A5102723242- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Empathy and Medical Education
- Cardiac, Anesthesia and Surgical Outcomes
- Food Security and Health in Diverse Populations
- Homelessness and Social Issues
- Health disparities and outcomes
- Health, psychology, and well-being
- Anatomy and Medical Technology
- Surgical Simulation and Training
- Public Health Policies and Education
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Shoulder Injury and Treatment
- Myofascial pain diagnosis and treatment
- Infective Endocarditis Diagnosis and Management
- Pleural and Pulmonary Diseases
- Patient Safety and Medication Errors
- Disaster Response and Management
- Traumatic Ocular and Foreign Body Injuries
- Geriatric Care and Nursing Homes
- Trauma Management and Diagnosis
- Global Public Health Policies and Epidemiology
Emory University
2024
Thomas Jefferson University Hospital
2010-2023
Thomas Jefferson University
2013-2023
University of the Sciences
2016
University of Pennsylvania
2008-2016
Jefferson University Hospitals
2014
Hospital of the University of Pennsylvania
2006-2007
Objective. Homeless individuals frequently use emergency departments (EDs), but previous studies have investigated local rather than national ED utilization rates. This study sought to characterize homeless people who visited urban EDs across the U.S. Methods. We analyzed subset of National Hospital Ambulatory Medical Care Survey (NHAMCS-ED), a nationally representative probability survey visits, using methods appropriate for complex samples compare demographic and clinical characteristics...
Current trends in the United States health care landscape call for innovative and adaptive approaches to improve outcomes reduce inefficiencies. Design Thinking is an approach problem-solving that leverages insights from end-users of new products, services experiences order develop best-fit solutions are rapidly prototyped iteratively refined. When compared traditional methods healthcare other public adjacent fields, leads more successful sustainable interventions. has facilitated...
Estimation of volume status in the high-acuity surgical population can be challenging. The use intensivist bedside ultrasound (INBU) to rapidly assess intensive care unit (SICU) was hypothesized feasible and as accurate invasive measures.Clinician sonographers (CSs) were trained perform basic cardiac sonographic assessment inferior vena cava (IVC). A convenience sample general surgery trauma patients enrolled SICU. CS interpreted IVC parameters then categorized subject hypovolemic or not...
In the United States, patient usage of costly emergency departments (EDs) has been portrayed as a major factor contributing to health care expenditures. The homeless are associated with ED frequent users, population often blamed for inappropriate use. This study examined characteristics and costs users. A retrospective cross-sectional review hospital records visits in 2006 at an urban academic medical center was performed. Frequent users were defined having greater than 4 one year. Homeless...
Purpose Intravenous (IV) access is the most commonly performed procedure in emergency department (ED). Patients with difficult venous require multiple needlesticks (MNS) for successful IV cannulation and may experience increased pain many attempts. Objective To determine association between number of attempts overall experienced by patient from placement. Methods Cross-sectional observational study on consecutive patients undergoing placement a 20-gauge upper extremity an urban academic...
A small percentage of emergency department (ED) visitors account for a disproportionate portion ED visits. Little is known about their relationships with primary care providers (PCPs). This study compares frequent and infrequent visitors' utilization perceptions access, continuity, connectedness examines as predictors use. Data were obtained from 2 cross-sectional studies psychosocial high levels at urban hospitals. included age, sex, race/ethnicity, number type chronic conditions,...
Objective: To identify equipment needs, utility, clinical applications, and acuity of diagnoses made by hand-carried ultrasound (HCU) after a natural disaster.Methods: An HCU with four probes (curved array, linear phased endocavitary) was taken to the site disaster in Guatemala as part relief effort mudslides killed approximately 1,000 people. Ultrasound (US) scans were classified transducer type, anatomic region, presenting complaint, therapeutic urgency treatment.Results: Ninety-nine...
Health locus of control may be an important predictor health care utilization. We analyzed associations between and frequency emergency department visits hospital admissions, investigated self-rated as a potential mediator. Overall, 863 patients in urban completed the Multidimensional Locus Control instrument, self-reported use admissions last year. found small but significant utilization, all which were mediated by health. conclude that interventions to shift change patients’ perceptions...
Introduction: Prior studies have reported conflicting results regarding the utility of ultrasound in diagnosis traumatic pneumothorax (PTX) because they used sonologists with extensive experience. This study evaluates characteristics for PTX a large cohort trauma and emergency physicians. Methods: was prospective, observational on convenience sample patients presenting to center who had thoracic (TUS) evaluation performed after Focused Assessment Sonography Trauma exam. Sonologists recorded...
Anterior shoulder dislocations are the most common, large joint that present to emergency department (ED). Numerous studies support use of intraarticular local anesthetic injections for safe, effective, and time-saving reduction these dislocations. Simulation training is an alternative effective method compared bedside learning. There no commercially available ultrasound-compatible dislocation models. We utilized a three-dimensional (3D) printer print model allows visualization ultrasound...
Data on services use, characteristics, and geographic distribution of homeless individuals who died in Philadelphia from 2009 to 2011 provided perspective assessments the population that rely conventional counts surveys.Data City Medical Examiner's Office were used parse decedents into three groups basis use homelessness (known users, occasional nonusers), differences among assessed by using descriptive multivariate methods.Of 141 adult decedents, 49% made substantial system users), 27%...