A5012762894- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Abdominal Trauma and Injuries
- Traumatic Brain Injury Research
- Pelvic and Acetabular Injuries
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Traumatic Ocular and Foreign Body Injuries
- Congenital Diaphragmatic Hernia Studies
- Disaster Response and Management
- Hernia repair and management
- Vascular Procedures and Complications
- Respiratory Support and Mechanisms
- Gallbladder and Bile Duct Disorders
- Venous Thromboembolism Diagnosis and Management
- Ultrasound in Clinical Applications
- Hip and Femur Fractures
- Organ Transplantation Techniques and Outcomes
- Organ Donation and Transplantation
- Streptococcal Infections and Treatments
- Gun Ownership and Violence Research
- Hospital Admissions and Outcomes
Riverside Community Hospital
2018-2025
UCLA Medical Center
2011-2023
Harbor–UCLA Medical Center
2011-2023
University of California, Riverside
2019-2023
The Lundquist Institute
2016-2022
Ronald Reagan UCLA Medical Center
2018-2022
University of California, Los Angeles
2013-2022
Community Hospital
2022
Regional Medical Center
2022
Wesley Medical Center
2022
The use of liberal whole body imaging (pan scan) in patients based on mechanism is warranted, even evaluable with no obvious signs chest or abdominal injury.Prospective observational study.Academic level I trauma center.All admitted following blunt multisystem trauma.Pan scan, including computed tomography (CT) the head, cervical spine, chest, abdomen, and pelvis, inclusion criteria: (1) visible evidence injury, (2) hemodynamically stable, (3) normal examination results a neurologically...
Blunt cerebrovascular injuries (BCVIs) are associated with significant morbidity and mortality. This guideline evaluates several aspects of BCVI diagnosis management including the role screening protocols, criteria for cervical spine injuries, use antithrombotic therapy (ATT) endovascular stents.Using Grading Recommendations Assessment, Development Evaluation (GRADE) methodology, a taskforce Practice Management Guidelines Committee Eastern Association Surgery Trauma performed systematic...
Chest computerized tomography (CCT) has gained popularity in trauma evaluation, but it is expensive, increases exposure to radiation, and leads findings of debatable clinical significance. The objective this study was determine the change usage CCT over time number injuries missed on plain chest radiograph (CXR) with normal that required therapy.Data all patients evaluated a screening CXR during 7-year period were extracted from Level I center registry. incidence utilization duration...
The purpose of this study was to determine the incidence and identify clinical predictors for need tracheostomy after cervical spinal cord injury (CSCI).The National Trauma Databank version 7.0 (2002-2006) used all patients who sustained a CSCI. Patients with severe traumatic brain (TBI) were excluded. Demographics, data, outcomes abstracted. requiring compared those did not require tracheostomy. Logistic regression analysis independent tracheostomy.There 5,265 eligible patients. Of these,...
The purpose of this study was to examine the epidemiology and outcomes posttraumatic upper (UEA) lower extremity amputations (LEA). National Trauma Databank version 5 used identify all amputations. From 2000 2004 there were 8910 amputated patients (1.0% trauma patients). Of these, 6855 (76.9%) had digit 2055 (23.1%) limb amputation. those with amputation, 92.7 per cent (1904/2055) a single LEA more frequent than UEA among in amputation group (58.9% vs 41.1%). mechanism injury blunt 83 cent;...
Background: We have previously demonstrated that the use of a daily "Quality Rounds Checklist" (QRC) can increase compliance with evidence-based prophylactic measures and decrease complications in busy trauma intensive care unit (ICU) over 3-month period. This study was designed to determine sustainability QRC 1 year examine relationship between outcome improvement. Methods: A prospective before-after design used effectiveness tool documenting 16 for ventilator-associated pneumonia (VAP),...
Background: Complications of excessive crystalloid after critical injury have increased interest in vasopressor support. However, it is hypothesized that use patients who are under-resuscitated associated with death. We performed this study to determine whether volume status mortality the critically injured exposed early vasopressors. Methods: The intensive care unit database at a Level I center was queried for all adult admissions surviving >24 hours from January 1, 2001, December 31, 2008....
Background: Multidetector computed tomographic angiography (MDCTA) is increasingly being used for the assessment of extremity vascular injury. However, to date, there are only retrospective series and a single small prospective study evaluating its efficacy. Therefore, objective this was prospectively evaluate ability MDCTA detect arterial injury in injured upper lower extremities. Methods: After institutional review board approval, all trauma patients aged 16 years or older admitted Level I...
Background: Traumatic brain injury is a common cause of death after traumatic insults. Alcohol intoxication recognized contributor to the occurrence these injuries. The specific effects alcohol exposure on severity and subsequent outcomes, however, remain controversial. aim this study was investigate relationship between blood levels (BAL) outcomes in patients with isolated severe injuries (sTBI). Methods: During calendar year 2003, as part pilot project, Los Angeles County Department Health...
Few previous studies have been conducted on the severe traumatic brain injury (sTBI)-associated coagulopathy in children. The purpose of this study was to evaluate incidence and risk factors sTBI a pediatric cohort its impact outcomes.Retrospective analysis patients (younger than 18 years) sustaining isolated [head Abbreviated Injury Scale (AIS) score ≥3 extracranial injuries AIS <3]. Criteria for sTBI-associated included thrombocytopenia (platelet count <100,000 per mm(3)) and/or elevated...
Pyloric exclusion (PEX) has traditionally been used in the management of complicated duodenal injuries to temporarily protect repair and prevent septic abdominal complications. We American College Surgeons National Trauma Data Bank (v 5.0) evaluate adult patients with severe [American Association for Surgery (AAST) Grade > or = 3] undergoing primary only PEX within 24 hours admission. Propensity scoring was adjust relevant confounding factors during outcomes comparison. Among 147 injuries,...
Traumatic brain injury (TBI) is associated with significant morbidity and mortality. Several studies have demonstrated neuroprotective effects of cannabinoids. The objective this study was to establish a relationship between the presence positive toxicology screen for tetrahydrocannabinol (THC) mortality after TBI. A 3-year retrospective review registry data at Level I center patients sustaining TBI having performed. Pediatric (younger than 15 years) suspected nonsurvivable were excluded....
Methamphetamine (Meth) use is rising in the US. Most research focuses on severe TBI, neglecting milder cases. We evaluated Meth's impact patient outcomes and hospital resource across all TBI severities. This study included National Trauma Data Bank (NTDB) patients from 2017-2019, aged 18-54, with near-isolated a drug screen, negative blood alcohol. Meth+ were compared to Meth- demographics, injury severity, using χ² Wilcoxon rank-sum tests. Of 29,416 patients, 337 (1%) Meth+. had...
A reduction in the incidence of posttraumatic Acute Respiratory Distress Syndrome (ARDS) has been demonstrated. It is hypothesized that ventilation strategies and restrictive transfusion policies are contributory. The purpose this study to examine changes parameters over time their associations with late ARDS.The surgical intensive care unit blood bank databases from a Level I center during 6-year period were analyzed. All mechanically ventilated trauma patients screened for ARDS onset after...
The epidemiology of sternal fractures has been poorly described. objective this study was to examine the demographics, outcomes and injuries associated with fractures. trauma registry at a level I center retrospectively reviewed identify all patients over 10 year period. Demographic data collected included age, gender, mechanism injury severity score. Patients were analyzed according age < or = 55 > years. During 10-year period, total 37,087 admitted emergency department. Of these, 125...
To determine the injury patterns, complications, and mortality after alcohol consumption in trauma patients.The Trauma Registry at an American College of Surgeons (ACS) level I center was queried for all patients with a toxicology screen admitted between 1st January 2002 31st December 2005. Alcohol-positive (AP) were matched to control who had completely negative (AN) using age, gender, mechanism, Injury Severity Score (ISS), head Abbreviated Scale (AIS), chest AIS, abdominal extremity AIS....
Objective: The objective of this study was to analyze autopsy findings after blunt traumatic deaths identify the incidence cardiac injuries and describe patterns associated injuries. Methods: All autopsies performed by Los Angeles County Forensic Medicine Division for in 2005 were retrospectively reviewed. Only cases that underwent a full including internal examination included analysis. population divided into two groups according presence or absence injury compared differences baseline...
The aim of this study was to determine the impact ethanol (ETOH) on incidence severe traumatic brain injury (sTBI)-associated coagulopathy and examine effect ETOH in-hospital outcomes in patients sustaining sTBI. Patients admitted surgical intensive care unit from June 2005 through December 2008 following sTBI, defined as a head Abbreviated Injury Scale (AIS) score ≥3, were retrospectively identified. with chest, abdomen, or extremity AIS >3 excluded minimize extracranial injuries. Criteria...