A5081472160- Trauma and Emergency Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Venous Thromboembolism Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Abdominal Trauma and Injuries
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Procedures and Complications
- Pelvic and Acetabular Injuries
- Traffic and Road Safety
- Innovations in Medical Education
- Acute Myocardial Infarction Research
- Diversity and Career in Medicine
- Pancreatic and Hepatic Oncology Research
- Ultrasound in Clinical Applications
- Burn Injury Management and Outcomes
- Peripheral Artery Disease Management
- Blood transfusion and management
- Radiology practices and education
- Respiratory Support and Mechanisms
- Gastric Cancer Management and Outcomes
- Pleural and Pulmonary Diseases
University of Miami
2015-2025
Jackson Memorial Hospital
2015-2025
University of Miami Health System
2024
Twitter (United States)
2024
May Institute
2016-2024
Kleijnen Systematic Reviews (United Kingdom)
2024
Denver Health Medical Center
2020-2023
University of Colorado Denver
2020-2023
Florida College
2023
American Association for the Surgery of Trauma
2015-2023
Historically, hemorrhage has been attributed as the leading cause (40%) of early death. However, a rigorous, real-time classification death (COD) not performed. This study sought to prospectively adjudicate and classify COD determine epidemiology trauma mortality.Eighteen centers enrolled all adult patients at time during December 2015 August 2017. Immediately following death, attending providers adjudicated primary contributing secondary using standardized definitions. Data were confirmed...
Timely hemorrhage control is paramount in trauma; however, a critical time interval from emergency department arrival to operation for hypotensive gunshot wound (GSW) victims not established. We hypothesize that delaying surgery more than 10 minutes increases all-cause mortality patients with GSW.Data of adults (n = 309) hypotension and GSW the torso requiring immediate January 2004 September 2013 were retrospectively reviewed. Patients resuscitative thoracotomies, traumatic brain injury,...
We test the hypothesis that prehospital interventions (PHIs) performed by skilled emergency medical service providers during ground or air transport adversely affect outcome in severely injured trauma patients.Consecutive activations (March 2012 to June 2013) transported from scene were reviewed. PHI was defined as intubation, needle decompression, tourniquet, cricothyroidotomy, advanced cardiac life support.In 3,733 consecutive (71% blunt, 25% penetrating, 4% burns), age 39 years, 74% male,...
BACKGROUND Beta blockers, a class of medications that inhibit endogenous catecholamines interaction with beta adrenergic receptors, are often administered to patients hospitalized after traumatic brain injury (TBI). We tested the hypothesis blocker use TBI is associated lower mortality, and secondarily compared propranolol other blockers. METHODS The American Association for Surgery Trauma Clinical Trial Group conducted multi-institutional, prospective, observational trial in which adult who...
BACKGROUND The association between tranexamic acid (TXA) and fibrinolysis shutdown is unknown. We hypothesize that TXA associated with in critically injured trauma patients. METHODS Two hundred eighteen adults admitted to the intensive care unit at an urban Level I center from August 2011 January 2015 who had thromboelastography performed upon admission were reviewed. Groups stratified based on shutdown, which was defined as LY30 of 0.8% or less. Continuous variables expressed mean ±...
To date, no study has assessed whether the risk of venous thromboembolism (VTE) varies with blunt or penetrating trauma.To test mechanism injury alters VTE after trauma.A retrospective database review was conducted adults admitted to intensive care unit an American College Surgeons-verified level I trauma center between August 1, 2011, and January 2015, injuries. Univariate multivariable analyses identified independent predictors VTE.Differences in factors for vs trauma.In 813 patients (mean...
The mortality of patients with Clostridium difficile-associated disease (CDAD) requiring surgery continues to be very high. Loop ileostomy (LI) was introduced as an alternative procedure total colectomy (TC) for CDAD by a single-center study. To date, no reproducible results have been published. objective this study compare these two procedures in multicentric approach help the surgeon decide what is best suited patient need.This retrospective multicenter conducted under sponsorship Eastern...
Pediatric lower extremity vascular injuries (LEVI) are rare but can result in significant morbidity. We aimed to describe our experience with these injuries, including associated injury patterns, diagnostic and therapeutic challenges, outcomes.
While epinephrine is widely used for medical cardiac arrests, there a knowledge gap regarding its utility traumatic arrests. Traumatic arrests result from hypovolemia, hypoxia, or anatomic impairment of function such that the inotropic and vasoconstrictive effects may be ineffective harmful. We hypothesized does not improve survival among patients with arrest. This was multicenter retrospective cohort study trauma sustaining prehospital arrest who were treated at seven level I II centers...
Antithrombin (AT) has anti-inflammatory and anti-coagulant properties, but its role in COVID-19 the rate of deficiency is unknown. We hypothesize that AT3 common COVID-19, supplementing will impact coagulopathy. This a prospective randomized control trial. Patients with plasma AT3<100% were to either standard care (SOC) or SOC+AT3 q48hr weight-based for goal 120% up 5 doses. An additional reference group AT3>100% received SOC. 531 subjects assessed eligibility; 324 did not meet inclusion...
ABSTRACT Abdominal hypertension is a pathologic elevation in intraabdominal pressure most often seen critically ill patients with propensity for progression to abdominal compartment syndrome once organ dysfunction develops. Intraabdominal alone an independent predictor of morbidity and mortality, but portends worse prognosis extremely high mortality rates, even after treatment. Pathologic increases can cause physiologic changes impacting multiple systems both directly indirectly, which may...
The American Board of Surgery In-Training Examination (ABSITE) is designed to measure progress, applied medical knowledge, and clinical management; results may determine promotion fellowship candidacy for general surgery residents. Evaluations are mandated by the Accreditation Council Graduate Medical Education but administered at discretion individual institutions not standardized. It unclear whether ABSITE evaluations form a reasonable assessment resident performance.To favorable...