A5030391891- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Emergency and Acute Care Studies
- Surgical Simulation and Training
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Urinary and Genital Oncology Studies
- Urological Disorders and Treatments
- Pelvic and Acetabular Injuries
- Spine and Intervertebral Disc Pathology
- Abdominal Surgery and Complications
- COVID-19 and healthcare impacts
- Simulation-Based Education in Healthcare
- Congenital Diaphragmatic Hernia Studies
- Balance, Gait, and Falls Prevention
- Traumatic Ocular and Foreign Body Injuries
- Cerebral Palsy and Movement Disorders
- COVID-19 Clinical Research Studies
- Neuroendocrine Tumor Research Advances
- Neurosurgical Procedures and Complications
- Esophageal and GI Pathology
Jacobi Medical Center
2015-2025
Albert Einstein College of Medicine
2016-2025
Texas Endosurgery Institute
2023
KG Hospital
2023
Kings County Hospital Center
2021
The Bronx Defenders
2021
Brooklyn College
2021
Balaji Dental & Craniofacial Hospital
2021
Montefiore Medical Center
2020
American College of Surgeons
2015
Traumatic diaphragm injuries (TDI) pose both diagnostic and therapeutic challenges in the acute chronic phases. There are no published practice management guidelines to date for TDI. We aim formulate a guideline TDI using Grading of Recommendations Assessment, Development Evaluation (GRADE) methodology.The working group formulated five Patient, Intervention, Comparator, Outcome questions regarding following topics: (1) approach (laparoscopy vs. computed tomography); (2) nonoperative...
Disparities in access to postdischarge services for trauma patients exist, and clinic follow-up remains an important avenue ensure initial continued services. In addition, is vital rigorous long-term outcomes research. However, there a relative paucity of literature specifically addressing follow-up. The purposes this study were elucidate factors associated with compliance noncompliance after discharge from urban Level I center confirm the prevailing notion that poor.Our registry was queried...
<h3>Importance</h3> Although several studies have demonstrated an improvement in mortality for injured adults who receive whole-body computed tomography (WBCT), it is unclear whether children experience the same benefit. <h3>Objective</h3> To determine emergent WBCT associated with lower among blunt trauma compared a selective CT approach. <h3>Design, Setting, and Participants</h3> A retrospective, multicenter cohort study was conducted from January 1, 2010, to December 31, 2014, using data...
ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic has led to unprecedented stresses on modern medical systems, overwhelming the resource infrastructure in numerous countries while presenting a unique series of pathophysiologic clinical findings. Thrombotic coagulopathy is common critically ill patients suffering from COVID-19, with associated high rates respiratory failure requiring prolonged periods mechanical ventilation. Here, we report case five profound, medically refractory...
While there is agreement on the indications for intracranial pressure monitoring (ICPm) in patients with sTBI, continues to be controversy concerning ideal timing of its implementation. It within this context that we decided investigate whether a protocolization approach could optimize timeliness ICPm Neurosurgical and SICU providers agreed 3-tier protocol identify sTBI who benefit from timelier The monthly compliance was monitored 9-month period. study included pre-protocolization group 11...
Although most massive transfusion protocols incorporate cryoprecipitate in the treatment of hemorrhaging injured patients, minimal data exist on its use children, and whether addition improves their survival is unclear.To determine for children who receive associated with lower mortality.This retrospective cohort study included patients examined between January 1, 2014, December 31, 2017, at one multiple centers across US Canada participating Pediatric Trauma Quality Improvement Program....
Mild traumatic brain injury (mTBI) constitutes 75% of more than 1.5 million injuries annually. There exists no consensus on point-of-care screening for mTBI. The Military Acute Concussion Evaluation (MACE) is a quick and easy test used by the US Army to screen mTBI; however, its utility in civilian trauma unclear. It has two parts: history section Standardized Assessment (SAC) score (0-30) previously validated sports injury. As performance improvement project, our institution sought evaluate...
Penetrating neck trauma is uncommon in children; consequently, data describing epidemiology, injury pattern, and management are sparse. The aim of this study was to use the National Trauma Data Bank (NTDB) describe pediatric penetrating (PPNT).The NTDB queried for children (defined as <15 years old) with PPNT between 2008 2012. Descriptive analysis used age groups (0-5, 6-10, 11-14 years) type categorized aerodigestive, vascular, cervical spine, nerve.A total 1,238 patients were identified...
Bladder and/or urethral injuries (BUIs) secondary to pelvic fractures are rare in children and associated with a high morbidity. These much less likely occur females often missed the emergency department. To help clinicians detect these female children, larger studies needed identify risk factors specific this patient population. This study aimed BUI fracture.We reviewed National Trauma Data Bank for younger than 16 years who sustained fracture from 2010 2012. Patients penetrating were...
During the coronavirus disease 2019 pandemic, New York instituted a statewide stay-at-home mandate to lower viral transmission. While public health guidelines advised continued provision of timely care for patients, disruption safety-net and fear have been proposed be related indirect deaths because delays in presentation. We hypothesized that admissions emergency general surgery (EGS) diagnoses would decrease during pandemic mortality these patients increase.A multicenter observational...
During early spring 2020, New York City (NYC) rapidly became the first US epicenter of COVID-19 pandemic. With an unparalleled strain on health care resources, we sought to investigate impact pandemic trauma visits and mortality in United States' largest municipal hospital system.We conducted a retrospective multicenter cohort study five level 1 centers NYC's public system, City's Health Hospitals Corporation. Clinical characteristics, mechanism injury, patients presenting during (March 1,...
BACKGROUND Violent trauma results in significant morbidity/mortality Black/Hispanic males aged 15 to 24 years. Hospital- and community-level interventions may improve patient community outcomes. OBJECTIVE To determine if a hospital-based violence prevention intervention using outreach workers was associated with improved violent postdischarge follow-up reinjury rates. METHODS This is retrospective, single-center, cohort study of admitted patients public hospital the Bronx, NY. Data were...
The Advanced Trauma Operative Management (ATOM) course is a simulation adopted by the American College of Surgeons to teach operative management primarily penetrating, traumatic injuries. Although it clear that overall trauma exposure decreasing, educational benefit ATOM for residents with different amounts remains unclear. Our aim was determine whether from centers experienced less when compared nontrauma centers. We two groups who take through our institutional course, those and pre-...
The ability to return work (RTW) postinjury is one of the primary goals rehabilitation. modified Rankin Scale (mRS) a validated simple scale used assess functional status stroke patients during We sought determine applicability mRS in predicting RTW general trauma population. registry was queried for patients, aged 18 65 years, discharged from 2012 2013. A telephone interview each patient included questions about employment and physical mRS. Patients who had were compared with those not...
Introduction Ketorolac is useful in acute pain management to avoid opiate-related complications; however, some surgeons fear associated kidney injury (AKI) and bleeding despite a paucity of literature on ketorolac use trauma patients. We hypothesized that our institution's intravenous for rib fracture did not increase the incidence or AKI. Methods Rib patients aged 15 years above admitted between January 2016-June 2018 were identified registry along with frequency events. AKI was defined as...
Hip fractures are associated with significant morbidity and mortality. Ultrasound-guided peripheral nerve blocks a safe method to manage pain decrease opioid usage. The pericapsular group (PENG) block is novel, potentially superior because of its motor-sparing effects. Through training, simulation, supervision, we aim determine whether it feasible perform the PENG in emergency department.Phase 1 consisted physicians attending workshop demonstrate ultrasound proficiency, anatomical...
Despite mostly favorable past evidence for use of intracranial pressure monitoring (ICPM), more recent data question not only the indications but also utility ICPM. The Fourth Edition Brain Trauma Foundation guidelines offer limited Evidence supports ICPM reducing mortality in patients with severe traumatic brain injury (TBI) and cites decreased survival elderly patients.All ≥ 18 years age isolated TBI, head Abbreviated Injury Scale (AIS) 3, a Glasgow Coma (GCS) ≤ 8 between 2008 2014 were...
Background Microtubule-associated protein light chains (LC) 3A and 3B are the structural proteins of autophagosomal membrane widely used as endogenous autophagy markers. LC3A LC3B autophagosomes reportedly have a distinct subcellular localization yet their role in transition from premalignant to malignant phase remains unclear. This exploratory study aimed investigate expression autophagy-related oral lesions (OPL) squamous cell carcinoma (OSCC) cases. Methodology A cross-sectional was...