A5069297165- Emergency and Acute Care Studies
- Bacillus and Francisella bacterial research
- Ultrasound in Clinical Applications
- Burn Injury Management and Outcomes
- Innovations in Medical Education
- Appendicitis Diagnosis and Management
- Disaster Response and Management
- Cardiac Arrest and Resuscitation
- Radiology practices and education
- Trauma Management and Diagnosis
- Wound Healing and Treatments
- Healthcare Policy and Management
- Renal function and acid-base balance
- Trauma and Emergency Care Studies
- Hernia repair and management
- Healthcare Technology and Patient Monitoring
- Clinical Reasoning and Diagnostic Skills
- Traumatic Brain Injury and Neurovascular Disturbances
- Yersinia bacterium, plague, ectoparasites research
- Gastrointestinal Bleeding Diagnosis and Treatment
- Diabetic Foot Ulcer Assessment and Management
- Climate Change and Health Impacts
- Gastrointestinal disorders and treatments
- Neurological and metabolic disorders
- Viral Infections and Vectors
University of California, San Francisco
2013-2025
San Francisco General Hospital
2006-2024
University of San Francisco
2011
University of Pennsylvania
2004-2010
Hospital of the University of Pennsylvania
2000-2009
Children's Hospital of Philadelphia
2007
Yahoo (United Kingdom)
2005
Oligoanalgesia for acute abdominal pain historically has been attributed to the provider's fear of masking serious underlying pathology. The authors assessed whether a gender disparity exists in administration analgesia pain.This was prospective cohort study consecutive nonpregnant adults with nontraumatic less than 72 hours' duration who presented an urban emergency department (ED) from April 5, 2004, January 4, 2005. main outcome measures were and time analgesic treatment. Standard...
The authors assessed the effect of emergency department (ED) crowding on nontreatment and delay in treatment for analgesia patients who had acute abdominal pain.This was a secondary analysis prospectively enrolled nonpregnant adult presenting to an urban teaching ED with pain during 9-month period. Each patient four validated measures assigned at triage. Main outcomes were administration delays time analgesia. A defined as waiting more than 1 hour Relative risk (RR) regression used test...
Abstract. Objective: Suturing of bite wounds remains controversial. The authors evaluated the incidence wound infection in 145 mammalian treated with primary closure. Methods: Consecutive patients receiving closure at a university hospital ED had structured closed‐question data sheets completed time management and suture removal. Infection was determined removal using previously validated definition. Data included demographics; medical history; from injury to evaluation; characteristics...
Objectives: We hypothesize that nonpediatric and pediatric residents are exposed to a very low percentage of critically ill patients in high-volume children's hospital emergency department (ED). Methods: Retrospective chart review resident-patient encounters during 1-year period using patient tracking system. Critically included those who were triaged as "critical," died the ED, or admitted intensive care unit. Descriptive data presented means ± SD, frequencies, percentages. Analysis...
AbstractObjective: We assessed the relationship between emergency department (ED) crowding and delays in care patients presenting with abdominal pain who receive computed tomography (CT). Methods: Prospective cohort study of adults presented over a 1-year period to 2 urban academic EDs received CT. Each subject had 3 validated measures assigned at enrollment (ED census, waiting room number, number admitted patients). These were normalized quartiles signify least most crowded. The Cuzick test...
aDepartments of Emergency Medicine and Pediatrics, Warren Alpert Medical School Brown University, Providence, Rhode Island bDepartment Medicine, University California, San Francisco, USA Received 6 March 2023 Accepted 9 2023. Correspondence to Almaz S. Dessie, MD, Department 55 Claverick St, Rm 243, RI 02903, USA, E-mail: [email protected]
Abstract Objectives: To characterize emergency medicine (EM) residents' clinical experience during a pediatric (PEM) rotation. Methods: Prospective observational study of EM resident–patient encounters in children's hospital department (ED). Results: Fifty‐six residents participated the study. The mean (±SD) patient age was 6.3 (±5.6) years. Ambulatory infectious disease, respiratory illness, and wound management represented almost 50% final diagnoses. Six half procedures/resident were...
Shared decision making (SDM) is a patient-centered communication skill that essential for all physicians to provide quality care. Like any competency or procedural skill, it can and should be introduced medical students during their clerkships (undergraduate education), taught assessed residency training (graduate have documentation of maintenance throughout an emergency physician's career (denoted as continuing education). A subgroup representing academic medicine (EM) faculty, residents,...
Shared decision making (SDM) is essential to advancing patient-centered care in emergency medicine. Despite many documented benefits of SDM, prior research has demonstrated persistently low levels patient engagement by clinicians across disciplines, including An effective dissemination and implementation (D&I) framework could be used alter the process delivering facilitate SDM routine clinical medicine practice. Here we outline a policy agenda support D&I strategy needed integrate into care.
Emergency department (ED) overcrowding threatens quality of care by delaying the time to diagnosis and treatment patients with time-sensitive diseases, such as acute stroke.The authors hypothesized that presence a trauma alert evaluation would impede head computed tomography (hCT) in stroke-like symptoms.This was secondary analysis prospectively collected data on potential stroke who received an hCT urban center ED from January 1, 2004, November 30, 2004. Structured collection included...
Introduction:Teaching emergency medicine residents the principles of obstetric emergencies is a challenging task, as these are uncommon in general practice and include specific maneuvers for difficult precipitous deliveries.These requirements not easy to satisfy standard lecture labor intensive small groups.This resource board game that leverages near-peer teaching, engages student collaboration, supports friendly competition.Methods: The was designed be used by emphasized evaluation...
Abstract The appropriate selection and accurate interpretation of diagnostic imaging is a crucial skill for emergency practitioners. To date, the majority published literature research on competency assessment comes from subspecialty point‐of‐care ultrasound. A group radiologists, physicists, physicians convened at 2015 Academic Emergency Medicine consensus conference to discuss prioritize agenda related education, assessment, in ordering interpreting imaging. set questions continued...
Racism has not only contributed to disparities in health care outcomes, but also negatively impacted the recruitment, retention, and promotion of historically excluded groups academic medicine. The 2022 Society for Academic Emergency Medicine (SAEM) consensus conference, "Diversity, Equity, Inclusion: Developing a Research Agenda Addressing Medicine," convened diverse group researchers, educators, administrative leaders, providers help address impact racism three domains emergency medicine:...