A5014785687- Cardiovascular and exercise physiology
- Emergency and Acute Care Studies
- Heart Rate Variability and Autonomic Control
- Blood Pressure and Hypertension Studies
- Cardiovascular Effects of Exercise
- Trauma and Emergency Care Studies
- Innovations in Medical Education
- Global Health Workforce Issues
- Poisoning and overdose treatments
- Diversity and Career in Medicine
- Sepsis Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Medical Education and Admissions
- Healthcare professionals’ stress and burnout
- Elbow and Forearm Trauma Treatment
- Orthopedic Surgery and Rehabilitation
- Cardiac electrophysiology and arrhythmias
- Musculoskeletal synovial abnormalities and treatments
- Abdominal Trauma and Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Neurotransmitter Receptor Influence on Behavior
- Ultrasound in Clinical Applications
- Methemoglobinemia and Tumor Lysis Syndrome
- Nursing Roles and Practices
- Sports injuries and prevention
University of Colorado Denver
2013-2025
Aurora University
2023
Denver Health Medical Center
2013-2023
Health and Hospital Corporation
2021
University of Colorado Anschutz Medical Campus
2021
University of Colorado Hospital
2021
Des Plaines Public Library
2021
Stanford University
2007-2010
VA Palo Alto Health Care System
2008-2010
Université de Montréal
2010
Although the use of standardized cardiovascular (CV) system-focused history and physical examination is recommended for preparticipation (PPE) athletes, addition electrocardiogram (ECG) has been controversial. Because impact ECG screening on college athletes rarely reported, we analyzed findings adding to PPE Stanford athletes.For past 15 years, Sports Medicine program mandated a questionnaire by physicians participation in intercollegiate athletics. In 2007, computerized ECGs with digital...
Abstract Background The emergency department (ED) is a high‐stakes training environment for medicine (EM) residents and residents' ability to reflect self‐evaluate patient care of critical importance. Patient dashboards have been shown increase adherence quality guidelines improve outcomes. objectives this study were: (1) create comprehensive list evidence‐based, psychologically safe metrics include in dashboard EM residents; (2) design an residency secure, cloud‐based integrated with the...
Abstract Introduction Increasing the diversity of emergency medicine (EM) workforce is imperative, with more diverse teams showing improved patient care and increased innovation. Holistic review, adapted from Association American Medical Colleges (AAMC), focuses on screening applicants a balanced method, valuing their experiences, attributes, academic metrics equally. A core tenet to holistic review that essential excellence. Objective Implementation into residency application process...
Although the prognostic power of exercise capacity has been demonstrated, relative potential other hemodynamic responses not thoroughly investigated. We aimed to assess double product (DP) parameters in patients referred for standard testing.A retrospective cohort study.Analyses were performed on 1959 testing at Palo Alto Veterans Affairs Medical Center from 1997 2006. After removal female and heart failure patients, 1759 male veterans (mean age 57+/-12 years) remained. DP was calculated by...
Abstract Objective Our aim was to conduct a large, case‐based diversity, equity, and inclusion (DEI) simulation exercise with goal improve the DEI pillars of cultural structural awareness for residents. Methods Utilizing data resulting in poor health outcomes, top eight themes were utilized, via modified Delphi approach, diverse group faculty developed representative cases. A mass effort organized assistance our local office. Twenty residents groups two three rotated through all scenarios....
Abstract Background Electrocardiogram (ECG) scores have been demonstrated to predict CV mortality but they are rarely utilized clinically. Objective Develop a simple score consisting of adding classical ECG abnormalities make the more convenient prognostic tool. Methods Resting ECGs 29,320 outpatient male veterans from Palo Alto Veteran Affairs Healthcare System (PAVHS) collected between 1987 and 2000 were computer analyzed with an average follow‐up 7.5 y. Twelve classic chosen on basis...
Objectives: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is an increasing problem in athletic populations, with outbreaks spreading among team members. Due to this elevated risk, several strategies have been adopted from nonsports settings avoid and control CA-MRSA within teams, including the use of surveillance nasal cultures identify carriers for decolonization. We sought assess effectiveness such a program reducing infections over 1 season...
Abstract Introduction There is no clear unified definition of “county programs” in emergency medicine (EM). Key residency directories are varied designation, despite it being one the most important match factors for applicants. The Council Residency Directors EM County Program Community Practice consists program leadership from a collective programs that identify as “county.” This paper's framework was spurred numerous group discussions to better understand unifying themes define county...
The majority of pediatric visits occur in general emergency departments. Caring for critically ill neonates is a low-frequency but high-stakes event physicians, which requires specialized knowledge and hands-on training. We describe novel clinical rotation medicine (EM) residents that specifically augments skills neonatal resuscitation through direct participation as member the team. evaluation median score 4 (interquartile range [IQR] 3,4) was higher compared to all other off-service senior...
Emergency medicine training is associated with high levels of stress and burnout, which were exacerbated by the COVID-19 pandemic. The pandemic further exposed a mismatch between trainees' mental health needs timely support services; therefore, objective our innovation was to create an opportunity for residents access social worker who could provide consistent coaching. residency leadership team partnered graduate medical education (GME) office identify clinical professionally-trained coach...
Background : The Duke Treadmill Score (DTS) is an established clinical tool for risk stratification of patients referred routine exercise testing, but it does not consider age. Our objectives were to determine if age could improve the prognostic power DTS and so, modify nomogram include Methods Results Analyses performed on 1959 testing at Palo Alto Veterans Affairs Medical Center from 1997 2004. After removal female heart failure patients, 1759 male veterans (age range: 23 86 years)...
The Duke Treadmill Score (DTS) is an established clinical tool for risk stratification from exercise testing. We aimed to determine if age and other variables could improve the prognostic power of DTS so, modify nomogram. From a total 1959 patients referred testing at Palo Alto VA Medical Center 1997 2006, we studied 1759 male veterans (mean ± SD age, 57±12 years) free heart failure. Double product (DP) was calculated by multiplying systolic BP HR; their products were subtracted obtain...
Introduction: While prognostic importance of exercise capacity (in [METs]) is well established, there controversy regarding the relative potential other hemodynamic responses. The high correlation these variables conflicts with assumptions survival analysis models. Objective: To assess power double product (DP) because it combines heart rate (HR) and systolic blood pressure (SBP). Methods: From a total 1959 consecutive patients referred for testing at Palo Alto Veterans Affairs Medical...