A5034252126- Trauma and Emergency Care Studies
- Abdominal Trauma and Injuries
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Injury Epidemiology and Prevention
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Venous Thromboembolism Diagnosis and Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Policy and Management
- Burn Injury Management and Outcomes
- Hip and Femur Fractures
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Bone fractures and treatments
- Gallbladder and Bile Duct Disorders
- Airway Management and Intubation Techniques
- Intestinal and Peritoneal Adhesions
- COVID-19 and healthcare impacts
- Clinical Nutrition and Gastroenterology
- Healthcare cost, quality, practices
- Blood transfusion and management
University of California, San Diego
2012-2025
UC San Diego Health System
2012-2025
University of California San Diego Medical Center
2004-2024
University of California System
2022
Palm Beach Atlantic University
2021
Twitter (United States)
2021
Regions Hospital
2020
Hesco (United States)
2019
Valley Health System
2019
Canadian Armed Forces
1999-2018
Since their release in 2017, standing electric motorized scooters (eScooters) have risen popularity as an alternative mode of transportation. We sought to examine the incidence injury, injury patterns, prevalence helmet and drug alcohol use eScooter trauma.This was a multi-institutional retrospective case series patients admitted for injuries related operation following widespread these devices September 2017 (September 1, October 31, 2018). Demographics, use, admission vitals, injuries,...
Standard venous thromboembolism (VTE) prophylaxis with enoxaparin results in inadequate protection certain patients, subtherapeutic plasma anti-Xa levels associated elevated VTE rates. We hypothesized that many trauma patients would be on the standard prophylactic dose of enoxaparin. Our goal was to adjust achieve target take advantage drug based its pharmacologic properties.Patients admitted service were included if they received at least three doses and underwent two screening duplex. Peak...
Aortic occlusion (AO) is a lifesaving therapy for the treatment of severe traumatic hemorrhagic shock; however, there remains controversy whether AO should be accomplished via resuscitative thoracotomy (RT) or endovascular balloon aorta (REBOA) in zone 1.To compare outcomes RT vs REBOA 1.This was comparative effectiveness research study using multicenter registry postinjury from October 2013 to September 2021. 1 (above celiac artery) compared with performed emergency department facilities...
Background The use of standing electric motorized scooters (eScooters) has skyrocketed since its first release in 2016. This quickly popularized form transportation been associated with significant injury and even death. These eScooter-related traumatic injuries led to local advocacy efforts, resulting safety restrictions including speed limit geofencing, sidewalk restrictions, limiting the number eScooter providers high-density population areas. We hypothesized that these decreased...
Background: The mechanism of injury has not been highly regarded as an important variable when evaluating cervical spine injuries. aim this study was to determine the incidence fracture (CSF) and spinal cord (CSCI) based on following blunt penetrating assault better aid prioritization management. Methods: Retrospective analysis from two large urban Level I trauma centers over 87 144 months caused by gunshot wounds (GSW), stab (SW) or (BA). Results: During period, there were 57,532 patients...
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Military members, injured in Afghanistan or Iraq, have returned home with multi-drug resistant Acinetobacter baumannii infections. The source of these infections is unknown. Retrospective study all Canadian soldiers who were and required mechanical ventilation from January 1 2006 to September 2006. Patients developed A. ventilator associated pneumonia (VAP) identified. All isolates retrieved for patients compared environmental sources the Kandahar military hospital using pulsed-field gel...
Background: This study compares open tibia fractures in US Navy and Marine Corps casualties from the current conflicts with those a civilian Level I trauma center to analyze effect of blast mechanism on limb-salvage rates. Methods: Data 28,646 records University California San Diego Trauma Registry 1985 2006 was compared 2,282 Combat Expeditionary Medical Encounter Database for period March 2004 August 2007. Injuries were categorized by Gustilo-Anderson (G–A) fracture classification....
Doucet, Jay MD; Bulger, Eileen Sanddal, Nels PhD, REMT; Fallat, Mary Bromberg, William Gestring, Mark MD and endorsed by the National Association of EMS Physicians (NAEMSP) Author Information
BACKGROUND Acute care surgery (ACS) comprises trauma, surgical critical care, and emergency general (EGS), encompassing both operative nonoperative conditions. While the burden of EGS trauma has been separately considered, global footprint ACS not fully characterized. We sought to characterize costs scope influence ACS-related hypothesized that patients comprise a substantial portion US inpatient population. further differ from other non-surgical across patient characteristics. METHODS...
Ultrasonography for trauma is a widely used tool in the initial evaluation of patients with complete ultrasonography (CUST) demonstrating equivalence to computed tomography (CT) detecting clinically significant abdominal hemorrhage. Initial reports demonstrated high sensitivity CUST bedside diagnosis pneumothorax. We hypothesized that would be greater than supine chest radiograph (CXR) pneumothorax.A retrospective analysis diagnosed pneumothorax from 2018 through 2020 at Level I center was...
Percutaneous auricular nerve stimulation (neuromodulation) involves implanting electrodes around the ear and administering an electric current. A device is currently available within USA cleared to treat symptoms from opioid withdrawal, multiple reports suggest a possible postoperative analgesic effect. The current randomized controlled pilot study was undertaken (1) determine feasibility optimize protocol for subsequent definitive clinical trial; (2) estimate treatment effect of...
The development of trauma systems reduces preventable mortality and the measurement standardized complications creates further opportunity for improvement in morbidity. annual incidence a population has been previously reported but frequency change over time single institution is not well studied.All patients who were hospitalized more than 24 hours, died, admitted to Intensive Care Unit (ICU) or Intermediate (IMU), inter-facility transfers prospectively evaluated 12 consecutive years. A...
The aim of this study was to investigate the impact US-Mexico border wall height extension on traumatic brain injuries (TBIs) and related costs.In retrospective cohort study, patients who presented UC San Diego Health Trauma Center for from falling at between 2016 2021 were considered. Patients in pre-height period (January 2016-May 2018) compared with those post-height 2020-December 2021). Demographic characteristics, clinical data, hospital charges analyzed.A total 383 identified: 51 (0...
Tranexamic acid (TXA) is being administered already in many prehospital air and ground systems. Insufficient evidence exists to support or refute the administration of TXA, results are pending from several studies currently progress. We have created this document aid agencies systems best practices for TXA based on available evidence. This has been endorsed by American College Surgeons–Committee Trauma, Emergency Physicians, National Association EMS Physicians.
OBJECTIVES San Diego County’s geographic location lends a unique demographic of migrant patients injured by falls at the United States-Mexico border. To prevent crossings, 2017 Executive Order allocated funds to increase southern California border wall height from 10 ft 30 ft, which was completed in December 2019. We hypothesized that elevated is associated with increased major trauma, resource utilization, and health care costs. METHODS Retrospective trauma registry review performed two...
Among patients receiving mechanical ventilation, tidal volumes with each breath are often constant or similar. This may lead to ventilator-induced lung injury by altering depleting surfactant. The role of sigh breaths in reducing among trauma at risk poor outcomes is unknown.
Ultrasonography for trauma is an integral part of the Advanced Trauma Life Support algorithm and supported extensively in literature. The reliability chest ultrasonography as a screening examination pneumothorax during initial evaluation unclear. We performed prospective study where we hypothesized that would have low sensitivity detecting clinically significant pneumothorax.