A5084568358- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Airway Management and Intubation Techniques
- Disaster Response and Management
- Injury Epidemiology and Prevention
- Respiratory Support and Mechanisms
- Healthcare Policy and Management
- Sleep and Work-Related Fatigue
- Thermal Regulation in Medicine
- Medical Malpractice and Liability Issues
- Trauma Management and Diagnosis
- Patient Safety and Medication Errors
- Occupational Health and Performance
- Tracheal and airway disorders
- Restraint-Related Deaths
- Mechanical Circulatory Support Devices
- Traffic and Road Safety
- Hospital Admissions and Outcomes
- Musculoskeletal pain and rehabilitation
- Cardiac electrophysiology and arrhythmias
- Quality and Safety in Healthcare
- Neuroscience of respiration and sleep
- Global Health Workforce Issues
- Hemodynamic Monitoring and Therapy
Geisinger Health System
2014-2024
Geisinger Medical Center
2003-2022
Yale University
2010-2021
Pennsylvania Department of Health
2005-2021
American Board of Emergency Medicine
2021
Association of American Medical Colleges
2013
University of Chicago
2004-2011
University of New Mexico Hospital
2011
Society for Academic Emergency Medicine
2010
University of Pennsylvania
2010
Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, "Cricoid Pressure ALS-CPR&A-007B ").These callouts are hyperlinked to evidence-based worksheets, which were used in development article.An appendix applicable is located at end text.The worksheets available PDF format open access.The topics reviewed by International Liaison Committee on Resuscitation (ILCOR) Advanced Life Support Task Force grouped as follows: (1) airway ventilation, (2)...
Objective: Out-of-hospital rescuers likely need regular clinical experience to perform endotracheal intubation (ETI) in a safe and effective manner. We sought determine the frequency of ETI performed by individual out-of-hospital rescuers. Design: Analysis an administrative database all emergency medical services (EMS) patient care reports Pennsylvania. Setting: Commonwealth Pennsylvania from January 1 December 31, 2003. Subjects: EMS advanced life support (paramedics, prehospital nurses,...
Background. Fatigue is common among medical professionals and has been linked to poor performance error. Objective. To characterize sleep quality its association with severe fatigue in emergency services (EMS) providers. Methods. We studied a convenience sample of EMS providers who completed three surveys: the Pittsburgh Sleep Quality Index (PSQI), Chalder Questionnaire (CFQ), demographic survey. used established measures examine survey psychometrics performed t-tests, analysis variance...
Background: Administrators of Emergency Medical Services (EMS) operations lack guidance on how to mitigate workplace fatigue, which affects greater than half all EMS personnel. The primary objective the Fatigue in Project was create an evidence-based guideline for fatigue risk management tailored operations. Methods: Systematic searches were conducted from 1980 September 2016 and guided by seven research questions framed Population, Intervention, Comparison, Outcome (PICO) framework. Teams...
Conventionally trained out-of-hospital rescuers (such as paramedics) often fail to accomplish endotracheal intubation (ETI) in patients requiring invasive airway management. Previous studies have identified univariate variables associated with failed ETI but not examined the interaction between numerous factors impacting success. This study sought use multivariate logistic regression identify a set of adult ETI.The authors obtained clinical and demographic data from Prehospital Airway...
Multiple national organizations have recommended and supported a investment to increase the scientific evidence available guide patient care delivered by Emergency Medical Services (EMS) incorporate that directly into EMS systems. Ongoing efforts seek develop, implement, evaluate prehospital evidence-based guidelines (EBGs) using National Model Process created multidisciplinary panel of experts convened Federal Interagency Committee on (FICEMS) Advisory Council (NEMSAC). Yet, these other EBG...
Objective. To describe the characteristics andassociated occupant injuries of motor vehicle collisions (MVCs) involving ambulances as compared with MVCs similar-sized vehicles. Methods. Motor crash data in Pennsylvania from 1997–2001 were analyzed to compare crashes those vehicles a similar size. Crash demographics (e.g., location crash, roadway conditions, intersection type) examined andcompared using chi-square tests andFisher's exact test. Results. 2,038 ambulance and23,155 identified....
Objective. To describe andcompare the characteristics of, andassociated injuries caused by, ambulance crashes that occur in rural versus urban areas. Methods. Crash data collected by Pennsylvania Department of Transportation were obtained for from 1997 to 2001. demographics (e.g., location crash, road conditions, andintersection type) andinjuries reported police analyzed determine differences, if any, between occurring andurban Results. 311 and1,434 identified. Day andtime light androad type...
Received March 12, 2014 from the Department of Emergency Medicine, Geisinger Health System, Danville, Pennsylvania (DFK), Rollins School Public Health, Emory University, Atlanta, Georgia (ES), Maine Medical Center, Portland, (JMS), and University Connecticut Farmington, (RK). Revision received August 22, 2014; accepted for publication 2014.The authors report no conflicts interest. The alone are responsible content writing paper.The would like to thank members National Association State EMS...
Emergency medical services vehicle collisions (EMVCs) associated with the use of warning "lights and siren" (L&S) are responsible for injuries death to emergency (EMS) personnel patients. This study examines patient outcome when protocol directs L&S transport.During four months, all EMS calls initiated as an request service culminating in transport department (ED) were included. Medical criteria determined emergent versus non-emergent transport. Patients worsened conditions, reported by...
Objective. To compare the success and ease of bougie-assisted intubation (BAI) with those traditional endotracheal (ETI) in a simulated difficult airway (20.4 seconds for BAI vs. 16.7 ETI, p == 0.102). Methods. This was prospective, randomized, crossover, single-blind study comparing ETI airway. The 35 participants included paramedics, flight nurses, emergency medicine resident physicians. Participants were already experienced received brief demonstration BAI. A created using Laerdal adult...
Objectives: Conventionally trained out‐of‐hospital rescuers (such as paramedics) often fail to accomplish endotracheal intubation (ETI) in patients requiring invasive airway management. Previous studies have identified univariate variables associated with failed ETI but not examined the interaction between numerous factors impacting success. This study sought use multivariate logistic regression identify a set of adult ETI. Methods: The authors obtained clinical and demographic data from...
Henry E. Wang, M.D.(1) Robert M. Domeier, M.D. (2) Douglas F. Kupas, (3) Mark J. Greenwood, D.O., J.D. (4, 5) O’Connor, (6) Presented at: National Association of EMS Physicians Annual Meeting, January 18, 2003, Panama City, Florida. Author Affiliations: (1) Department Emergency Medicine, University Pittsburgh School Pittsburgh, Pennsylvania. St. Joseph Mercy Hospital, Ann Arbor, Michigan. Geisinger Health System, Danville, (4) Chicago, Illinois. (5) AeroMed at Spectrum Health, Grand Rapids,...
Abstract This article summarizes the discussions of emergency medical services (EMS) breakout session at June 2010 Academic Emergency Medicine consensus conference “Beyond Regionalization: Integrated Networks Care.” The group focused on prehospital issues such as identification patients by EMS personnel, protocol‐driven destination selection, bypassing closer nondesignated centers to transport directly more distant designated specialty centers, and modes be used they relate regionalization...
Background. Patient and provider safety is paramount in all aspects of emergency medical services (EMS) systems. The leaders, administrators, policymakers these systems must have an understanding situations that present potential for harm to patients or providers. Objective. This study analyzed reports a statewide EMS event reporting system with the purpose categorizing types incidents reported identifying opportunities prevent future events. Methods. incident Web-based which any individual...
Background: Performance measures are a key component of implementation, dissemination, and evaluation evidence-based guidelines (EBGs). We developed performance for Emergency Medical Services (EMS) stakeholders to enable the implementation fatigue risk management in EMS setting. Methods: Panelists associated with Fatigue Project, which was supported by National Highway Traffic Safety Administration (NHTSA), used an iterative process develop draft set linked 5 recommendations EMS....