- Trauma and Emergency Care Studies
- Venous Thromboembolism Diagnosis and Management
- Ultrasound in Clinical Applications
- Pleural and Pulmonary Diseases
- Trauma Management and Diagnosis
- Sports injuries and prevention
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Clinical practice guidelines implementation
- Injury Epidemiology and Prevention
- Traumatic Brain Injury and Neurovascular Disturbances
- Pediatric Pain Management Techniques
- Intensive Care Unit Cognitive Disorders
- Central Venous Catheters and Hemodialysis
- Pelvic and Acetabular Injuries
- Vascular Procedures and Complications
- Emergency and Acute Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Sepsis Diagnosis and Treatment
- Acute Myocardial Infarction Research
- Meta-analysis and systematic reviews
Intermountain Medical Center
2018-2023
The optimal time to initiate venous thromboembolism (VTE) chemoprophylaxis in blunt solid organ injury (BSOI) patients is debated. We hypothesize that 1) BSOI are hypercoagulable within 12 h of and 2) hypercoagulability dominates who develop clot complications (CC).This a prospective study admitted two Level-1 Trauma Centers' trauma intensive care units (ICU). Serial kaolin thrombelastography (TEG) tissue plasminogen activator (tPA)-challenge TEGs were performed. CC included VTE...
Although guidelines are established for the prevention and management of venous thromboembolism (VTE) in trauma, no consensus exists regarding protocols diagnostic approach. We hypothesized that at-risk trauma patients who undergo duplex ultrasound (DUS) surveillance lower extremity deep thrombosis (DVT) will have a rate symptomatic or fatal pulmonary embolism (PE) than those do not routine surveillance.Prospective, randomized trial between March 2017 September 2019 admitted to single, level...
The utility of the Risk Assessment Profile (RAP) score in predicting VTE was assessed, and risk factors identified to guide a duplex ultrasound (DUS) protocol injured patients. Secondary analysis prospective data on trauma inpatients (March 2017-September 2019), with admission RAP ≥5. Inhospital patients compared those without. Regression analyses DVT, PE proximal ROC evaluating RAP's predictability were performed. 1989 analyzed. 163(8.2%), DVT 159(8.0%), 10(0.5%) Strongest predictors...
Little is known about patient characteristics predicting postdischarge pleural space complications (PDPSCs) after thoracic trauma. We sought to analyze the population who required unplanned hospital readmission for PDPSC.Retrospective review of adult patients admitted a Level I Trauma Center with chest Abbreviated Injury Scale (AIS) score 2 or greater between January 2015 and August 2020. Those readmitted within 30 days index hospitalization discharge PDPSC were compared those not...