A5044400919- Sexual Assault and Victimization Studies
- Posttraumatic Stress Disorder Research
- Stress Responses and Cortisol
- Child Abuse and Trauma
- Trauma and Emergency Care Studies
- Acute Myocardial Infarction Research
- Emergency and Acute Care Studies
- Intimate Partner and Family Violence
- Criminal Justice and Corrections Analysis
- Pediatric Pain Management Techniques
- Gun Ownership and Violence Research
- Cardiac electrophysiology and arrhythmias
- Cardiac Imaging and Diagnostics
- Clinical Reasoning and Diagnostic Skills
- Workplace Violence and Bullying
- LGBTQ Health, Identity, and Policy
- Suicide and Self-Harm Studies
- Traumatic Ocular and Foreign Body Injuries
- Resilience and Mental Health
- Sex work and related issues
- Food Security and Health in Diverse Populations
- Traumatic Brain Injury Research
- Abdominal Trauma and Injuries
- Innovations in Medical Education
- Thermal Regulation in Medicine
The University of Texas Health Science Center at San Antonio
2020-2025
The University of Texas Health Science Center at Houston
2021-2025
The University of Texas at San Antonio
2023-2024
University of North Carolina at Chapel Hill
2005-2019
Crozer-Keystone Health System
2015-2019
Drexel University
2010-2018
Thomas Jefferson University
2002-2008
Emergency Medicine Foundation
2006
Emergency Nurses Association
2006
University of Virginia
2001-2002
Excellent communication and interpersonal (C‐IP) skills are a universal requirement for well‐rounded emergency physician. This C‐IP skill excellence is direct outgrowth of the expectations our patients prerequisite to working in increasingly complex department environment. Directed education assessment critical components all medicine (EM) training programs now Accreditation Council Graduate Medical Education (ACGME) Outcome Project. In keeping with its mission improve quality EM response...
To determine emergency medicine residents' emotional and behavioral responses to their medical errors examine associations between error perceptions of training.In 2003, 55 residents at two U.S. residency programs were asked complete questionnaires about in three domains: response, learning behavior, disclosure. The questions a mixture free text, yes/no responses, some rated using five-point Likert scale. Based on conceptual framework, the authors constructed scales describe various domains...
Abstract Background University Health is South Texas’ largest provider of specialty HIV/AIDS care to a 28-county region with an incidence rate 21 per 100,000. San Antonio designated as HIV priority jurisdiction by the U.S. Department and Human Services. suited provide services through its Emergency (ED), often first point for indigent individuals, screening at more than 19 primary clinics Bexar County Adult Detention Center (BCADC). Methods implemented opt out three sites; 11 outpatient...
Background: Regional infusion centers (RICs) played an integral role in treating high-risk patients with COVID-19, mild to moderate symptoms, who did not need acute hospitalization, monoclonal antibodies. While any medical provider could place a RIC referral, it was recognized that many people face challenges accessing care. A dedicated team created provide telemedical evaluation of and appropriate referrals RICs. The objective this work assess patient populations utilized telemedicine...
Acute myocardial infarction (AMI) is one of many causes ST-segment elevation (STE) in emergency department (ED) chest pain (CP) patients. The morphology STE may assist the correct determination its cause, with concave patterns non-AMI syndromes and non-concave waveforms AMI.To determine impact morphologic analysis on AMI diagnosis ability this technique to separate from non-infarction STE.The electrocardiograms (ECGs) consecutive ED adult CP patients (with three serial troponin I...
After a sexual assault, forensic nurses, nurse practitioners, and physicians are called on to collect evidence, document any genital injuries, testify about the significance of injuries. Recently, scientific rigor research has been challenged in courts.
Abstract Background The BinaxNOW coronavirus disease 2019 (COVID‐19) Ag Card test (Abbott Diagnostics Scarborough, Inc.) is a lateral flow immunochromatographic point‐of‐care for the qualitative detection of severe acute respiratory syndrome 2 (SARS‐CoV‐2) nucleocapsid protein antigen. It provides results from nasal swabs in 15 minutes. Our purpose was to determine its sensitivity and specificity COVID‐19 diagnosis. Methods Eligible patients had symptoms or suspected exposure. After consent,...
Background Approximately, 100,000 US women receive emergency care after sexual assault each year, but no large-scale study has examined the incidence of posttraumatic sequelae, receipt health care, and frequency disclosure to providers. The current evaluated outcomes service utilization among in 6 weeks assault. Methods Women ≥18 years age presenting for twelve sites were approached. Among those willing be contacted (n = 1080), 706 enrolled. Health outcomes, utilization, assessed via week...
Excellent communication and interpersonal (C-IP) skills are a universal requirement for well-rounded emergency physician. This C-IP skill excellence is direct outgrowth of the expectations our patients prerequisite to working in increasingly complex department environment. Directed education assessment critical components all medicine (EM) training programs now Accreditation Council Graduate Medical Education (ACGME) Outcome Project. In keeping with its mission improve quality EM response...
Linkage to care following a human immunodeficiency virus (HIV) diagnosis is critical. In the U.S. only 69% of patients are successfully linked care, which results in delayed receipt antiretroviral therapy leading immune system dysfunction and risk transmission others.We evaluated predictors failure link at large urban healthcare center Philadelphia order identify potential intervention targets. We conducted cohort study between May 2007 November 2011 hospital-affiliated outpatient clinics,...
Previous trials have showed a 10-30% rate of inaccuracies on applications to individual residency programs. No studies attempted corroborate this national level. Attempts by programs diminish the frequency not been reported. We seek clarify incidence emergency medicine programs.This is multi-center, single-blinded, randomized, cohort study all applicants from LCME accredited schools involved EM Applications were randomly selected investigate claims AOA election, advanced degrees and...
Abstract Objective Emergency caregivers provide initial care to women sexual assault (SA) survivors. An improved understanding of the issues facing this population can aide emergency practitioners in providing high quality care. The goal study was share experiences SA survivors with that for them. Methods English‐speaking adult (n = 706) who received Nurse Examiner (SANE) evaluation within 72 hours at 1 13 geographically distributed sites were enrolled a prospective, longitudinal multi‐site...
Abstract Anxiety sensitivity is a potential risk factor for posttraumatic stress symptoms (PTSS) and has been hypothesized to contribute PTSS development. However, few prospective studies have evaluated whether anxiety predicts PTSS. In subsample of 48 women sexual assault survivors enrolled as part larger observational study, elevated measured via brief assessment 1 week after experiencing was concurrently associated with at prospectively predicted 6 weeks the event, small‐to‐medium effect...
Clinically significant new or worsening pain (CSNWP) is a common, yet often overlooked, sequelae of sexual assault. Little known regarding factors influencing the development CSNWP in assault survivors. The current study used data from recently completed prospective to evaluate whether posttraumatic alterations arousal and reactivity early aftermath influence transition acute clinically persistent pain. Women ≥ 18 years age (n = 706) presenting for emergency care after 13 sites were enrolled...
A 41-year-old, previously healthy physician, while treating a patient in the emergency department, inadvertently injected contents of an adult epinephrine (EpiPen® auto-injector into volar ...