A5062870885- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Posttraumatic Stress Disorder Research
- Gun Ownership and Violence Research
- Healthcare Policy and Management
- Stress Responses and Cortisol
- Traumatic Brain Injury Research
- Suicide and Self-Harm Studies
- Cardiac Arrest and Resuscitation
- Disaster Response and Management
- Public Health Policies and Education
- Migration, Health and Trauma
- Tryptophan and brain disorders
- Counseling Practices and Supervision
- Restraint-Related Deaths
- COVID-19 and healthcare impacts
- Ultrasound in Clinical Applications
- Resilience and Mental Health
- Injury Epidemiology and Prevention
- Psychological Treatments and Assessments
- Family and Patient Care in Intensive Care Units
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Cinema and Media Studies
- Policing Practices and Perceptions
Medical College of Wisconsin
2020-2025
Froedtert Hospital
2023
The aim of this study was to identify a mortality benefit with the use whole blood (WB) as part resuscitation bleeding trauma patients.Blood component therapy (BCT) is current standard for resuscitating patients, WB emerging product choice. We hypothesized that versus BCT alone would result in decreased mortality.We performed 14-center, prospective observational patients who received during their resuscitation. applied generalized linear mixed-effects model random effect and controlled age,...
The molecular pathology of stress-related disorders remains elusive. Our brain multiregion, multiomic study posttraumatic stress disorder (PTSD) and major depressive (MDD) included the central nucleus amygdala, hippocampal dentate gyrus, medial prefrontal cortex (mPFC). Genes exons within mPFC carried most disease signals replicated across two independent cohorts. Pathways pointed to immune function, neuronal synaptic regulation, hormones. Multiomic factor gene network analyses provided...
Background Up to 20–40% of survivors any traumatic injury develop post-traumatic stress disorder (PTSD) or depression after injury. Firearm may be at even higher risk for adverse outcomes. We aimed characterize PTSD and risk, pain symptoms, ongoing functional limitations in firearm early hospital discharge. Methods seen the Trauma Quality Life (TQOL) outpatient follow-up clinic 1–2 weeks discharge were invited participate a survey assessing both mental physical health The included Brief Pain...
Outpatient follow-up represents a crucial opportunity to re-engage with gun violence survivors (GVS) and facilitate positive health outcomes. Current outpatient models for firearm-related injuries trauma care are inconsistent unstandardized across centers. This project describes the patient population served by multidisciplinary Trauma Quality of Life (TQoL) Clinic GVS. Also primary interest was services used patients prior their clinic appointment. Subsequent referrals placed during Clinic,...
Persons of low socioeconomic status are overrepresented in the firearm injury patient population and may experience challenges accessing complex outpatient health systems. Consequently, care for these patients is plagued by poor follow-up increased emergency department (ED) utilization. We developed a Post Discharge Care Team (PDCT) consisting dedicated trauma nurse navigator medical social worker to bridge gap between hospital discharge improve recovery.
This project analyzed risk factors for emergency department (ED) utilization without readmission within 2 weeks post-discharge survivors of gun violence.
Abstract Posttraumatic stress disorder (PTSD) genetics are characterized by lower discoverability than most other psychiatric disorders. The contribution to biological understanding from previous genetic studies has thus been limited. We performed a multi-ancestry meta-analysis of genome-wide association across 1,222,882 individuals European ancestry (137,136 cases) and 58,051 admixed with African Native American (13,624 cases). identified 95 significant loci (80 novel). Convergent...
BACKGROUND Psychological distress is common following a traumatic injury event. The Injured Trauma Survivor Screen (ITSS) was developed at level 1 trauma center to assess for posttraumatic stress disorder (PTSD) and major depressive episode (MDE) admission injury. ITSS sensitivity specificity were analyzed 3 6 9 months postinjury test the validity across centers. METHOD Four centers from East, Midwest, South, West in United States recruited 375 eligible adult inpatients (excluded...
Abstract Individuals who require hospitalization after traumatic injuries are at increased risk for developing posttraumatic stress disorder (PTSD); however, few early behavioral interventions have been effective preventing PTSD within this population. The aim of pilot study was to assess the feasibility and effectiveness modified prolonged exposure therapy (mPE) prevent depression symptoms among patients hospitalized a DSM‐5 single‐incident trauma. Hospitalized were eligible if they...
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
Annually, approximately 27 million individuals in the United States are admitted to hospitals for emergency general surgery (EGS). Approximately 50% develop postoperative complications and 22% require unplanned readmission within 90 days, highlighting a need understand factors impacting well-being recovery. Psychiatric comorbidity can impact medical treatment adherence, cost, premature mortality risk. Despite severity of illness EGS, there is limited research on psychiatric EGS patients....
Objective: To investigate traumatic injury patient treatment preference for pharmacotherapy or psychotherapy to prevent post-injury development of posttraumatic stress disorder (PTSD).Method: This is a secondary analysis longitudinal cohort study traumatically injured patients (N = 198) at an urban Level 1 trauma center within 2 weeks injury.Results: Most participants preferred (80.8%) over pharmacotherapy. Preference did not differ by sex, mechanism injury, type perceived life threat during...
ABSTRACT The COVID‐19 pandemic significantly impacted the psychological well‐being of general population. However, there are limited studies that examine its mental health effects on patients who have experienced traumatic injuries and tracked their recovery over time. This study aimed to: (1) compare rates severity post‐traumatic stress disorder (PTSD) depression between sustained before (pre‐pandemic) those injured during (peri‐pandemic); (2) assess whether degree pandemic‐related (e.g.,...
BACKGROUND: Trauma registries exist to provide data for evaluating the quality of care trauma patients. These facilitate research and can be used outreach, planning, improvement in patient outcomes. However, accuracy registry related suicide has not been well studied. OBJECTIVE: This study sought evaluate current coding practices labeling injury as a attempt among patients presenting Level I center after self-inflicted injury. METHODS: We conducted single-center, retrospective cohort...