A5077371077- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Emergency and Acute Care Studies
- Simulation-Based Education in Healthcare
- Intensive Care Unit Cognitive Disorders
- Disaster Management and Resilience
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Airway Management and Intubation Techniques
- Innovations in Medical Education
- COVID-19 and healthcare impacts
- Clinical Reasoning and Diagnostic Skills
- Long-Term Effects of COVID-19
- COVID-19 Clinical Research Studies
- Patient Safety and Medication Errors
- Global Health and Surgery
- Family and Patient Care in Intensive Care Units
- Travel-related health issues
- Healthcare Technology and Patient Monitoring
- Surgical Simulation and Training
- Venous Thromboembolism Diagnosis and Management
- Veterinary Pharmacology and Anesthesia
- Emergency Medicine Education and Research
IRCCS Humanitas Research Hospital
2021-2025
Humanitas University
2019-2023
Istituti di Ricovero e Cura a Carattere Scientifico
2020-2022
London Ambulance Service NHS Trust
2021-2022
Royal London Hospital
2022
Barts Health NHS Trust
2022
Università degli Studi del Piemonte Orientale “Amedeo Avogadro”
2010-2020
Azienda Ospedaliera Ospedale Maggiore
2017
Society for Academic Emergency Medicine
2015
CTO Andrea Alesini
2011
BackgroundFew data are available on the rate and characteristics of thromboembolic complications in hospitalized patients with COVID-19.MethodsWe studied consecutive symptomatic laboratory-proven COVID-19 admitted to a university hospital Milan, Italy (13.02.2020–10.04.2020). The primary outcome was any complication, including venous thromboembolism (VTE), ischemic stroke, acute coronary syndrome (ACS)/myocardial infarction (MI). Secondary overt disseminated intravascular coagulation...
The value of visual inspection ventilator waveforms in detecting patient-ventilator asynchronies the intensive care unit has never been systematically evaluated. This study aims to assess physicians' ability identify through waveforms.Prospective observational study.Intensive a University Hospital.Twenty-four patients receiving mechanical ventilation for acute respiratory failure.Forty-three 5-min reports displaying flow-time and airway pressure-time tracings were evaluated by 10 expert...
Objectives This study tested the hypothesis that virtual reality simulation is equivalent to live for testing naive medical students’ abilities perform mass casualty triage using Simple Triage and Rapid Treatment (START) algorithm in a simulated disaster scenario detect improvement these skills after teaching session. Methods Fifty-six students their last year of school were randomized into two groups (A B). The same scenario, car accident, was developed identically on methodologies:...
Abstract Background Survivors of severe COVID-19 are at risk impaired health-related quality life (HRQoL) and persistent physical psychological disability after ICU hospital discharge. The subsequent social burden is a major concern. We aimed to assess the short-term HRQoL, function prevalence post-traumatic stress symptoms invasively mechanically ventilated patients treated in our ICU. Methods Prospective, observational cohort study follow-up clinic. Patients completed 6-min walking test...
Abstract In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage worldwide considered at least basic teaching in their study program. Italy, has not yet included the school curriculum. Perceiving lack specific course on medicine, Segretariato Italiano Studenti Medicina (SISM) contacted Centro di Ricerca Interdipartimentale Emergenza e dei Disastri ed Informatica applicata alla didattica pratica Medica...
Since the 1990s, Italian hospitals are required to comply with emergency disaster plans known as Emergency Plan for Massive Influx of Casualties. While various studies reveal that overall suffer from an insufficient preparedness level, aim this study was better determine level Departments by assessing knowledge-base physicians regarding basic planning and procedures. A prospective observational utilized a convenience sample identified Ministry Health website. Anonymous telephone interviews...
The objective of this study was to assess ability identify asynchronies during noninvasive ventilation (NIV) through ventilator waveforms according experience and interface, ascertain the influence breathing pattern respiratory drive on sensitivity prevalence asynchronies. 35 expert nonexpert physicians evaluated 40 5-min NIV reports displaying flow-time airway pressure-time tracings; identified were compared with those ascertained by three examiners who same displaying, additionally,...
Nontechnical skills can make a difference in the management of disasters and mass casualty incidents any tool helping providers action might improve their ability to respond such events. Google Glass, released by as new personal communication device, could play role this field. We recently tested Glass during full-scale exercise perform visually guided augmented-reality Simple Triage Rapid Treatment triage using custom-made application identify casualties collect georeferenced notes, photos,...
The assessment of hospital disaster preparedness and response performance is a way to find remove possible gaps weaknesses in management effectiveness. aim this pilot study was test the association between level during full-scale exercise.This conducted exercise Piedmont region Italy. evaluation by group three experts, days before exercise, exercise. functional capacity module used for evaluation, "command control" function evaluated nine semiquantitative indicators.The chosen 59%, while as...
Introduction Chemical, biological, radiological, and nuclear (CBRN) emergencies need particular hospital preparedness resources availability. Also, specific skills capabilities are required for efficient response to these types of events. The aim this study was develop an assessment tool evaluate performance with respect CBRN emergencies. Methods An evaluation developed using the Delphi technique. A panel experts from 10 countries, both European non-European, more than 5 years experience in...
Abstract Background Prone positioning improves survival in moderate-to-severe acute respiratory distress syndrome (ARDS) unrelated to the novel coronavirus disease (COVID-19). This benefit is probably mediated by a decrease alveolar collapse and hyperinflation more homogeneous distribution of lung aeration, with fewer harms from mechanical ventilation. In this preliminary physiological study we aimed verify whether prone causes analogue changes aeration COVID-19. A positive result would...
OBJECTIVES: Joblessness is common in survivors from critical care. Our aim was to describe rates of return work versus unemployment following coronavirus disease 2019 acute respiratory distress syndrome requiring intensive care admission. DESIGN: Single-center, prospective case series. SETTING: Critical Care Follow-Up Clinic, Humanitas Clinical and Research Center—IRCCS, Rozzano, Italy. PATIENTS: One hundred one consecutive laboratory-confirmed patients were discharged our hospital an ICU...
Survivors of severe COVID-19 related respiratory failure may experience durable functional impairments. We aimed at investigating health-related quality life (HR-QoL), physical functioning, fatigue, and cognitive outcomes in patients who received invasive mechanical ventilation (IMV).
Objectives To demonstrate the applicability and reliability of a radio frequency identification (RFID) system to collect data during live exercise. Methods A rooftop collapse crowded building was simulated. Fifty-three volunteers were trained perform as smart victims, simulating clinical conditions, using dynamic cards, capturing delay times triage codes. Every victim also equipped with RFID tag. antenna placed at entrance advanced medical post (AMP) emergency department (ED) recorded...
<h3>BACKGROUND:</h3> Although noninvasive ventilation (NIV) is increasingly used in general wards, limited information exists about its ability to provide effective this setting. We aim evaluate NIV delivered the ward by assessing (1) overall time of application and occurrence adverse events (2) differences between daytime nighttime application. <h3>METHODS:</h3> studied subjects with hypercapnic acute respiratory failure not fulfilling strict criteria for ICU admission, excluded those who...