Zachary P. Milestone

ORCID: 0000-0003-2395-7852
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About
Contact & Profiles
Research Areas
  • Trauma and Emergency Care Studies
  • Cardiac Arrest and Resuscitation
  • Trauma, Hemostasis, Coagulopathy, Resuscitation
  • Injury Epidemiology and Prevention
  • Electronic Health Records Systems
  • Burn Injury Management and Outcomes
  • COVID-19 and healthcare impacts
  • Gun Ownership and Violence Research
  • Infection Control and Ventilation
  • Disaster Response and Management
  • Patient Safety and Medication Errors
  • Pressure Ulcer Prevention and Management
  • Hemodynamic Monitoring and Therapy
  • Human Pose and Action Recognition
  • Emergency and Acute Care Studies
  • Data Quality and Management
  • Business Process Modeling and Analysis
  • Healthcare Technology and Patient Monitoring
  • Sepsis Diagnosis and Treatment
  • Cervical and Thoracic Myelopathy
  • Context-Aware Activity Recognition Systems
  • Spinal Fractures and Fixation Techniques
  • Spine and Intervertebral Disc Pathology
  • Anomaly Detection Techniques and Applications

Icahn School of Medicine at Mount Sinai
2023-2024

Children's National
2021-2023

National Hospital
2023

Burn Institute
2023

Current methods of burn estimation can lead to incorrect estimates the total body surface area (TBSA) burned, especially among injured children. Inaccurate size impact initial management, including unnecessary transfer centres and fluid overload during resuscitation. To address these challenges, we developed a smartphone application (EasyTBSA) that calculates TBSA using body-part by approach. The aims this study were assess accuracy EasyTBSA compare its performance three established...

10.1136/emermed-2022-212308 article EN Emergency Medicine Journal 2023-01-13

Early recognition and intervention of hemorrhage are associated with decreased morbidity in children. Triage models have been developed to aid the hemorrhagic shock after injury but require complete data limited accuracy. To address these limitations, we a Bayesian belief network, machine learning model that represents joint probability distribution for set observed or unobserved independent variables, predict blood transfusion children adolescents.

10.1097/ta.0000000000003709 article EN Journal of Trauma and Acute Care Surgery 2022-06-13

Vital sign values during medical emergencies can help clinicians recognize and treat patients with life-threatening injuries. Identifying abnormal vital signs, however, is frequently delayed the may not be documented at all. In this mixed-methods study, we designed evaluated a two-phased visual alert approach for digital checklist in trauma resuscitation that informs users about undocumented signs. Using an interrupted time series analysis, compared documentation periods before (two years)...

10.1145/3461778.3462051 article EN Designing Interactive Systems Conference 2021-06-28

Introduction: Hemorrhage is the leading cause of preventable death in pediatric trauma patients. Timely blood administration associated with improved outcomes children and adults. This study aimed to identify delays transfusion improve time among injured children. Methods: A multidisciplinary team identified three activities during acute resuscitation To address related these activities, we relocated storage un-crossmatched emergency department (ED), created disseminated an intravenous...

10.1097/pq9.0000000000000563 article EN cc-by-nc-nd Pediatric Quality and Safety 2022-05-01

Study Design: Retrospective cohort. Objective: This study aims to evaluate the relationship between cervical levels fused and degree of subsidence following anterior discectomy fusion (ACDF) procedures. Background: Subsidence ACDF may worsen clinical outcomes. Previous studies have linked lower with higher rates subsidence, but none quantified relative levels. Materials Methods: Patients who underwent from 2016 2021 at a tertiary medical center were included in this study. Lateral...

10.1097/bsd.0000000000001721 article EN Clinical Spine Surgery A Spine Publication 2024-10-25

Massive blood transfusion is infrequently required by children but can be a lifesaving intervention for haemorrhage or coagulopathy. Product volumes and ratios administered during the initiation of paediatric massive protocol (MBTP) are highly variable optimal component ratio unknown.We performed single-centre retrospective chart review patients (<20 years) who received MBTP activation from August 2012 through January 2018. Logistic regression was used to determine association between use...

10.1111/tme.12829 article EN Transfusion Medicine 2021-10-27

Abstract Introduction Current methods of burn estimation can lead to incorrect estimates the total body surface area burned, especially among injured children. Inaccurate size impact initial management, including unnecessary transfer centers and fluid overload during resuscitation. To address these challenges, we developed a smartphone application that calculates using body-part by approach. The aims this study were assess accuracy compare its performance three established (Lund-Browder...

10.1093/jbcr/irac012.059 article EN cc-by Journal of Burn Care & Research 2022-03-23
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