Emergency Medicine Commons^™

Mechanical Falls: Are Patients Willing To Discuss Their Risk With A Health Care Provider?, Marna Greenberg, Michael Nguyen, Brian Stello, Arnold Goldberg, Robert Barraco, Bernadette Glenn-Porter, Anita Kurt, Stephen Dusza, Bryan Kane

Bryan G Kane MD

Background: Falls in the elderly cause serious injury. Objective: We aimed to determine subjects’ comfort in discussing fall risk and home safety evaluations. Methods: This prospective study surveyed a convenience sample of subjects ($50 years old) in an emergency department (ED), health fair (HF), and family practice (FP). The survey included the Falls Efficacy Scale and Vulnerable Elders Survey—validated surveys measuring fall concern and functional decline. Other data—environmental living conditions, participant behaviors, fall frequency—were collected. The associations between perceived fall risk and participant characteristics were assessed using descriptive statistics and random-effects logistic regression. Results: Participants (n = 416, 38% males, …

Effect Of Triage-Based Use Of The Ottawa Foot And Ankle Rules On The Number Of Orders For Radiographic Imaging., John Ashurst, Thomas Nappe, Stephanie Digiambattista, Avinash Kambhampati, Sarfraz Alam, Michelle Ortiz, Paul Delpais, Bernadette Glenn-Porter, Anita Kurt, Bryan Kane, Marna Greenberg

Bryan G Kane MD

CONTEXT: Reducing unnecessary testing lessens the cost burden of medical care, but decreasing use depends on consistently following evidence-based clinical decision rules. The Ottawa foot and ankle rules (OFARs) are validated, longstanding evidence-based guidelines to predict fractures. Frequently, radiography is automatically ordered for acute ankle injuries despite findings from OFARs suggesting no fracture. OBJECTIVES: First, to determine whether implementation of protocol-driven use of the OFARs at triage would decrease the number of radiography orders and length of stay (LOS) in the emergency department. Second, to quantify the incidence of OFARs use at triage and to assess patient expectations of radiography …

Gender Differences In Perceptions And Self-Reported Driving Behaviors Among Teenagers., Gavin Barr, Kathleen Kane, Robert Barraco, Timarie Rayburg, Lauren Demers, Chadd Kraus, Marna Greenberg, Valerie Rupp, Kimberly Hamilton, Bryan Kane

Bryan G Kane MD

BACKGROUND: The Centers for Disease Control reports that motor vehicle crashes (MVCs) are the leading cause of injury and death among U.S. teenagers, and disproportionately affect males. Among preventable causes of MVCs involving teenage drivers, distracted driving continues to be a serious public health problem. OBJECTIVES: To describe gender differences in teenage drivers' self-perceptions of safe driving behaviors, and self-reported risk behaviors and distractions while driving. METHODS: We prospectively surveyed teenage drivers from four high schools in Pennsylvania and New Jersey. Gender comparisons were made between self-reported perceptions and self-reported driving behaviors. Descriptive statistics and chi-squared testing were used in …

Comparison Of Airway Intubation Devices When Using A Biohazard Suit: A Feasibility Study, Kevin Weaver Do, Kayla R. Long Do, Gavin C. Barr Jr. Md, Jeffery P. Reboul Do, Aaron S. Ratner Do, Leonel Diaz Jr.,Do, Dougals A. Sturm Do, Bernadette Glenn-Porter Bs, Marna R. Greenberg Do, Mph, Facep, Bryan G. Kane Md

Bryan G Kane MD

No abstract provided.

Using Lean Methodology To Decrease Wasted Rn Time In Seeking Supplies In Emergency Departments, David Richardson, Valerie Rupp, Kayla Long, Megan Urquhart, Erin Ricart, Lindsay Newcomb, Paul Myers, Bryan Kane

Bryan G Kane MD

No abstract provided.

Comparison Of Airway Intubation Devices When Using A Biohazard Suit: A Feasibility Study., Kevin Weaver, Gavin Barr, Kayla Long, Leonel Diaz, Aaron Ratner, Jeffery Reboul, Dougals Sturm, Marna Greenberg, Stephen W Dusza, Bernadette Glenn-Porter, Bryan Kane

Bryan G Kane MD

OBJECTIVES: We set out to compare emergency medicine residents' intubating times and success rates for direct laryngoscopy (DL), GlideScope-assisted intubation (GS), and the Supraglottic Airway Laryngopharyngeal Tube (SALT) airway with and without biohazard gear.

METHODS: Each resident passed through 2 sets of 3 testing stations (DL, GS, SALT) in succession, intubating Laerdal mannequin heads with the 3 modalities after randomization to start with or without biohazard gear.

RESULTS: Thirty-seven residents participated, and 27 were male (73%); 14 (37.8%) had prior experience intubating in biohazard suits. There was a statistically significant difference in those who had prior intubation experience between DL …

Injury Due To Mechanical Falls: Future Directions In Gender-Specific Surveillance, Screening, And Interventions In Emergency Department Patients., Marna Greenberg, Bryan Kane, Vicken Y Totten, Neha P Raukar, Elizabeth C Moore, Tracy Sanson, Robert Barraco, Michael Nguyen, Federico E Vaca

Bryan G Kane MD

The Centers for Disease Control and Prevention report that among older adults (≥65 years), falls are the leading cause of injury-related death. Fall-related fractures among older women are more than twice as frequent as those for men. Gender-specific evidence-based fall prevention strategy and intervention studies show that improved patient-centered outcomes are elusive. There is a paucity of emergency medicine literature on the topic. As part of the 2014 Academic Emergency Medicine (AEM) consensus conference on "Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes," a breakout group convened to generate a research agenda on priority …

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

Bryan G Kane MD

No abstract provided.

Introduction Of Evidence-Based Diagnostic Order Sets In An Electronic Medical Record Is Associated With An Increase In Laboratory Orders, Bryan G. Kane Md, Justin Arnold Do, Joshua Morrison Do, Ryan Southworth Do, William Greenhut Do, Will Russell Do, Jeremy Selley Do, Michael Stanley Do

Bryan G Kane MD

No abstract provided.

The Effect Of Triage-Based Application Of The Ottawa Ankle And Foot Rules (Oar/Ofr) On The Number Of Radiographs Ordered: A Pilot Study, John V. Ashurst Do, Stephanie Digiambattista Md, Thomas M. Nappe Do, Avinash Kambhampati Do, Sarfraz Alam, Michele Ortiz Rn, Paul Delpais Bsn, Rn, Cen, Bernadette Gl-Porter Bs, Anita Kurt Phd, Rn, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Bryan G Kane MD

No abstract provided.

Importance Of Obtaining A Detailed Medical History In Diagnosing Emphysematous Cystitis (Poster), Jeremy K. Selley Do, Bryan G. Kane Md, Kathleen E. Kane Md

Bryan G Kane MD

No abstract provided.

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Bryan G Kane MD

No abstract provided.

The ‘‘Ice’’ Study: Feasibility Of Inexpensive Commercial Coolers On Mobile Ems Units, Kathleen E. Kane Md, Robert J. Tomsho Do, Ms, Karen Pheasant Do, Thomas Stauffer Do, Brent R. Schoenfeldt Do, Scott Hamilton Do, Travis Kain Do, Bryan G. Kane Md

Bryan G Kane MD

Introduction: Prehospital postresuscitation induced hypothermia (IH) has been shown to reduce neurological complications in comatose cardiac-arrest survivors. Retrofitting ambulances to include equipment appropriate to initiate hypothermia, such as refrigeration units for cooled saline, is expensive. The objective of this nonhuman subject research study was to determine if inexpensive, commercially available coolers could, in conjunction with five reusable ice packs, keep two 1 L bags of precooled 0.9% normal saline solution (NSS) at or below 48C for an average shift of eight to 12 hours in a real-world environment, on board in-service Emergency Medical Service (EMS) units, over varying weather conditions …

Perceived Mechanical Fall Risk And Openness To Communication With Providers, Marna R. Greenberg Do, Mph, Facep, Michael Nguyen Md, Brian Stello Md, Robert D. Barraco Md, Arnold R. Goldberg Md, Colin L. Donnelly Do, Benjamin R. Preiss Do, Bernadette Gl-Porter Bs, Anita Kurt Phd, Rn, Bryan G. Kane Md

Bryan G Kane MD

No abstract provided.

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 …

Modified Cage As A Screening Tool For Mechanical Fall Risk Assessment: A Pilot Survey, Marna R. Greenberg Do, Mph, Facep, Michael Nguyen Md, Bernadette Gl-Porter Bs, Robert D. Barraco Md, Brian Stello Md, Arnold R. Goldberg Md, Clare M. Lenhart Phd, Mph, Anita Kurt Phd, Rn, Bryan G. Kane Md

Bryan G Kane MD

Modified CAGE as a Screening Tool for Mechanical Fall Risk Assessment: A Pilot Survey Marna Rayl Greenberg DO, MPH, Michael C Nguyen MD, Bernadette G Porter BA,Robert DBarraco, MD MPH, Brian Stello MD, Arnold Goldberg MD, Clare M Lenhart, PhD MPH,Anita Kurt PhD, RN, Bryan G Kane, MD Background: Falls in the elderly cause serious injury. The literature does not hold answers to patient perceptions about their personal fall risk, their comfort level in discussing their fall history, or a home safety plan with their healthcare provider. Existing risk-assessing tools may be prohibitive in the Emergency Department due to their …

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

Bryan G Kane MD

No abstract provided.

A Statewide Survey Of Institutional Trauma Human Resource Allocation And Associated Patient Mortality, Bryan G. Kane Md, Quincy Gerrald Do, Catherine Fischer Do, Kevin Vong Do, Mary Sibley Do, Justin Binstead Do

Bryan G Kane MD

No abstract provided.

Gender Differences In Perceptions And Self-Reported Driving Behaviors Among Teenagers. (Poster), Gavin C. Barr Jr. Md, Kathleen E. Kane Md, Robert D. Barraco Md, Timarie Rayburg Do, Lauren Dugan Do, Chadd K. Kraus Do, Mph, Marna R. Greenberg Do, Mph, Facep, Valerie Rupp Rn, Bsn, Kimberly Hamilton, Bryan G. Kane Md

Bryan G Kane MD

No abstract provided.

Sex Differences In Emergency Department Patient Mechanical Fall Risk And Openess To Communication With Providers, Bryan G. Kane Md, Michael Nguyen Md, Robert D. Barraco Md, Brian Stello Md, Arnold R. Goldberg Md, C M. Lenhart, Bernadette Gl-Porter Bs

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

Bryan G Kane MD

No abstract provided.

Does Destination Determine Destiny? A Statewide Analysis Of Trauma Center Mortality, Bryan G. Kane Md, Quincy Gerrald Do, Catherine Fischer Do, Kevin Vong Do, Mary Sibley Do, Justin Binstead Do

Bryan G Kane MD

No abstract provided.

Gender Differences In Emergency Department (Ed) Patient Mechanical Fall Risk And Openness To Communication With Providers, Bryan G. Kane Md, Michael Nguyen Md, Robert D. Barraco Md, Brian Stello Md, Arnold R. Goldberg Md, Clare M. Lenhart Phd, Mph, Bernadette Gl-Porter Bs, Anita Kurt Phd, Rn, Marna R. Greenberg Do, Mph, Facep

Bryan G Kane MD

Gender Differences in Emergency Department (ED) Patient Mechanical Fall Risk and Openness to Communication with Providers Bryan G Kane, MD, Michael C Nguyen MD, Robert D Barraco, MD MPH, Brian Stello MD, Arnold Goldberg MD, Clare M Lenhart, PhD MPH, Bernadette G Porter BA ,Anita Kurt PhD, RN, Marna Rayl Greenberg DO, MPH Objectives: The CDC reports that among older adults (≥65), falls are the leading cause of injury-related death and rates of fall-related fractures among older women are more than twice those for men. We set out to determine ED patient perceptions (analyzed by gender) about their personal fall …

The Correlation Between Self- Reported And Observed Adolescent Driving Behaviors., Shawna M. Murphy, Bryan G. Kane Md, Valerie Rupp Rn, Bsn, Kimberly Fredericks, Kathleen E. Kane Md

Bryan G Kane MD

No abstract provided.

Central Line Registry And Research Project: A Standardized Orientation Course On Central Line Placement Leads To Persistent Knowledge Improvement, Andrew C. Miller Do, James P. Orlando Edd, Bryan G. Kane Md, William Bond Md, Ms, Valerie Rupp Rn, Bsn, Cindy Umbrell Msn, Rn, Cns, Ccrn, Michael Pasquale Md, Facs, Fccm

Bryan G Kane MD

No abstract provided.

Compliance With The Centers For Disease Control And Prevention Recommendations For The Diagnosis And Treatment Of Sexually Transmitted Diseases, Bryan Kane, Linda Degutis, Helen Sayward, Gail D'Onofrio

Bryan G 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

Bryan G Kane MD

No abstract provided.

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

Bryan G Kane MD

No abstract provided.

Impact Study Of A Central Lines Simulation Training Program Using Kirkpatrick’S Four-Level Evaluation Model, James P. Orlando Edd, Andrew C. Miller Do, William Bond Md, Ms, Valerie A. Rupp Rn, Bsn, Bryan G. Kane Md, Cindy Umbrell Rn, Msn, Michael Pasquale Md

Bryan G Kane MD

No abstract provided.