- Trauma and Emergency Care Studies
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Abdominal Trauma and Injuries
- Neonatal Respiratory Health Research
- Neuroscience of respiration and sleep
- Congenital Heart Disease Studies
- Injury Epidemiology and Prevention
- Cardiac Arrest and Resuscitation
- Child Abuse and Related Trauma
- Obstructive Sleep Apnea Research
- Trauma Management and Diagnosis
- Emergency and Acute Care Studies
- Esophageal and GI Pathology
- Cystic Fibrosis Research Advances
- Child Abuse and Trauma
- Urological Disorders and Treatments
- Respiratory Support and Mechanisms
- Family and Patient Care in Intensive Care Units
- High Altitude and Hypoxia
- Ultrasound and Hyperthermia Applications
- Burn Injury Management and Outcomes
- Cardiac Valve Diseases and Treatments
- Cardiac and Coronary Surgery Techniques
University of Colorado Denver
2018-2024
Children's Hospital Colorado
2019-2023
Center for Children
2019-2023
University of Colorado Anschutz Medical Campus
2019-2023
University of Washington
2023
Academic Pediatric Association
2021
Orthopaedic Trauma Association
2021
Denver Health Medical Center
2021
Colorado School of Public Health
2018-2021
Medizinische Hochschule Hannover
2014
Rationale: Early pulmonary vascular disease (PVD) after preterm birth is associated with a high risk for developing bronchopulmonary dysplasia (BPD), but its relationship late respiratory outcomes during early childhood remains uncertain.Objectives: To determine whether PVD at 7 days (LRD) childhood.Methods: This was prospective study of infants born before 34 weeks postmenstrual age (PMA). Echocardiograms were performed and 36 PMA. Prenatal postnatal factors postdischarge follow-up survey...
BACKGROUND Firearm injuries are the second leading cause of death among US children. While injury prevention has been shown to be effective for blunt mechanisms injury, rising incidence accidental gunshot wounds, school shootings, and interpersonal gun violence suggests otherwise firearm-related injuries. The purpose study is describe incidence, severity, institutional costs pediatric gun-related in Colorado. METHODS Pediatric patients (≤18 years), who sustained firearm between 2008 2018,...
The shock index pediatric age-adjusted (SIPA) predicts the need for increased resources and mortality among trauma patients without incorporating neurological status. A new scoring tool, rSIG, which is reverse (rSI) multiplied by Glasgow Coma Scale (GCS), has been proven superior at predicting outcomes in adult compared with traditional systems. We sought to compare accuracy of rSIG Shock Index (SI) SIPA early interventions civilian patients.Patients (aged 1-18 years) 2014 2018 Pediatric...
Objectives To assess changes in duration, timing, and social jetlag adolescent sleep during the COVID-19 pandemic evaluate impact of mood, physical activity, interactions on sleep.Study Design An online survey queried adolescents' before (through retrospective report) initial phase May 2020. Adolescents (N = 3,494), 13–19 years old, United States (U.S.) answered questions about their current (prior to COVID-19) sleep, chronotype, activities. Linear regression models were fit for time bed,...
Summary Background Sleep duration is associated with obesity in preschoolers. Weight‐management interventions may be an opportunity to incorporate sleep health recommendations. Objectives To examine changes preschool‐age children following a family‐based weight‐management intervention (Learning about Activity and Understanding Nutrition for Child Health [LAUNCH]) compared motivational interviewing standard care conditions. Additionally, we examined associations between body mass index (BMI)...
Primary ciliary dyskinesia (PCD) is a genetic disorder characterized by abnormal respiratory cilia ultrastructure and/or function causing defective mucociliary clearance. We investigated the extent and severity of rhinosinusitis in large cohort children with PCD explored associations among risk factors, including genotype sinus disease.Retrospective chart review.Tertiary academic children's hospital.A review was conducted patient registry at Foundation Center our institution. Demographic,...
The pediatric age-adjusted shock index (SIPA) accurately identifies severely injured children following trauma without accounting for neurological status. Understanding how the presence of traumatic brain injury (TBI) affects generalizability SIPA as a bedside triage tool is important given high rates TBI in population. We hypothesized that combined with (SIPAB+) would more identify children.Patients (1-18 years old) American College Surgeons Pediatric Trauma Quality Improvement Program...
Early and accurate identification of pediatric trauma patients who will receive massive transfusion (MT) is not well established. We developed the ABCD (defined as penetrating mechanism, positive focused assessment with sonography for trauma, shock index, age-adjusted [SIPA], lactate, base deficit [BD]) BIS scores a combination BD, international normalized ratio [INR], SIPA) hypothesized that score would perform best in ability to predict need MT children.Pediatric (≤18 years old) admitted...
Abstract Background The South African Triage Scale (SATS) is a validated in-hospital triage tool that has been innovatively adopted for use in the prehospital setting by Western Cape Government (WCG) Emergency Medical Services (EMS) Africa. performance of SATS EMS providers not formally assessed. study sought to assess validity and reliability when used WCG single-patient triage. Methods This prospective, assessment-based validation among from March September 2017 Town, Participants...
Abstract Children who sustain moderate to large surface area burns present in a hypermetabolic state with increased caloric and protein requirements. A policy was implemented at our institution 2017 initiate enteral nutrition (EN) pediatric burn patients within 4 hours of admission. The authors hypothesize that early EN (initiated admission) is more beneficial than late ≥ from for associated decreased rates pneumonia, calorie intake, fewer feeding complications, shorter Intensive Care Unit...
The objective of this study was to determine if positional therapy is a viable treatment alternative for obese children with persistent obstructive sleep apnea (OSA).A retrospective review performed who underwent an adenotonsillectomy OSA from 2014 2017. Children were included they had body mass index ≥ 95th percentile and postoperative polysomnogram. Subjects fell into one three categories: mixed (the presence 30 minutes both nonsupine supine sleep), sleep, sleep. Cure defined as...
Objectives/Hypothesis Children who do not require oxygen beyond 3 hours after surgery and pass a sleep room air challenge (SRAC) are safe for discharge regardless of polysomnogram (PSG) results or comorbidities. Study Design Cross‐sectional prospective study. Methods All children observed overnight undergoing an adenotonsillectomy obstructive sleep‐disordered breathing were prospectively recruited. Demographic, clinical, PSG characteristics stratified by whether the patient had required...