A5043127270- Opioid Use Disorder Treatment
- Poisoning and overdose treatments
- Emergency and Acute Care Studies
- Pain Management and Opioid Use
- Cardiac Arrest and Resuscitation
- Substance Abuse Treatment and Outcomes
- Trauma and Emergency Care Studies
- Mosquito-borne diseases and control
- Healthcare Policy and Management
- Viral Infections and Vectors
- Prenatal Substance Exposure Effects
- Cardiac electrophysiology and arrhythmias
- Automotive and Human Injury Biomechanics
- Synthesis and Reactivity of Heterocycles
- Viral gastroenteritis research and epidemiology
- Forensic Toxicology and Drug Analysis
- HIV, Drug Use, Sexual Risk
- Virology and Viral Diseases
- Vaccine Coverage and Hesitancy
- Hepatitis B Virus Studies
- Burn Injury Management and Outcomes
- Dengue and Mosquito Control Research
- Injury Epidemiology and Prevention
- Hepatitis Viruses Studies and Epidemiology
- Advanced Causal Inference Techniques
Icahn School of Medicine at Mount Sinai
2019-2024
Mount Sinai Hospital
2019-2022
University of California, Irvine
2016-2018
Health and Human Services Agency
2017
University of California, Irvine Medical Center
2016
King Fahd Medical City
2016
Qassim University
2016
In 2019, there were over 16,000 deaths from psychostimulant overdose with 53.5% also involving an opioid. Given the substantial mortality stemming opioid and co-exposure, evaluation of clinical management in this population is critical but remains understudied. This study aims to characterize compare outcomes emergency department (ED) patients analytically confirmed exposure both opioids psychostimulants those exposed alone.
Background: The safety and efficacy of high dose buprenorphine (BUP) induction in fentanyl positive emergency department patients (high BUP) study includes two clinical trials funded through the helping to end addiction long-termSM initiative. tests whether initiation continuation BUP at higher doses over a shorter time period than currently recommended is safe, tolerable effective. Methods: Trial 1 head-to-head comparison safety, tolerability feasibility (32 mg) (24 as compared standard (12...
United States drug overdose deaths are being driven by the increasing prevalence of fentanyl, but whether patients knowingly using fentanyl is unclear. We examined analytical confirmation in emergency department (ED) with documented heroin overdose.
Studies have shown that a large number of ambulance transports to emergency departments (ED) could been safely treated in an alternative environment, prompting interest the development more patient-centered models for prehospital care. We examined patient attitudes, perspectives, and agreement/comfort with alternate destinations other proposed innovations Emergency Medical Services (EMS) care delivery determined whether demographic, socioeconomic, acuity, EMS utilization history factors...
Electronic vapor cigarettes (E-cigarettes) were created in 2003 as an alternative to traditional tobacco cigarettes. E-cigarettes have been available the United States since 2006.1 The typical E-cigarette consists of a cartridge that contains liquid, atomizer heats liquid (i.e. acts vaporizer), well battery. contained within nicotine, propylene glycol and/or glycerol flavorings. consumer uses through either pushing button or inhalation, which triggers heating and therefore aerosolizes...
Hepatitis A virus (HAV) is a highly contagious viral illness that can lead to serious morbidity and occasional mortality. Although the overall incidence of HAV has been declining since introduction vaccine, there have an increasing number outbreaks within United States elsewhere between 2016 2017. These had far reaching consequences, with large patients requiring hospitalization several deaths. Accordingly, proving present renewed public health challenge. Through use...
Mumps is a highly contagious viral infection that became rare in most industrialized countries following the introduction of measles-mumps-rubella (MMR) vaccine 1967. The disease, however, has been re-emerging with several outbreaks over past decade. Many clinicians have never seen case mumps. To assist frontline healthcare providers detecting potential cases and initiating critical actions, investigators modified "Identify-Isolate-Inform" tool for mumps infection. applicable to regions...
Background: Opioid-related Emergency Department (ED) visits have surged over the past decade. There is limited data on ED utilization patterns of patients with opioid use disorder (OUD). An improved understanding may underscore missed opportunities for screening, intervention and referral. Methods: This was a retrospective 2:1 matched case-control study conducted at single urban ED. Cases were an opioid-related index visit from June 1, 2017 to May 31, 2018. Controls non-opioid related 2018...
Introduction With a nationwide increase in Emergency Department (ED) visits it is of paramount importance for hospitals to find efficient ways manage patient flow. The purpose this study determine whether there significant difference hospital admission rates, length stay (LOS), and other demographic factors two cohorts patients admitted directly an emergency department observation unit (EDOU) under abdominal pain protocol by physician-in-triage (bypassing the main ED) versus those via...
Abstract Objectives Cocaine use results in over 500,000 emergency department (ED) visits annually across the United States and ethanol co‐ingestion is reported 34% of these. Commingling cocaine with metabolite cocaethylene (CE), which metabolically active for longer than alone. Current literature on cardiotoxicity CE compared to alone limited lacks consensus. This study aims fill this gap examine cardiovascular events as confirmed by urine toxicology versus exposure. Methods was a secondary...
Introduction: Observation units (OU) are being increasingly used within the Emergency Department (ED) to optimize care and reduce costs, but their use for management of overdose patients is unclear. The present study examined demographics, disposition outcomes ED managed in an OU.Methods: This was a secondary analysis prospective consecutive cohort adult OU single from March 2015 September 2018. primary composite outcome occurrence any advanced airway intervention, adverse cardiovascular...
The United States is experiencing an opioid epidemic. aim of this pilot study was to describe patterns prescription medication (POM) use, examine factors associated with misuse and overdose, assess knowledge take-home naloxone, other harm-reduction strategies as well participation in medications for use disorder (MOUD) among emergency department (ED) patients that have been prescribed medications.This a survey convenience sample adult ED past at one urban tertiary care hospital. asked...
Starting in 2015, microcephaly associated with Zika virus emerged as a public health emergency of international concern. Initial cases the United States were travel-associated, however, there are increasing reports local transmission pockets country and therefore concerns may escalate.1 Emergency physicians commonly perform point-of-care ultrasound on pregnant patients, population special concern. This paper describes findings typical Zika-related congenital malformations that be...