A5108265646- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Trauma Management and Diagnosis
- Emergency and Acute Care Studies
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Simulation-Based Education in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Surgery and Complications
- Injury Epidemiology and Prevention
- Venous Thromboembolism Diagnosis and Management
- Abdominal Trauma and Injuries
- Pelvic and Acetabular Injuries
- Pleural and Pulmonary Diseases
- Respiratory Support and Mechanisms
- Airway Management and Intubation Techniques
- Patient Safety and Medication Errors
- Surgical Simulation and Training
- Blood transfusion and management
- Disaster Response and Management
- Ultrasound in Clinical Applications
- Telemedicine and Telehealth Implementation
- Hospital Admissions and Outcomes
- Innovations in Medical Education
- Mobile Health and mHealth Applications
- Nursing Roles and Practices
University of Rochester Medical Center
2019-2025
Twitter (United States)
2025
Broward Health Medical Center
2023-2024
University of Arizona
2023-2024
Vanderbilt University Medical Center
2015-2024
Johnson University
2023-2024
Riverside University Health System - Medical Center
2024
Thomas Jefferson University Hospital
2023-2024
University of Rochester
2019-2024
University of Pennsylvania
2017-2024
The outcomes of firearm injuries in the United States are devastating. Although mortality and costs have been investigated, long-term after surviving a gunshot wound (GSW) remain unstudied.
Trauma video review (TVR) is an evolving technology that can be used to measure technical and non-technical aspects of trauma care leading meaningful improvements. Only 30% centers currently use TVR, with non-users citing medicolegal concerns, staff discomfort recording, resource constraints as barriers implementation. Multiple studies have shown established TVR programs are well-perceived by staff. Little known about perceptions prior to, after implementation a new program. This study...
Abstract Introduction Vascular access in hypotensive trauma patients is challenging. Little evidence exists on the time required and success rates of vascular types. We hypothesized that intraosseous (IO) would be faster more successful than peripheral IV (PIV) central venous catheter (CVC) patients. Methods An EAST prospective multicenter trial was performed; 19 centers provided data. Trauma video review (TVR) used to evaluate resuscitations (systolic blood pressure ≤ 90 mmHg) Highly...
Provision of high-value care is a milestone in physician training. The authors evaluated the effect housestaff-led initiative on laboratory testing rates.Vanderbilt University Medical Center's Choosing Wisely steering committee, led by housestaff with faculty advisors, sought to reduce unnecessary daily basic metabolic panel (BMP) and complete blood count (CBC) inpatient general medicine surgical services. Intervention services received didactic session followed regular data feedback goal...
ABSTRACT Video-based platforms have emerged as a transformative force in the field of trauma surgery. Despite its potential, adoption video review (TVR) faces challenges. In this review, we describe use TVR and examine medicolegal issues pertaining to spoliation, patient privacy, consent. Research highlights multifaceted benefits TVR, from refining performance metrics medical education improving processes care outcomes. these advantages, risks may prevent many centers embracing technology....
The Rural Trauma Team Development Course (RTTDC) is designed to teach knowledge and skills for the initial assessment stabilization of trauma patients in resource-limited environments. effect RTTDC training on transfers from nontrauma centers definitive care has not been studied. We hypothesized that would decrease referring hospital emergency department (ED) length stay (LOS), time call transfer, pretransfer computed tomography (CT) imaging rate, mortality rate.We conducted a pre/post...
BACKGROUND Minutes matter for trauma patients in hemorrhagic shock. How team function impacts time to the next phase of care has not been rigorously evaluated. We hypothesized better performance scores be associated with decreased care. METHODS This retrospective secondary analysis a prospective multicenter observational study included hypotensive at 19 centers. Using video review, we analyzed validated Non-Technical Skills Trauma scale: leadership, cooperation and resource management,...
Background: Several studies evaluating simulation training in intensive care unit (ICU) physicians have demonstrated improvement leadership and management skills. No study to date has evaluated whether such is useful established ICU advanced practitioners (APs). We hypothesized that human patient simulator-based would improve surgical APs' skills at managing medical crises. Methods: After institutional review board approval, 12 APs completed ½ day of on the SimMan, Laerdal system. Each...
Prehospital procedures (PHP) by emergency medical services (EMS) are performed regularly in penetrating trauma patients despite previous studies demonstrating no benefit. We sought to examine the influence of PHPs on outcomes urban locations where transport center is not prolonged. hypothesized that without would have better than those undergoing PHP.This was an Eastern Association for Surgery Trauma-sponsored, multicenter, prospective, observational trial adults (18+ years) with torso...
Objectives Percutaneously placed small-bore (14 Fr) catheters and pleural lavage have emerged independently as innovative approaches to hemothorax management. This report describes techniques for combining percutaneous thoracostomy with presents results from a performance improvement series of patients managed immediate lavage. Methods was prospective treated at level 1 trauma center between April 2021 May 2023. Results Percutaneous used treat nine hemodynamically normal acute hemothorax....
Timing to start of chemoprophylaxis for venous thromboembolism (VTE) in patients with traumatic brain injury (TBI) remains controversial. We hypothesize that early administration is not associated increased intracranial hemorrhage.A retrospective study adult TBI following blunt was performed. Patients penetrating injury, any moderate/severe organ other than the brain, need craniotomy/craniectomy, death within 24 hours admission, or progression bleed on 6 hour follow-up head computed...
BACKGROUND Police transport (PT) of penetrating trauma patients in urban locations has become routine certain metropolitan areas; however, whether it results improved outcomes over prehospital Advanced life support (ALS) not been determined a multicenter study. We hypothesized that PT would result outcomes. METHODS This was multicenter, prospective, observational study adults (18+ years) with to the torso and/or proximal extremity presenting at 25 centers. and ALS were allocated via nearest...
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a less-invasive technique for aortic (AO). Commonly performed in emergency department (ED), role intraoperative placement less defined. We hypothesized that operating room (OR) associated with increased in-hospital mortality.The American Association Surgery Trauma AORTA registry was used to identify patients undergoing REBOA. Injury characteristics and outcomes data were compared between OR ED groups. The primary outcome...
To determine if there is a significant association between administration of tranexamic acid (TXA) in severely bleeding, injured patients, and venous thromboembolism (VTE), myocardial infarction (MI), or cerebrovascular accident (CVA). A multicenter, retrospective study was performed. Inclusion criteria were: age 18-80 years old need for 5 units more blood the first 24 h after injury. Exclusion included: death within h, pregnancy, TXA than 3 following injury, routine ultrasound surveillance...