A5038164792- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Hemodynamic Monitoring and Therapy
- Disaster Response and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Sepsis Diagnosis and Treatment
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Thermal Regulation in Medicine
- Renal function and acid-base balance
- Cardiac, Anesthesia and Surgical Outcomes
- Health Sciences Research and Education
- Pressure Ulcer Prevention and Management
- Blood Pressure and Hypertension Studies
- Ultrasound in Clinical Applications
- Family and Patient Care in Intensive Care Units
- Thermoregulation and physiological responses
- Climate Change and Health Impacts
- Nosocomial Infections in ICU
- Travel-related health issues
- Posttraumatic Stress Disorder Research
- Non-Invasive Vital Sign Monitoring
- Wound Healing and Treatments
- Disaster Management and Resilience
- Cardiovascular Health and Disease Prevention
University of Washington Medical Center
2009-2024
University of Washington
2012-2023
Neurobehavioral Systems
2006-2023
United States Air Force
2022
St Thomas' Hospital
2021
King's College London
2021
University of Pennsylvania
2020
Sigma Theta Tau International
2020
University of Surrey
2020
E Ink (South Korea)
2020
BACKGROUND: The coronavirus disease 2019 pandemic continues to affect millions worldwide. Given the rapidly growing evidence base, we implemented a living guideline model provide guidance on management of patients with severe or critical in ICU. METHODS: Surviving Sepsis Campaign Coronavirus Disease panel has expanded include 43 experts from 14 countries; all members completed an electronic conflict-of-interest disclosure form. In this update, addressed nine questions relevant managing We...
Hemodynamic monitoring is a costly procedure, both materially and with regard to nursing time involved ensure proper functioning of the system correct interpretation data obtained. Dynamic response testing ideal method confirming ability accurately reproduce hemodynamic waveforms. MAP stable parameter, because it least affected by method, catheter insertion site, dynamic characteristics system, wave reflection. provides best estimate central aortic pressure main parameter monitored...
Research on the accuracy and precision of noninvasive methods measuring body temperature is equivocal.To determine oral, ear-based, temporal artery, axillary measurements compared with pulmonary artery temperature.Repeated-measures design conducted for 6 months. Sequential same side were obtained within 1 minute, repeated 3 times at 20-minute intervals. Accuracy, precision, confidence limits analyzed.In 60 adults cardiopulmonary disease a catheter, mean was 37.1 degrees C (SD 0.6 C, range...
Background Ventilator-associated pneumonia is a major threat to patients receiving mechanical ventilation in hospitals. Oral care nursing intervention that may help prevent ventilator-associated pneumonia. Objectives To describe oral practices performed by critical nurses for orally intubated critically ill and compare these with recommendations the 2005 AACN Procedure Manual Critical Care guidelines from Centers Disease Control Prevention. Methods A descriptive, cross-sectional design...
Just as data from civilian trauma registries have been used to benchmark and evaluate care, contained within the Joint Theater Trauma Registry (JTTR) present a unique opportunity combat care. Using iterative steps of benchmarking process, we evaluated in JTTR for suitability established benchmarks 24-hour mortality casualties with polytrauma moderate or severe blunt traumatic brain injury (TBI). Mortality at 24 hours was greatest those TBI. No seen Secondary insults after TBI, especially...
: Sepsis is a leading cause of critical illness and hospital mortality. Early recognition intervention are essential for the survival patients with this syndrome. In 2002, Society Critical Care Medicine (SCCM) European Intensive (ESICM) launched Surviving Campaign (SSC) to reduce overall patient morbidity mortality from sepsis septic shock by driving practice initiatives based on current best evidence. The SSC guidelines have been updated every four years, most recent update completed in...
Objectives: Describe the characteristics/enroute care of casualties transported by USAF Critical Care Air Transport Teams (CCATT) during Operation Enduring Freedom/Iraqi Freedom (OEF/OIF). Methods: Retrospective review TRAC2ES and CCATT Mission Reports (Oct 2001-May 2006). Results: 3492 patient moves (2439 patients). Moves route: within Area Responsibility (AOR) (n = 261); AOR-Landstuhl (LRMC) 1995), Germany-CONUS 1188). For AOR-LRMC: BI (64%), NBI (8%), Disease (25%). Among injured 1491),...
In Brief Editor's note This is part of an ongoing series columns from nurses at the University Washington that will examine in depth research related to critical care practices. article reviews effect noise on critically ill patients and presents evidence-based strategies which can actively contribute protect noise.
Are we doing what is best for our patients with the current evidence available to us?Nursing has deeply rooted traditions. As far back as Florence Nightingale in 19th century, nurses prided themselves on patient advocacy, infection control (before germ theory), and physical care of entire body, not limiting focus management disease or signs symptoms.1 These early roots established philosophy nursing. Nurses labeled they do caring art nursing.Critical find a unique situation. We have feet Yet...
Objectives: To evaluate injury patterns of snowbladers and compare them with those skiers snowboarders. determine possible effects helmet use in these sports on to the head neck. Methods: This prospective case series observational study was conducted by collecting reports from ski patrol during 1999–2000 season at Mont Tremblant resort, Quebec. All participants downhill winter who presented themselves traumatic related their sport were included. A concussion defined as any loss...
Traumatic brain injury patients are susceptible to secondary insults the injured brain. A retrospective cohort study was conducted describe occurrence of in 63 combat casualties with severe isolated traumatic who were transported by U.S. Air Force Critical Care Transport Teams (CCATT) from 2003 through 2006. Data obtained Wartime Database, which describes patient's physiological state and care as they across continuum area responsibility (Iraq/Afghanistan) Germany United States. Fifty-three...
To describe the accuracy and precision of noninvasive hemoglobin measurement (SpHb) compared with laboratory or point-of-care Hb, SpHb ability to trend in seriously injured casualties.Observational study a convenience sample combat casualties undergoing resuscitation at two US military trauma hospitals Afghanistan. was obtained using Masimo Rainbow SET (Probe Rev E/Radical-7 Pulse CO-Oximeter v 7.6.2.1). Clinically indicated Hb analyzed Coulter iStat simultaneous values.Twenty-three patients...
The NATO litter serves as a transport device and hospital bed during all types of operations. Little is known about the skin interface pressure on this litter. purpose study was to determine whether various padding body position affect peak total area exposed pressures above 30 mm Hg at different areas. Thirty-two subjects participated. A repeated measures design used. surface effect statistically significant for analyses (repeated-measures analysis variance, p < 0.01). There decrease in...
This paper considers lessons learned from the March 20, 1995 covert terrorist attack on Tokyo, Japan subway system employing a neurotoxic agent. The following this disaster are reviewed in light of prevailing practice and policy U.S. 2005: timely communication vital information; operational logistics including triage, surge capacity decontamination; secondary contamination emergency responders hospital personnel; assessment treatment worried well traumatization rescue workers; behavioral...