A5090632615- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Acute Ischemic Stroke Management
- Trauma Management and Diagnosis
- Traumatic Brain Injury and Neurovascular Disturbances
- Traumatic Brain Injury Research
- Stroke Rehabilitation and Recovery
- Abdominal Trauma and Injuries
- Prenatal Substance Exposure Effects
- Thermal Regulation in Medicine
- Congenital Diaphragmatic Hernia Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Opioid Use Disorder Treatment
- HIV, Drug Use, Sexual Risk
- Thermoregulation and physiological responses
- Climate Change and Health Impacts
- Mechanical Circulatory Support Devices
- Trauma, Hemostasis, Coagulopathy, Resuscitation
The University of Texas Health Science Center at San Antonio
2016-2025
New York City Fire Department
2016-2025
Brooke Army Medical Center
2021
Texas Tech University
2021
Texas Tech University Health Sciences Center
2021
Baylor Scott & White Health
2021
The University of Texas Health Science Center at Houston
2019-2021
Texas A&M University
2021
Emory University
2021
JPS Health Network
2021
BACKGROUND Despite countless advancements in trauma care a survivability gap still exists the prehospital setting. Military studies clearly identify hemorrhage as leading cause of potentially survivable death. Shifting resuscitation from hospital to point injury has shown great promise decreasing mortality among severely injured. MATERIALS AND METHODS Our regional network (Southwest Texas Regional Advisory Council) developed and implemented multiphased approach toward facilitating remote...
The 2015 advanced cardiac life support update continues to advocate administering epinephrine during arrest. goal of our study is determine if prehospital intraosseous (IO) access results in shorter time than peripheral intravenous (PIV) access.The out-of-hospital arrest (OHCA) database a large, urban, fire-based emergency medical services system was searched for consecutive cases OHCA between January 2013 and December 2015. the first dose calculated compared by vascular technique utilized...
Abstract Objectives The goal of our study was to determine whether prehospital double sequential defibrillation ( DSD ) is associated with improved survival hospital admission in the setting refractory ventricular fibrillation/pulseless tachycardia VF / pVT ). Methods This project a matched case–control derived from prospectively collected quality assurance/quality improvement data obtained San Antonio Fire Department out‐of‐hospital cardiac arrest OHCA database between January 2013 and...
To date, there are no published data on the association of patient-centered outcomes and accurate public-safety answering point (PSAP) dispatch in an American population. The goal this study is to determine if PSAP dispatcher recognition out-of-hospital cardiac arrest (OHCA) associated with neurologically intact survival hospital discharge.This retrospective cohort analysis prospectively collected Quality Assurance/Quality Improvement (QA/QI) from San Antonio Fire Department (SAFD; Antonio,...
Introduction: Out-of-hospital cardiac arrest (OHCA) is a major cause of death and morbidity in the United States. Quality cardiopulmonary resuscitation (CPR) has proven to be key factor improving survival. The aim our study was investigate outcomes OHCA when mechanical CPR (LUCAS 2 Chest Compression System™) utilized compared conventional CPR. Although controlled trials have not demonstrated survival benefit routine use devices, there continues an interest for their OHCA. Methods: We...
Background Numerous stroke severity scales have been published, but few studied with emergency medical services (EMS) in the prehospital setting. We Vision, Aphasia, Neglect (VAN) assessment scale setting for its simplicity to both teach and perform. This prospective cohort study was designed validate use efficacy of VAN within our systems care, which includes multiple comprehensive centers (CSCs) EMS agencies. Methods The performances National Institutes Health Stroke Scale (NIHSS) ≥6...
To construct a highly detailed yet practical, attainable roadmap for enhancing the likelihood of neurologically intact survival following sudden cardiac arrest.Population-based outcomes out-of-hospital arrest were collated 10 U.S. counties in Alaska, California, Florida, Ohio, Minnesota, Utah, and Washington. The identified emergency medical services systems those that had recently reported significant improvements after introducing more comprehensive approach involving citizens, hospitals,...
Non-exertional heat stroke is defined as exposure to high outdoor temperatures, core body temperature >40 °C, and alteration of mentation. Early identification treatment are imperative reduce morbidity mortality in these patients. Cold water immersion therapy the most efficient efficacious modality treating stroke, yet it rarely initiated prehospital setting. We outline a case an 82-year-old man found unconscious outside during regional wave with >107 °F. He was treated cold using bag back...
Background: Large and unacceptable variation exists in cardiac resuscitation care outcomes across communities. Texas is the second most populous state US with wide community emergency response infrastructure. We utilized Texas-CARES registry to perform first analysis of out-of-hospital arrest (OHCA) Texas, evaluating for variations incidence, care, outcomes.Methods: analyzed registry, including all adult, non-traumatic OHCAs from 1/1/2014 through 12/31/2018. incidence characteristics OHCA...
The management of gastrointestinal (GI) hemorrhage in a prehospital setting presents significant challenges, particularly arresting the and initiating resuscitation. This case report introduces novel instance whole blood transfusion to an 8-year-old male with severe lower GI hemorrhage, marking shift pediatric care. patient, no previous medical history, presented acute rectal bleeding, hypotension (systolic/diastolic pressure [BP] 50/30 mmHg), tachycardia (148 bpm). Early intervention by...
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Background: The Southwest Texas Regional Advisory Council (STRAC) Stroke Systems of Care Committee is comprised hospital, physician and EMS leaders who meet monthly to discuss process improvement system development with a commitment improve stroke recognition, response treatment. Over seven- year period, this community population 1.5 million people progressed from no organized approach for care an which includes 12 Primary centers, 2 Comprehensive over 40 agencies. Purpose: To evaluate how...
Introduction: An EMS validation study in San Antonio, Texas previously evaluated the Vision Aphasia Neglect (VAN) screen to identify large vessel occlusion (LVO) prehospital setting. Because it may be used field bypass hospitals for higher level care, VAN’s performance with stroke mimics, specifically intracerebral hemorrhage (ICH), is important systems of care. The goal this was determine if a positive VAN assessment correlated larger ICH. Methods: Paramedics from two Antonio agencies...