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Medical Specialties

2014

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Department of Emergency Medicine

Articles 1 - 30 of 40

Full-Text Articles in Medicine and Health Sciences

Airway Carts: A Systems-Based Approach To Airway Safety, Bryan Kane, William Bond, Charles Worrilow, David Richardson Sep 2014

Airway Carts: A Systems-Based Approach To Airway Safety, Bryan Kane, William Bond, Charles Worrilow, David Richardson

Bryan G Kane MD

No abstract provided.


Sex Differences In Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia, Marna Greenberg, Amy Ahnert, Nainesh Patel, Courtney Bennett, Nicole Elliott, Mark Lundquist, Andrew Miller, Ellina Feiner, Anita Kurt, Bernadette Gl-Porter, Mercedes Rios-Scott, David Burmeister Sep 2014

Sex Differences In Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia, Marna Greenberg, Amy Ahnert, Nainesh Patel, Courtney Bennett, Nicole Elliott, Mark Lundquist, Andrew Miller, Ellina Feiner, Anita Kurt, Bernadette Gl-Porter, Mercedes Rios-Scott, David Burmeister

Marna R Greenberg DO, MPH, FACEP

OBJECTIVE: Sex differences have not been well defined for patients undergoing therapeutic hypothermia (TH). We aimed to determine sex differences in mortality and Cerebral Performance Category (CPC) scores at discharge among those receiving TH. METHODS: This retrospective cohort study used data abstracted from an "ICE alert" database, an institutional protocol expediting mild TH for postarrest patients. Quality assurance variables (such as age, time to TH, CPC scores, and mortality) were reviewed and compared by sex. χ(2) Test and Wilcoxon rank sum test were used. Stepwise logistic regression was used to assess the association between mortality and sex, while controlling for …


Diagnostic Performance Of Cardiac Troponin I For Early Rule-In And Rule-Out Of Acute Myocardial Infarction: Results Of A Prospective Multicenter Trial, Alan Storrow, Robert Christenson, Richard Nowak, Deborah Diercks, Adam Singer, Alan Wu, Erik Kulstad, Frank Lovecchio, Christian Fromm, Gary Headden, Tracie Potis, Christopher Hogan, Jon Schrock, Daniel Zelinski, Marna Greenberg, James Ritchie, Janna Chamberlin, Kurtis Bray, Daniel Rhodes, Deirdre Trainor, Dawn Holmes, Paula Southwick Sep 2014

Diagnostic Performance Of Cardiac Troponin I For Early Rule-In And Rule-Out Of Acute Myocardial Infarction: Results Of A Prospective Multicenter Trial, Alan Storrow, Robert Christenson, Richard Nowak, Deborah Diercks, Adam Singer, Alan Wu, Erik Kulstad, Frank Lovecchio, Christian Fromm, Gary Headden, Tracie Potis, Christopher Hogan, Jon Schrock, Daniel Zelinski, Marna Greenberg, James Ritchie, Janna Chamberlin, Kurtis Bray, Daniel Rhodes, Deirdre Trainor, Dawn Holmes, Paula Southwick

Marna R Greenberg DO, MPH, FACEP

OBJECTIVES: To compare emergency department TnI serial sampling intervals, determine optimal diagnostic thresholds, and report representative diagnostic performance characteristics for early rule-in and rule-out of MI. METHODS: We prospectively measured TnI (AccuTnI+3™, Beckman Coulter) at serial time intervals in 1929 subjects with chest pain or equivalent ischemic symptoms suggestive of acute coronary syndromes at 14 medical centers. Diagnosis was adjudicated by an independent central committee. RESULTS: TnI ≥0.03ng/mL provided 96.0% sensitivity and 89.4% specificity at 1-3h after admission, and 94.9% sensitivity and 86.7% specificity at 3-6h. NPV (rule-out, non-MI) was 99.5% at 1-3h, and 99.0% at 3-6h when TnI is …


Management Of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial, Regina Sacco, David Burmeister, Valerie Rupp, Marna Greenberg Sep 2014

Management Of Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial, Regina Sacco, David Burmeister, Valerie Rupp, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is a common presenting problem. OBJECTIVE: Our aim was to compare the efficacy of vestibular rehabilitation (maneuver) vs. conventional therapy (medications) in patients presenting to the emergency department (ED) with BPPV. METHODS: This was a prospective, single-blinded physician, randomized pilot study comparing two groups of patients who presented to the ED with a diagnosis of BPPV at a Level 1 trauma center with an annual census of approximately 75,000. The first group received standard medications and the second group received a canalith repositioning maneuver. The Dizziness Handicap Inventory was used to measure symptom resolution. …


Tricyclic Antidepressant Toxicity Treated With Massive Sodium Bicarbonate, Kathleen Kane, Bryan Kane, Jessica Pierog, J Donovan, Tracey Helmick Apr 2014

Tricyclic Antidepressant Toxicity Treated With Massive Sodium Bicarbonate, Kathleen Kane, Bryan Kane, Jessica Pierog, J Donovan, Tracey Helmick

Kathleen E Kane MD

No abstract provided.


Importance Of Obtaining A Detailed Medical History In Diagnosing Emphysematous Cystitis, Jeremy Selley, Bryan Kane, Kathleen Kane Apr 2014

Importance Of Obtaining A Detailed Medical History In Diagnosing Emphysematous Cystitis, Jeremy Selley, Bryan Kane, Kathleen Kane

Kathleen E Kane MD

No abstract provided.


Simultaneous Very Late Angiographic Stent Thrombosis Of 2 Drug-Eluting Stents: A Case Report, Joseph Quercia, Bryan Kane, Kathleen Kane Apr 2014

Simultaneous Very Late Angiographic Stent Thrombosis Of 2 Drug-Eluting Stents: A Case Report, Joseph Quercia, Bryan Kane, Kathleen Kane

Kathleen E Kane MD

No abstract provided.


Management Of Isolated Yew Berry Toxicity With Sodium Bicarbonate: A Case Report In Treatment Efficacy, Jessica Pierog, Bryan Kane, Kathleen Kane, J Donovan Apr 2014

Management Of Isolated Yew Berry Toxicity With Sodium Bicarbonate: A Case Report In Treatment Efficacy, Jessica Pierog, Bryan Kane, Kathleen Kane, J Donovan

Kathleen E Kane MD

No abstract provided.


Ethical Considerations In Education Research In Emergency Medicine, Chadd Kraus, Todd Guth, Derek Richardson, Bryan Kane, Catherine Marco Apr 2014

Ethical Considerations In Education Research In Emergency Medicine, Chadd Kraus, Todd Guth, Derek Richardson, Bryan Kane, Catherine Marco

Bryan G Kane MD

The 2012 Academic Emergency Medicine consensus conference on education research in emergency medicine (EM) addressed various issues, including that of ethics in medical education research for EM. Education research in EM is essential to patient care and safety, and with recent advances in simulation and the advent of the Milestones project, it will become even more vital. Education research in EM is guided by the same principles that guide the ethical conduct of all human subjects' research: respect for persons, beneficence, and justice. Regulatory provisions and widely accepted ethical standards provide a framework for research in EM education; however, special …


Residents As Teachers: Residents' Perceptions Before And After Receiving Instruction In Clinical Teaching, Julie Wachtel, Marna Greenberg, Amy Smith, Kevin Weaver, Bryan Kane Apr 2014

Residents As Teachers: Residents' Perceptions Before And After Receiving Instruction In Clinical Teaching, Julie Wachtel, Marna Greenberg, Amy Smith, Kevin Weaver, Bryan Kane

Bryan G Kane MD

CONTEXT: Residents play an integral role in educating junior residents, medical students, and patients. OBJECTIVE: To determine how residents describe their training, proficiency, and comfort level in teaching before and after receiving instruction in clinical teaching. METHODS: Emergency medicine residents at a 980-bed suburban hospital system filled out a 12-question survey on their training as teachers and their self-perceptions of themselves as teachers. The residents then participated in a 2-hour education session on adult learning principles, methods of clinical teaching, and how to give effective feedback. After the session, participants completed a second, 11-question survey on the effectiveness of the …


Jejunojejunal Intussusception After Roux-En-Y Gastric Bypass, John Ashurst, Bryan Kane Apr 2014

Jejunojejunal Intussusception After Roux-En-Y Gastric Bypass, John Ashurst, Bryan Kane

Bryan G Kane MD

No abstract provided.


Computer-Based Reminder System Effectively Impacts Physician Documentation, Michael Nguyen, David Richardson, Steven Hardy, Rachel Cookson, Richard Mackenzie, Marna Greenberg, Bernadette Gl-Porter, Bryan Kane Apr 2014

Computer-Based Reminder System Effectively Impacts Physician Documentation, Michael Nguyen, David Richardson, Steven Hardy, Rachel Cookson, Richard Mackenzie, Marna Greenberg, Bernadette Gl-Porter, Bryan Kane

Bryan G Kane MD

No abstract provided.


One Year Outcomes Of A Pre-Hospital Myocardial Infarction Alert 3 Process, Gerald Coleman Do, Andrew C. Miller Do, David Richardson Md, David A. Cox Md, Nainesh Patel Md, J Patrick Kleaveland Md, Bruce Feldman Do, Ron Freudenberger Md, Richard S. Mackenzie Md Mar 2014

One Year Outcomes Of A Pre-Hospital Myocardial Infarction Alert 3 Process, Gerald Coleman Do, Andrew C. Miller Do, David Richardson Md, David A. Cox Md, Nainesh Patel Md, J Patrick Kleaveland Md, Bruce Feldman Do, Ron Freudenberger Md, Richard S. Mackenzie Md

Bruce A. Feldman DO

No abstract provided.


Impact Of Pre-Hospital Myocardial Infarction Alert Process Education On Door To Balloon Times At Sites Within A Regional Heart Center, Gerald Coleman Do, Andrew C. Miller Do, David Richardson Md, David Cox Md, Nainesh C. Patel Md, J Patrick Kleaveland Md, Bruce Feldman Do, Ron Freudenberger Md, Richard S. Mackenzie Md Mar 2014

Impact Of Pre-Hospital Myocardial Infarction Alert Process Education On Door To Balloon Times At Sites Within A Regional Heart Center, Gerald Coleman Do, Andrew C. Miller Do, David Richardson Md, David Cox Md, Nainesh C. Patel Md, J Patrick Kleaveland Md, Bruce Feldman Do, Ron Freudenberger Md, Richard S. Mackenzie Md

Bruce A. Feldman DO

No abstract provided.


Cardiopulmonary Resuscitation Prescription Program: A Pilot Randomized Comparator Trial, Marna Greenberg, Gavin Barr, Valerie Rupp, Nainesh Patel, Kevin Weaver, Kimberly Hamilton, James Reed Feb 2014

Cardiopulmonary Resuscitation Prescription Program: A Pilot Randomized Comparator Trial, Marna Greenberg, Gavin Barr, Valerie Rupp, Nainesh Patel, Kevin Weaver, Kimberly Hamilton, James Reed

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Tobacco Screening Multicomponent Quality Improvement Network Program: Beyond Education, Sharon Kimmel, Suzanne Smith, Judith Sabino, Eric Gertner, Julie Dostal, Marna Greenberg Feb 2014

Tobacco Screening Multicomponent Quality Improvement Network Program: Beyond Education, Sharon Kimmel, Suzanne Smith, Judith Sabino, Eric Gertner, Julie Dostal, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Emergency Department Tobacco Cessation Program: Staff Participation And Intervention Success Among Patients, Marna Greenberg, Michael Weinstock, Deborah Fenimore, Gina Sierzega Feb 2014

Emergency Department Tobacco Cessation Program: Staff Participation And Intervention Success Among Patients, Marna Greenberg, Michael Weinstock, Deborah Fenimore, Gina Sierzega

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Residents As Teachers: Residents' Perceptions Before And After Receiving Instruction In Clinical Teaching, Julie Wachtel, Marna Greenberg, Amy Smith, Kevin Weaver, Bryan Kane Feb 2014

Residents As Teachers: Residents' Perceptions Before And After Receiving Instruction In Clinical Teaching, Julie Wachtel, Marna Greenberg, Amy Smith, Kevin Weaver, Bryan Kane

Marna R Greenberg DO, MPH, FACEP

CONTEXT: Residents play an integral role in educating junior residents, medical students, and patients. OBJECTIVE: To determine how residents describe their training, proficiency, and comfort level in teaching before and after receiving instruction in clinical teaching. METHODS: Emergency medicine residents at a 980-bed suburban hospital system filled out a 12-question survey on their training as teachers and their self-perceptions of themselves as teachers. The residents then participated in a 2-hour education session on adult learning principles, methods of clinical teaching, and how to give effective feedback. After the session, participants completed a second, 11-question survey on the effectiveness of the …


Training Mothers In Infant Cardiopulmonary Resuscitation With An Instructional Dvd And Manikin., Gavin Barr, Valerie Rupp, Kimberly Hamilton, Charles Worrilow, James Reed, Kristin Friel, Stephen Dusza, Marna Greenberg Feb 2014

Training Mothers In Infant Cardiopulmonary Resuscitation With An Instructional Dvd And Manikin., Gavin Barr, Valerie Rupp, Kimberly Hamilton, Charles Worrilow, James Reed, Kristin Friel, Stephen Dusza, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

CONTEXT: Classes in infant cardiopulmonary resuscitation (CPR) can be time consuming and costly. OBJECTIVE: To determine whether mothers in an obstetric unit could learn infant CPR by using a 22-minute instructional kit and to assess the value and confidence they gained by learning CPR. DESIGN: Quasi-experimental study with enrollment between January and December 2008. SETTING: Obstetric unit in Lehigh Valley Hospital, a suburban teaching hospital in Allentown, Pennsylvania. PARTICIPANTS: Mothers at least 18 years old who had given birth within the previous 24 hours. INTERVENTION: The experimental group included mothers without prior CPR training who watched a 22-minute instructional DVD …


Gender-Specific Emergency Care: Part Two, Alyson Mcgregor, Esther Choo, Stacey Poznanski, Robert Hendrickson, Marna Greenberg Feb 2014

Gender-Specific Emergency Care: Part Two, Alyson Mcgregor, Esther Choo, Stacey Poznanski, Robert Hendrickson, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Impact Of Education On Physician Attitudes Toward Computed Tomography Utilization And Consent (Article), Michael Weigner, Kate Dewar, Hilary Basham, Valerie Rupp, Marna Greenberg Feb 2014

Impact Of Education On Physician Attitudes Toward Computed Tomography Utilization And Consent (Article), Michael Weigner, Kate Dewar, Hilary Basham, Valerie Rupp, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Gender Disparity In Non St Elevation Myocardial Infarction Cardiac Care: A Unique Illustration, Marna Greenberg, R Llaguri, Monisha Bindra, Valerie Rupp, Sharon Kimmel, William Bond, Richard Mackenzie Feb 2014

Gender Disparity In Non St Elevation Myocardial Infarction Cardiac Care: A Unique Illustration, Marna Greenberg, R Llaguri, Monisha Bindra, Valerie Rupp, Sharon Kimmel, William Bond, Richard Mackenzie

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


In Memory Of Amy February 8, 2009, Marna Greenberg Feb 2014

In Memory Of Amy February 8, 2009, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Building An Effective Ed Influenza Vaccine Program, Marna Greenberg, Gavin Barr, Jr., Richard Mackenzie, Alexander Rosenau, Kevin Weaver, Michele Ortiz Feb 2014

Building An Effective Ed Influenza Vaccine Program, Marna Greenberg, Gavin Barr, Jr., Richard Mackenzie, Alexander Rosenau, Kevin Weaver, Michele Ortiz

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Gender Disparity In Emergency Department Non-St Elevation Myocardial Infarction Management, Marna Greenberg, William Bond, Richard Mackenzie, Rezarta Lloyd, Valerie Rupp, Anna-Marie Crown, James Reed, Monisha Bindra Feb 2014

Gender Disparity In Emergency Department Non-St Elevation Myocardial Infarction Management, Marna Greenberg, William Bond, Richard Mackenzie, Rezarta Lloyd, Valerie Rupp, Anna-Marie Crown, James Reed, Monisha Bindra

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Evaluation Of Race And Gender Sensitivity In The American Heart Association Materials For Advanced Cardiac Life Support, Marna Greenberg, Jessica Pierog Feb 2014

Evaluation Of Race And Gender Sensitivity In The American Heart Association Materials For Advanced Cardiac Life Support, Marna Greenberg, Jessica Pierog

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Emergency Department Screening And Brief Intervention Of Alcohol Use Disorders: How To Do It And Does It Work?, Aaron Love, Marna Greenberg, Matthew Brice, Michael Weinstock Feb 2014

Emergency Department Screening And Brief Intervention Of Alcohol Use Disorders: How To Do It And Does It Work?, Aaron Love, Marna Greenberg, Matthew Brice, Michael Weinstock

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Food Protein-Induced Enterocolitis Syndrome As A Cause For Infant Hypotension, Ryan Coates, Kevin Weaver, Rezarta Lloyd, Nicole Ceccacci, Marna Greenberg Feb 2014

Food Protein-Induced Enterocolitis Syndrome As A Cause For Infant Hypotension, Ryan Coates, Kevin Weaver, Rezarta Lloyd, Nicole Ceccacci, Marna Greenberg

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Emergency Department Screening And Intervention For Patients With Alcohol-Related Disorders: A Pilot Study, Aaron Love, Marna Greenberg, Matthew Brice, Michael Weinstock Feb 2014

Emergency Department Screening And Intervention For Patients With Alcohol-Related Disorders: A Pilot Study, Aaron Love, Marna Greenberg, Matthew Brice, Michael Weinstock

Marna R Greenberg DO, MPH, FACEP

No abstract provided.


Analysis Of Sex Differences In Preadmission Management Of St-Segment Elevation (Stemi) Myocardial Infarction, Marna Greenberg, Andrew Miller, Richard Mackenzie, David Richardson, Amy Anhert, Jennifer Jozefick, Terrence Goyke, Valerie Rupp, David Burmeister Feb 2014

Analysis Of Sex Differences In Preadmission Management Of St-Segment Elevation (Stemi) Myocardial Infarction, Marna Greenberg, Andrew Miller, Richard Mackenzie, David Richardson, Amy Anhert, Jennifer Jozefick, Terrence Goyke, Valerie Rupp, David Burmeister

Marna R Greenberg DO, MPH, FACEP

No abstract provided.