Medicine and Health Sciences Commons^™

Using Tqip Results In Your Trauma Center: Three Hospitals Experience, Michael Pasquale, Elizabeth Seislove

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Panel Discussion Using Tqip Results In Your Trauma Center: Tqip Participants Experiences., Michael Pasquale, Judith Schultz, Elizabeth Seislove

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Male Gender Is Associated With Increased Risk For Postinjury Pneumonia., Christopher J Gannon, Michael Pasquale, J Kathleen Tracy, Robert J Mccarter, Lena M Napolitano

Michael D Pasquale MD, FACS, FCCM

Nosocomial pneumonia in trauma patients is a significant source of resource utilization and mortality. We have previously described increased rates of pneumonia in male trauma patients in a single institution study. In that study, female trauma patients had a lower incidence of postinjury pneumonia but a higher relative risk for mortality when they did develop pneumonia. We sought to investigate the hypothesis that male trauma patients have an increased incidence of postinjury pneumonia in a separate population-based dataset. Prospective data were collected on 30,288 trauma patients (26,231 blunt injuries, 4057 penetrating injuries) admitted to all trauma centers (n = 26) …

The Trauma Quality Improvement Program (Tqip): Why We Need It And How We Utilize It., Elizabeth Seislove, M. Neal, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Anxiety, Satisfaction With Needs Met And Well-Being In Family Members Present During Trauma Resuscitation: A Comparative Study., Michael Pasquale, S. Eid

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

National Trauma Institute Prospective Evaluation Of The Ventilator Bundle In Trauma Patients: Does It Really Work?, Martin A. Croce Md, Karen J. Brasel Md, Mph, Raul Coimbra Md, Phd, Charles A. Adams Jr, Md, Preston R. Miller Md, Michael D. Pasquale Md, Facs, Fccm, Chanchai S. Mcdonald Phd, Somchan Vuthipadadon Phd, Timothy C. Fabian Md, Elizabeth A. Tolley Phd

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Since its introduction by the Institute for Healthcare Improvement, the ventilator bundle (VB) has been credited with a reduction in ventilator-associated pneumonia (VAP). The VB consists of stress ulcer prophylaxis, deep venous thrombosis prophylaxis, head-of-bed elevation, and daily sedation vacation with weaning assessment. While there is little compelling evidence that the VB is effective, it has been widely accepted. The Centers for Medical and Medicaid Services has suggested that VAP should be a "never event" and may reduce payment to providers. To provide evidence of its efficacy, the National Trauma Institute organized a prospective multi-institutional trial to evaluate the …

Antibiotics In Abdominal Wall Reconstruction, Joseph J. Stirparo Md, Michael D. Pasquale Md, Facs, Fccm

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Family Presence During Trauma Resuscitation: Ready For Primetime?, Mae Pasquale, Michael Pasquale, Leslie Baga, Sherrine Eid, Jane Leske

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: The concept of family presence during trauma resuscitation (FPTR) remains controversial. Healthcare providers have expressed concern that resuscitation of severely injured trauma patients is inappropriate for family members as they may have psychologic distress, disrupt resuscitative efforts, or misinterpret provider actions, which can ultimately impact satisfaction with care. The minimal evidence that exists is descriptive or anecdotal.

METHODS: Using a previously developed FPTR protocol, a prospective, comparative study assessing 50 adult family members, who were present (n = 25) or not present (n = 25) with their severely injured adult family member during resuscitation, was conducted. Family member anxiety …

Health Care Reform At Trauma Centers--Mortality, Complications, And Length Of Stay, Shahid Shafi, Sunni Barnes, David Nicewander, David Ballard, Avery Nathens, Angela Ingraham, Mark Hemmila, Sandra Goble, Melanie Neal, Michael Pasquale, John Fildes, Larry Gentilello

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Family Presence During Trauma Resuscitation: Ready For Primetime?, Mae Pasquale, Michael Pasquale, Leslie Baga, Sherrine Eid, Jane Leske

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Health Care Reform At Trauma Centers: Mortality, Complications, And Length Of Stay (Presentation), Shahid Shafi, Sunni Barnes, David Nicewander, David Ballard, Avery Nathens, Angela Ingraham, Mark Hemmila, John Fildes, Michael Pasquale, Larry Gentilello

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Use Of Geocoding And Us Census Data To Assess Determinants Of Outcome In Trauma Patients, Krista M. Goodman Md, John J. Hong Md, Sherrine Eid Mph, Leslie Baga Bsn, Ccrc, Michael M. Badellino Md, Mph, Facs, Michael D. Pasquale Md, Facs

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Building A Successful Team: Trials And Triumphs, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Impact Of Age And Anticoagulation: Need For Neurosurgical Intervention In Trauma Patients With Mild Traumatic Brain Injury, Margaret Moore, Michael Pasquale, Michael Badellino

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Of the 500,000 brain injuries in the United States annually, 80% are considered mild (mild traumatic brain injury). Unfortunately, 2% to 3% of them will subsequently deteriorate and result in severe neurologic dysfunction. Intracerebral changes in the elderly, chronic oral anticoagulation, and platelet inhibition may contribute to the development of intracranial bleeding after minor head injury. We sought to investigate the association of age and the use of anticoagulation and antiplatelet therapy with neurologic deterioration and the need for neurosurgical intervention in patients presenting with mild traumatic brain injury. METHODS: A retrospective review of all adult (>14 years) …

Existing Clinical Quality Gaps, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Impact Of The Affordable Care Act On Healthcare Organizations, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Peer Review At Work, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Hepatic Angioembolization In Trauma Patients: Indications And Complications., Tim Misselbeck, Erik Teicher, Mark Cipolle, Michael Pasquale, Kamalesh Shah, Dale Dangleben, Michael Badellino

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Hepatic angiography (HA) and hepatic angioembolization (HAE) are increasingly used to diagnose and treat intrahepatic arterial injuries. This study was performed to review indications, outcomes, and complications of HA/HAE in blunt trauma patients who underwent HAE as adjunct management of hepatic injury.

METHODS: A retrospective review of consecutive cases of HA/HAE at a Level I trauma center during an 8-year period. Data include demographics, physiologic condition, liver injury grade, HA/HAE indications, outcomes, morbidity, and mortality.

RESULTS: Seventy-nine patients underwent diagnostic HA; 31 (39%) had subsequent HAE. Fifty-eight hemodynamically stable patients had computerized axial tomographic (CT) scan followed by HA. …

Odontoid Fractures In The Elderly: Should We Operate?, Alice Fagin, Mark Cipolle, Robert Barraco, Sherrine Eid, James Reed, P. Mark Li, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: : Treatment of odontoid fractures remains controversial. There are conflicting data in the literature with regard to timing of operative fixation (OP), as well as whether OP should be performed. Within our own institution, treatment is variable depending largely on surgeon preference. This study was undertaken in an attempt to develop management consensus by examining outcomes in elderly patients with odontoid fractures and comparing OP to a nonoperative (non-OP) approach.

METHODS: : The trauma registry of our level I trauma center was queried for elderly (age > or = 60) patients with odontoid fractures from January 2000 to May 2006. …

Update In Surgery: Navigating Difficult Waters, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Antibiotic Selection For Management Of The Infected Abdominal Wound, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

A Randomized, Double-Blind, Placebo-Controlled Study To Assess The Effect Of Recombinant Human Erythropoietin On Functional Outcomes In Anemic, Critically Ill, Trauma Subjects: The Long Term Trauma Outcomes Study, Fred Luchette, Michael Pasquale, Timothy Fabian, Wayne Langholff, Marsha Wolfson

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Achieving a higher hemoglobin (Hb) level might allow the anemic, critically ill, trauma patient to have an improved outcome during rehabilitation therapy. METHODS: Patients with major blunt trauma orthopedic injuries were administered epoetin alfa or placebo weekly both in hospital and for up to 12 weeks after discharge or until the Hb level was >12.0 g/dL, whichever occurred first. The 36-question Short Form Health Assessment questionnaire (SF-36) was used to evaluate physical function (PF) outcomes at baseline, at hospital discharge, and at several time points posthospital discharge. RESULTS: One hundred ninety-two patients were enrolled (epoetin alfa [n = 97], …

Abdominal Compartment Syndrome, Jayme D. Lieberman Md, Michael D. Pasquale Md, Facs, Fccm

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Trauma Systems: A Comprehensive Review Of Where We Are Today, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Utilizing Tqip At Your Trauma Center, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Human Acellular Dermal Matrix As A Prosthesis For Repair Of A Traumatic Diaphragm Rupture, Erik Teicher, Firas Madbak, Dale Dangleben, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Tqip (Trauma Quality Improvement Program): Do The Data Tell The Whole Story About Outcomes, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

Hips Can Lie: Impact Of Excluding Isolated Hip Fractures On External Benchmarking Of Trauma Center Performance, David Gomez, Barbara Haas, Mark Hemmila, Michael Pasquale, Sandra Goble, Melanie Neal, N Mann, Wayne Meredith, Henry Cryer, Shahid Shafi, Avery Nathens

Michael D Pasquale MD, FACS, FCCM

BACKGROUND: Trauma centers (TCs) vary in the inclusion of patients with isolated hip fractures (IHFs) in their registries. This inconsistent case ascertainment may have significant implications on the assessment of TC performance and external benchmarking efforts. METHODS: Data were derived from the National Trauma Data Bank (2007-8.1). We included patients (aged 16 years or older) with Injury Severity Score value ≥ 9 who were admitted to Level I and II TCs. To ensure data quality, we limited the study to TC that routinely reported comorbidities and Abbreviated Injury Scale codes. IHF were defined as patients, aged 65 years or older, …

National Trauma Institute Prospective Evaluation Of The Ventilator Bundle In Trauma Patients: Does It Really Work? (Presentation), Martin Croce, Karen Brasel, Raul Coimbra, Charles Adams, Preston Miller, Michael Pasquale, Chanchai Mcdonald, Somchan Vuthipadadon, Timothy Fabian, Elizabeth Tolley

Michael D Pasquale MD, FACS, FCCM

No abstract provided.

No Suit, No Tie, No Problem: Fostering Relationships & Building Careers, Michael Pasquale

Michael D Pasquale MD, FACS, FCCM

No abstract provided.