A5047701378- Burn Injury Management and Outcomes
- Injury Epidemiology and Prevention
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Appendicitis Diagnosis and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Abdominal Trauma and Injuries
- Hemoglobinopathies and Related Disorders
- Wound Healing and Treatments
- Disaster Response and Management
- Palliative Care and End-of-Life Issues
- Emergency and Acute Care Studies
- Restraint-Related Deaths
- Occupational Health and Performance
- Intraperitoneal and Appendiceal Malignancies
- Hernia repair and management
- Global Health and Surgery
- Breastfeeding Practices and Influences
- Venomous Animal Envenomation and Studies
- Hospital Admissions and Outcomes
- Health Literacy and Information Accessibility
- Gastrointestinal disorders and treatments
- Nosocomial Infections in ICU
- Testicular diseases and treatments
- Healthcare Policy and Management
Johns Hopkins University
2021-2025
Johns Hopkins Medicine
2021-2025
Johns Hopkins Children's Center
2021-2024
Children's Mercy Hospital
2023
Nationwide Children's Hospital
2023
Children's Hospital of Michigan
2023
Wayne State University
2023
University of Tennessee Health Science Center
2019-2020
The University of Texas Southwestern Medical Center
2014-2019
Southwestern Medical Center
2016-2019
Objectives: We report on cases of multiple myeloma (MM) observed in World Trade Center (WTC) responders registered the WTC Medical Program. Methods: Possible MM diagnosed between September 11, 2001, and 10, 2007, were confirmed if they met Health Organization Mayo Clinic diagnostic criteria. Results: Among 28,252 known sex age, eight (6.8 expected). Four these younger than 45 years at time diagnosis (1.2 A slight deficit was older (4 observed, 5.6 Conclusion: In this case series, we observe...
There are little data regarding the use of massive transfusion protocols (MTP) outside trauma setting. This study compares an MTP between and non-trauma (NT) patients. Data were collected for NT patients from prospectively maintained database at a Level I center over 4-year period. Massive was defined as ≥ 10 units packed red blood cells (PRBCs) in 24-hour Of 439 activations, 37 (8%) (64% male; mean age = 51 years, initial base deficit -10.8). Activations gastrointestinal bleeding (n 18),...
BACKGROUND: Damage control resuscitation (DCR) has improved outcomes in severely injured patients. In civilian centers, massive transfusion protocols (MTPs) represent the most formal application of DCR principles, ensuring early, accurate delivery high fixed ratios blood components. Recent data suggest that may also help address early trauma-induced coagulopathy. Finally, base deficit (BD) is a long-recognized and simple prognostic marker survival after injury. METHODS: Outcomes patients...
Illicit drug use is common among patients admitted following burn injury. The authors sought to evaluate whether abuse results in worse outcomes. National Burn Repository (NBR) was queried for data on all with testing available. Outcomes included mortality, hospital length of stay (LOS), intensive care unit (ICU) LOS, and duration ventilator support. Propensity score weighting performed control age, alcohol use, size, gender, etiology burn. A total 20,989 had screen available; 11,642 (55.5%)...
The effect of burn center volume on mortality has been demonstrated in adults. authors sought to evaluate whether such a relationship existed burned children. National Burn Repository, voluntary registry sponsored by the American Association, was queried for all data points patients aged 18 years or less and treated from 2002 2011. Facilities were divided into quartiles based average annual volume. Demographics clinical characteristics compared across groups, univariate multivariate logistic...
BACKGROUND No guidelines exist for the evaluation of patients after near hanging. Most receive a comprehensive workup, regardless examination. We hypothesize that with normal neurologic examination, without major signs or symptoms suggestive injury, require no additional workup. METHODS reviewed medical charts adult trauma who presented to Level I center between 1995 and 2013 an isolated near-hanging episode. Demographics, Glasgow Coma Scale (GCS) score, imaging, management were collected....
A significant proportion of patients appeared to arrive at our American Burn Association-verified burn center intubated without clear benefit. The current study aims evaluate regional prehospital intubation practices and their outcomes. All consecutive admissions from November 2012 June 2014 were reviewed for data points associated with intubation. Demographics outcomes who before arrival or within 24 hours admission compared using χ, Fisher's exact test, the Kruskal-Wallis test as...
End-of-life (EoL) care after geriatric burns (geri-burns) is understudied.To examine the practices of burn surgeons for initiating EoL discussions and impact decisions made on courses geri-burn patients who died injury.This retrospective cohort study examined all subjects ≥65 years our Level I service from April 1, 2009, to December 31, 2014. Measurements obtained were timing first discussion (EARLY <24 hours post-admission; LATE ≥24 post-admission), made, age, total body surface area...
Despite conflicting data regarding its effectiveness, many massive transfusion protocols (MTPs) include recombinant Factor VIIa (rFVIIa) as an adjunct to hemorrhage control. Over a 3-year period, outcome for massively transfused patients was compared based on administration of rFVIIa part mature MTP. Of 228 MTP activations, 117 were candidates rFVIIa, and, these, 39 received under the Comparing who with those did not initial packed red blood cell (PRBC) requirements, there no difference in...
Objective Recurrent pancreatitis significantly impacts childhood development and quality of life. Our goal was to evaluate the efficacy Puestow procedure. Materials Methods After obtaining Institutional Review Board approval, we reviewed charts all patients who underwent lateral pancreaticojejunostomy from January 1999 2014. Statistical analysis performed using paired Student's t-test Fisher's exact test as appropriate. Results During 15-year study period, 13 a for chronic pancreatitis. The...
Laparoscopic appendectomy (LA) is the standard of care for treatment acute appendicitis. There an ongoing debate regarding optimal management appendicitis, which led us to study outcomes after at a large safety-net hospital. We hypothesize that despite high-risk population, LA remains safe and effective A retrospective review was performed all patients who underwent from 2011 2013. The primary end point significant morbidity defined as score three or greater on Clavien-Dindo scale surgical...
We hypothesized that a decision-support aid to predict index admission mortality and discharge disposition for geriatric burns could be constructed using the well-accepted Baux score (age +total body surface area burned) in geriatric-specific cohort.National Burn Repository version 8.0 (2002-2011) was queried all subjects aged 65 years or older. scores were calculated patients grouped into deciles. Three outcomes (death,home, nonhome setting) measured per decile. A receiver operating...
The diagnosis of pulmonary invasive fungal infection (IFI) in the pediatric oncology patient is challenging. Consensus criteria developed 2008 state that bronchioalveolar lavage (BAL) results cannot confirm this diagnosis. A video-assisted thoracoscopic biopsy (VATS-biopsy) lungs has been increasingly used to assist evaluating these children for IFI. Our goal was evaluate impact BAL and VATS-biopsy on management IFI among patients.A retrospective review all patients evaluated with and/or...
As fire pits grow in popularity, so do the associated burn injuries. Our study examines pediatric pit burns characteristics to raise awareness and promote safety precautions.