- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Abdominal Trauma and Injuries
- Trauma Management and Diagnosis
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hospital Admissions and Outcomes
- Restraint-Related Deaths
- Venous Thromboembolism Diagnosis and Management
- Appendicitis Diagnosis and Management
- Diverticular Disease and Complications
- Cardiac and Coronary Surgery Techniques
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Gastrointestinal disorders and treatments
- Intestinal Malrotation and Obstruction Disorders
- Obstructive Sleep Apnea Research
- Spinal Fractures and Fixation Techniques
- Family and Patient Care in Intensive Care Units
- Sepsis Diagnosis and Treatment
- Hernia repair and management
- Abdominal Surgery and Complications
- Neuroscience of respiration and sleep
- Cardiac, Anesthesia and Surgical Outcomes
New Mexico Department of Health
2024
Ponce Health Sciences University
2024
Hospital Universitario de Valme
2016
Naval Medical Center San Diego
1996-2008
University of Puerto Rico, Medical Sciences Campus
2003-2006
New Mexico State University
2006
University of Puerto Rico System
2003-2005
Washington Hospital
2002
Uniformed Services University of the Health Sciences
2002
University of California, San Diego
1998
Low-molecular-weight heparins (LMWHs) have emerged as an effective method for deep venous thrombosis (DVT) prophylaxis after major trauma. The early use of LMWH in patients with splenic injuries may result increased rates blood transfusions and failure nonoperative management. A retrospective review the records all > or = 18 years old that sustained blunt from April 2000 to July 2002 was performed. Patients were divided two groups based on whether they received during first 48 hours (early...
Background Our hypothesis was that abdominal and pelvic computed tomographic (AP-CT) scans are equivalent to portable two-view plain films in detecting lumbar spine fractures adults. Since many trauma patients often undergo AP-CT scanning evaluate for possible intra-abdominal injuries, using the scan screen could make evaluation process more efficient. Methods The institutional registry at a Level I center used identify all blunt during 6-year period. Medical records were reviewed. Results A...
Temporary abdominal closure (TAC) has increasingly been employed in the management of severely injured patients to avoid compartment syndrome (ACS) and as part damage control surgery (DCS). Although use TAC received great interest, few data exist describing morbidity mortality associated with its trauma victims. The main goal this study is describe incidence surgical complications following well define procedure. A retrospective review admitted a state-designated level 1 center from April...
Background Persistent disparities in trauma in-hospital mortality owing to insurance status and race remain a prominent issue within healthcare. This study explores the relationships among status, race, length of stay (LOS) outcomes patients at extreme risk (EROM) patients. Methods Data was retrieved from National Inpatient Sample, focusing on high-acuity 2007 2020, aged 18–64 years. Patients were identified using specific All Patient Refined Diagnosis Related Groups codes. Emphasis placed...
Hyperglycemia is a common occurrence in postoperative surgical patients and has been related to adverse outcomes, including increased infections, delayed wound healing, mortality. Therefore, the management of hyperglycemia become an increasingly important part practice. A 16-point questionnaire was distributed general surgery housestaff attending physicians at three teaching hospitals southern California. The survey scaled 1 5 (1, strongly disagree; 5, agree). Answers 2 were considered...
The 2014 expansion of Medicaid under the Affordable Care Act (ACA) reshaped healthcare delivery in United States. This study assessed how affected in-hospital mortality patients with extreme risk (EROM) from traumatic injuries.
In trauma patients surviving their initial injuries, infectious complications and multiple organ failure represent the major causes of death after first 72 hours. Critically injured frequently have bacteria recoverable simultaneously from culture sites; clinical significance this event is unknown. The objective study was to identify association between growth patterns site cultures mortality among critically patients.We performed a retrospective chart review collecting demographic medical...