A5022738101- Trauma Management and Diagnosis
- Aortic Disease and Treatment Approaches
- Pleural and Pulmonary Diseases
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Tracheal and airway disorders
- Congenital Diaphragmatic Hernia Studies
- Vascular Procedures and Complications
- Abdominal Trauma and Injuries
- Peripheral Artery Disease Management
- Esophageal and GI Pathology
- Cardiac Valve Diseases and Treatments
- Pelvic and Acetabular Injuries
- Lung Cancer Diagnosis and Treatment
- Diabetic Foot Ulcer Assessment and Management
- Airway Management and Intubation Techniques
- Diagnosis and Treatment of Venous Diseases
- Infectious Aortic and Vascular Conditions
- Venous Thromboembolism Diagnosis and Management
- Vascular Anomalies and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Acute Ischemic Stroke Management
- Hernia repair and management
Southwest Washington Medical Center
2012-2024
Legacy Emanuel Medical Center
2008-2023
PeaceHealth St. John Medical Center
2014-2023
Washington State University Spokane
2020-2023
Georgia Highlands College
2023
Washington State University
2020
Anna Needs Neuroblastoma Answers
2018
Harborview Medical Center
1999-2011
University of Washington
1999-2011
Committee on Publication Ethics
2004-2011
Introduction: The purpose of this American Association for the Surgery Trauma multicenter study is to assess early efficacy and safety endovascular stent grafts (SGs) in traumatic thoracic aortic injuries compare outcomes with standard operative repair (OR). Patients: Prospective, study. Data following were collected: age, blood pressure, Glasgow Coma Scale (GCS) at admission, type injury, injury severity score, abbreviate scale (AIS), transfusions, survival, ventilator days, complications,...
Background: The diagnosis and management of blunt thoracic aortic injuries has undergone many significant changes over the last decade. present study compares clinical practices results between an earlier prospective multicenter by American Association for Surgery Trauma completed in 1997 (AAST1) a new similar 2007 (AAST2). Methods: AAST1 included 274 patients from 50 participating centers period 30 months. AAST2 193 18 centers, 26 comparisons two studies method definitive injury [computed...
Objective The purpose of this study was to define the period time after which delays in management incurred by investigations cause increased morbidity and mortality. outcome is intended correlate with death from esophageal causes, overall complications, related surgical intensive care unit length stay. Methods This a retrospective multicenter involving 34 trauma centers United States, under auspices American Association for Surgery Trauma Multi-institutional Trials Committee over span 10.5...
Background: The traditional approach to stable blunt thoracic aortic injuries (TAI) is immediate repair, with delayed repair reserved for patients major associated injuries. In recent years, there has been a trend toward even in low-risk patients. This study evaluates the current practices surgical community regarding timing of and its effects on outcomes. Methods: was prospective, observational multicenter sponsored by American Association Surgery Trauma. included TAI scheduled open or...
Improved outcomes following lung injury have been reported using "lung sparing" techniques.A retrospective multicenter 4-year review of patients who underwent resection was performed. Resections were categorized as "minor" (suture, wedge resection, tractotomy) or "major" (lobectomy pneumonectomy). Injury severity, Abbreviated Scale (AIS) score, and outcome recorded.One hundred forty-three (28 blunt, 115 penetrating) after sustaining an injury. Minor resections used in 75% cases, with less...
Background: An occult pneumothorax (OPTX) is found incidentally in 2% to 10% of all blunt trauma patients. Indications for intervention remain controversial. We sought determine which factors predicted failed observation Methods: A prospective, observational, multicenter study was undertaken identify patients with OPTX. Successfully observed and who were compared. Multivariate logistic regression used predictors failure observation. OPTX size calculated by measuring the largest air...
BACKGROUND: Empyema complicates tube thoracostomy following trauma in up to 10% of cases. Studies potential risk factors empyema have included use antibiotics, site injury and technique chest placement. Residual fluid has also been cited as a factor for empyema, although the imaging identify this varies. OBJECTIVE: To determine whether residual hemothorax detected by x‐ray (CXR) after one or more initial tubes predicts an increased empyema. METHODS: A study patients admitted two level I...
This is a recommended management algorithm from the Western Trauma Association addressing diagnostic evaluation and of esophageal injuries in adult patients. Because there paucity published prospective randomized clinical trials that have generated Class I data, recommendations herein are based primarily on observational studies expert opinion members. The algorithms accompanying comments represent safe sensible approach can be followed at most trauma centers. We recognize will patient,...
Endovascular stent grafting (EVSG) has emerged as a new treatment for aortic disease and recently been applied to the of acute blunt injury (BAI). The purpose this study was determine outcome EVSG patients with BAI at two tertiary (Level I) trauma centers.A retrospective review treated between January 1, 1999, February 2003, centers, Calgary Health Region (Calgary, Alberta) Harborview Medical Center (Seattle, WA), is reported. Variables assessed included age, sex, Injury Severity Score,...
Background: Thoracic outlet artery injuries due to blunt trauma are uncommon. Exposure of these arteries is associated with significant morbidity and mortality. An endovascular approach a less invasive alternative for technically challenging injuries. Methods: A retrospective review patients who presented traumatic the innominate, subclavian, axillary between 1998 2009 was performed. Demographic data, concomitant injuries, preoperative workup, treatment, outcomes were recorded. Results:...
Surgical resection for acute necrotizing lung infections is not widely accepted due to unclear indications and high risk.To review results of in the setting infections.A retrospective patients who underwent parenchymal between January 1, 2000, 2006, management pneumonia or gangrene.Thirty-five necrosis. At time consultation, all presented with pulmonary sepsis, also had following: empyema (n = 17), hemoptysis 5), air leak 7), septic shock requiring pressors 8) inability oxygenate adequately...
Background Resuscitative thoracotomy (TCY) after trauma has an overall dismal survival rate, yet patients with isolated penetrating chest wounds have the best chance of meaningful recovery. Although major factor in outcome is presenting physiology, site TCY may influence survival, operating room offering a superior environment to emergency room. Purpose The purpose this study was evaluate impact location on injury. Methods This multicenter admitted either stab (SW) or gunshot wound (GSW)...
DUODENAL INJURIES The duodenum is primarily a retroperitoneal structure and relatively well protected; consequently, injuries to the are uncommon, representing less than 2% of all abdominal injuries. Although consequences duodenal injury can be devastating. reasons for this include following: (1) Anatomic: lies near multiple major vascular structures, hence, commonly accompanies with resultant hemorrhagic shock. (2) Physiologic: intimately attached pancreas, combined pancreaticoduodenal...