A5008693189- Mechanical Circulatory Support Devices
- Innovations in Medical Education
- Cardiac Arrest and Resuscitation
- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Diversity and Career in Medicine
- Cardiac Structural Anomalies and Repair
- Respiratory Support and Mechanisms
- Simulation-Based Education in Healthcare
- Heart Failure Treatment and Management
- Abdominal Trauma and Injuries
- Intensive Care Unit Cognitive Disorders
- COVID-19 Clinical Research Studies
- Sepsis Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Healthcare professionals’ stress and burnout
- Long-Term Effects of COVID-19
- Healthcare Policy and Management
- Venous Thromboembolism Diagnosis and Management
- Anatomy and Medical Technology
- Patient-Provider Communication in Healthcare
- Medical Education and Admissions
- Vascular Procedures and Complications
- Hospital Admissions and Outcomes
University of Minnesota
2016-2025
University of Minnesota Medical Center
2014-2024
University of Minnesota System
2018-2022
Hennepin County Medical Center
2021
Abbott Northwestern Hospital
2021
Fairview Health Services
2019
University of Michigan
2006-2014
Washington University in St. Louis
2013
American College of Surgeons
2011
Ann Arbor Center for Independent Living
2009
In 2015, the Minnesota Resuscitation Consortium (MRC) implemented an advanced perfusion and reperfusion life support strategy designed to improve outcome for patients with out-of-hospital refractory ventricular fibrillation/ventricular tachycardia (VF/VT). We report outcomes of initial 3-month period operations.Three emergency medical services systems serving Minneapolis-St. Paul metro area participated in protocol. Inclusion criteria included age 18 75 years, body habitus accommodating...
Deep Vein Thrombosis (DVT) is a common complication in trauma patients. Venous duplex surveillance used widely for the diagnosis of DVT, however, there controversy concerning its appropriate use. The Wells criterion clinically validated scoring system an outpatient setting, but use patients has not been studied. This study evaluated application population. scores were calculated retrospectively all who admitted to service and underwent Duplex Scanning (VDS) at author’s institution between...
Background: Coagulopathy is present in 25% to 38% of trauma patients on arrival the hospital, and these are four times more likely die than without coagulopathy. Recently, a high ratio fresh frozen plasma (FFP) packed red blood cells (PRBCs) has been shown decrease mortality massively transfused patients. Therefore, we hypothesized that with elevated International Normalized Ratio (INR) hospital may benefit from transfusion FFP:PRBC those lower INR. Methods: Retrospective multicenter cohort...
The National Institute of Health (NIH) recommends that healthcare education material be written at a 6th–7th grade reading level. There are yet to studies investigate the readability extracorporeal membrane oxygenation (ECMO) educational materials. Educational materials published by Extracorporeal Life Support Organization’s platinum, gold, and silver centers excellence in United States were included. Each was analyzed for content related ECMO. These topics also input into Google top 20...
Background: To examine the impact of an ongoing comprehensive performance improvement and patient safety (PIPS) program implemented in 2005 on mortality outcomes for trauma patients at established American College Surgeons (ACS)-verified Level I Trauma Center. Methods: The primary outcome measure was in-hospital mortality. Age, Injury Severity Score (ISS), intensive care unit admissions were used as stratifying variables to over a 5-year period (2004–2008). Institution rates compared with...
Respiratory failure caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is associated with mortality. Patients unresponsive to conventional therapy may benefit from temporary venovenous extracorporeal membrane oxygenation (VV-ECMO). We investigated clinical and echocardiographic characteristics, particularly, right ventricular dysfunction, survival in patients SARS-CoV-2. performed a single-center retrospective cohort study of requiring VV-ECMO for COVID-19 infection...
Current trauma resuscitation guidelines recommend giving an initial crystalloid bolus as first line for resuscitation. Recent studies have shown a survival benefit patients resuscitated with high ratios of fresh frozen plasma (FFP) to packed red blood cells (PRBC). Our aim was determine whether the volume given during correlated differences in morbidity or mortality based on ratio FFP:PRBC given.This retrospective review 2,473 transfused at 23 Level I centers from July 2005 October 2007....
Background: Venovenous extracorporeal membrane oxygenation (VV-ECMO) for select adults with severe acute respiratory distress syndrome (ARDS) cause by coronavirus disease 2019 (COVID-19) infection is a guideline-supported therapy associated hospital survival of 62%-74%, similar to expected VV-ECMO other indications. However, ECMO resource-heavy intervention, and these patients often require long runs prolonged intensive care unit (ICU) care. Identifying factors mortality in COVID-19 can...
Improvements in trauma systems and resuscitation have increased survival severely injured patients. Massive transfusion has been increasingly used the civilian setting. Objective predictors of mortality not well described. This study examined data available early postinjury period to identify variables that are predictive 24-hour- 30-day massively transfused patients.Massively patients from 23 Level I centers were studied. Variables on patient arrival at 24 hours entered into a logistic...
To examine the case mix and patient characteristics outcomes of nontrauma emergency (NTE) service in an academic Division Acute Care Surgery.An NTE (attending, chief resident, postgraduate year-3 year-2 residents, two physician assistants) was created July 2005 for all urgent emergent inpatient department general surgery consults admissions. An database with prospective data collection admissions initiated from November 1, 2007. Prospective were collected by a dedicated trauma registrar...
To assess the prevalence and prognostic value of right ventricular dysfunction as measured by echocardiography in patients treated with venovenous extracorporeal membrane oxygenation.Retrospective cohort study. The primary endpoint was survival to discharge. Survival oxygenation decannulation secondary endpoint.ICU at an academic quaternary medical center.Sixty-four consecutive between January 2013 December 2018 echocardiogram performed after cannulation.Transthoracic or transesophageal used...
The field of graduate medical education (GME) research is attracting increased attention and broader participation. authors review the special ethical methodological considerations pertaining to research. Because residents are at once a convenient captive study population, risk coercion exists, making provision consent important. role institutional board (IRB) often difficult discern because GME activities can have multiple simultaneous purposes, educational may go forward with or without...
Objectives: Physical and psychologic deficits after an ICU admission are associated with lower quality of life, higher mortality, resource utilization. This study aimed to examine the prevalence secular changes functional status deterioration during hospitalization among nonsurgical critical illness survivors over past decade. Design: We performed a retrospective longitudinal cohort analysis. Setting: Analysis using Cerner Acute Physiology Chronic Health Evaluation outcomes database which...
Determine the factors associated with mortality in venovenous extracorporeal membrane oxygenation (V-V ECMO) patients COVID-19 infection and provide an updated report of clinical outcomes for treated V-V ECMO Minnesota.Multicenter prospective observational study.The four adult Extracorporeal Life Support Organization-certified Centers Excellence Minnesota.A total 100 COVID-19-associated acute respiratory distress syndrome (ARDS) from March 2020 to May 2021.Not applicable.The primary outcome...
<h3>Importance</h3> Early in the SARS-CoV-2 pandemic, M Health Fairview Hospital System established dedicated hospitals for establishing cohorts and caring patients with COVID-19, yet association between treatment at COVID-19–dedicated mortality complications is not known. <h3>Objective</h3> To analyze rate associated hospitals. <h3>Design, Setting, Participants</h3> This retrospective cohort study evaluated data prospectively collected from March 1, 2020, through June 30, 2021, 11...
Central venous catheter (CVC)-related infections are a substantial problem in the intensive care unit (ICU). Our infection control team initiated routine use of antiseptic-coated (chlorhexidine-silver sulfadiazine; Chx-SS) CVCs our adult ICUs to reduce catheter-associated (CA) and catheter-related (CR) blood stream (BSI) as we implemented other educational best practice standardization strategies. Prior randomized studies documented that Chx-SS catheters reduces microbial colonization...
Background: Significant differences in outcomes have been demonstrated between Level I trauma centers. Usually these are ascribed to regional or administrative differences, although the influence of variation clinical practice is rarely considered. This study was undertaken determine whether early mortality patients receiving a massive transfusion (MT, ≥10 units pf RBCs within 24 hours admission) persist after adjustment for patient and differences. We hypothesized among centers 24-hour...