- Restraint-Related Deaths
- Gun Ownership and Violence Research
- Traumatic Ocular and Foreign Body Injuries
- Cardiac Arrest and Resuscitation
- Neuroscience of respiration and sleep
- Innovations in Medical Education
- Cardiac Imaging and Diagnostics
- Radiation Dose and Imaging
- Ultrasound in Clinical Applications
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Healthcare Decision-Making and Restraints
- Policing Practices and Perceptions
- High Altitude and Hypoxia
- Disaster Response and Management
- Homicide, Infanticide, and Child Abuse
- Emergency and Acute Care Studies
- Palliative Care and End-of-Life Issues
- Child Abuse and Related Trauma
- Simulation-Based Education in Healthcare
- Ethics in medical practice
- Advanced X-ray and CT Imaging
- Burn Injury Management and Outcomes
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Esophageal and GI Pathology
University of Washington
2014-2023
Seattle University
2010-2021
University of Cincinnati
2016
Madigan Army Medical Center
2010-2014
Johns Hopkins University
2013
University of Washington Medical Center
2005-2012
University of Utah
2010-2011
Stanford University
2002-2011
Harvard University
1998-2011
Emory University
2010-2011
Humans respond adaptively to uncertainty by escaping or seeking additional information. To foster a comparative study of processes, we asked whether humans and bottlenosed dolphin (Tursiops truncatus) would use similarly psychophysical uncertain response. Human observers the were given 2 primary discrimination responses way escape chosen trials into easier ones. escaped sparingly from most difficult near threshold that left them demonstrably stimulus. The performed nearly identically....
Aims. To examine rates and patterns of marijuana other illicit drug use among different types students colleges in 1999, changes since 1993. Design. Self‐administered mail survey (Harvard School Public Health College Alcohol Study). Setting. One hundred nineteen nationally representative US 4‐year colleges. Participants. A sample 15 403 randomly selected 1993, 14 724 1997 138 1999. Measurements. Self‐reports the past 30 days year, cigarette use, drinking behavior, age initiation smoking,...
Controversy persists over the safety of conducted electrical weapons (CEWs), which are increasingly used by law enforcement agencies around world. The purpose this study was to examine injury patterns and physiologic conditions after CEW use under real life conditions.A retrospective, cohort design used, examining all uses one police department during a 6-year period. Data were collected from use-of-force forms medical records included surrounding force, histories, data emergency evaluations...
Loperamide is a common over-the-counter antidiarrheal considered safe in broad range of dosages and thought devoid abuse potential. We describe the first case patient with loperamide dependence due to misuse its opiate-like effects achieved by chronic massive oral ingestions. A 26-year-old man who was taking 800 mg per day presented requesting detoxification referral. has potential for euphoric information on how facilitate such easily available. It important physicians be aware loperamide,...
Abstract Objectives Patients resuscitated from an out‐of‐hospital circulatory arrest (OHCA) commonly present without obvious etiology. We assessed the diagnostic capability and safety of early head‐to‐pelvis computed tomography (CT) imaging in such patients. Methods From November 2015 to February 2018, we enrolled 104 patients OHCA cause (idiopathic OHCA) sudden‐death CT (SDCT) scan protocol within 6 h hospital arrival. The SDCT included a noncontrast head, electrocardiogram‐gated cardiac...
Peer-assisted learning (PAL) is the development of new knowledge and skills through active support from peers. Benefits PAL include introduction teaching for students, creation a safe environment, efficient use faculty time. We present novel approach to in an emergency medicine (EM) clerkship curriculum using inexpensive, tablet-based app students cooperatively perform low-fidelity, case-based simulations that promotes accountability student learning, fosters skills, economizes presence.We...
OBJECTIVE. The purpose of this study was to compare the patient radiation dose and coronary artery image quality long-z-axis whole-chest 64-MDCT performed with retrospective ECG gating those CT prospective triggering in evaluation emergency department patients nonspecific chest pain.
Low-Risk Patients With Chest Pain in the Emergency Department: Negative 64-MDCT Coronary Angiography May Reduce Length of Stay and Hospital ChargesJanet M. May1, William P. Shuman1, Jared N. Strote2, Kelley R. Branch3, Lee Mitsumori1, David W. Lockhart4 James H. Caldwell3Audio Available | Share
Diagnostic Performance of Resting CT Myocardial Perfusion in Patients With Possible Acute Coronary SyndromeKelley R. Branch1, Janet Busey2, Lee M. Mitsumori2, Jared Strote3, James H. Caldwell1, 2, Joshua Busch1 and William P. Shuman2Audio Available | Share
Introduction: Medical professionalism is a core competency for emergency medicine (EM) trainees; but defining remains challenging, leading to difficulties creating objectives and performing assessment. Because dynamic, culture-specific, often taught by modeling, an exploration of trainees’ perceptions can highlight their educational baseline elucidate the importance they place on general conventional domains. To this end, our objective was assess relative value EM residents traditional...
There is a growing awareness of the effects patient death on physician well-being, and importance cultural educational changes to improve coping mechanisms. The objective this study was explore both academic emergency physicians (EPs) mechanisms they use deal with these events.Faculty at convenience sample four medicine (EM) residency programs were questioned about their responses in 15-question on-line survey. Descriptive analysis data performed. Independent variables analyzed for...
Introduction: Emergency physicians (EP) frequently estimate blood loss, which can have implications for clinical care. The objectives of this study were to examine EP accuracy in estimating loss on different surfaces and compare attending physician resident performance.Methods: A sample 56 emergency department (ED) (30 26 residents) asked the amount moulage present 4 scenarios: 500 mL spilled onto an ED cot; 25 a 10-pack 434-inch gauze; 100 T-shirt; 150 commode filled with water. Standard...
Background: Little is known about the frequency and types of injuries sustained from law enforcement use force (UOF). The purpose this study was to examine injury patterns subject conditions after UOF under real-life conditions. Methods: A retrospective cohort design used every by a single police department January through December, 2006. Data were collected forms as well medical records included surrounding UOF, histories, data emergency (ED) evaluations hospital admissions. Results: Of 888...
The police must on occasion use physical force and weapons in order to apprehend control subjects fulfil the function. It is inevitable that some of these interactions will result injuries both officers, with a range tangible intangible harms costs. therefore important study related an eye toward identifying opportunities minimize injury reduce Injuries officers were examined sample more than 10,000 incidents drawn from 81 agencies located 8 states. In addition describing rates across broad...
Pregnancy tests are often performed routinely for female emergency department (ED) patients of reproductive age. One major reason is a perception that unreliable in predicting their own pregnancy status. We hypothesised could reliably predict they were not pregnant.The study used prospective cohort design, an urban academic ED, from January 19 to May 19, 2004. All whom test was ordered asked about sexual history as well two additional questions: "Do you think might be pregnant?" and "Is...
To determine the clinical experience, management and training of emergency physicians in suspected use excessive force by law enforcement officers.Surveys were mailed to a random sample academic USA.Of 393 surveyed, 315 (80.2%) responded. Of respondents, 99.8% (95% CI 98.2% 100.0%) believed actually occurs 97.8% 95.5% 99.1%) replied that they had managed patients with force. These incidents not reported 71.2% 65.6% 76.4%) 96.5% 93.8% 98.2%) no departmental policies 93.7% 90.4% 96.1%)...