A5037913227- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Potassium and Related Disorders
- Electrolyte and hormonal disorders
- Trauma and Emergency Care Studies
- Clinical Reasoning and Diagnostic Skills
- Innovations in Medical Education
- Medical Coding and Health Information
- Cardiac Structural Anomalies and Repair
- Trauma Management and Diagnosis
- Pediatric Pain Management Techniques
- Pain Management and Opioid Use
- Healthcare Policy and Management
- Traumatic Brain Injury Research
- Poisoning and overdose treatments
- Atrial Fibrillation Management and Outcomes
- Ultrasound in Clinical Applications
- Hospital Admissions and Outcomes
- Hemodynamic Monitoring and Therapy
- Cardiac electrophysiology and arrhythmias
- Sepsis Diagnosis and Treatment
- Empathy and Medical Education
- Healthcare Decision-Making and Restraints
Hennepin Healthcare Research Institute
2019-2025
Hennepin County Medical Center
2010-2021
University of Minnesota
2014-2021
Twin Cities Orthopedics
2021
Johns Hopkins University
2015
Johns Hopkins Medicine
2015
Johns Hopkins Hospital
2015
Objectives: To characterize the prevalence of withdrawal life-sustaining treatment, as well time to awakening, short-term neurologic outcomes, and cause death in comatose survivors out-of-hospital resuscitated cardiopulmonary arrests treated with therapeutic hypothermia. Design: Single center, prospective observational cohort study consecutive patients arrests. Setting: Academic tertiary care hospital level one trauma center Minneapolis, MN. Patients: Adults witnessed, nontraumatic,...
Objective: To determine the most accurate predictor of central venous pressure among three point-of-care ultrasound techniques. Design: Cross-sectional study. Setting: Medical ICU in an academic medical center. Patients: Convenience sample 67 spontaneously breathing patients who had intrathoracic catheter to allow measurement pressure. Intervention: Measurement internal jugular vein height width ratio (aspect ratio), inferior vena cava diameter, and percent collapse with inspiration...
Background Pediatric nephrologists are rare in the United States; many children with poisoning needing extracorporeal treatments may not have timely access to care. This study compared outcomes receiving for at centers and without a pediatric nephrologist.
International Classification of Diseases (ICD) coding is the standard diagnostic tool for healthcare management. At present, type 2 myocardial infarction (T2MI) classification by Universal Definition Myocardial Infarction (MI) remains ignored in ICD system. We determined concordance diagnosis MI using ICD-9 vs Definition.Cardiac troponin I (cTnI) was measured both contemporary and high-sensitivity (hs-cTnI) assays 1927 consecutive emergency department (ED) patients [Use TROPonin In Acute...
We examined the diagnostic performance of high-sensitivity cardiac troponin I (hs-cTnI) vs contemporary cTnI with use 99th percentile alone and a normal electrocardiogram (ECG) to rule out acute myocardial infarction (MI) serial changes (deltas) in MI.We included consecutive patients presenting US emergency department onclinical indication. Diagnostic for MI, including MI subtypes, 30-day outcomes were examined.Among 1631 patients, was diagnosed 12.9% using assay 10.4% hs-cTnI assay. For...
We examined whether or not subsets of patients with complex ventricular arrhythmias after myocardial infarction are at high risk respect to 1 year mortality hospital discharge. Based on previous studies showing increased for those non-Q wave infarcts, we hypothesized that PVCs (premature complexes) in this group might be associated a poorer prognosis than Q infarcts. Seven hundred seventy-seven entering our study acute were followed prospectively undergoing predischarge 24 hr ambulatory...
To test if the 5-item compassion measure (a tool previously validated in outpatient setting to patient assessment of clinician compassion) is a valid and reliable quantify distinct construct (i.e. clinical among patients evaluated emergency department (ED).Cross-sectional study conducted three academic departments U.S. between November 2018 April 2019. We enrolled adult who were EDs participating institutions administered after completion care ED. Validity testing was performed using...
Physician empathy has been linked to increased patient satisfaction, improved outcomes and reduced provider burnout. Our objective was test the effectiveness of an educational intervention improve physician trust in ED setting.Physician participants from six emergency medicine residencies US were studied 2018 2019 using a pre-post, quasi-experimental non-equivalent control group design with randomisation at site level. Intervention three hospitals received intervention, guided by...
Abstract Background Sepsis remains the leading cause of in‐hospital death and one costliest inpatient conditions in United States, while treatment delays worsen outcomes. We sought to determine factors outcomes associated with a missed emergency physician (EP) diagnosis sepsis. Methods conducted secondary analysis prospective single‐center observational cohort undifferentiated, critically ill medical patients (September 2020–May 2022). EP gestalt suspicion for sepsis was measured using...
Mulder, Maximilian*†‡§; Gibbs, Haley G.∥; Smith, Stephen W.¶#; Dhaliwal, Ramnik¶**; Scott, Nathaniel L.¶**; Sprenkle, Mark D.§#**; Geocadin, Romergryko G.*†‡††‡‡ Author Information