A5000984084- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Disaster Response and Management
- Innovations in Medical Education
- Emergency and Acute Care Studies
- Mechanical Circulatory Support Devices
- Traumatic Brain Injury and Neurovascular Disturbances
- Innovative Teaching Methods
- Cardiac, Anesthesia and Surgical Outcomes
- Simulation-Based Education in Healthcare
- Opioid Use Disorder Treatment
- Medical History and Innovations
- Traffic and Road Safety
- Inclusion and Disability in Education and Sport
- Respiratory and Cough-Related Research
- Radiology practices and education
- Ultrasound in Clinical Applications
- Neurological Disorders and Treatments
- Poisoning and overdose treatments
- Maternal and fetal healthcare
- Tracheal and airway disorders
- Physical Education and Pedagogy
- Cardiac Arrhythmias and Treatments
- Acute Ischemic Stroke Management
Yale University
2020-2024
Sri Venkateswara University
2023
Yale New Haven Hospital
2020-2022
Wake Forest University
2021
Cooper University Health Care
2020
Yale New Haven Health System
2020
ReumaNederland
2020
W.K. Kellogg Foundation
2020
University of Michigan
2020
San Francisco General Hospital
2017
ABSTRACT Background The flipped classroom model for didactic education has recently gained popularity in medical education; however, there is a paucity of performance data showing its effectiveness knowledge gain graduate education. Objective We assessed whether module improves compared with standard lecture. Methods conducted randomized crossover study 3 emergency medicine residency programs. Participants were to receive 50-minute lecture from an expert educator on one subject and the...
Introduction: Emergency medicine is characterized by high volume decision-making while under multiple stressors. With the arrival of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus in early 2020, physicians across world were met with a surge critically ill patients. (EP) are prone to developing burnout and post-traumatic stress disorder (PTSD), due experiencing emotional trauma as well cumulative practice. Thus, calls have been made for attempts prevent physician PTSD...
ABSTRACT Background Photovoice has potential as a pedagogical tool to support student exploration of health‐related issues. However, its application in school‐based health education is under‐represented. Methods This article details learning outcomes and teacher perspectives from the codesign, evaluation, scale‐up photovoice module Cook Islands schools ( n = 7, Years 5–10). Objectives were awareness understanding food environments. The research sits within Pacific Science for Health Literacy...
Thoracic ultrasound is frequently used in the emergency department (ED) to determine etiology of dyspnea, yet its use not widespread prehospital setting. We sought investigate feasibility and diagnostic performance paramedic acquisition assessment thoracic images environment, specifically for detection B-lines congestive heart failure (CHF).This was a prospective observational study convenience sample adult patients with chief complaint dyspnea. Paramedics participated didactic hands-on...
Objectives: The COVID-19 epidemic in the United States has hit midst of opioid overdose crisis. Emergency medical services (EMS) clinicians may limit their use intranasal naloxone due to concerns novel coronavirus infection. We sought determine changes events and administration practices by EMS clinicians. Methods: Between April 29, 2020 May 15, 2020, we surveyed directors fellowship programs across US about how had changed catchment areas since March 2020. Results: Based on 60 respondents...
Abstract Objectives Out‐of‐hospital cardiac arrest (OHCA) claims the lives of approximately 350,000 people in United States each year. Resuscitative endovascular balloon occlusion aorta (REBOA) when used as an adjunct to advanced life support may improve cardio‐cerebral perfusion. Our primary research objective was determine feasibility emergency department (ED)‐initiated REBOA for OHCA patients academic urban ED. Methods This a single‐center, single‐arm, early trial that (ACLS) OHCA....
<b><i>Introduction:</i></b> Previous research has described technical aspects of telemedicine and the clinical impact provider-to-patient telemedicine; however, little is known about provider-to-provider telemedical interventions. <b><i>Objective:</i></b> The primary aim this study was to compare two delivery modes on quality a simulated neonatal resuscitation. Our secondary evaluate providers’ task load....
Background: The opioid epidemic is an ongoing public health emergency, exacerbated in recent years by the introduction and rising prevalence of synthetic opioids. National EMS Scope Practice Model was changed 2017 to recommend allowing basic life support (BLS) clinicians administer intranasal (IN) naloxone. This study examines local IN naloxone administration rates for 4 after new recommendation, Glasgow Coma Scale (GCS) scores respiratory before administration.Methods: retrospective cohort...
The aim of this study was to review and describe indications for intraaortic balloon counterpulsation (IABP) use identify the impact these have on outcomes at an Australian cardiothoracic tertiary referral hospital. A secondary comparison practice with a large multinational IABP data registry. Patient demographics, indication, complication rate mortality in 662 patients treated Prince Charles Hospital (TPCH), Brisbane, between January 1994 December 2004 inclusive were compared Benchmark...
Background: Implemented in September 2017, the "nurse navigator program" identified preferred emergency department (ED) destination within a single healthcare system using real-time assessment of hospital and ED capacity crowding metrics. Objective: The primary objective program was to improve load-balancing between two closely situated departments, both which feed into same inpatient facilities system. A registered nurse command center made recommendations medical services (EMS) providers...
Objectives: COVID-19 infections in the community have potential to overwhelm both prehospital and in-hospital resources. Transport of well-appearing patients, absence available emergency department treatment capacity, increases strain on hospital EMS system. In May 2020, Connecticut Office issued a voluntary, EMS-initiated, non-transport protocol for selected low-risk patients with symptoms consistent COVID-19. We evaluated implementation this mixed urban/suburban system.Methods: conducted...
The purpose was to develop a method for projecting the need adapted physical education (APE) teachers in public schools United States. This derived from prevalence-based model—dividing number of APE students enrolled by student-teacher ratio and then subtracting hired. model used findings Kelly Gansneder (1998) that (a) 4% school population required services (b) overall national 104:1. results revealed 22, 116 additional nationwide as well specific projections each state. projection is...
The management of patients with ST-elevation myocardial infarction (STEMI) is time-critical, a focus on early reperfusion to decrease morbidity and mortality. It imperative that prehospital clinicians recognize STEMI initiate transport hospitals capable percutaneous coronary intervention (PCI) door-to-balloon time ≤90 minutes. Three patterns have been identified as equivalents also likely warrant prompt attention potentially PCI: Wellens syndrome, De Winter T waves, aVR ST elevation. goal...
Current residency didactic schedules that are built upon hour-long, lecture-based presentations incongruous with adult learning theory and the needs of millennial generation residents. An alternative to traditional lecture, flipped classroom involves viewing a short video lecture at home, followed by an active discussion during class time. This module was developed for emergency medicine residents rotating medical students without previous training on subject.The at-home portion designed be...
Excessive alcohol consumption is associated with a substantial number of emergency department visits annually and responsible for significant lives lost each year in the United States. However, minimal amount known about impact on EMS system.The primary objective was to determine proportion 9-1-1 calls Denver, Colorado which (1) contributing factor or (2) individual receiving services had recently ingested alcohol. The secondary objectives were compare characteristics estimate costs.This...
A 35-year-old man with a history of multiple abscesses presented to the emergency department painful mass his right buttock. Physical examination revealed wounds gluteus that were draining pus (Figure 1). Given spontaneous drainage, conservative management was initially elected; however, patient complained rectal pain, so point-of-care ultrasonography performed 2). Deep tracts visualized, follow-up computed tomography (CT) scan (Figures 3 and 4) surgery consulted.