A5053726980- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Emergency and Acute Care Studies
- Abdominal Trauma and Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Pelvic and Acetabular Injuries
- Appendicitis Diagnosis and Management
- Injury Epidemiology and Prevention
- Pleural and Pulmonary Diseases
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiac Arrest and Resuscitation
- Abdominal Surgery and Complications
- Healthcare Policy and Management
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Hernia repair and management
- Diversity and Career in Medicine
- Hip and Femur Fractures
- Clinical Nutrition and Gastroenterology
- Traumatic Brain Injury and Neurovascular Disturbances
- Ultrasound in Clinical Applications
- Pericarditis and Cardiac Tamponade
- Hemodynamic Monitoring and Therapy
- COVID-19 and healthcare impacts
- Airway Management and Intubation Techniques
Stanford University
2016-2025
LinkedIn (United States)
2024
Twitter (United States)
2024
Délégation Paris 6
2024
Kuwait Petroleum Corporation (Kuwait)
2024
Hochschule Düsseldorf University of Applied Sciences
2024
The Bronx Defenders
2024
Stanford Medicine
2009-2023
VA Palo Alto Health Care System
2013-2022
American Association for the Surgery of Trauma
2000-2022
To evaluate those factors that impact on the delivery of enteral tube feeding.Prospective study.Medical intensive care units (ICU) and coronary at two university-based hospitals.Forty-four medical ICU/coronary unit patients (mean age, 57.8 yrs; 70% male) who were to receive nothing by mouth placed feeding.Rate feeding ordered, actual volume delivered, patient position, residual volume, flush presence blue food coloring in oropharynx, stool frequency recorded every 4 hrs. Duration reason for...
Although information about individuals' exposure to highly stressful events such as traumatic stressors is often very useful for clinicians and researchers, available measures are too long complex use in many settings. The Trauma History Screen (THS) was developed provide a brief easy-to-complete self-report measure of high magnitude stressor (HMS) associated with significant persisting posttraumatic distress (PPD). assesses the frequency HMS PPD events, it provides detailed events....
To define the changes in demographics of liver injury during past 25 years and to document impact treatment on death rates.No study has presented a long-term review large series hepatic injuries, documenting effect outcome. A 25-year from concurrently collected database injuries documented outcome.A 1975 1999 was studied for demographics, patterns, Factors potentially responsible outcome differences were examined.A total 1,842 treated. Blunt have dramatically increased; proportion major is...
Background The management of colon injuries that require resection is an unresolved issue because the existing practices are derived mainly from class III evidence. Because inability any single trauma center to accumulate enough cases for meaningful statistical analysis, a multicenter prospective study was performed compare primary anastomosis with diversion and identify risk factors colon-related abdominal complications. Methods This 19 centers included patients penetrating trauma, who...
Background Nonoperative management has become the standard of care for hemodynamically stable patients with complex liver trauma. The benefits such treatment may be obviated, though, by complications as arteriovenous fistulas, bile leaks, intrahepatic or perihepatic abscesses, and abnormal communications between vascular system biliary tree (hemobilia bilhemia). Methods We reviewed hospital charts 135 blunt trauma who were treated nonoperatively July 1995 December 1997. Results Thirty-two...
Traditionally, conventional arteriography is the diagnostic modality of choice to evaluate for arterial injury. Recent technological advances have resulted in multidetector, fine resolution computed tomographic angiography (CTA). This study examines CTA evaluation extremity vascular trauma compared with arteriography. Our hypothesis that provides accurate and timely diagnosis peripheral injuries challenges gold standard arteriogram. Traumatic over a 5-year period were identified using Level...
For surgical teams, high reliability and optimal performance depend on effective communication, mutual respect, continuous situational awareness. Surgeons who model unprofessional behaviors may undermine a culture of safety, threaten teamwork, thereby increase the risk for medical errors complications.To test hypothesis that patients surgeons with higher numbers reports from coworkers about are at greater postoperative complications than whose generate fewer coworker reports.This...
Unsolicited patient observations are associated with risk of medical malpractice claims. Because lawsuits may be triggered by an unexpected adverse outcome superimposed on a strained patient-physician relationship, question remains as to whether behaviors that generate dissatisfaction might also contribute the genesis outcomes themselves.To examine patients surgeons history higher numbers unsolicited at greater for postoperative complications than whose fewer such observations.This...
To quantify the inflation-adjusted costs associated with initial hospitalizations for firearm-related injuries in United States.We used Healthcare Cost and Utilization Project Nationwide Inpatient Sample to identify patients admitted from 2006 2014. We converted charges hospitalization costs, which we 2014 dollars. survey weights create national estimates.Costs inpatient totaled $6.61 billion. The largest proportion was governmental insurance coverage, totaling $2.70 billion (40.8%) divided...
As the Covid-19 pandemic evolves, acute care surgeons, intensivists and other surgical specialists increasingly may be asked to perform a tracheostomy in patients with known or suspected coronavirus-19 infection. Practitioners must prepared for this inevitability while taking measures procedure safely altered suboptimal conditions protecting themselves healthcare personnel from undue risk of exposure This document provides brief overview those considering performing Covid-19. The information...
Numerous factors may impede the delivery of enteral tube feedings (ETF) in intensive care unit (ICU). We designed a prospective study to determine whether use an infusion protocol could improve ETF ICU.In prior study, we monitored all patients admitted medical (MICU) or cardiac (CCU) who were made nil per os and placed on (control group). found that critically ill received only 52% their goal calories, primarily due physician underordering (66% goal), frequent cessations (22% time), slow...
Retained hemothorax and infected thoracic collections after trauma can be seen in up to 20% of patients initially treated with tube thoracostomy have traditionally been nonoperatively, often prolonged hospital stays.Twenty-five retained were reviewed. They underwent 26 thoracoscopies evacuate undrained blood or without infection.In 19 (76%), the evacuated thoracoscopically. In 4 procedure was converted an open thoracotomy, 2 required additional procedures drain these collections. Failure...
Objective To determine if the decision to pack for hemorrhage could be refined. Materials and Methods Seventy consecutive trauma patients whom packing was used control were studied. The had liver injuries, abdominal vascular bleeding retroperitoneal hematomas. Preoperative variables analyzed survivors compared with nonsurvivors. Results Packing controlled in 37 (53%) patients. Significant differences (p < 0.05) between nonsurvivors Injury Severity Score (29 vs. 38), initial pH (7.3 7.1),...
Efforts to determine the suitability of low-grade pancreatic injuries for nonoperative management have been hindered by inaccuracy older computed tomography (CT) technology detecting injury (PI). This retrospective, multicenter American Association Surgery Trauma-sponsored trial examined sensitivity newer 16- and 64-multidetector CT (MDCT) PI, sensitivity/specificity identification ductal (PDI).Patients who received a preoperative or 64-MDCT followed laparotomy with documented PI were...
Trauma is the leading cause of potential years life lost before age 65 in United States. Timely care a designated trauma center has been shown to reduce mortality by 25%. However, many severely injured patients are not transferred centers after initially being seen at non–trauma emergency departments (EDs).To determine patient-level and hospital-level factors associated with decision admit rather than transfer who EDs ascertain whether insured more likely be admitted compared uninsured...