A5023158290- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Innovations in Medical Education
- Sepsis Diagnosis and Treatment
- Clinical Reasoning and Diagnostic Skills
- Cardiac Arrest and Resuscitation
- Simulation-Based Education in Healthcare
- COVID-19 and healthcare impacts
- Disaster Response and Management
- Venomous Animal Envenomation and Studies
- Medical Education and Admissions
- Appendicitis Diagnosis and Management
- Rabies epidemiology and control
- Ultrasound in Clinical Applications
- Healthcare Policy and Management
- Emergency Medicine Education and Research
- Respiratory Support and Mechanisms
- Radiology practices and education
- Neonatal and Maternal Infections
- Injury Epidemiology and Prevention
- Geriatric Care and Nursing Homes
- Acute Myocardial Infarction Research
- Hemodynamic Monitoring and Therapy
- Frailty in Older Adults
- Cardiac Arrhythmias and Treatments
Chang Gung Memorial Hospital
2016-2025
Chang Gung University
2016-2025
Linkou Chang Gung Memorial Hospital
2015-2024
Weatherford College
2024
National Taiwan University
2012-2023
Memorial Hospital of South Bend
2020-2022
Taoyuan Chang Gung Memorial Hospital
2020
Chang Gung University of Science and Technology
2016
Keelung Chang Gung Memorial Hospital
2012
Emergency department (ED) crowding continues to be an important health care issue in modern countries. Among the many crucial quality indicators for monitoring throughput process, a patient's length of stay (LOS) is considered most one since it both cause and result ED crowding. The aim this study identify quantify influence different patient-related or diagnostic activities-related factors on LOS discharged patients.This retrospective electronic data analysis. All patients who were from...
Emergency department (ED) length of stay (LOS) is associated with ED crowding and related complications. Previous studies either analyzed single patient disposition groups or combined different endpoints as a whole. The aim this study to evaluate effects relevant factors affecting LOS among groups. This retrospective electronic data analysis. covariates all patients between January 2013 December were collected. A competing risk accelerated failure time model was used compute endpoint...
With recent transformations in medical education, the integration of technology to improve students' abilities has become feasible. Artificial intelligence (AI) impacted several aspects healthcare. However, few studies have focused on education. We performed an AI-assisted education study and confirmed that AI can accelerate trainees' image learning.We developed AI-based learning system highlight hip fracture a plain pelvic film. Thirty students were divided into conventional (CL) group...
Cardiopulmonary resuscitation (CPR) training and its quality are critical in improving the survival rate of cardiac arrest. This randomized controlled study investigated efficacy a newly developed CPR program for public Taiwanese setting. A total 832 adults were to either traditional or blended (18-minute e-learning plus 30-minute hands-on) compression-only program. The primary outcome was compression depth. Secondary outcomes included knowledge test, practical performance, skill retention....
Early diagnosis and treatment of patients with sepsis reduce mortality significantly. In terms exploring new diagnostic tools sepsis, monocyte distribution width (MDW), as part the white blood cell (WBC) differential count, was first reported in 2017. MDW greater than 20 abnormal WBC count together provided a satisfactory accuracy proposed novel tool sepsis. This study aimed to compare procalcitonin (PCT)'s on emergency department.This single-center prospective cohort study. Laboratory...
Introduction: The transition from medical school to residency, especially during the postgraduate year (PGY) internship, poses unique challenges as graduates navigate clinical practice complexities. Understanding PGYs’ experiences is crucial for developing effective support strategies promote their professional growth and well-being. Methods: This qualitative, longitudinal study followed ten PGYs August 2021 July 2023, using biannual audio diary based on open-ended questions capture...
Background and Objectives: The coronavirus disease 2019 pandemic presented unprecedented challenges in balancing infection control measures with the timely management of ST-segment elevation myocardial infarction (STEMI), a time-sensitive condition. This study investigates pandemic’s effects on STEMI times outcomes at high-volume medical center Taiwan. Materials Methods: A retrospective analysis 1309 patients was conducted Chang Gung Memorial Hospital between 2017 2022. Patients were divided...
Background Should all out-of-hospital cardiac arrest (OHCA) patients be directly transported to centers (CACs) remains under debate. Our study evaluated the impacts of different transport time and destination hospital on outcomes OHCA patients. Methods Results Data were collected from 6655 recorded in regional prospective registry database Taoyuan City, Taiwan, between January 2012 December 2016. Patients matched propensity score, which left 5156 patients, 2578 each CAC non-CAC groups....
Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has engendered difficulties for health systems globally; however, the effect of on emergency medicine (EM) residency training programs is unknown. caused reduced volumes department (ED) patients, except those with COVID-19 infections, and this may reduce case exposure EM residents. primary objective study was to compare clinical residents between prepandemic periods. Methods This a retrospective resident physicians’ in...
Four types of antivenom are used to treat snakebites by the six species venomous snakes native Taiwan. Research into use in Taiwan and its outcomes, as well utility current Poison Control Center guidelines for use, has been limited. We aimed provide increased understanding investigating treatment outcomes patients treated snakebite Taiwan.On basis data collected from 2009 National Health Insurance database, with were identified categorized two sets groups according administered. The...
This study aimed to identify the risk factors for mortality and impact of dialysis modalities on survival in SLE patients with end-stage renal disease (ESRD).This retrospective nationwide population-based using National Health Insurance Research Database Taiwan collected data from 1073 ESRD starting maintenance between March 1997 December 2006. A multivariate Cox regression hazard model was applied predicting cohorts different outcome these both genders.The major threat infections. For...
Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) is an emerging contagious pathogen that has caused community and nosocomial infections in many countries. This study aimed to evaluate the impact of Coronavirus disease 2019 (COVID-19) on emergency services largest medical center Taiwan by comparing department (ED) usage, turnover, admission rates before COVID-19 outbreak with those during outbreak.A retrospective cohort was conducted ED tertiary Taiwan. Trends adult, non-trauma...
Background: Feedback is an effective pedagogical tool in clinical teaching and learning, but often perceived as unsatisfactory. Little known about the effect of a busy environment on feedback-giving -seeking behaviors. This study aims to determine perceptions challenges feedback provision setting, exemplified by emergency department (ED).Methods: A qualitative semi-structured interview design was employed. Thirty-six participants (18 attending physicians, 18 residents) were purposively...
Abstract Background Graduating from medical school and beginning independent practice appears to be a major transition for students across the world. It is often reported that graduates are underprepared practice. Most previous studies on undergraduates’ preparedness cross-sectional. This study aimed characterize development trend of students’ its association with other objective subjective indicators undergraduate postgraduate periods. Methods was prospective cohort study. The participants...
Synthetic cathinone abuse is a global health issue. cathinones emerged in Taiwan 2009, and their prevalence rapidly rose. They are usually made into "instant coffee packets," these so-called "toxic packets" may also contain psychoactive drugs other than synthetic cathinones. Due to the diversity of ingredients, clinical presentations can be complex.Retrospective analysis emergency department (ED) patients who reported ingesting toxic packets at three Chang-Gung Memorial Hospitals located...
Congenital heart disease (CHD), a severe cardiac defect in children, has unclear influences on young patients. We aimed to find the impacts of differently structure defects and various treatments psychology health-related quality life (HRQoL) CHD children adolescents. patients aged between 6 18 years old visited our hospital from 1 May 2018 31 September 2018, their principal caregivers were asked participate. used two validated questionnaires, Children Depression Inventory-TW (CDI-TW) Child...
Objective. To compare the effectiveness of ice packs and hot water immersion for treatment centipede envenomations. Methods. Sixty patients envenomated by centipedes were randomized into three groups treated with packs, immersion, or analgesia injection. The visual analog score (VAS) pain was measured before 15 min afterward. Demographic data on local systemic effects after bites collected. VAS scores decrease (ΔVAS) compared between groups. Results. All suffered from at affected sites;...