streptococcal Infections and Treatments
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Healthcare Decision-Making and Restraints
Beth Israel Deaconess Medical Center
2015-2024
Harvard University
2007-2024
University of Southern Denmark
2021
National Academy of Medicine
2020
Ben-Gurion University of the Negev
2017
Aarhus University Hospital
2017
Hadassah Medical Center
2001-2016
Cumberland Pharmaceuticals (United States)
2016
University Physicians
2010
Harvard Affiliated Emergency Medicine Residency
2010
Objectives Our objectives were a) to identify univariate correlates of death in emergency department patients at risk for infection; b) perform multivariate analyses and independent predictors death; c) develop internally validate a prediction rule that may be used the stratify into different groups predict their mortality rate. Design Prospective cohort study. Setting Emergency an urban university referral center. Patients Consecutive patients, aged 18 or older, who infection, as indicated...
To describe the effectiveness of a comprehensive, interdisciplinary sepsis treatment protocol with regard to both implementation and outcomes compare mortality rates therapies patients septic shock similar historical controls.Prospective, interventional cohort study control comparison group.Urban, tertiary care, university hospital 46,000 emergency department visits 4,100 intensive care unit admissions annually.Inclusion criteria were a) aged > or =18 yrs, b) suspected infection, c) lactate...
To determine if intravenous thiamine would reduce lactate in patients with septic shock.Randomized, double-blind, placebo-controlled trial.Two US hospitals.Adult shock and elevated (> 3 mmol/L) between 2010 2014.Thiamine 200 mg or matching placebo twice daily for 7 days until hospital discharge.The primary outcome was levels 24 hours after the first study dose. Of 715 meeting inclusion criteria, 88 were enrolled received drug. There no difference of at start groups (median: 2.5 mmol/L [1.5,...
Objectives To create a risk prediction rule for delirium in elderly adults the emergency department ( ED ) and to compare mortality resource use of with without delirium. Design Prospective observational study. Setting Urban tertiary care . Participants Individuals aged 65 older presenting N = 700). Measurements A trained research assistant performed structured mental status assessment attention tests, after which was determined using C onfusion ssessment M ethod. Data were collected on...
The minimum volume of intraperitoneal fluid that is detectable in Morison's pouch with ultrasound the trauma setting not well defined. To evaluate this question, we used diagnostic peritoneal lavage (DPL) as a model for hemorrhage and undertook blinded prospective study sensitivity detecting fluid. Participants included attending physicians residents emergency medicine, radiology, surgery. During infusion DPL fluid, participants continuously scanned until they detected All were to rate...
To characterize current practice with respect to pediatric emergency airway management using a multicenter data set.A collaboration was undertaken gather prospectively regarding intubation. Analysis of on adult department (ED) intubations clearly demonstrated that rapid sequence intubation (RSI) the method used most often. We then conducted an observational study collected database ED (EDIs) National Emergency Airway Registry Phase One data, gathered in 11 participating EDs over 16-month...
Background Despite numerous studies, no clear consensus exists for the optimal use of emergency department thoracotomy (EDT). As such, we have continued to critically review our experience with EDT during last 23 years clarify indications and evaluate its cost-effectiveness. Methods This was a retrospective 950 EDTs performed at regional Level I trauma center years. Cost-benefit ratios were calculated using standardized models. Results In years, patients underwent postinjury thoracotomy. We...
This study evaluates whether emergency department septic shock patients without a fever (reported or measured) receive less IV fluids, have decreased antibiotic administration, and suffer increased in-hospital mortality.This was secondary analysis of prospective, observational with shock.The conducted in an urban, academic department.The original enrolled consecutive adult (aged 18 yr older) from November 11, 2012, to September 23, 2013, who met one the following criteria: 1) systolic blood...
Emergency department (ED) crowding poses significant operational challenges to hospitals. One strategy address these issues is the implementation of an ED observation (EDO) unit. EDO involves placing patients in status after their initial evaluation, allowing for continued assessment, treatment, and determination a safe disposition. This paper provides comprehensive guide leaders on departments. It includes checklist summarizing key points, financial considerations, staffing location...
Academic emergency physicians have expressed concern that increased clinical workload and overcrowding adversely affect teaching.To evaluate the influence of attending physicians' teaching characteristics on in department (ED).This was a prospective observational study using learner satisfaction assessment tools to bedside teaching. On days when research assistant available, all ED residents were queried. A total 335 resident surveys administered over nine months (89% response). Clinical...
OBJECTIVES: To determine the prevalence and associated characteristics of traumatic intracranial hemorrhage (ICH) in elderly fallers presenting to emergency department (ED) without focal findings. DESIGN: Retrospective cohort study. SETTING: University‐affiliated teaching hospital ED. PARTICIPANTS: Patients aged 65 older with a fall ED undergoing head computed tomography (CT) scan. MEASUREMENTS: Electronic medical records CT scans 404 consecutive patients were reviewed. Characteristics ICH...
INTRODUCTIONLactate levels are increasingly used to risk stratify emergency department (ED) patients with and without infection. Whether a serum lactate provides similar prognostic value across diseases is not fully elucidated. This study assesses the of in ED infection both report compare relative predictive etiologies.METHODSWe conducted prospective, observational displaying abnormal vital signs (AVS) (heart rate ≥130 bpm, respiratory ≥24 shock index ≥1, and/or systolic blood pressure...
ABSTRACT Objective: To ascertain the status of journal club within emergency medicine (EM) residency programs and to describe 3 currently used formats. Methods: The directors U.S. Residency Review Committee for Emergency Medicine (RRC‐EM)‐approved were surveyed determine features their programs' clubs. Responses questions assessing degree satisfaction (5‐item scales from very good poor) with “current format,” “resident participation,” “faculty participation” survey grouped according program...