A5101587632- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Pelvic and Acetabular Injuries
- Emergency and Acute Care Studies
- Congenital Diaphragmatic Hernia Studies
- Venous Thromboembolism Diagnosis and Management
- Pleural and Pulmonary Diseases
- Abdominal Surgery and Complications
- Vascular Procedures and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Fractures and Fixation Techniques
- Hemodynamic Monitoring and Therapy
- Urological Disorders and Treatments
- Case Reports on Hematomas
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Hernia repair and management
- Pregnancy-related medical research
- Sarcoidosis and Beryllium Toxicity Research
- Surgical site infection prevention
- Organ Donation and Transplantation
University of Utah
1994-2019
Homerton University Hospital NHS Foundation Trust
2014
Unity Health System
2008-2013
Dartmouth–Hitchcock Medical Center
2006
University of Southern California
1996-2005
LAC+USC Medical Center
1997-2005
Los Angeles Medical Center
1996-2005
NIHR Surgical Reconstruction and Microbiology Research Centre
2001-2005
Johns Hopkins Hospital
2002-2004
State Street (United States)
1997-2002
The impact of cocaine on pregnancy and neonatal outcome has been well documented over the past few years, but little information regarding long-term passively exposed infants available. In present study, 2-year growth developmental for three groups is presented: group 1 to usually marijuana and/or alcohol (n = 106), 2 no 45), 3 drugs during pregnancy. All were similar in racial demographic characteristics received prenatal care through a comprehensive drug treatment follow-up program...
Background The management of colon injuries that require resection is an unresolved issue because the existing practices are derived mainly from class III evidence. Because inability any single trauma center to accumulate enough cases for meaningful statistical analysis, a multicenter prospective study was performed compare primary anastomosis with diversion and identify risk factors colon-related abdominal complications. Methods This 19 centers included patients penetrating trauma, who...
To evaluate the role of routine helical computed tomographic (CT) scan entire cervical spine in high-risk patients with multiple injuries.Prospective study severe blunt injuries, requiring intensive care unit admission and CT another body area besides spine. All were evaluated by means standard radiography. A complete was performed during same trip to scanner which other areas evaluated. The plain films scans read a radiologist blinded manner.Fifty-eight fulfilled criteria for inclusion...
Objective To evaluate the safety of a policy selective nonoperative management (SNOM) in patients with abdominal gunshot wounds. Summary Background Data Selective is practiced extensively stab wounds and blunt trauma, but routine laparotomy still standard care Methods The authors reviewed medical records 1,856 (1,405 anterior, 451 posterior) admitted during an 8-year period busy academic level 1 trauma center managed by SNOM. According to this policy, who did not have peritonitis, were...
To analyze the parameters measured in field, during transport, and upon arrival of physiologic condition patients sustaining penetrating cardiac injuries, along with Cardiovascular Respiratory Score (CVRS) component Trauma Score, mechanism anatomical site injury, operative characteristics, rhythm as predictors outcome. We also set out to identify a patient characteristics that best predict mortality outcome correlate injury grade determined by American Association for Surgery Trauma-Organ...
Prehospital intubation and airway control is routinely performed by paramedics in critically injured patients. Despite the advantages provided this procedure, numerous potential risks exist when field. We reviewed outcome of patients with severe head injury, to determine whether prehospital associated an improved outcome.A retrospective review registry data admitted urban trauma center injury (field Glasgow Coma Scale score < or =8 Abbreviated Injury > =3) was performed. Patients were...
Objective To evaluate the effect of early optimization in survival severely injured patients. Summary Background Data It is unclear whether supranormal ("optimal") hemodynamic values should serve as endpoints resuscitation or simply markers physiologic reserve critically The failure to produce improved some randomized controlled trials may be associated with delays starting attempt reach optimal goals. There are limited data on trauma Methods Seventy-five consecutive patients shock resulting...
American Association for the Surgery of Trauma (AAST) Organ Injury Scale (OIS) grades IV and V complex hepatic injuries are highly lethal. Our objectives were to review experience identify predictors outcome evaluate role angioembolization in decreasing mortality.This was a retrospective 8-year study all patients sustaining AAST-OIS managed operatively. Statistical analysis performed using univariate multivariate logistic regression. The main measure survival.The included 103 patients, with...
In the present paper we purpose to give an account of experiments conducted during past three years on means whereby mice may be completely protected against inocluation transplantable carcinomata, which grow readily in normal mice. At same time shall show that these throw fresh light nature cancer. The Executive Committee and Pathological Sub-Committee Imperial Cancer Research Fund have been informed progress investigations, some provisional results also laid before General at Annual...
Background: Cervical spine injuries are the most commonly missed severe with serious implications for patient and physician. The diagnosis of subluxations or spinal cord in absence vertebral fractures, especially unevaluable patients, poses a major challenge. objective this study was to incidence type cervical trauma according mechanism injury; identify problems pitfalls nonskeletal injuries. Methods: Retrospective all C-spine caused by traffic accidents falls admitted over 5-year period at...
Abstract Background Despite significant injuries elderly patients (aged 70 years or more) often do not exhibit any of the standard physiological criteria for trauma team activation (TTA), i.e. hypotension, tachycardia unresponsiveness to pain. As a result these findings authors' TTA were modified include age more, and protocol early aggressive monitoring resuscitation was introduced. The aim present study assess effect new policy on outcome. Methods This registry included aged more with an...
Many aspects of pediatric trauma are considerably different from adult trauma. Very few studies have performed comprehensive comparisons between and pelvic fractures. The purpose this study was to compare the incidence fracture, epidemiologic characteristics, type associated abdominal injuries, outcomes (age </= 16 years) > patients.This a registry that included all blunt admissions at Level I center during an 8-year period. severity fractures, need for blood transfusion, mortality in two...
Levothyroxine sodium therapy should be used in brain-dead potential organ donors to reverse hemodynamic instability and prevent cardiovascular collapse, leading more available organs for transplantation.Prospective, before after clinical study.A surgical intensive care unit of an academic county hospital.During a 12-month period (September 1, 1999, through August 31, 2000), we evaluated 19 hemodynamically unstable patients with traumatic nontraumatic intracranial lesions, who were candidates...
Background Uncertainty about the definition and diagnosis of blunt cardiac injury (BCI) leads to unnecessary hospitalization cost while trying rule it out. The purpose this study was examine whether combination two simple tests, electrocardiography (ECG) serum troponin I (TnI) level, may serve as reliable predictors BCI or absence it. Methods Over a period 30 months (September 1999–February 2002), 333 consecutive patients with significant thoracic trauma were followed prospectively. Serial...
Objective The objective of this study was to (1) determine the incidence diaphragmatic injuries in penetrating left thoracoabdominal trauma and (2) evaluate role laparoscopy detecting clinically occult injuries. Patients Methods One hundred nineteen consecutive patients with region presenting Los Angeles County-University Southern California Medical Center were prospectively evaluated during an 8-month period. Either celiotomy (with hemodynamic instability or peritonitis) performed. Results...