A5020684059- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Disaster Response and Management
- Pesticide Exposure and Toxicity
- Airway Management and Intubation Techniques
- Opioid Use Disorder Treatment
- Climate Change and Health Impacts
- Respiratory Support and Mechanisms
- Tracheal and airway disorders
- Poisoning and overdose treatments
- Anesthesia and Sedative Agents
- Cardiovascular Effects of Exercise
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Occupational Health and Safety Research
- Thermoregulation and physiological responses
- Evaluation and Performance Assessment
- Viral Infections and Outbreaks Research
- Data-Driven Disease Surveillance
- Potassium and Related Disorders
- Health Policy Implementation Science
- Patient Safety and Medication Errors
- Injury Epidemiology and Prevention
- Risk and Safety Analysis
- Occupational Health and Performance
Boston University
2013-2024
Boston Medical Center
2010-2021
Washington University in St. Louis
2021
University of North Carolina at Chapel Hill
2021
Mayo Clinic in Arizona
2021
University of Washington
2021
Stanford Health Care
2021
Mayo Clinic
2021
University of California San Francisco Medical Center
2021
NIHR Clinical Research Network
2019
The fact that there was not more loss of life in the Boston Marathon bombings is attributable large part to medical community's prior efforts build and sustain emergency-preparedness programs practice its response exercises drills.
Objective To determine plasma racemic methadone concentration-effect relationships for subjective and objective responses whether pharmacokinetic and/or pharmacodynamic factors influence withdrawal severity. Methods Eighteen patients enrolled in a public maintenance program, nine of whom experienced significant withdrawal, received constant doses once daily at least 2 months. During an interdosing interval, 13 blood samples were collected to measure concentrations (patients); (withdrawal...
Myocardial adaptations to exercise have been well documented among competitive athletes. To what degree cardiac remodeling occurs recreational exercisers is unknown. We sought evaluate the effect of marathon training on myocardial structure and function comprehensively.Male runners (n=45; age, 48±7 years; 64% with ≥1 cardiovascular risk factor) participated in a structured marathon-training program. Echocardiography, cardiopulmonary testing, laboratory evaluation were performed pre post...
Introduction: Emergency Medical Service (EMS) personnel often respond to dangerous scenes and encounter hostile individuals without police support. No recent data describes the frequency of physical or verbal assaults which providers have increased fear for their safety. This information may help guide interventions improve Our objective was describe self-reported abuse perceptions safety determine if there are differences between gender, shift, years experience in a busy two-tiered, third...
To assess the time to treatment for emergency department (ED) patients with critical hyperkalemia and determine whether timing of was associated clinical characteristics or electrocardiographic abnormalities.The authors performed a retrospective chart review ED laboratory diagnosis (potassium level > 6.0 mmol/L). Patients presenting in cardiac arrest who were referred dialysis excluded. Patient charts reviewed find received specific and, if so, what attributes initiation treatment.Of 175...
Study Objectives: Intranasal delivery of naloxone to reverse the effects opioid overdose by Advanced Life Support (ALS) providers has been studied in several prehospital settings. In 2006, response increase opioid-related overdoses, a special waiver from state allowed administration intranasal Basic (BLS) our city. This study aimed determine: 1) if patients who received 2-mg dose nasal administered BLS required repeat dosing while emergency department (ED), and 2) disposition these patients....
Prehospital providers are exposed to various infectious disease hazards. Examining specific exposures would be useful in describing their current trends as well guidance with appropriate protective measures an emergency medical services (EMS) system should consider.To describe the types of occupational health and associated outcomes reported at urban EMS system.A retrospective review all was performed for a three-year period from January 1, 2007, December 31, 2009. Descriptive analysis on...
Emergency Medical Services (EMS) routinely stage in a secure area response to active shooter incidents until the scene is declared safe by law enforcement. Due time-sensitive nature of injuries at these incidents, some EMS systems have adopted tactics utilizing enforcement protection expedite life-saving medical care.Describe provider perceptions preparedness, adequacy training, and general attitudes toward incident after completing tactical awareness training program.An unmatched,...
This study aimed to assess associations between exertional heat stroke (EHS) and sex, age, prior performance, environmental conditions, report on resources needed for EHS cases at the Boston Marathon.We analyzed participant characteristics, data, medical encounters during 2015-2019 Marathon races.Among 136,161 starters, there was an incidence of 3.7 per 10,000 starters (95% confidence interval, 2.8-4.9), representing 0.5% all encounters. There were significant sex age (P < 0.0001), start...
To compare the speeds and success rates of placement for percutaneous cricothyrotomy versus surgical or open cricothyrotomy.Twenty-two paramedics (mean 9.7 years experience), with training in both methods, were timed using a pig trachea crossover model. An emergency physician performed timing documentation success; commenced after equipment was ready membrane identified. Paramedics randomly assigned by coin toss to start either group. All actively employed municipal third-service medical...
Objective. To compare the speeds and success rates of placement for percutaneous cricothyrotomy versus surgical or open cricothyrotomy. Methods. Twenty-two paramedics (mean 9.7 years experience), with training in both methods, were timed using a pig trachea crossover model. An emergency physician performed timing documentation success; commenced after equipment was ready membrane identified. Paramedics randomly assigned by coin toss to start either group. All actively employed municipal...
A 49-year-old woman was brought to the ED 2 hours after onset of hemiplegia and aphasia during a transatlantic flight. Examination revealed evidence acute ischemic stroke. Additional diagnostic studies were performed.
One of the six guiding principles EMS Agenda 2050 is to foster a socially equitable care delivery system. A specific recommendation within this principle that "local leadership, educators and clinicians [should] reflect diversity their communities." Research has shown women comprise minority emergency medicine services (EMS) field clinicians. In academic settings, are represented at lower rates among experienced faculty than Emergency Medicine or large. The reasons for these differences also...