- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Radiation Dose and Imaging
- Respiratory Support and Mechanisms
- Radiology practices and education
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Arrest and Resuscitation
- Spine and Intervertebral Disc Pathology
- Infant Health and Development
- Mechanical Circulatory Support Devices
- Asthma and respiratory diseases
- Cardiovascular Function and Risk Factors
- Shoulder Injury and Treatment
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Obesity and Health Practices
- Adolescent and Pediatric Healthcare
- Acute Myeloid Leukemia Research
- Tendon Structure and Treatment
- Cardiac Imaging and Diagnostics
- Children's Physical and Motor Development
- Foreign Body Medical Cases
- Clostridium difficile and Clostridium perfringens research
- Healthcare Policy and Management
- Phonocardiography and Auscultation Techniques
- Youth Substance Use and School Attendance
NHS Tayside
2025
University of Alabama at Birmingham
2023-2024
Cleveland Clinic
2020-2023
University of Alabama
2022
University of Tennessee at Chattanooga
2016-2021
Thomas Jefferson University
2015
Agency for Healthcare Research and Quality
1996-2013
Age UK
2012
Oregon State University
1997
Despite the growing use of point care ultrasound (POCUS) in contemporary medical practice and existence clinical guidelines addressing its specific applications, there remains a lack standardization agreement on optimal practices for several areas POCUS use. The Society Point Care Ultrasound (SPOCUS) formed working group 2022 to establish set recommended best POCUS, applicable clinicians regardless their training, specialty, resource setting, or scope practice. Using three-round modified...
Dynamic left ventricular outflow tract obstruction (dLVOTO) is an important cause of cardiogenic shock to consider as its management differs from garden-variety systolic dysfunction. It best suited for serial evaluation by point-of-care ultrasound (POCUS) dynamic nature may it be missed on routine echocardiograms. We present a case 95-year-old male who presented constipation and went into cardiac arrest after manual disimpaction. After intubation advanced cardiovascular life support with...
Point-of-care ultrasound has an important role in the management of patients with COVID-19 infection. Because utility each application varies by setting, individual institutions should consider how they can best use within their specific environments. In general, procedural guidance and focused echocardiography are high yield. Lung potential to aid diagnosis Lower extremity point-of-care for deep vein thrombosis may help guide decision making regarding anticoagulation or undifferentiated...
Abstract Background Catheter associated urinary tract infection (CAUTI) and (UTI) are leading causes of Escherichia coli bacteraemia (ECB) within Scotland, resulting in increased risk adverse outcomes, cost, exposure to antibiotics a decrease quality care. NHS Tayside have higher rates catheterization ECB than other Scottish Health Boards. OPTIMA-UTI is collaborative improvement initiative aimed at reducing the burden hospital (HAI) UTI ECB. Improving choice catheter product compliance with...
<i>Staphylococcus aureus</i>aortic valve endocarditis and its complications in a patient were readily recognized by echocardiography. "Shaggy" echoes recorded from the aortic leaflets diastole as well irregular diastolic densities left ventricular outflow tract suggested flail secondary to bacterial endocarditis. The presence of double echo anterior wall was an unusual finding. Initially thought represent localized dissection, abscess formation pocket edematous fluid accumulation found...
Shock is common in critically ill patients with COVID-19, developing up to 67% of intensive care (5% 10% overall) and associated high mortality. Optimal management requires prompt recognition precise evaluation differentiation. Correcting hypoperfusion treating the underlying process are fundamental aspects treatment. Undifferentiated shock may be treated initially norepinephrine optimize perfusion while additional performed categorize pathophysiology. Physical examination, bedside...
Summary Achilles mechanism rupture in four of five dogs was treated with tenorrhaphy using a modified surgical technique designed to optimise accurate apposition tendon bone. Two bone tunnels were drilled the calcaneal tuber from plantomedial - dorsolateral, and plantolateral – dorsomedial direction respectively. The distal ends tendons sutured Krachow suture pattern. remaining dog had mid-tendon rupture. A resinous half cast placed on cranial aspect tarsocrural joint all dogs, for minimum...
Rescue treatments for status asthmaticus remain limited. Current literature has mainly focused on using extracorporeal membrane oxygenation (ECMO) as a primary modality of care these patients. Low-flow CO 2 removal (ECCO R) systems are an attractive option to improve refractory hypercapnic respiratory acidosis because asthmaticus. This is retrospective case series that describes the feasibility and efficacy use low-flow ECCO R device, Hemolung Respiratory Assist System, in patients with...
Critical care echocardiography (CCE) is a useful tool for managing critically ill patients in intensive care. However, concerns exist regarding the accuracy of CCE examinations because operator dependence. We sought to evaluate compared with cardiology-performed transthoracic echocardiogram (TTE).We retrospectively reviewed charts medical ICU large academic center United States. performed by fellow and staff physician between May 5, 2020, December 31, 2021, TTE obtained within 24 hours...
•We describe 4 cases where POCUS changed or aided in diagnosis.•POCUS often provides useful information patients shock.•Serial can assess changes over time the ICU.
An American medical epidemiologist who worked in the People's Republic of China for several years recounts a case history illustrative Chinese approach to ethics, which is influenced by common values and scarcity resources. society relatively homogeneous, with corresponding congruity emphasizing harmony, good, suppression conflict. Informed consent, disclosure physician error, malpractice peer criticism are unknown. The author suggests that current modernization policy may change health care...