A5061551739- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Health and Medical Research Impacts
- Shoulder and Clavicle Injuries
- Traumatic Ocular and Foreign Body Injuries
- Spinal Fractures and Fixation Techniques
- Burn Injury Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Meta-analysis and systematic reviews
- Restraint-Related Deaths
- Health Sciences Research and Education
- Abdominal Trauma and Injuries
- Pleural and Pulmonary Diseases
- Artificial Intelligence in Healthcare and Education
- Dementia and Cognitive Impairment Research
- Machine Learning in Healthcare
- Injury Epidemiology and Prevention
- Ultrasound in Clinical Applications
- Hip and Femur Fractures
- Disaster Response and Management
- Diversity and Career in Medicine
- Appendicitis Diagnosis and Management
University of California, San Francisco
2018-2025
Stanford University
2016-2025
Santa Clara Valley Medical Center
2025
American College of Surgeons
2022-2023
Stanford Medicine
2020-2022
Chulalongkorn University
2021
Fielding Graduate University
2021
Chest Wall Injury Society
2021
University Memory and Aging Center
2018-2020
May Institute
2020
Objective: To summarize state-of-the-art artificial intelligence–enabled decision support in surgery and to quantify deficiencies scientific rigor reporting. Background: positively affect surgical care, decision-support models must exceed current reporting guideline requirements by performing external real-time validation, enrolling adequate sample sizes, model precision, assessing performance across vulnerable populations, achieving clinical implementation; the degree which published meet...
Emerging evidence supports artificial intelligence-enhanced electrocardiogram (AI-ECG) for detecting acute myocardial infarction (AMI), but real-world validation is needed. The aim of this study was to evaluate the performance AI-ECG in AMI emergency department (ED). Rule-Out Myocardial Infarction using Artificial intelligence Electrocardiogram analysis (ROMIAE) a prospective cohort conducted Republic Korea from March 2022 October 2023, involving 18 university-level teaching hospitals. Adult...
Background Ground level falls (GLFs) among older adults are responsible for millions of injuries. Routine pan-scanning (CT imaging the head, chest, abdomen and pelvis) is commonly employed; however, we lack robust evidence its benefit. We investigated whether identifies a larger proportion patients with significant injury or requiring procedural intervention hypothesized resuscitation area findings—including radiographs, ultrasound, external signs injury—would detect these Methods queried...
Background: Care navigation is an approach to personalized care management and coordination that can help overcome barriers care. has not been extensively studied in dementia, where health workforce innovations are needed as a result of increasing disease prevalence resulting costs the system. Objective: To identify facilitators dementia assess caregiver satisfaction with navigation. Methods: Methods include qualitative research (interviews, focus groups, observations) “Care Team Navigators”...
This study uses data from the American Trauma Society’s Information Exchange Program to evaluate trends in nationwide 60-minute access College of Surgeons Committee on Trauma–verified level I-IV trauma centers between 2013 and 2019.
Objectives To illustrate specific psychosocial interventions aimed at improving self-efficacy among family caregivers enrolled in the Care Ecosystem, a model of navigated care designed to support persons with dementia and their primary caregivers. Enrolled work unlicensed team navigators who are trained provide information, linkages community resources, emotional by phone email. Method We conducted focus groups interviews identify approaches they used target caregiver self-efficacy. assessed...
Outcomes after surgical stabilization of rib fractures (SSRF) have not been studied in patients with multiple and traumatic brain injury (TBI). We hypothesized that SSRF, as compared nonoperative management, is associated favorable outcomes TBI.A multicenter, retrospective cohort study was performed TBI between January 2012 July 2019. Patients who underwent SSRF were to those managed nonoperatively. The primary outcome mechanical ventilation-free days. Secondary intensive care unit length...
Background: Facial fractures are common in traumatic injury. Antibiotic administration practices for facial differ widely. Methods: The Surgical Infection Society's (SIS's) Therapeutics and Guidelines Committee convened to develop guidelines antibiotic the management of fractures. PubMed, Embase, Cochrane database were searched pertinent studies. Pre-operative antibiotics defined as those administered more than 1 hour before surgery. Peri-operative within start surgery depending on type late...
Rib fractures are consequential injuries for geriatric patients (age, ≥65 years). Although age and injury patterns drive many rib fracture management decisions, the impact of frailty-which baseline conditions affect fracture-specific outcomes-remains unclear patients. We aimed to develop validate Fracture Frailty (RFF) Index, a practical risk stratification tool specific with fractures. hypothesized that compact list frailty markers can accurately stratify clinical outcomes after...
Literature on outcomes after SSRF, stratified for rib fracture pattern is scarce in patients with moderate to severe traumatic brain injury (TBI; Glasgow Coma Scale ≤ 12). We hypothesized that SSRF associated improved as compared nonoperative management without hampering neurological recovery these patients. A post hoc subgroup analysis of the multicenter, retrospective CWIS-TBI study was performed TBI and by having sustained a non-flail or flail chest between January 1, 2012 July 31, 2019....
This Viewpoint discusses the importance of standardized metrics academic and clinical performance among medical students applying for residency in light many examinations classes now being graded pass-fail.
ABSTRACT Clinical prediction models can enhance timely clinical decision-making when appropriately developed and integrated within workflows. A risk model is typically a regression equation that uses patient factor data to estimate the probability of presence disease (diagnostic) or its future occurrence (prognostic). Risk are widely studied in surgical literature commonly using logistic regression. For be useful, it must balance statistical performance usefulness. This article provides...
Abstract Introduction Readmission to a non-index hospital has been associated with worse outcomes. Burn care is highly regionalized, and patients are often admitted burn centers distant from their residence. After discharge, may seek emergent post-injury at the closest which not index center. We hypothesized that readmission would be higher odds of major complications mortality. Methods identified adults who experienced 90-day readmissions after center hospitalization for injuries using data...
Abstract Introduction Preparedness for a Mass Causality Incident (MCI) involving burns is important to ensure national safety. Burn care particularly vulnerable becoming overwhelmed given the intensity of resources required severely injured burn patient juxtaposed limited number centers in US. We aimed characterize capacity patients across US and simulate preparedness an MCI Core Base Statistical Areas (CBSA). Methods The COVID-19 pandemic prompted Department Health Human Service record bed...
BACKGROUND The Rib Fracture Frailty (RFF) Index is an internally validated machine learning–based risk assessment tool for adult patients with rib fractures that requires minimal provider entry. Existing frailty scores have yet to undergo head-to-head performance comparison age, a widely used proxy in clinical practice. Our aim was externally validate the RFF small-scale implementation feasibility study. METHODS Prospective observational cohort study conducted across five ACS COT-verified...
Diseases of the kidney contribute a significant morbidity and mortality burden on society. Localized delivery therapeutics directly into kidney, via its arterial blood supply, has potential to enhance their therapeutic efficacy while limiting side effects associated with conventional systemic delivery. Targeted in humans is feasible given that we can access renal supply using minimally invasive endovascular techniques imaging guidance. However, there currently no described way reproduce or...
Characterizing and enumerating rib fractures are critical to informing clinical decisions, yet in-depth characterization is rarely performed because of the manual burden annotating these injuries on computed tomography (CT) scans. We hypothesized that our deep learning model, FasterRib , could predict location percentage displacement using chest CT
Background Rib fractures are common injuries associated with considerable morbidity, long-term disability, and mortality. Early, adequate analgesia is important to mitigate complications such as pneumonia respiratory failure. Regional anesthesia has been proposed for rib fracture pain control due its superior side effect profile compared systemic analgesia. Our objective was evaluate the of emergency physician-performed, ultrasound-guided serratus anterior plane block (SAPB) on function in...
Abstract Introduction Many caregivers of people with dementia experience burden and resulting health effects due to the intensive nature caregiving. Phone‐ web‐based care navigation is an innovative model that may be useful in addressing caregiver dementia. Methods Qualitative methods (interviews, focus groups, case study analysis) were used identify navigator approaches address as part a program. Results Care navigators targeted by focusing on strategies reduce guilt frustration, manage...