A5005998709- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Diabetes Management and Research
- Hip and Femur Fractures
- Venous Thromboembolism Diagnosis and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Diabetes and associated disorders
- Hospital Admissions and Outcomes
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurosurgical Procedures and Complications
- Appendicitis Diagnosis and Management
- Nursing Roles and Practices
- Surgical Simulation and Training
- Urological Disorders and Treatments
- Ultrasound in Clinical Applications
- Clinical Nutrition and Gastroenterology
- Acute Ischemic Stroke Management
- Frailty in Older Adults
United States Army Reserve
2023-2024
Penn State Milton S. Hershey Medical Center
2014-2024
Hershey (United States)
2023-2024
Pennsylvania State University
2014-2023
Cooper University Hospital
2022
Hospital of the University of Pennsylvania
2022
American College of Chest Physicians
2021
University of Florida
2009-2011
McMaster University
2011
Cook Medical (Australia)
2011
The aim of this study was to identify a mortality benefit with the use whole blood (WB) as part resuscitation bleeding trauma patients.Blood component therapy (BCT) is current standard for resuscitating patients, WB emerging product choice. We hypothesized that versus BCT alone would result in decreased mortality.We performed 14-center, prospective observational patients who received during their resuscitation. applied generalized linear mixed-effects model random effect and controlled age,...
Traumatic injury to the pancreas is rare but associated with significant morbidity and mortality, including fistula, sepsis, death. There are currently no practice management guidelines for medical surgical of traumatic pancreatic injuries. The overall objective this article provide evidence-based recommendations physician who presented pancreas.The MEDLINE database using PubMed was searched identify English language articles published from January 1965 December 2014 regarding adult patients...
Nonoperative management (NOM) of blunt splenic injuries (BSIs) has been used with increasing frequency in adult patients. There are currently no definitive guidelines established for how long BSI patients should be monitored failure NOM after injury.This study was performed to ascertain the length inpatient observation needed capture most failures, and identify factors associated NOM. We utilized National Trauma Data Bank determine time BSI.During 5-year period, 23,532 were identified BSI,...
<h3>Importance</h3> In trauma populations, improvements in outcome are documented institutions with higher case volumes. However, it is not known whether improved outcomes attributable to the volume within specific higher-risk groups, such as elderly, or among all patients treated by an institution. <h3>Objective</h3> To test hypothesis that of care for geriatric affected differently cases and nongeriatric <h3>Design, Setting, Participants</h3> This retrospective cohort study using a...
Abstract Introduction Vascular access in hypotensive trauma patients is challenging. Little evidence exists on the time required and success rates of vascular types. We hypothesized that intraosseous (IO) would be faster more successful than peripheral IV (PIV) central venous catheter (CVC) patients. Methods An EAST prospective multicenter trial was performed; 19 centers provided data. Trauma video review (TVR) used to evaluate resuscitations (systolic blood pressure ≤ 90 mmHg) Highly...
Background: Placement of prophylactic inferior vena cava filters (pIVCFs) for the prevention pulmonary embolism (PE) in high-risk trauma patients (HRTPs) are widely practiced despite lack Level I data supporting this use. We report 2-year interim analysis Filters Trauma pilot study. Methods: This is a single institution, prospective randomized controlled feasibility study center. HRTPs were identified pIVCF placement by Eastern Association Surgery guidelines. From November 2008 to 2010,...
Sepsis mortality may be improved by early recognition and appropriate treatment based on evidence-based guidelines. An intervention was developed that focused earlier identification of sepsis, antimicrobial administration, an educational program disseminated throughout all hospital units services. There were 1331 patients with sepsis during the period 1401 control period. After controlling for expected mortality, in had 30% lower odds dying (odds ratio = 0.70, 95% confidence interval [CI]...
Critically ill patients are at high risk for adverse events on transfer between intensive care unit and operating room. Patient safety concerns were raised within our institution during such transfers, absence of a standardized patient handoff process was identified as an area concern.The current state the processes units (ICUs) rooms (ORs) mapped failure modes identified. A multidisciplinary team convened tool (checklist) developed. Adherence to satisfaction assessed end 60-day pilot...
With recent technological advances reducing the demand for emergent surgical airway placement, surgeons are less often performing this life-saving procedure. We sought to assess characteristics and outcomes surrounding patients undergoing modern cricothyrotomy.A retrospective case series was performed between January 2010 2020 at a single tertiary academic level 1 trauma center. Patients who underwent tracheostomy (CPT 31600, 31601) within 48 hours of admission or listed in registry were...
The critically ill can have persistent dysglycemia during the "subacute" recovery phase of their illness because altered gene expression; it is also not uncommon for these patients to receive continuous enteral nutrition this time. optimal short-acting subcutaneous insulin therapy that should be used in clinical scenario, however, unknown. Our aim was conduct a qualitative numerical study glucose-insulin dynamics within patient population answer above question. This analysis may help...
Increased glucose variability (GV) is an independent risk factor for mortality in the critically ill; unfortunately, optimal insulin therapy that minimizes GV not known. We simulate glucose–insulin feedback system to study how stress hyperglycemia (SH) states, taken be a non-uniform group of physiologic disorders with varying resistance (IR) and similar levels hyperglycemia, respond type dose subcutaneous (SQ) insulin. Two groups 100 virtual patients are studied: those receiving continuous...
Background The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Traumatic Injury (TBI) include intracranial pressure monitoring (ICPM), yet very little is known about ICPM in older adults. Our objectives were to characterize utilization adults and identify factors associated with those who met BTF guidelines. Methods We analyzed data from American Association Surgery Geriatric TBI Study, a registry study conducted among individuals isolated, CT-confirmed across 45 trauma...