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I Survived The Icu: Post-Intensive Care Syndrome From Patient And Nursing Perspectives, Catherine Bynum 2018 Gardner-Webb University

I Survived The Icu: Post-Intensive Care Syndrome From Patient And Nursing Perspectives, Catherine Bynum

Undergraduate Honors Theses

Excerpt from Introduction

After a head-on collision with a drunk driver, Kathy Torpie had a long road to recovery ahead of her. After three weeks in the intensive care unit (ICU), sedation, and mechanical ventilation, she was left with a set of symptoms coined Post-Intensive Care Syndrome (PICS) (Torpie, 2005). PICS is defined as “a condition that encompasses new or worsening impairments in the patient’s physical, cognitive, or mental status arising after critical illness and persisting beyond the acute hospitalization” (Makic, 2016, p. 172). With technological advancements, ICU survival rates are on the rise. Now that survival has increased ...


The Effectiveness Of Interventions And Bundles For Central Line-Associated Bloodstream Infections In The Neonatal Intensive Care Unit, Mohamad Alhamwi 2018 University of Central Florida

The Effectiveness Of Interventions And Bundles For Central Line-Associated Bloodstream Infections In The Neonatal Intensive Care Unit, Mohamad Alhamwi

Honors Undergraduate Theses

Introduction: Central Line-Associated Bloodstream Infections (CLABSIs) are a major cause of increased mortality, morbidity and healthcare costs in neonatal intensive care units (NICUs) patients. Despite CDC's efforts to reduce infection rates, patients often suffer consequences. The objective of this study is to perform a systematic review of strategies utilized in the neonatal population and evaluate them with the current CDC's guidelines to assess the effectiveness of bundles in preventing CLABSI in NICUs.

Methods: A systematic literature search was conducted using CINAHL Plus with Text, Cochrane Database of Systematic Reviews and MEDLINE from January 2008 up to 2018. There ...


Simulation-Based Training In Ebola Personal Protective Equipment For Healthcare Workers: Experience From King Abdulaziz University Hospital In Saudi Arabia, Jameel Abualenain, M. Al-Alawi 2018 George Washington University

Simulation-Based Training In Ebola Personal Protective Equipment For Healthcare Workers: Experience From King Abdulaziz University Hospital In Saudi Arabia, Jameel Abualenain, M. Al-Alawi

Emergency Medicine Faculty Publications

Background: Millions of Muslims from across the world gather annually to perform pilgrimage. This can import unusual communicable diseases such as Ebola. Communicable diseases with a high risk of mortality necessitate special training to master the required competency to avert transmission of infections. The efficacy of simulation-based training (SBT) has been shown in such circumstances. Objective: We sought to develop an SBT program in Ebola Personal Protective Equipment (PPE) for all healthcare workers (HCWs). Methods: We conducted a quasi-experimental study at the clinical skills and simulation center at the King Abdulaziz University. An interdisciplinary committee was formed to develop this ...


The Accuracy Of Point-Of-Care Ultrasound In Detecting Small Bowel Obstruction In Emergency Department, Ali Pourmand, Ubah Dimbil, A. Drake, Hamid A. Shokoohi 2018 George Washington University

The Accuracy Of Point-Of-Care Ultrasound In Detecting Small Bowel Obstruction In Emergency Department, Ali Pourmand, Ubah Dimbil, A. Drake, Hamid A. Shokoohi

Emergency Medicine Faculty Publications

Radiological imaging plays an essential role in the evaluation of a patient with suspected small bowel obstruction (SBO). In a few studies, point-of-care ultrasound (POCUS) has been utilized as a primary imaging modality in patients with suspected SBO. POCUS has been shown to be an accurate tool in the diagnosis of SBO with multiple research studies noting a consistent high sensitivity with a range of 94–100% and specificity of 81–100%. Specific sonographic findings that increase the likelihood of SBO include dilatation of small bowel loops > 25 mm, altered intestinal peristalsis, increased thickness of the bowel wall, and intraperitoneal ...


Successful Utilization Of Mechanical Thrombectomy In A Presentation Of Pediatric Acute Ischemic Stroke, Esther S. Kim, Erica K. Mason, Andrew Koons, Shawn M. Quinn, Robert L. Williams 2018 Lehigh Valley Health Network

Successful Utilization Of Mechanical Thrombectomy In A Presentation Of Pediatric Acute Ischemic Stroke, Esther S. Kim, Erica K. Mason, Andrew Koons, Shawn M. Quinn, Robert L. Williams

Department of Emergency Medicine

No abstract provided.


Implementation Of An Emergency Medicine Research Associates Program: Sharing 20 Years Of Experience, B. Abar, V. DeRienzo, J. Glick, N. Wood, M. N. Shah, S. Schneider, D. Adler 2018 Zucker School of Medicine at Hofstra/Northwell

Implementation Of An Emergency Medicine Research Associates Program: Sharing 20 Years Of Experience, B. Abar, V. Derienzo, J. Glick, N. Wood, M. N. Shah, S. Schneider, D. Adler

Journal Articles

© 2018 Abar et al. Introduction: The use of research associates (RA) programs to facilitate study enrollment in the emergency department was initiated during the mid-1990s. The University of Rochester Medical Center (URMC) was an early adopting site for this model, which has experienced considerable growth and development over the past 20 years. Methods: Our goal was to detail the Emergency Department Research Associates (EDRA) program processes developed at the URMC that has led to our program’s sustainability and productivity. These processes, and the lessons learned during their development, can assist institutions seeking to establish an RA program or refine ...


Gender Differences In Pain Experience And Treatment After Motor Vehicle Collisions: A Secondary Analysis Of The Crash Injury Study, T. E. Madsen, S. McLean, W. Zhai, S. Linnstaedt, M. C. Kurz, R. Swor, P. Hendry, D. Peak, D. Lee, F. Beaudoin, +4 additional authors 2018 Zucker School of Medicine at Hofstra/Northwell

Gender Differences In Pain Experience And Treatment After Motor Vehicle Collisions: A Secondary Analysis Of The Crash Injury Study, T. E. Madsen, S. Mclean, W. Zhai, S. Linnstaedt, M. C. Kurz, R. Swor, P. Hendry, D. Peak, D. Lee, F. Beaudoin, +4 Additional Authors

Journal Articles

No abstract provided.


Correction To: The Toxicology Investigators Consortium Case Registry—The 2017 Annual Report., L. A. Farrugia, S. H. Rhyee, S. L. Campleman, B. Judge, L. Kao, A. Pizon, L. Porter, A. M. Riederer, N. Majlesi, A. Zosel, +89 additional authors 2018 Zucker School of Medicine at Hofstra/Northwell

Correction To: The Toxicology Investigators Consortium Case Registry—The 2017 Annual Report., L. A. Farrugia, S. H. Rhyee, S. L. Campleman, B. Judge, L. Kao, A. Pizon, L. Porter, A. M. Riederer, N. Majlesi, A. Zosel, +89 Additional Authors

Journal Articles

No abstract provided.


Comparative Effectiveness Of A Technology-Facilitated Depression Care Management Model In Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes Of A Large Clinical Trial., S. Wu, K. Ell, H. Jin, I. Vidyanti, C. P. Chou, P. J. Lee, S. Gross-Schulman, L. M. Sklaroff, M. Richman, J. Guterman, +20 additional authors 2018 Zucker School of Medicine at Hofstra/Northwell

Comparative Effectiveness Of A Technology-Facilitated Depression Care Management Model In Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes Of A Large Clinical Trial., S. Wu, K. Ell, H. Jin, I. Vidyanti, C. P. Chou, P. J. Lee, S. Gross-Schulman, L. M. Sklaroff, M. Richman, J. Guterman, +20 Additional Authors

Journal Articles

BACKGROUND: Comorbid depression is a significant challenge for safety-net primary care systems. Team-based collaborative depression care is effective, but complex system factors in safety-net organizations impede adoption and result in persistent disparities in outcomes. Diabetes-Depression Care-management Adoption Trial (DCAT) evaluated whether depression care could be significantly improved by harnessing information and communication technologies to automate routine screening and monitoring of patient symptoms and treatment adherence and allow timely communication with providers.

OBJECTIVE: The aim of this study was to compare 6-month outcomes of a technology-facilitated care model with a usual care model and a supported care model that involved team-based ...


Deep Neck Space Infections-A Study In Diabetic Population In A Tertiary Care Centre, K. Sharma, D. Das, M. Joshi, D. Barman, A. J. Sarma 2018 Zucker School of Medicine at Hofstra/Northwell

Deep Neck Space Infections-A Study In Diabetic Population In A Tertiary Care Centre, K. Sharma, D. Das, M. Joshi, D. Barman, A. J. Sarma

Journal Articles

© 2017, Association of Otolaryngologists of India. This study is intended to analyze the clinical profile and outcomes of deep neck space infection in diabetic patients in our tertiary care centre. A prospective study of 1 year duration from 30th September 2015 to 30th September 2016 at department of Otorhinolaryngology, Gauhati Medical College and Hospital, Guwahati. A total of 45 diabetic patients who presented with DNSI are included in this study. Their demographic profile, etiology, bacteriology, treatment, duration of hospital stay, complications and outcomes have been analyzed. 45 patients were recorded; 32 (71.11%) were men, and 13 (45%) were women ...


A Novel Approach To Addressing An Unintended Consequence Of Direct To Room: The Delay Of Initial Vital Signs., J. Basile, E. Youssef, B. Cambria, J. Chacko, K. Treval, B. Hahn, B. Ardolic 2018 Zucker School of Medicine at Hofstra/Northwell

A Novel Approach To Addressing An Unintended Consequence Of Direct To Room: The Delay Of Initial Vital Signs., J. Basile, E. Youssef, B. Cambria, J. Chacko, K. Treval, B. Hahn, B. Ardolic

Journal Articles

Introduction: The concept of "direct to room" (DTR) and "immediate bedding" has been described in the literature as a mechanism to improve front-end, emergency department (ED) processing. The process allows for an expedited clinician-patient encounter. An unintended consequence of DTR was a time delay in obtaining the initial set of vital signs upon patient arrival.

Methods: This retrospective cohort study was conducted at a single, academic, tertiary-care facility with an annual census of 94,000 patient visits. Inclusion criteria were all patients who entered the ED from 11/1/15 to 5/1/16 and between the hours of 7 ...


Connexin 43 Hemichannel As A Novel Mediator Of Sterile And Infectious Inflammatory Diseases, W. Li, W. Chen, S. Zhu, M. He, G. Ma, Y. Al-Abed, H. Yang, K. J. Tracey, P. Wang, J. D'Angelo, H. Wang, +4 additional authors 2018 Northwell Health

Connexin 43 Hemichannel As A Novel Mediator Of Sterile And Infectious Inflammatory Diseases, W. Li, W. Chen, S. Zhu, M. He, G. Ma, Y. Al-Abed, H. Yang, K. J. Tracey, P. Wang, J. D'Angelo, H. Wang, +4 Additional Authors

Journal Articles

No abstract provided.


Epigallocatechin-3-Gallate Confers Protection Against Corticosterone-Induced Neuron Injuries Via Restoring Extracellular Signal-Regulated Kinase 1/2 And Phosphatidylinositol-3 Kinase/Protein Kinase B Signaling Pathways, X. Zhao, R. Li, H. Jin, H. Jin, Y. Wang, W. Zhang, H. Wang, W. Chen 2018 Northwell Health

Epigallocatechin-3-Gallate Confers Protection Against Corticosterone-Induced Neuron Injuries Via Restoring Extracellular Signal-Regulated Kinase 1/2 And Phosphatidylinositol-3 Kinase/Protein Kinase B Signaling Pathways, X. Zhao, R. Li, H. Jin, H. Jin, Y. Wang, W. Zhang, H. Wang, W. Chen

Journal Articles

No abstract provided.


Child With Testicular Pain., N. Otts, R. L. Webb, J. Greenstein, B. Hahn 2018 Northwell Health

Child With Testicular Pain., N. Otts, R. L. Webb, J. Greenstein, B. Hahn

Journal Articles

No abstract provided.


Retrospective Chart Review Of Synthetic Cannabinoid Intoxication With Toxicologic Analysis, P. Sud, M. Gordon, L. Tortora, M. Stripp, D. Borg, A. Berman 2018 Zucker School of Medicine at Hofstra/Northwell

Retrospective Chart Review Of Synthetic Cannabinoid Intoxication With Toxicologic Analysis, P. Sud, M. Gordon, L. Tortora, M. Stripp, D. Borg, A. Berman

Journal Articles

© 2018 Sud et al. Introduction: Use of synthetic cannabinoids (SC) has recently emerged as a new drug epidemic. Our emergency departments (EDs) received a surge of SC users presenting with lethargy and bradycardia, contrasting prior reports of SC-induced tachycardia and agitation.Our goal was to describe these novel presentations and characterize the compounds. Methods: We present a case series of patients with SC intoxication who presented to our toxicology service covering two tertiary care EDs between 2/11/2015 and 6/23/2015. A retrospective chart review recorded initial vital signs, chief complaint and clinical course. Urine, blood and xenobiotic ...


A Low Fidelity Eye Model For Lateral Canthotomy Training, R. Kong, D. P. Kaya, E. Cioe-Pena, J. Greenstein 2018 Zucker School of Medicine at Hofstra/Northwell

A Low Fidelity Eye Model For Lateral Canthotomy Training, R. Kong, D. P. Kaya, E. Cioe-Pena, J. Greenstein

Journal Articles

© 2018 African Federation for Emergency Medicine We introduce a low-fidelity, low-cost, reusable training model for the lateral canthotomy procedure. We believe that this trainer has the potential to improve clinicians’ knowledge and skill of the procedure, especially when cost or access to higher-fidelity trainers is prohibitive.


Education And Prevention Of Stress And Ptsd In Prehospital Care Providers, Adriana Goad 2018 Parkland College

Education And Prevention Of Stress And Ptsd In Prehospital Care Providers, Adriana Goad

A with Honors Projects

The field of prehospital emergency care is one full of unpredictability, high physical demand, and mental stress. EMTs and Paramedics are called to the unknown to treat whatever they come upon with the limited supplies and equipment that can be found in their trauma bag and ambulances. Some calls may be rewarding as they save the life of a patient, or they can be run of the mill as they get a call for a person not feeling well. Some calls, though, do not end in a relaxed drop off at the ED and back to the station for the ...


Who Benefits From A Defibrillator - Balancing The Risk Of Sudden Versus Non-Sudden Death, Simon A. S. Beggs, Roy S. Gardner, John J. V. McMurray 2018 Australian Catholic University

Who Benefits From A Defibrillator - Balancing The Risk Of Sudden Versus Non-Sudden Death, Simon A. S. Beggs, Roy S. Gardner, John J. V. Mcmurray

Faculty of Health Sciences Publications

Purpose of Review: Treatment with a defibrillator can reduce the risk of sudden death by terminating ventricular arrhythmias. The identification of patient groups in whom this function reduces overall mortality is challenging. In this review, we summarise the evidence for who benefits from a defibrillator. Recent Findings: Recent evidence suggests that contemporary pharmacologic and non-defibrillator device therapies are altering the potential risks and benefits of a defibrillator. Summary: Who benefits from a defibrillator is determined by both the risk of sudden death and the competing risk of other, non-sudden causes of death. The balance of these risks is changing, which ...


Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes 2018 Edith Cowan University

Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes

Theses: Doctorates and Masters

This study investigates the preparedness of novice (student) paramedics for the mental health challenges of the paramedic profession and identifies the coping strategies used by veteran paramedics to successfully meet these challenges. The lived experience of veteran paramedics is utilised to provide this important assistance.

Initially, two surveys were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate degree paramedicine courses across Australia and New Zealand, to identify the perceived need (for preparation) within the curriculum. In addition, the anticipations, confidence and fears of novice (student) paramedics, course coordinators and veteran paramedics were also ...


Sepsis: Triage Triggers, Outcomes Quicker, Rylee Ainge, Mackenzie Flaws, Natalie Heim, Emily Herndon, Hayley Norris, Amy Scott 2018 Children's Mercy Hospital

Sepsis: Triage Triggers, Outcomes Quicker, Rylee Ainge, Mackenzie Flaws, Natalie Heim, Emily Herndon, Hayley Norris, Amy Scott

Posters

No abstract provided.


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