A5054138509- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Pleural and Pulmonary Diseases
- Ultrasound in Clinical Applications
- Emergency and Acute Care Studies
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Global Health Workforce Issues
- Hip and Femur Fractures
- Hospital Admissions and Outcomes
- Respiratory Support and Mechanisms
- Injury Epidemiology and Prevention
- Global Health and Surgery
- Central Venous Catheters and Hemodialysis
- Pelvic and Acetabular Injuries
- Diversity and Career in Medicine
- Cardiac Arrest and Resuscitation
- Atrial Fibrillation Management and Outcomes
- Pregnancy-related medical research
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac, Anesthesia and Surgical Outcomes
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
Medical College of Wisconsin
2022-2024
University of Louisville
2023
Universidad del Azuay
2017-2020
Trauma and acute care surgery (ACS) staffing models vary widely across the United States, resulting in large discrepancies staffing, compensation, schedule, clinical/nonclinical expectations. An urgent need exists to define clinical, academic, schedule expectations for a full-time employment (FTE) of trauma ACS surgeon States.A survey was distributed departmental leaders at Levels I, II, III centers States regarding current workload. Variables concerning responsibilities surgeons,...
Axial imaging has allowed for more precise measurement and, in-turn, objective guidelines related to the management of traumatic pneumothoraces (PTXs). In 2017, our trauma center used a guideline observe any PTX ≤35 mm in stable patients. We hypothesize that this would decrease unnecessary chest tubes without affecting failure rates.This is single-center retrospective review all adult patients who had diagnosed on computed tomography before (2015-2016) and after (2018-2019) implementation....
Bedside thoracic ultrasound (US) offers numerous advantages over chest X-ray (CXR) for identification of recurrent pneumothoraces (PTX) after tube thoracostomy (TT) removal. Technologic advancements have led to the development hand-held devices capable producing high-quality images termed ultra-portable US (UPUS). We hypothesized that UPUS would be as successful CXR in detecting post-TT removal PTX and preferred by patients. conducted a single-center prospective, feasibility, study at level...
Understanding the expectations of early career acute care surgeons will help clarify practice and employment models that attract retain high-quality surgeons, thereby sustaining our workforce. This study aimed to outline clinical academic preferences priorities better define full-time employment.A survey on responsibilities, preferences, work priorities, compensation was distributed in first 5 years practice. A subset agreeable respondents underwent virtual semistructured interviews. Both...
Early pelvic binder placement in the field stabilizes fractures and tamponades potential hemorrhage within pelvis. Despite known risk factors for fracture, it remains challenging to quickly triage correctly apply a binder. We aim develop prediction model that exclusively uses prehospital criteria inform decision place
Introduction:In Ecuador, as in other Latin American countries, trauma has become one of the main reasons to seek medical care country.According data obtained from National Institute Statistics and Censuses (INEC), rate homicides, car accidents, suicides, burns, grouped together, represent cause morbidity mortality people aged between 18 years 40 years, surpassing due cardiovascular causes or diabetes.Additionally, study on geolocation calls made emergency services (SIS-ECU 9-1-1) indicated...
Background Observative management of small traumatic pneumothoraces (PTX) has been shown to decrease chest tube utilization in non-mechanically ventilated patients without compromising outcomes. This approach could be used mechanically (MV) patients, though many feel these are at increased risk observation failure. Methods A single center retrospective study all adults undergoing a computed tomography (CT) diagnosed PTX from 2015-2019. Patients with placement within 4-hours arrival,...