- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Pleural and Pulmonary Diseases
- Cardiac Arrest and Resuscitation
- Surgical Simulation and Training
- Venous Thromboembolism Diagnosis and Management
- Spinal Cord Injury Research
- Emergency and Acute Care Studies
- Innovations in Medical Education
- Airway Management and Intubation Techniques
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Augmented Reality Applications
- Anesthesia and Pain Management
- Palliative Care and End-of-Life Issues
- Hospital Admissions and Outcomes
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Surgical site infection prevention
- Medical Education and Admissions
- Elder Abuse and Neglect
- Childhood Cancer Survivors' Quality of Life
- Hernia repair and management
- Diversity and Career in Medicine
- Abdominal Trauma and Injuries
- Pelvic and Acetabular Injuries
Medical College of Wisconsin
2011-2025
Gundersen Health System
2020
Froedtert Hospital
2019
Ethics and Public Policy Center
2019
WinnMed
2019
Mayo Clinic
2017
University of Wisconsin–La Crosse
2014
Traumatic diaphragmatic injury (TDI) is uncommon and has historically been identified by chest x-ray repaired laparotomy with nonabsorbable suture. Blunt TDI was more frequently (90%) detected on the left. With advances in imaging operative techniques, our objective to evaluate evolution incidence, location, management of TDI.The medical records patients admitted three Wisconsin regional trauma centers from 1996 2011 were reviewed. Patients stratified into blunt penetrating early (1996-2003)...
ABSTRACT Introduction Retained hemothorax (HTX) is a common complication following thoracic trauma. Small studies demonstrate the benefit of cavity irrigation at time tube thoracostomy for prevention retained HTX. We sought to assess effectiveness chest in preventing HTX leading secondary surgical intervention. Methods performed single-center retrospective study from 2017-2021 Level I trauma center comparing bedside via (TT) versus no irrigation. Using registry, patients with traumatic were...
BACKGROUND Opiate-based pain regimens remain the cornerstone of management following traumatic injury, but issues related to opioids have driven research into alternative analgesics. Adjunctive ketamine has been increasingly used decrease opioid use, little evidence exists support its efficacy within trauma population. METHODS A prospective, randomized, double-blind placebo-controlled trial severely injured (Injury Severity Score [ISS], ≥15) adult patients (aged 18–64 years) admitted a Level...
Single-center data demonstrates that regional analgesia (RA) techniques are associated with reduced risk of delirium in older patients multiple rib fractures. We hypothesized a similar effect between RA and would be identified larger cohort from level I trauma centers.Retrospective seven centers were collected for intensive care unit (ICU) 65 years or ≥3 fractures January 2012 to December 2016. Those head and/or spine injury Abbreviated Injury Scale (AIS) score ≥ 3 history dementia excluded....
Background: Age is suggested as a triage criteria for transfer to trauma center, despite poor outcomes after similar injury regardless of center level. The effect differential based on age has not been evaluated. We hypothesized that there would be difference in the admission rates geriatric patients compared with rest adult population independent severity. Methods: Records 1,970 evaluated by team at Level I and discharged directly from emergency department were reviewed. Data abstracted...
BACKGROUND Delays in initiating venous thromboembolism (VTE) prophylaxis patients suffering from traumatic brain injury (TBI) persist despite guidelines recommending early initiation. We hypothesized that the expansion of a Trauma Program Performance Improvement (PI) team will improve compliance (24–48 hours) initiation VTE and decrease events TBI patients. METHODS performed single-center retrospective review all admitted to Level I trauma center before (2015–2016,) after (2019–2020,)...
BACKGROUND Retained hemothorax (rHTX) requiring intervention occurs in up to 20% of patients who undergo chest tube (TT) placement for a (HTX). Thoracic irrigation at the time TT decreases need secondary this patient group but those findings are limited because single-center design. A multicenter study was conducted evaluate effectiveness thoracic irrigation. METHODS multicenter, prospective, observational between June 2018 and July 2023. Eleven sites contributed patients. Patients were...