University Of Vermont Medical Center Critical Care Transport Community Paramedicine Pilot Inclusion/Exclusion Criteria And Supplemental Materials,
2020
University of Vermont
University Of Vermont Medical Center Critical Care Transport Community Paramedicine Pilot Inclusion/Exclusion Criteria And Supplemental Materials, Cyrus N. Thomas-Walker, Sean Muniz, Amy B. Golinker, Ryan D. Clouser Do, Randall Lanier
Larner College of Medicine Faculty Publications
The University of Vermont Medical Center (UVMMC) Critical Care Transport (CCT) team received a grant in 2020 to trial one Community Paramedic to reduce high volume utilizers of UVMMC’s ED enrolled in Vermont’s accountable care organization (ACO), OneCareVT. That summer, this team helped develop and analyze the implications of that program.
The current literature surrounding Community Paramedicine was explored, focusing particularly on studies that analyzed costs savings of these programs, rural areas with similar populations as Vermont, and the average cost of an ED visit. The reviewed literature and annotations are included in this work.
Initially, our plan was to …
Covid-19 Presenting As Stroke,
2020
GME
Covid-19 Presenting As Stroke, A. Avula, K. Nalleballe, N. Narula, S. Sapozhnikov, V. Dandu, S. Toom, A. Glaser, D. Elsayegh
Journal Articles
© 2020 Elsevier Inc. Objective: Acute stroke remains a medical emergency even during the COVID-19 pandemic. Most patients with COVID-19 infection present with constitutional and respiratory symptoms; while others present with atypical gastrointestinal, cardiovascular, or neurological manifestations. Here we present a series of four patients with COVID-19 that presented with acute stroke. Methods: We searched the hospital databases for patients that presented with acute stroke and concomitant features of suspected COVID-19 infection. All patients who had radiographic evidence of stroke and PCR-confirmed COVID-19 infection were included in the study. Patients admitted to the hospital with PCR- confirmed COVID-19 disease whose …
The Role Of Chest Imaging In Patient Management During The Covid-19 Pandemic: A Multinational Consensus Statement From The Fleischner Society.,
2020
Zucker School of Medicine at Hofstra/Northwell
The Role Of Chest Imaging In Patient Management During The Covid-19 Pandemic: A Multinational Consensus Statement From The Fleischner Society., G. D. Rubin, C. J. Ryerson, L. B. Haramati, N. Sverzellati, J. P. Kanne, S. Raoof, N. W. Schluger, A. Volpi, J. Yim, A. N. Leung, +10 Additional Authors
Journal Articles
With more than 900,000 confirmed cases worldwide and nearly 50,000 deaths during the first three months of 2020, the COVID-19 pandemic has emerged as an unprecedented healthcare crisis. The spread of COVID-19 has been heterogeneous, resulting in some regions having sporadic transmission and relatively few hospitalized patients with COVID-19 and others having community transmission that has led to overwhelming numbers of severe cases. For these regions, healthcare delivery has been disrupted and compromised by critical resource constraints in diagnostic testing, hospital beds, ventilators, and healthcare workers who have fallen ill to the virus exacerbated by shortages of personal protective equipment. …
Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration.,
2020
Northwell Health
Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration., D. Chang, P. Patel, S. Persky, J. Ng, A. Kaell
Journal Articles
Rupture of visceral artery aneurysms or visceral artery pseudoaneurysms is an unusual cause of upper gastrointestinal bleeding. Although most visceral artery aneurysms and visceral artery pseudoaneurysms occur in the splenic artery or hepatic artery, they can rarely occur in the gastroduodenal artery. These are at high risk for rupture, with a 40%-70% mortality. We report a case of recurrent upper gastrointestinal bleeding due to gastroduodenal artery pseudoaneurysm despite endoscopic treatment and endovascular embolization complicated by coil migration into the duodenum.
In Response To Na Et Al.’S Long-Term Mortality Of Patients Discharged From The Hospital After Successful Critical Care: Do We Need More Comprehensive Data?,
2020
Zucker School of Medicine at Hofstra/Northwell
In Response To Na Et Al.’S Long-Term Mortality Of Patients Discharged From The Hospital After Successful Critical Care: Do We Need More Comprehensive Data?, A. M. Esquinas, H. M. Karim, B. Mina
Journal Articles
No abstract provided.
Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series,
2020
Zucker School of Medicine at Hofstra/Northwell
Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series, J. Wang, N. Hajizadeh, E. E. Moore, R. C. Mcintyre, P. K. Moore, L. A. Veress, M. B. Yaffe, H. B. Moore, C. D. Barrett
Journal Articles
This article is protected by copyright. All rights reserved. A hallmark of severe COVID-19 is coagulopathy, with 71.4% of patients who die of COVID-19 meeting ISTH criteria for disseminated intravascular coagulation (DIC) while only 0.6% of patients who survive meet these criteria (1). Additionally, it has become clear that this is not a bleeding diathesis but rather a predominantly pro-thrombotic DIC with high venous thromboembolism rates, elevated D-dimer levels, high fibrinogen levels in concert with low anti-thrombin levels, and pulmonary congestion with microvascular thrombosis and occlusion on pathology in addition to mounting experience with high rates of central line thrombosis …
Inaccurate Conclusions By Tang And Colleagues,
2020
Zucker School of Medicine at Hofstra/Northwell
Inaccurate Conclusions By Tang And Colleagues, Y. Y. Greenstein
Journal Articles
No abstract provided.
Erratum: What Is The Source? Identifying The Cause Of Septic Shock In A Patient (Annals Of The American Thoracic Society (2020) 17 (236-239) Doi: 10.1513/Annalsats.201907-562cc),
2020
Zucker School of Medicine at Hofstra/Northwell
Erratum: What Is The Source? Identifying The Cause Of Septic Shock In A Patient (Annals Of The American Thoracic Society (2020) 17 (236-239) Doi: 10.1513/Annalsats.201907-562cc), N. Sidhu, N. U. Baloch, Y. Greenstein
Journal Articles
Copyright © 2020 by the American Thoracic Society. The authors would like to correct the author order in their article published in the February 2020 issue of AnnalsATS (1). The correct author order should be as follows: Nimrita Sidhu, Noor Ul-Ain Baloch, and Yonatan Greenstein. For the convenience of our readers, AnnalsATS is replacing the online version of the article with a corrected version; we apologize for the error.
Increased Prevalence Of Vte Reported By Klok And Colleagues, The Numbers Don't Add Up,
2020
Zucker School of Medicine at Hofstra/Northwell
Increased Prevalence Of Vte Reported By Klok And Colleagues, The Numbers Don't Add Up, Y. Y. Greenstein
Journal Articles
No abstract provided.
Preparing For The Covid-19 Pandemic: Our Experience In New York,
2020
Zucker School of Medicine at Hofstra/Northwell
Preparing For The Covid-19 Pandemic: Our Experience In New York, Z Hasan, M Narasimhan
Journal Articles
No abstract provided.
Powerless In The Icu: Perspectives From Intensive Care Units In The Face Of Covid-19.,
2020
Zucker School of Medicine at Hofstra/Northwell
Powerless In The Icu: Perspectives From Intensive Care Units In The Face Of Covid-19., P Ramachandran, L Swamy, V Kaul, A Agrawal, M Narasimhan
Journal Articles
No abstract provided.
Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series,
2020
Zucker School of Medicine at Hofstra/Northwell
Tissue Plasminogen Activator (Tpa) Treatment For Covid-19 Associated Acute Respiratory Distress Syndrome (Ards): A Case Series, J Wang, N Hajizadeh, Ee Moore, Rc Mcintyre, Pk Moore, La Veress, Mb Yaffe, Hb Moore, Cd Barrett
Journal Articles
No abstract provided.
Critical Care Transesophageal Echocardiography In Patients During The Covid-19 Pandemic,
2020
Zucker School of Medicine at Hofstra/Northwell
Critical Care Transesophageal Echocardiography In Patients During The Covid-19 Pandemic, F Teran, Km Burns, M Narasimhan, A Goffi, P Mohabir, Jm Horowitz, E Yuriditsky, A Nagdev, S Koenig, R Arntfield, +3 Additional Authors
Journal Articles
No abstract provided.
Lessons Learned In Critical Care At A 23 Hospital Health System In New York During The Coronavirus Disease 2019 Pandemic.,
2020
Zucker School of Medicine at Hofstra/Northwell
Lessons Learned In Critical Care At A 23 Hospital Health System In New York During The Coronavirus Disease 2019 Pandemic., G Zaidi, M Narasimhan
Journal Articles
No abstract provided.
How I Do It: High Flow, Non-Invasive Ventilation And Awake (Non-Intubation) Proning In Covid-19 Patients With Respiratory Failure.,
2020
Zucker School of Medicine at Hofstra/Northwell
How I Do It: High Flow, Non-Invasive Ventilation And Awake (Non-Intubation) Proning In Covid-19 Patients With Respiratory Failure., S Raoof, S Nava, C Carpati, Ns Hill
Journal Articles
No abstract provided.
Powerless In The Icu: Perspectives From Icus In The Face Of Covid-19.,
2020
Zucker School of Medicine at Hofstra/Northwell
Powerless In The Icu: Perspectives From Icus In The Face Of Covid-19., P Ramachandran, L Swamy, V Kaul, A Agrawal, M Narasimhan
Journal Articles
No abstract provided.
When Predictions Are Used To Allocate Scarce Health Care Resources: Three Considerations For Models In The Era Of Covid-19.,
2020
Zucker School of Medicine at Hofstra/Northwell
When Predictions Are Used To Allocate Scarce Health Care Resources: Three Considerations For Models In The Era Of Covid-19., Dm Kent, Jk Paulus, Rr Sharp, N Hajizadeh
Journal Articles
No abstract provided.
General And Intensive Care Outcomes For Hospitalized Patients With Solid Organ Transplants With Covid-19,
2020
Zucker School of Medicine at Hofstra/Northwell
General And Intensive Care Outcomes For Hospitalized Patients With Solid Organ Transplants With Covid-19, F. Mastroianni, D. E. Leisman, G. Fisler, M. Narasimhan
Journal Articles
© The Author(s) 2020. Purpose: COVID-19 has been associated with a dysregulated inflammatory response. Patients who have received solid-organ transplants are more susceptible to infections in general due to the use of immunosuppressants. We investigated factors associated with mechanical ventilation and outcomes in solid-organ transplant recipients with COVID-19. Materials and Methods: We conducted a retrospective cohort study of all solid-organ transplant recipients admitted with a diagnosis of COVID-19 in our 23-hospital health system over a 1-month period. Descriptive statistics were used to describe hospital course and laboratory results and bivariate comparisons were performed on variables to determine differences. Results: Twenty-two …
Lung Ultrasonography As An Alternative To Chest Computed Tomography In Covid-19 Pneumonia?,
2020
Zucker School of Medicine at Hofstra/Northwell
Lung Ultrasonography As An Alternative To Chest Computed Tomography In Covid-19 Pneumonia?, A. Vieillard-Baron, A. Goffi, P. Mayo
Journal Articles
No abstract provided.
Locked-In With Covid-19,
2020
Northwell Health
Locked-In With Covid-19, A. Avula, A. Gill, R. Nassar, K. Nalleballe, S. Siddamreddy, M. Chalhoub
Journal Articles
© 2020 Elsevier Ltd Coronavirus Disease 2019 (COVID-19) can be associated with various neurological manifestations including acute strokes. Hyper acute diagnosis and treatment are key factors which decrease mortality and morbidity in stroke patients. The COVID-19 pandemic has introduced a great strain on the healthcare system, and as a result clinicians are facing several barriers in diagnosing and treating strokes. Delayed presentation of strokes is a problem as some in the general population defer the decision to seek immediate medical attention fearing contracting the virus. Also playing a role is the paucity of healthcare professionals available during a pandemic. Recent …
