A5063497294- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Disaster Response and Management
- Simulation-Based Education in Healthcare
- Opioid Use Disorder Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Regional Socio-Economic Development Trends
- Traumatic Brain Injury and Neurovascular Disturbances
- Hospital Admissions and Outcomes
- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Mechanical Circulatory Support Devices
- Pain Management and Opioid Use
- Patient Safety and Medication Errors
- Geriatric Care and Nursing Homes
- Diverse Approaches in Healthcare and Education Studies
- Cardiovascular Effects of Exercise
- Surgical Simulation and Training
- Cardiovascular and Diving-Related Complications
- Cystic Fibrosis Research Advances
- Family and Patient Care in Intensive Care Units
- Renal function and acid-base balance
- Insects and Parasite Interactions
Harvard University
2006-2025
Brigham and Women's Hospital
2015-2025
University of North Texas
2020-2024
National Council on Family Relations
2019-2024
John Wiley & Sons (United States)
2019-2024
Lemuel Shattuck Hospital
2022-2024
Mass General Brigham
2024
Moss Landing Marine Laboratories
2021
Université Paris-Sud
2020
University of California, San Francisco
2019
<h3>Importance</h3> Several national initiatives have emerged to empower laypersons act as immediate responders reduce preventable deaths from uncontrolled bleeding. Point-of-care instructional interventions been developed in response the scalability challenges associated with in-person training. However, our knowledge, their effectiveness for hemorrhage control has not established. <h3>Objective</h3> To evaluate of different point-of-care and training compared no intervention assess skill...
The American Heart Association recommends routine provocative cardiac testing in accelerated diagnostic protocols for coronary ischemia. and therapeutic yield of this approach are unknown.To assess the an emergency department-based chest pain unit.We examined a prospectively collected database patients evaluated possible acute syndrome between March 4, 2004, May 15, 2010, unit urban academic tertiary care center.Patients with signs or symptoms without ischemic electrocardiography result...
Abstract High rates of asymptomatic coronavirus disease 2019 infection suggest benefits to routine testing in congregate care settings. Screening was undertaken a single nursing facility without known case 2019, demonstrating an 85% prevalence among residents and 37% staff. Serology not helpful identifying infections.
Abstract Objective To evaluate the impact of coronavirus disease 2019 (COVID‐19) on emergency medical services (EMS) use for time‐sensitive conditions. We examined EMS cardiac arrest, stroke, and other emergencies across Massachusetts during peak COVID‐19 pandemic, evaluating their relationship to statewide incidence a declaration. Methods A retrospective analysis all calls between February 15 May 15, 2020 same time period 2019. call volumes were compared before after March 10, date Results...
Emergency department (ED) capabilities, such as trauma center or stroke designation, are key to understanding the effects of emergency medical services (EMS) transport destination decisions on patient outcomes. In current EMS datasets, ED capabilities self-reported by clinician agency. The reliability and validity EMS-reported is unknown. Our objective was link destinations with verified capability data develop a novel national dataset better understand prehospital routing practices. We...
Importance Emergency medical services (EMS) clinicians commonly care for patients with behavioral health emergencies (BHEs), including acute agitation. There are known racial and ethnic disparities in the use of physical restraint chemical sedation BHEs emergency department settings, but less is about prehospital or sedation. Objective To investigate association patient race ethnicity during EMS encounters BHEs. Design, Setting, Participants This nationwide retrospective cohort study used...
Objectives: Patient handoff occurs when responsibility for patient diagnosis, treatment, or ongoing care is transferred from one healthcare professional to another. an integral component of quality and increasingly identified as a potential source medical error. However, evaluation field providers ED personnel limited. We here present quantitative analysis the information EMS physicians during critically ill injured patients. Methods: This study was conducted at urban academic center with...
Abstract Most cases of osteomyelitis the skull base occur as a result inadequately treated localized malignant otitis externa. We present four patients with who did not initially Increased morbidity may when these atypical are promptly recognized and treated.
Mass vaccination campaigns have been used effectively to limit the impact of communicable disease on public health. However, scale coronavirus (COVID-19) campaign is unprecedented. sites consolidate resources and experience into a single entity are essential achieving community ("herd") immunity rapidly, efficiently, equitably. Health care systems, local regional health entities, emergency medical services, private organizations can rapidly come together solve problems achieve success. As...
<h3>Importance</h3> Trauma is the leading cause of death for US individuals younger than 45 years, and uncontrolled hemorrhage a major trauma mortality. The military’s medical advancements in field prehospital control have reduced battlefield mortality by 44%. However, despite support from many national health care organizations, no integrated approach to research has been made regarding implementation, epidemiology, education, logistics layperson immediate responders civilian sector....
Describing the US emergency medical services workforce is important to understand gaps in recruitment and retention inform efforts improve diversity. Our objective was describe characteristics temporal trends of technicians (EMTs) paramedics United States.
The Emergency Department (ED) is the triage, stabilization and disposition unit of hospital during a mass-casualty incident (MCI). With most EDs already functioning at or over capacity, efficient management an MCI requires optimization all ED components. While operational aspects have been well described, architectural/structural principles not. Further, there are limited reports testing design components in actual events. objective this study to outline important infrastructural for...
Bystander provision of naloxone is a key modality to reduce opioid overdose-related death. Naloxone training courses are available, but no standardized program exists. As part bystander empowerment course, we created and evaluated brief module.
The epidemic of opioid use disorder and overdose carries extensive morbidity mortality necessitates a multi-pronged, community-level response. Bystander administration the antidote naloxone is effective, but it not universally available requires consistent effort on part citizens to proactively carry naloxone. An alternate approach would be position kits where they are most needed in community, manner analogous automated external defibrillators. We hypothesized that overdoses show geospatial...
Background: The United States is currently facing 2 epidemics: sustained morbidity and mortality from substance use the more recent COVID-19 pandemic. We tested hypothesis that pandemic has disproportionately affected individuals with disorder by evaluating average daily 9-1-1 ambulance calls for use-related issues compared all other calls. Methods: This was a retrospective cross-sectional analysis of before after start in Massachusetts. used consecutive samples calls, categorized into those...
In 2012 Critical Care published many articles pertaining to the resuscitation of out-of-hospital cardiac arrest and trauma. this review, we summarize several these articles, including those regarding advances in techniques methods. We examine prehospital endotracheal intubation, use specialized devices for cardiopulmonary policies transport destinations both trauma patients. Articles on predictors outcome pediatric adult populations are evaluated, effects obesity survival from hemorrhage...
Paramedics and emergency medical technicians (EMTs) perform triage at disaster sites. There is a need for training. Live simulation training costly difficult to deliver. Screen-based simulations may overcome these barriers. We hypothesized that screen-based simulation, 60 Seconds Survival (60S), would be associated with in-game improvements in accuracy.This was prospective cohort study of intervention, 60S. Participants included services (EMS) personnel from 21 EMS agencies across 12 states....
Background: Disaster triage is an infrequent, high-stakes skill set used by emergency medical services (EMS) personnel. Screen-based simulation (SBS) provides easy access to asynchronous disaster education. However, it unclear if the performance during a SBS correlates with immersive performance. Methods: This was nested cohort study within randomized controlled trial (RCT). The RCT compared accuracy of paramedics and technicians (EMTs) who completed school shooting, interacted for 13 weeks,...