A5086797168- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Disaster Response and Management
- Renal function and acid-base balance
- COVID-19 and healthcare impacts
- Infection Control and Ventilation
- Traumatic Brain Injury Research
- Hemodynamic Monitoring and Therapy
- Human-Automation Interaction and Safety
- Particle Dynamics in Fluid Flows
- Burn Injury Management and Outcomes
- Cardiac Structural Anomalies and Repair
- Intensive Care Unit Cognitive Disorders
- Poisoning and overdose treatments
- Cardiac Valve Diseases and Treatments
- Heart Rate Variability and Autonomic Control
- Opioid Use Disorder Treatment
- Pediatric Pain Management Techniques
- Inhalation and Respiratory Drug Delivery
- Sepsis Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Aortic Disease and Treatment Approaches
- Family and Patient Care in Intensive Care Units
- Substance Abuse Treatment and Outcomes
University of Michigan
2021-2025
University of California, San Francisco
2024
Michigan Medicine
2020
Objectives Out-of-hospital cardiac arrest (OHCA) victims receiving defibrillation from an automated external defibrillator (AED) placed early in the chain of survival are more likely to survive. We sought explore accuracy AED pad placement for lay rescuers (LR) and first responders (FR).
Introduction Fewer than 10% of individuals who suffer out-of-hospital cardiac arrest (OHCA) survive with good neurologic function. Bystander CPR more doubles the chance survival, and telecommunicator-CPR (T-CPR) during a 9-1-1 call substantially improves frequency bystander CPR.Objective We examined barriers to initiation T-CPR.Methods analyzed audio from 65 EMS-treated OHCAs single US dispatch center. initially conducted thematic analysis aimed at identifying T-CPR. then conversation that...
Medical drones have potential for improving the response times to out-of-hospital emergencies. However, widespread adoption is hindered by unanswered questions surrounding medical dispatch and bystander safety. This study evaluated impact of novel drone-specific instructions (DSDI) on bystanders' ability interact effectively with a drone provide prompt, safe, high-quality treatment in simulated emergency scenario. We hypothesized DSDI would improve performance facilitate safer...
Medical drones are an emerging technology which may facilitate rapid treatment in time-sensitive emergencies. However, rely on lay rescuers, whose interactions with multipurpose medical have not been studied, and the optimal drone design remains unclear. We conducted 24 simulations of adult out-of-hospital cardiac arrest (OHCA) pediatric anaphylaxis a prototype equipped spoken visual cues kit. layperson volunteers encountered one two scenarios were supported through administering by...
We evaluated a novel leave-behind naloxone (LBN) program that allows Emergency Medical Services (EMS) personnel to distribute after an opioid overdose. Our objective was explore EMS engagement and experiences with the program, as well interest in education on addiction harm reduction. also assessed acceptability of LBN programs among people who use drugs (PWUD).
Abstract Background/Objective: The coronavirus disease 2019 (COVID-19) pandemic has created challenges in maintaining the safety of prehospital providers caring for patients. Reports have shown increased rates Emergency Medical Services (EMS) provider infection with COVID-19 after patient care exposure, especially while utilizing aerosol-generating procedures (AGPs). Given risk and rising call volumes AGP-necessitating complaints, development novel devices protection EMS clinicians is great...
Prior to 2020, pain management in the Washtenaw/Livingston County Medical Control Authority (W/L MCA) Emergency Service (EMS) system Southeast Michigan was limited morphine, fentanyl, ketorolac, and acetaminophen. Based on increasing evidence describing its safety efficacy, ketamine added local protocols for management. This study aimed evaluate differences adverse effects of opioid administration. Data from pediatric patients who received or an W/L MCA EMS October 2019 March 2021 were...
Background Of the more than 250 000 emergency medical services-treated out-of-hospital cardiac arrests that occur each year in United States, only about 8% survive to hospital discharge with good neurologic function. Treatment for arrest involves a system of care includes complex interactions among multiple stakeholders. Understanding factors inhibiting optimal is fundamental improving outcomes. Methods and Results We conducted group interviews responders including 911 telecommunicators, law...
Introduction: When emergency medical services (EMS) responds to a field call for patient experiencing stroke symptoms, the response is emergent, necessitating use of lights and siren (L&S) allow expedited transport stroke-capable center. With expanded endovascular therapy (EVT) large-vessel occlusion (LVO), many centers are transferring larger numbers LVO patients EVT-capable definitive care. Interestingly, EMS systems do not respond or inter-facility transfers emergently with L&S....
The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability of Emergency Medical Services (EMS) providers to maintain personal safety during treatment and transport patients potentially infected. Increased rates COVID-19 infection in EMS after patient care exposure, notably performing aerosol-generating procedures (AGPs), have been reported. With an already strained workforce seeing rising call volumes increased risk for AGP-requiring presentations, development novel devices...
Background: The COVID-19 pandemic has affected the incidence, presentation, care, and survival of OHCA. Early in pandemic, healthcare systems were challenged by work force reduction due to illness supply chain disruptions. We hypothesize there was an increase number OHCA a decrease patient during pandemic. Methods: analyzed data from Michigan Cardiac Arrest Registry Enhance Survival (CARES) 2018-2022 Wayne County two Health Emergency Medical Services (HEMS) Detroit East Control Authority...
Introduction: Out-of-hospital cardiac arrest (OHCA) victims receiving defibrillation from an automated external defibrillator (AED) placed early in the chain of survival are more likely to survive. Aim: We sought explore accuracy AED pad placement for lay rescuers (LR) and first responders (FR). Methods: conducted a secondary analysis data collected during randomized OHCA simulation trials involving LR FR. received hands-only CPR guidance simulated 9-1-1 telecommunicator. FRs did not receive...
Introduction: Dispatch processes for prehospital management of out-of-hospital cardiac arrest (OHCA) vary greatly by region, and so do the barriers facilitators rapid time-to-first-treatment within those systems. In order to optimize local OHCA response, we sought identify improvement targets tracking time intervals during 911 calls evaluating associated timely care delivery. Methods: We developed a data abstraction tool collect quantitative qualitative regarding key events in random sample...
Introduction: For out-of-hospital cardiac arrests (OHCAs) unwitnessed by emergency responders, contact with the 911 system provides earliest point for consistent data collection. Building upon previous tools, we developed a call abstraction instrument and tested it to see if reliably tracked key metrics from calls dispatch assisted CPR in order guide quality initiatives OHCA. Methods: Data abstractors applied this tool random sample of 23 medical services (EMS)-confirmed, second-party,...