A5102925814- Trauma and Emergency Care Studies
- Palliative Care and End-of-Life Issues
- Hip and Femur Fractures
- Appendicitis Diagnosis and Management
- Cardiac Arrest and Resuscitation
- Ethics in medical practice
- Sepsis Diagnosis and Treatment
- Opioid Use Disorder Treatment
- Airway Management and Intubation Techniques
- Gallbladder and Bile Duct Disorders
- Trauma Management and Diagnosis
- Venous Thromboembolism Diagnosis and Management
- Disaster Response and Management
- Intensive Care Unit Cognitive Disorders
- Emergency and Acute Care Studies
- Frailty in Older Adults
- Abdominal Trauma and Injuries
- Atrial Fibrillation Management and Outcomes
- Treatment of Major Depression
- COVID-19 and healthcare impacts
- Childhood Cancer Survivors' Quality of Life
- Cardiovascular Disease and Adiposity
- Intestinal Malrotation and Obstruction Disorders
- Electrolyte and hormonal disorders
- Gun Ownership and Violence Research
University of California Davis Medical Center
2015-2025
University of California, Davis
2011-2023
Centre Hospitalier Universitaire de Rennes
2023
CIC Rennes
2023
Inserm
2023
Hôpital Pontchaillou
2023
National Center for Advancing Translational Sciences
2022
National Institutes of Health
2022
Orthopaedic Trauma Association
2018
American College of Surgeons
2016
Valuable lessons can be learned from the emergent evacuation of a large urban teaching hospital because flooding.Case report.Four hundred fifty-bed adult and 150-bed children's tertiary referral hospital.Massive rainfall tropical storm Allison caused extensive flooding. Emergency power came on at 1:40 AM. Complete loss occurred 3:30 The decision to begin patients was made approximately 10:30 All 575 were either discharged (169 patients) or evacuated (406 29 other facilities by both ambulance...
Approximately 18% to 25% of patients with alcohol use disorders admitted the hospital develop withdrawal syndrome (AWS). Symptom-triggered dosing benzodiazepines (BZDs) seems lead shorter courses treatment, lower cumulative BZD dose, and more rapid control symptoms in non-critically ill patients. This study compares outcomes critically AWS when treated using a protocolized, symptom-triggered, dose escalation approach versus nonprotocolized approach.This is retrospective pre-post 18 years or...
Fat emboli syndrome is a rare and potentially fatal condition that most commonly manifests after traumatic long-bone fractures. Cerebral fat are one of the feared complications leading to permanent neurologic injury, though methods for optimal monitoring in high-risk patients lacking. We present case 16-year-old female patient who presented emergency department following motor vehicle collision with multiple injuries, including comminuted femoral shaft pelvic ring fracture, as well an acute...
Background: Recent studies have suggested the length of treatment intra-abdominal infections (IAIs) can be shortened without detrimental effects on patient outcomes. However, data from high-risk populations are lacking. We hypothesized that patients at high risk for failure will benefit a longer course antimicrobial therapy. Methods: Patients enrolled in Study to Optimize Peritoneal Infection Therapy (STOP-IT) trial were evaluated retrospectively identify factors associated with failure,...
BACKGROUND Data suggest that methamphetamine may increase the risk of nonocclusive mesenteric ischemia (NOMI). We describe patterns presentation and outcomes patients with use who present NOMI to a single institution. METHODS This is an observational study from January 2015 September 2017 presented at academic medical center in Northern California. summarize patient comorbidities, clinical presentation, operative findings, pathologic hospital course, survival. RESULTS Ten severe were...
The American Association for the Surgery of Trauma Critical Care Committee has developed clinical consensus guides to help with practical answers based on best evidence available. These are focused in areas which levels may not be that strong and a combination expert research. Overall, quality research is mixed, many studies suffering from small numbers issues bias. first two these focus use extracorporeal membrane oxygenation trauma patients nutrition critically ill surgical/trauma patient.
Atrial fibrillation (AF) is the most common cardiac dysrhythmia. Its prevalence, risk factors, course, and complications are not well described in critically ill trauma patients. This was a retrospective, single-center, cohort study at an academic, level 1 center. Trauma patients >18 years, identified from registry admitted to intensive care unit (ICU), were sequentially screened for AF. A matched created by selecting consecutively before after who experienced Of 2591 screened, 191 AF,...
BACKGROUND Cervical spinal cord injury (CSCI) is often complicated by autonomic instability and life-threatening bradycardia. β-adrenergic receptors offer a potential target for modulating cardiac vagal activity heart rate. Enteral albuterol may mitigate symptomatic bradycardia in CSCI patients. The purpose of this study was to examine the effect enteral on frequency need rescue therapy METHODS charts patients admitted Level I trauma center from February 2008 through March 2012 were reviewed...
It is an incredible honor and privilege to serve as your 2014 2015 president. The Western Trauma Association (WTA) means a great deal me. Ron Fischer Larry Reed invited me my first meeting in 1991 at Jackson Hole where I presented WTA article, which was on mucormycosis.1 Although our has always been informative—and this year no exception, it the friendship that have made over years truly makes organization unique—my Family! would like recognize thank number of people instrumental making...
Confronted with the opioid epidemic, surgeons must play a larger role to reduce risk of abuse while managing acute pain. Having better understanding beliefs and practices trauma care regarding discharge pain management may offer potential targets for interventions beyond fixed legal mandates.An Institutional Review Board-approved electronic survey was sent who are members American Association Surgery Trauma, nurse practitioners at Level 1 center in February 2018. The included four case-based...
Older patients compose approximately 30% of trauma treated in the USA but make up nearly 50% deaths from trauma. To help standardize and elevate care these patients, American College Surgeons (ACS) Trauma Quality Improvement Program's best practice guidelines for geriatric management was published 2013 that palliative 2017. Here, we discuss how geriatrics quality metrics can be tracked used performance improvement leveraged as a strength verification.