A5086507845- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Gun Ownership and Violence Research
- Cardiac Arrest and Resuscitation
- Healthcare Policy and Management
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Hospital Admissions and Outcomes
- Hip and Femur Fractures
- Ultrasound in Clinical Applications
- Pelvic and Acetabular Injuries
- Traumatic Brain Injury and Neurovascular Disturbances
- Radiation Dose and Imaging
- Diptera species taxonomy and behavior
- Traffic and Road Safety
- Congenital Diaphragmatic Hernia Studies
- Appendicitis Diagnosis and Management
- Forensic Entomology and Diptera Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pregnancy-related medical research
- Insect behavior and control techniques
- Diversity and Career in Medicine
- Clinical practice guidelines implementation
Indiana University – Purdue University Indianapolis
2016-2025
Indiana University School of Medicine
2015-2025
Methodist Hospital
2015-2024
Curtin University
2022
University of Michigan
2013-2021
North Memorial Health Care
2019-2021
Duke University
2021
University of Minnesota
2019-2021
Medical College of Wisconsin
2021
The University of Texas Health Science Center at Houston
2021
Importance Emergency departments (EDs) with high pediatric readiness (coordination, personnel, quality improvement, safety, policies, and equipment) are associated lower mortality among children critical illness those admitted to trauma centers, but the benefit more diverse clinical conditions is unknown. Objective To evaluate association between ED readiness, in-hospital mortality, 1-year injured medically ill receiving emergency care in 11 states. Design, Setting, Participants This a...
<h3>Importance</h3> The National Pediatric Readiness Project is a US initiative to improve emergency department (ED) readiness care for acutely ill and injured children. However, it unclear whether high ED pediatric associated with improved survival in trauma centers. <h3>Objective</h3> To evaluate the association between readiness, in-hospital mortality, complications among children presenting <h3>Design, Setting, Participants</h3> A retrospective cohort study of 832 EDs centers 50 states...
<h3>Importance</h3> There is substantial variability among emergency departments (EDs) in their readiness to care for acutely ill and injured children, including US trauma centers. While high ED pediatric associated with improved in-hospital survival children treated at centers, the association between long-term outcomes unknown. <h3>Objective</h3> To evaluate 1-year presenting 146 <h3>Design, Setting, Participants</h3> In this retrospective cohort study, younger than 18 years who were...
Abstract Objective We estimate annual hospital expenditures to achieve high emergency department (ED) pediatric readiness (HPR), that is, weighted Pediatric Readiness Score (wPRS) ≥ 88 (0–100 scale) across EDs with different volumes of children, overall and after accounting for current levels readiness. Methods calculated the costs HPR based on two components: (1) ED equipment supplies (2) labor required a Emergency Care Coordinator (PECC) perform tasks. Data sources generate cost estimates...
OBJECTIVES We evaluated spatial clustering of pediatric firearm injuries using national 9–1–1 emergency medical services (EMS) responses, locations where these events occurred, and geographic changes over time. METHODS This was a cross-sectional study from January 1, 2012 through December 31, 2022 EMS responses for children in 50 states the National Information Systems (NEMSIS). For 37 with continuous data period, we included aged 0 to 17 years response including transports, nontransports,...
Presentation during nights and weekends has been associated with variations in care poor outcomes for many time-sensitive conditions such as trauma, stroke, cardiac arrest. We sought to determine whether variation clinical exists patients treated by the emergency general surgery service at our trauma center. performed a retrospective cohort study Level 1 center (2017-2022) of who transferred from other facilities or presented directly department. The primary exposure variable was...
Background: Occurrence on weekends or at night has been associated with poor outcomes for time-sensitive conditions including ST elevation myocardial infarction, stroke, and cardiac arrest. We sought to determine whether the “weekend effect” exists injured patients our trauma center. Methods: performed a retrospective cohort study Level I center (2006–2008). The relative risks of mortality weekend arrival were estimated using unadjusted adjusted analyses. Results: Four thousand three hundred...
Interfacility transfer of patients from Level III/IV to I/II (tertiary) trauma centers has been associated with improved outcomes. However, little data are available classifying the specific subsets that derive maximal benefit a tertiary center. Drawbacks include increased secondary overtriage. Here, we ask which injury patterns survival following interfacility transfer.
ABSTRACT Background Injured children initially treated at trauma centers with high emergency department (ED) pediatric readiness have improved survival. Centers limited resources may not be able to address all deficiencies and there currently is no evidence-based guidance for prioritizing different components of readiness. The objective this study was identify individual ED associated better-than-expected survival in US aid the allocation targeted improving Methods This cohort U.S. used...
Importance Presentation to emergency departments (EDs) with high levels of pediatric readiness is associated improved survival. However, it unclear whether children all races and ethnicities benefit equitably from increased such readiness. Objective To evaluate the association ED in-hospital mortality among different traumatic injuries or acute medical emergencies. Design, Setting, Participants This cohort study requiring care in 586 EDs across 11 states was conducted January 1, 2012,...
Abstract Rationale: The presentation of sepsis and bacteremia in cutaneous cavitary myiasis is uncommon. We present a patient, residing temperate region the United States, with from emerging human pathogens Wohlfahrtiimonas chitiniclastica Ignatzschineria indica . Patient concerns: A 37-year-old male patient an 8-month history chronic lymphedema ulcers lower left extremity presented foot leg. was initially seen by his family practitioner many times prescribed antibiotics which he could not...
High emergency department (ED) pediatric readiness is associated with improved survival among children receiving care, but state and national costs to reach high ED the resulting number of lives that may be saved are unknown.
BACKGROUND Accurate and reliable data are pivotal to credible risk-adjusted modeling hospital benchmarking. Evidence assessing the reliability accuracy of elements considered as variables in risk-adjustment measurement outcomes is lacking. This deficiency holds potential compromise benchmarking integrity. We detail findings a longitudinal program evaluate impact external validation on validity for utilized trauma centers. METHODS A collaborative quality initiative-based study was conducted...
The symptoms of Clostridium difficile infection range from diarrhea to the rare, but potentially fatal, toxic megacolon.The aim this study is determine changes in incidence and outcomes C difficile-associated megacolon over a 10year period.Methods | Using Nationwide Inpatient Sample (2000-2010) International Classification Diseases, Ninth Revision (ICD-9) codes, we identified patients with both megacolon.Patients without diagnoses were excluded.The cohort included who managed surgery those...
Importance High emergency department (ED) pediatric readiness is associated with improved survival, but the impact of changes to ED unknown. Objective To evaluate association in at US trauma centers between 2013 and 2021 mortality. Design, Setting, Participants This retrospective cohort study was performed from January 1, 2012, through December 31, 2021, EDs 48 states District Columbia. included injured children younger than 18 years admission or injury-related death a participating center,...