A5049704768- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Healthcare professionals’ stress and burnout
- Patient Safety and Medication Errors
- Simulation-Based Education in Healthcare
- Innovations in Medical Education
- Health and Conflict Studies
- Hemodynamic Monitoring and Therapy
- Neonatal Health and Biochemistry
- Mechanical Circulatory Support Devices
- Primary Care and Health Outcomes
- Injury Epidemiology and Prevention
- Methemoglobinemia and Tumor Lysis Syndrome
- Travel-related health issues
- Healthcare cost, quality, practices
- Neonatal Respiratory Health Research
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Heme Oxygenase-1 and Carbon Monoxide
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Childhood Cancer Survivors' Quality of Life
- Burn Injury Management and Outcomes
Brooke Army Medical Center
2012-2024
Uniformed Services University of the Health Sciences
2021-2024
Joint Base San Antonio
2021-2024
San Antonio Uniformed Services Health Education Consortium
2015-2024
Wilford Hall Ambulatory Surgical Center
2008-2023
59th Medical Wing
2021
United States Air Force
2017
United States Army
2015
Centro Hospitalar do Baixo Vouga
2014
University of Pittsburgh
2013
Background— Pediatric cardiopulmonary resuscitation (CPR) for >20 minutes has been considered futile after pediatric in-hospital cardiac arrests. This concept recently questioned, although the effect of CPR duration on outcomes not described. Our objective was to determine relationship between and Methods Results— We examined arrests from Get With The Guidelines–Resuscitation prospective, multicenter registry included 3419 children 328 US Canadian sites with an arrest January 2000...
BACKGROUND Besides care for injured US military personnel, doctrine also requires life-, limb-, and eyesight-saving to all casualties, including children. This study's objective was evaluate the burden epidemiology of pediatric medical during past decade operations in Iraq Afghanistan. METHODS Retrospective review two registries patients admitted combat support hospitals forward surgical teams from 2001 through 2011 conducted. Pediatric (PED) were defined as younger than 18 years. Adult...
The objective of this study was to determine whether age <or=8 y is an independent predictor mortality in noncoalition trauma patients at a US combat support hospital.A retrospective chart review conducted 1132 who were admitted hospital between December 2003 and 2004. Data on age, severity injury indices, in-hospital rates analyzed. All variables that associated with death univariate analysis analyzed by multivariate logistic regression associations mortality.There 38 young pediatric (aged...
Little is known about the ongoing mortality risk and healthcare utilization among U.S. children after discharge from a hospitalization involving ICU care. We sought to understand risks for hospital readmission trends in during year following discharge.Retrospective observational cohort study.This study was performed using administrative claims data 2006-2013 obtained Truven Health Analytics MarketScan Database.We included all dataset admitted less than or equal 18 years old.The primary...
The American Academy of Pediatrics (AAP) is committed to the development rational, equitable, and effective parental leave policies that are sensitive needs pediatric residents, families, developing infants enable parents spend adequate good-quality time with their young children. It important for each residency program have a policy written, accessible clearly delineates practices regarding leave. At minimum, residents fellows should conform legally Family Medical Leave Act as well...
Article A Clinic-Based Lifestyle Intervention for Pediatric Obesity: Efficacy and Behavioral Biochemical Predictors of Response was published on September 1, 2009 in the journal Journal Endocrinology Metabolism (volume 22, issue 9).
Abstract Introduction Clinician burnout is widespread throughout medicine, affecting professionalism, communication, and increases the risk of medical errors, thus impacting safe quality patient care. Previous studies have shown Peer Support Programs (PSPs) promote workforce wellness by supporting clinicians during times heightened stress vulnerability. Although these programs been implemented in large institutions, they not used military hospitals, which high staff turnover added stressors...
To characterize the epidemiology of burn injury in pediatric patients and identify factors associated with mortality based on severity.Retrospective cohort study.U.S. military combat support hospitals forward surgical Iraq Afghanistan.Iraqi Afghan children less than 18 years old admitted isolated injury.None.Burn severity was classified as mild, moderate, severe external Abbreviated Injury Scale score. Patient characteristics outcomes were described according to severity. A multivariate...
Abstract : Military Graduate Medical Education(GME) has been a source of controversy ever since its inception. Great debate swirled around value and costs to the military. In spite this, meager beginnings after WWI, it grown steadily now encompass approximately 30% physician staffing Most would agree that Education is critical for retention preservation quality medical care. Nonetheless, price high in people resources. The foreseeable future will bring great changes It clear Departments...
OBJECTIVES: The Pediatric Early Warning Score (PEWS) is an evidence-based tool that allows early collaborative assessment and intervention for a rapid response team (RRT) activation. goal of our quality improvement initiative was to reduce the percentage unnecessary RRT activations by 50% over 2 years without increasing PICU transfers or compromising patient safety timely evaluation. METHODS: A PEWS system replaced preexisting vital signs–based pediatric criteria modified through...
Occupational burnout among special education teachers results in increased attrition, and lower student teacher outcomes. The purpose of this quantitative correlational study was to establish a framework occupational within adaptive leadership theory. surveyed K-12 who taught during the COVID-19 pandemic. Sixty-seven eligible respondents completed online survey including demographics, Maslach Burnout Inventory Educators Survey, Adaptive Leadership with Authority Scale, sections Pandemic...
ABSTRACT Introduction Critical Care Internal Medicine (CCIM) is vital to the U.S. Military as evidenced by role CCIM played in COVID-19 pandemic response and wartime operations. Although proficiency needs of military surgeons have been well studied, this has not case for CCIM. The objective study was compare patient volume acuity physicians working solely at Treatment Facilities (MTFs) with those MTFs also part-time a military–civilian partnership (MCP) University Medical Center Southern...
Hyperbilirubinemia in the first 24 hours of life a newborn is pathologic, necessitating additional evaluation. We report case hemolysis and subsequent hyperbilirubinemia an otherwise normal term neonate resulting from oxidative stress form maternal cautopyreiophagia: ingestion burnt matchstick heads. During third trimester pregnancy, infant's mother consumed more than 300 heads weekly for 4 weeks. Matches contain potassium chlorate, powerful oxidant that when ingested can ultimately lead to...
Abstract Background The U.S. Indo-Pacific Command (INDOPACOM) has over 375,000 military personnel, civilian employees, and their dependents. Routine pediatric care is available in theater, but subspecialty, surgical, intensive often require patient movement. Transfer frequently performed by air evacuation teams intermittently augmented services. Pediatric requires special training equipment, yet most transports are staffed non-pediatric specialists. We seek to describe the epidemiology of...
ABSTRACT A 4-year-old former 26-week premature male presented to the U.S. Naval Hospital Guam emergency department in respiratory failure secondary human metapneumovirus requiring urgent intubation. His condition was complicated by a bradycardic arrest 15 minutes of resuscitation before return circulation. He admitted adult intensive care unit and managed via pediatric telecritical from San Diego. developed acute distress syndrome, renal failure, hypotension multiple pressors, fluid overload...
Occupational burnout among healthcare workers has continued to climb, impacting workforce well-being, patient safety, and retention of qualified personnel. Burnout in military workers, who have had the added stress increased deployments, remains unknown. Although certain leadership styles been associated with lower rates burnout, association between adaptive not previously described. The aim this study is examine role following Coronavirus Disease 2019 (COVID-19) pandemic. A convenience...
ABSTRACT Introduction Graduate medical education (GME) faculty and trainees have required scholarly activities to meet accreditation requirements. The impact of this contribution the Military Health System, especially regarding innovations in military medicine, has not been previously examined. This study measured GME published manuscripts from a tertiary center. Materials Methods Utilizing Scopus database, primary institutions for San Antonio Uniformed Services Education Consortium were...
9-year-old African American male.Recently diagnosed with acute lymphoblastic leukemia (ALL) after investigation into a large anterior mediastinal mass causing airway compression.The day before the unexpected urgent glucose-6-phosphate dehydrogenase (G6PD) request, patient was an aggressive form of and significant tumor compression. A computed tomography (CT) scan indicated potential renal involvement. Based on this information size mass, referred for immediate chemotherapy. However, there...
Review application of telemedicine support for penetrating trauma. Clinical context: Special Operations Resuscitation Team (SORT) deployed in Africa Area Responsibility (AOR) Organic expertise: Internal Medicine physician, two Combat medics (SOCMs), and one radiology technician Closest surgical support: Non-US 20km away; a nonsurgeon who will perform surgeries; neighboring country partner-force surgeon 2 hours by fixedwing flight. Earliest evacuation: Evacuated 4 days after presentation to...