A5027721092- Emergency and Acute Care Studies
- Opioid Use Disorder Treatment
- Traffic and Road Safety
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- Healthcare Policy and Management
- Urban Transport and Accessibility
- Suicide and Self-Harm Studies
- Alcohol Consumption and Health Effects
- Tracheal and airway disorders
- Older Adults Driving Studies
- Innovations in Medical Education
- Pharmaceutical Practices and Patient Outcomes
- Simulation-Based Education in Healthcare
- HIV, Drug Use, Sexual Risk
- Pediatric Pain Management Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Food Security and Health in Diverse Populations
- Trauma Management and Diagnosis
- Airway Management and Intubation Techniques
- Disaster Response and Management
- Poisoning and overdose treatments
University of California, Irvine
2016-2025
King George Hospital
2025
King Chulalongkorn Memorial Hospital
2024
Thai Red Cross Society
2024
University of California, Irvine Medical Center
2011-2023
ORCID
2022
UC Irvine Health
2014-2022
Eisenhower Medical Center
2022
Northwestern University
2022
Command Hospital Air Force
2020
The Centers for Disease Control and Prevention (CDC) has published significant data trends related to the national public health burden associated with trauma injury. In United States (U.S.), injury is leading cause of death persons aged 1-44 years. 2008, approximately 30 million injuries resulted in an emergency department (ED) evaluation; 5.4 (18%) these patients were transported by Emergency Medical Services (EMS).1 EMS providers determine severity begin initial management at scene....
Medical education is rapidly evolving. With the paradigm shift to small-group didactic sessions and focus on clinically oriented case-based scenarios, simulation training has provided educators a novel way deliver medical in 21st century. The field continues expand scope practice being incorporated into school clerkship education, specifically emergency medicine (EM). use of graduate well documented. Our aim this article perform retrospective review current literature, studying EM student...
Most medical schools teach cardiopulmonary resuscitation (CPR) during the final year in course curriculum to prepare students manage first minutes of clinical emergencies. Little is known regarding optimal method instruction for this critical skill. Simulation has been shown similar settings enhance performance and knowledge. We evaluated comparative effectiveness high-fidelity simulation training vs. standard manikin teaching American Heart Association (AHA) guidelines high-quality CPR.This...
The goal of this study is to explore the relationship between pedestrian injuries and socioeconomic characteristics.Pedestrian collisions were identified in data California Statewide Integrated Traffic Records System (SWITRS), which assembled from police crash reports by Highway Patrol Information Services Unit. Four thousand crashes geocoded within census tracts a county population 2,846,289 over 5-year period. Population characteristics for obtained 2000 U.S. Census.The percentage living...
Our goal was to evaluate the feasibility and effectiveness of using telesimulation deliver an emergency medical services (EMS) course on mass casualty incident (MCI) training healthcare providers overseas.We conducted a study establish process for successful delivery educational content learners overseas via over five-month period. Participants were registrants in EMS MCI triage broadcast from University California, Irvine Medical Simulation Center. The intervention Simple Triage Rapid...
Clinical methods have incomplete diagnostic value for early diagnosis of acute stroke and large vessel occlusion (LVO). Electroencephalography is rapidly sensitive to brain ischemia. This study examined the utility electroencephalography stroke/transient ischemic attack (TIA) LVO.Patients (n=100) with suspected in an emergency department underwent clinical exam then using a dry-electrode system. Four models classified patients, first as stroke/TIA or not, LVO not: (1) data, (2) (3)...
Introduction: Food and housing insecurity in childhood is troublingly widespread. Emergency departments (ED) are well positioned to identify support food- housing-insecure children their families. However, there no consensus regarding the most efficient screening tools or effective interventions for ED use. Objective: In this cross-sectional study we aimed investigate implementation of a food/ tool resource referral uptake pediatric ED. Methods: During period (March 1–December 9, 2021), were...
Introduction: Food insecurity (FI) remains a pervasive issue in the United States, affecting over 12.8% of households. Marginalized populations, particularly those urban areas, are disproportionately impacted. The emergency department (ED) holds potential as vital outreach hub, given its diverse patient population and extensive service coverage. In this study we explore feasibility implementing an ED-based FI screening referral program at urban, academic teaching hospital. We aimed to assess...
Cholera is a vaccine-preventable disease that has faced surge in outbreaks and shortage of vaccines. The new generation oral cholera vaccine (OCV) BBV131, featuring simplified single stable O1 Hikojima strain, aims to enhance production efficiency affordability. This study evaluates BBV131's immune profile, safety, non-inferiority compared Shanchol™ healthy adults children. Adding BBV131 the stockpile could improve supply, simplify logistics, ease administration efforts. In this randomised,...
Background: Reports indicate a geographic effect of socioeconomic inequalities on the occurrence opioid-related fatal overdoses. This study aims to (1) estimate rates overdoses, (2) association benzodiazepine co-ingestion with deaths, (3) associations between indicators and (4) map distribution in Orange County (OC), California. Methods: An ecologic was conducted all opioid- related deaths (1205 total) from 2010 2014 obtained OC Coroner Division database (1065 residents, 55 nonresidents, 85...
A pandemic poses a significant challenge to the healthcare staff and infrastructure. We studied prevalence of anxiety depressive symptoms among armed forces doctors in India during COVID-19 factors that contribute these symptoms.
Background The number of active opioid analgesic prescriptions has risen steadily, causing increases in nonmedical use, addiction, and overdose. Insufficient focus on patient discharge instructions contributed to lack awareness regarding dangers opioids. This study examines whether an educational Khan Academy–style animation instruction the safe usage analgesics elicits higher knowledge acquisition than current standard care. Additionally, it measures feasibility implementing this video...
The Centers for Disease Control and Prevention (CDC) has published significant data trends related to substance abuse involving opioid pain relievers (OPR), benzodiazepines alcohol in the United States. CDC describes misuse as an epidemic, with use of OPR surpassing that illicit drugs. Alcohol also been a persistent problem is associated number emergency department visits deaths independent other substances. these drugs combination creates additive effect increased central nervous system...
The Center for Disease Control and Prevention (CDC) has published significant data trends related to opioid prescription pain relievers (OPR). In 2008, 20,044 deaths were attributed drug overdose of which 14,800 (73.8%) due OPR, an amount greater than the number from heroin cocaine combined. majority these unintentional. Between 1999-2008, OPR increased almost four-fold. Correspondingly, sales four times in 2010 1999. Most emergency physicians is estimate that 39% all opioids prescribed,...
Emergency physicians are among the few specialists besides ophthalmologists who commonly perform ophthalmologic examinations using slit lamp and other instruments. However, most medical schools in United States do not require an ophthalmology rotation upon completion. Teaching procedural skills to students can be challenging due limited resources instructor availability. Our study assesses effectiveness of a 40-minute hands-on teaching session on examination for only two instructors low-cost...
(-)-Epicatechin has been isolated from the bark of Pterocarpus marsupium Roxb (Leguminosae). This flavonoid compound was tested for its activity on central nervous system, frog heart preparations and blood sugar levels rats. Preliminary acute toxicity studies were also carried out. It observed that (-)-epicatechin did not have any effect system rats mice, had shown both positive chronotropic inotropic effects hearts, which is blocked by propranolol. The in higher doses caused hyperglycemia...
Background Mental health substance abuse (MHSA)-related visits in the emergency department (ED) are a growing concern. Methods This study analyzed MHSA ED by age, gender, ethnicity, region, season, and duration of stay between 2002 2008 using National Hospital Ambulatory Care Survey (NHAMCS). The authors used descriptive statistics examined length generalized linear model with log link, compared for these visits. Results health–related increased from 6.4% to 7.0% ( P = .002). Substance...