A5062034530- Cardiovascular Effects of Exercise
- Sports injuries and prevention
- Viral Infections and Immunology Research
- Tendon Structure and Treatment
- Hip disorders and treatments
- Lower Extremity Biomechanics and Pathologies
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Foot and Ankle Surgery
- Pericarditis and Cardiac Tamponade
- Innovations in Medical Education
- Cardiac Imaging and Diagnostics
- Exercise and Physiological Responses
- Pelvic and Acetabular Injuries
- Shoulder and Clavicle Injuries
- Musculoskeletal pain and rehabilitation
- Thermoregulation and physiological responses
- Climate Change and Health Impacts
- Cardiomyopathy and Myosin Studies
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Cardiac pacing and defibrillation studies
- Muscle and Compartmental Disorders
- Aortic Disease and Treatment Approaches
- Nursing Roles and Practices
West Virginia University
2013-2024
Northwestern University
2023
Albany Medical Center Hospital
2023
Medical College of Wisconsin
2023
University of Iowa
2023
University of Alabama at Birmingham
2023
University of Arizona
2023
West Virginia School of Osteopathic Medicine
2021
Carl R. Darnall Army Medical Center
2021
Musculoskeletal and sports medicine conditions are common in the emergency department (ED). Emergency physicians may not be receiving adequate education to achieve clinical competency musculoskeletal during residency training. This article aims provide a standardized curriculum for Broad goals include proficiency evaluating managing patients presenting ED with acute chronic complaints other medical related or affected by physical exertion, participation, environmental exposure. Specific...
Early pregnancy complaints in emergency medicine are common. Emergency physicians (EP) increasingly employ ultrasound (US) the evaluation of these complaints. As a result, it is likely that rare and important diagnoses will be encountered. We report case fetal anencephaly diagnosed by bedside US patient presenting with first-trimester vaginal bleeding.A 33-year-old at 10 weeks gestation presented bleeding. After initial history physical examination, was performed. The EP noted abnormal...
Background Initial protocols for return to play cardiac testing in young competitive athletes following SARS-CoV-2 infection recommended troponin (cTn) screen involvement. This study aimed define the diagnostic yield of cTn undergoing cardiovascular infection. Methods and Results prospective, observational cohort from ORCCA (Outcomes Registry Cardiac Conditions Athletes) included collegiate who underwent as a component The values were stratified undetectable, detectable but within normal...
A 38-year-old male presented with left calf pain after a fall while skiing. Physical examination revealed tenderness over the gastrocnemius palpable mass and resisted plantar flexion. Point-of care-ultrasound (POCUS) of was consistent muscle rupture, we made diagnosis tennis leg. The patient instructed to rest for two weeks, followed by home rehabilitation program, he able return his normal activities. Here present case leg quickly accurately diagnosed POCUS, negating need additional...
Exertional heat stroke (EHS) is a significant cause of morbidity and mortality in athletes active individuals. In the field, initial management exertional illness based on rapid whole-body cooling. Cold-water immersion (CWI) considered superior cooling modality for EHS treatment. However, there often disconnect between sports medicine community emergency medical service (EMS) community. Well-written action plans may fail if EMS protocols do not allow CWI management. This first study to look...
This is a case of 21-year-old male, African American Division I basketball player with fibula stress fracture. The athlete initially reported pain, without distinct injury and was diagnosed After short period immobilization in walking boot, this individual opted to undergo surgical intervention consisting an intramedullary screw inserted his left fibula. consultation the orthopedic team physician trauma surgeon. brief rest continued weight bearing as tolerated, patient able start...
The Union Cycliste Internationale (UCI) Mountain Bike World Cup in 2019 provided unique challenges for effective prehospital care. While on-site medical care has demonstrated improved outcomes along with reduced emergency department and services (EMS) utilization, this aspect not been well documented the literature respect to rural mass gathering events (MGEs). Conducted at a large event geographically isolated area, study aimed assess needs specific will hopefully assist future coordination...
Objectives: Many athletes conceal concussion symptoms to continue play. If and coaches knew that performance drops significantly after a concussion, in turn hurting the team, may be more prone report symptoms. The objective of our research was three cases support this decline an undisclosed concussion. Methods: This is case series NCAA Division I football players who did not immediately their concussions. play which occurred identified via video review then players' pre post-injury grades,...
A 22-year-old right-handed male presented to the Sports Medicine clinic with concerns of upper extremity muscle asymmetry. Physical examination showed gross muscular asymmetry when comparing left right. Radial pulses were 2 + on right and 1 left. Due concern for vascular anomaly, computed tomography angiography was performed which revealed a right-sided aortic arch Kommerell's diverticulum aberrant subclavian artery. The patient underwent carotid bypass successfully, but his recovery...
Atrial flutter and atrial fibrillation are among the most commonly encountered cardiac arrhythmias; however, there is a dearth of clinical trials or case studies regarding its occurrence in setting stimulants such as caffeine nicotine otherwise healthy young patients. Described here 29-year-old physically fit white man without significant past medical history who presented stable condition complaining only palpitations. He was found to have rapid ventricular response on monitoring, likely...
Abstract Survey study of training and practice paradigms job satisfaction dual-boarded emergency medicine (EM) sports (SM) physicians. The REDCap survey was sent to 193 American Board EM members who hold a Certificate Added Qualification in SM. A total 124 EM/SM physicians responded (67.5% male). More than 70% completed three-year residencies while only 28.5% had an residency faculty. One-quarter delayed fellowship after 6.45 years on average. Regarding their first fellowship, 27.6%...
Background: Coronavirus disease 2019 (COVID-19) has significantly impacted National Collegiate Athletic Association (NCAA) athletics, with specific concerns for cardiac involvement after infection. Pericardial abnormalities have been seen in up to 39.5% of athletes COVID-19 infection, while myocardial reported at a lower rate 2.7%. To date, injury 0.6% 0.7% when using symptom screening and imaging as clinically indicated, which increases 2.3% 3.0% all undergo magnetic resonance (CMR)...
Traumatic hip dislocation in children is relatively rare but presents a true emergency, as delay reduction can result avascular necrosis of the femoral head and long-term morbidity. After sustaining traumatic posterolateral dislocation, seven-year-old boy presented to an outside facility where no attempt was made at reduction. The patient transferred our emergency department (ED) he promptly sedated reduced timely manner. Emergency physicians have demonstrated high success rates with ED...
Introduction: The clinical presentation of pulmonary embolism (PE) is often associated with classic vital instability such as tachycardia, hypoxia, and tachypnea. This critical diagnosis less likely if a patient negative by Pulmonary Embolism Rule-Out Criteria (PERC) standards low pre-test probability disease. Caution must be used when evaluating elite athletes the PERC rule due to resting heart rate certain risk factors, which are inherent athletics. Case Report: We report case 20-year-old...
Objectives: The purpose was to examine characteristics of an Appalachian population runners. primary aim risk factors for running related injury (RRI), including mileage per week, experience, and use applications/training programs. A second characterize dietary habits among Methods: This study conducted in September 2015 North Central West Virginia. Morgantown Marathon consists three races offered every September: 8K, half marathon, full marathon. Surveys were runners ages 18 older during...