A5075385714- Burn Injury Management and Outcomes
- Trauma and Emergency Care Studies
- Palliative Care and End-of-Life Issues
- Frailty in Older Adults
- Traumatic Ocular and Foreign Body Injuries
- Peripheral Artery Disease Management
- Cardiac Arrest and Resuscitation
- Pelvic and Acetabular Injuries
- Urological Disorders and Treatments
- Disaster Response and Management
- Abdominal Trauma and Injuries
- Hip and Femur Fractures
- Wound Healing and Treatments
- Surgical Sutures and Adhesives
- Autopsy Techniques and Outcomes
- Pharmacological Effects and Toxicity Studies
- Family and Patient Care in Intensive Care Units
- Mechanical Circulatory Support Devices
- Architecture, Design, and Social History
- Opioid Use Disorder Treatment
- Clinical practice guidelines implementation
- Injury Epidemiology and Prevention
- Pediatric Pain Management Techniques
- Surgical Simulation and Training
- Emergency and Acute Care Studies
University of California Davis Medical Center
2018-2022
University of California, Davis
2017-2021
University of Washington
2018-2020
Harborview Medical Center
2019-2020
Seattle University
2019
East Texas Medical Center
2018
The University of Texas at Austin
2018
Seton Medical Center
2018
The University of Texas Health Science Center at San Antonio
2018
UCLA Medical Center
2018
Rectal injuries have been historically treated with a combination of modalities including direct repair, resection, proximal diversion, presacral drainage, and distal rectal washout. We hypothesized that intraperitoneal may be selectively managed without diversion the addition washout drainage in management extraperitoneal are not beneficial.This is an American Association for Surgery Trauma multi-institutional retrospective study from 2004 to 2015 all patients who sustained traumatic injury...
Recent evidence indicates that increased frailty is associated with mortality in patients burn over the age of 65 years. However, effect may not be restricted to those We hypothesize admission ≥50 years age. performed a 5-year (2008–2013) retrospective review acute aged 50 or older. Data collected included demographics, injury characteristics, outcomes, and discharge disposition. Frailty scores (FS) were calculated using Canadian Study Health Aging Clinical Scale. Values are expressed as...
The American College of Surgeons Trauma Quality Improvement Program (TQIP) guidelines encourage trauma service clinicians to deliver palliative care in parallel with life-sustaining treatment and recommend goals (GOC) discussions within 72 hours admission for patients serious illness.To measure adherence TQIP guidelines-recommended GOC illness, treated at a level I center the US.This retrospective cohort study included 674 adults admitted 3 or more days between December 2019 June 2020....
Advanced peripheral arterial disease is associated with an overall annual mortality between 20-40%. Amputees are at particularly high risk for perioperative and long-term may benefit from palliative care programs to improve quality of life align medical treatments their goals care. As studies in vascular patients scarce, we sought examine utilization using below knee amputation (BKA) as a surrogate advanced disease.All who underwent over 5-year period single large academic center were...
There are no clear guidelines for the best test or combination of tests to identify traumatic rectal injuries. We hypothesize that computed tomography (CT) and rigid proctoscopy (RP) will all injuries.American Association Surgery Trauma multi-institutional retrospective study (2004-2015) patients who sustained a injury. Patients with known injuries underwent both CT RP as part their diagnostic workup were included. Only full thickness (American grade II-V) Computed findings injury,...
New developments in bullet technology are challenging what is commonly known about penetrating injuries from gunshot wounds. The so-called ‘bullet-rule’ posits the number of wounds and projectiles associated with a patient should add to an even number. This trauma paradigm being shattered by advent new fragmenting projectiles. These frangible rounds break into several pieces after soft tissue penetration changing expected trajectory, injury location, extent damage. In this case report,...
The deleterious effects of high serum lipid content on the membrane lung (ML) during extracorporeal oxygenation (ECMO) are sparsely documented, and threshold lipemia-induced failure is poorly described. We present a case patient venovenous ECMO who developed ML after 7 days due to moderate severe hypertriglyceridemia (700–800 mg/dL). was exhibited by impaired gas exchange transmembrane pressures, there notable lipemic layering in circuit immediately decannulation. This demonstrates that...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a hemorrhage control technique that increasingly being adopted for management noncompressible bleeding. In addition to limiting hemorrhage, REBOA increases blood flow heart, lungs, and brain. A small number case reports animal studies describe use increase coronary perfusion during cardiopulmonary resuscitation. We report in which may have reversed ST-segment abnormalities Type II non-ST elevation myocardial infarction...
In the acute management of deep circumferential or near-circumferential burns extremities and chest, escharotomy is only effective surgical intervention to alleviate impending vascular compromise relieve chest constriction. resource-limited environments such as low- middle-income countries (LMIC) military deployments where evacuation may be delayed, prior training in proper performance essential this both an infrequent high-risk procedure. The objective study was validate a previous...
Patients who sustain burn injuries are frequently transferred to regional centers. Severely injured patients may be transported far from home and family die shortly after arrival. An examination of early deaths within a week transfer offer an opportunity revise the way we think about critical burns best support regionalized care. This focused review survived ≤ 1 center 2013–2017 included analysis data, mode transport distance traveled, as well patient characteristics: size (% TBSA),...
Contact burns are a common type of burn injury seen frequently in the inpatient setting. They responsible for up to 9% all American Burn Association National Repository, making them third leading etiology hospital admissions. This study aims explore risk factors and possible prevention strategies patients with contact admitted regional center. Following IRB approval, registry data was reviewed individuals from January 2008 through December 2017. Data collection included sex, age, injury,...