Medicine and Health Sciences Commons^™

Loperamide-Induced Cardiac Events: Case Reports And Review., Vivek Modi, Matthew Krinock, Ravi V. Desai Md, Steven Stevens, Sudip Nanda

Cardiology Division

Reports of cardiac arrhythmia secondary to loperamide toxicity have become increasingly common in the literature. We present two patients in their mid-20s, each having overdosed on loperamide and subsequently manifesting life-threatening cardiac arrhythmias not otherwise explained by known pathology. An analysis of the limited research available indicates that loperamide's capacity to block ion channels may be responsible for these events. A better mechanistic understanding of loperamide's effects can help inform clinical management of patients with these life-threatening symptoms as at this time no set guidelines for management have yet been established.

Gender Analysis Of Publishing Among Medical Students In Dermatology, Michelle Militello, Mindy D. Szeto, Kayd J. Pulsipher, Abigail L. Meckley, Kristen H. Ward, Taylor Harp, Colby L. Presley, Cara Barber, Hope R. Rietcheck, Taylor M. Runion, Chandler W. Rundle, Robert P. Dellavalle

Research and Historical Works - 2021

No abstract provided.

A Study On The Efficacy Of A Naloxone Training Program, Gillian A. Beauchamp Md, Hoonani M. Cuadrado, Seth A. Campbell Pa-C, Bennie Eliason Chw, Chase Jones Do, Aaron Fedor Do, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Marna Greenberg

Department of Emergency Medicine

Introduction: The use of naloxone to reverse a potentially fatal opioid overdose is a harm reduction strategy that reduces mortality and increases the potential for referral to substance use treatment for affected individuals. In the setting of outreach performed by a street medicine team, we aimed to determine the effectiveness of an educational intervention involving distribution of naloxone accompanied by a brief instructive session about opioids, opioid overdose, and medication administration. Methods: Our street medicine outreach team distributed 200 naloxone kits to clinicians and volunteers involved in caring for patients on ‘street rounds,’ as well as in shelters, soup kitchens, …

Analytics Monthly, Lehigh Valley Health Network

LVHN documents

No abstract provided.

Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, Gillian A. Beauchamp Md, Olivia A. Hardy, Alexandra M. Amaducci, Judith N. Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth D. Katz Md, Marna Greenberg Do, Mph, Ryan M Surmaitis Do, Andrew Koons, Joseph B. Zackary Md

Department of Family Medicine

No abstract provided.

Agents Of Exposure In Transgender Patient Cases Managed By A Toxicologist: An Analysis Of The Toxicology Investigators Consortium (Toxic) Registry, Olivia A. Hardy, Alexandra Amaducci, Judith Sabino, Beth Careyva, Matthew D. Cook Do, Kenneth Katz, Marna Greenberg, Ryan Surmaitis Do, Andrew Koons, Joseph B. Zackary Md, Gillian A. Beauchamp Md

Department of Family Medicine

No abstract provided.

Obsolete Or Essential? Gastrointestinal Decontamination In Severe Bupropion Ingestions: A Case Series, Alexandra Amaducci Do, Andrew F. Miller Do, Derek J. Fikse Do, Gillian A. Beauchamp Md

Department of Emergency Medicine

No abstract provided.

Toxicological Exposures In Covid-19 Patients, Alexandra M. Amaducci Do, Kim Aldy Do, Sharan L Campleman Phd, Mph, Dabt, Shao Li Mph, Alison Meyn Mph, Stephanie Abston Rn, Bsn, Meghan B Spyres Md, Paul M Wax Md, Facmt, Jeffery Brent Md, Phd

Department of Emergency Medicine

No abstract provided.

Using Frap To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley: A Mixed-Method Geospatial Mapping And Rapid Qualitative Analysis Approach, Susan Hansen Ma, Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie Johnson, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.

Development Of The Master Adaptive Learner In Residency Training, Soukaina Rezqui, Susan Hansen Ma, Nyann Biery, Drew Keister Md

Department of Family Medicine

No abstract provided.

Using Frap: A Mixed Method Geospatial Mapping And Rapid Qualitative Analysis Approach, To Uncover Barriers And Facilitators Of Diabetes Care In The Lehigh Valley., Autumn Kieber-Emmons Md, Mph, Kyle Shaak Bs, Melanie B. Johnson Mpa, Susan E. Hansen Ma, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.

The Many Faces Of Covid19 Infection: A Case Of Multisystem Inflammatory Syndrome In Adults (Mis-A), Amy Lam Do, Kaitlyn Musco Md, Nicholas Hinds Md

Posters

No abstract provided.

Severe Iron Deficiency Anemia Causing Pericardial Effusion, Emily C. Skutnik Do, Anita Fei Md, Alisha Hossain Do, Desire G. Guthier Do, Andrew Viscusi Do, Bradley Lash Md, Ali Yazdanyar Do

Posters

No abstract provided.

Safety And Efficacy Of Oral Anticoagulants In Atrial Fibrillation And Bioprosthetic Heart Valves, Srikanth Yandrapalli, Rahul Gupta Md, Aaqib H. Malik

Research and Historical Works - 2021

No abstract provided.

Management And Outcomes Of Cardiogenic Shock In Cardiac Icus With Versus Without Shock Teams., Alexander I Papolos, Benjamin B Kenigsberg, David D Berg, Carlos L Alviar, Erin Bohula, James A Burke Md, Anthony P Carnicelli, Sunit-Preet Chaudhry, Stavros Drakos, Daniel A Gerber, Jianping Guo, James M Horowitz, Jason N Katz, Ellen C Keeley, Thomas S Metkus, Jose Nativi-Nicolau, Jeffrey R Snell, Shashank S Sinha, Wayne J Tymchak, Sean Van Diepen, David A Morrow, Christopher F Barnett

Cardiology Division

BACKGROUND: Single-center studies suggest that implementation of multidisciplinary cardiogenic shock (CS) teams is associated with improved CS survival.

OBJECTIVES: The aim was to characterize practice patterns and outcomes in the management of CS across multiple centers with versus without shock teams.

METHODS: The Critical Care Cardiology Trials Network is a multicenter network of cardiac intensive care units (CICUs) in North America. All consecutive medical admissions to each CICU (n = 24) were captured during annual 2-month collection periods (2017-2019; n = 6,872). Shock management and CICU mortality among centers with versus without shock teams were compared using inverse probability weighting. …

Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Shelter Adolescents., Brittney A Gaudet, Nina Liu, Allison N Kayne, Taylor L Jarvill, Cecilia Zemanek, Jeffrey M Downen, Hoonani M Cuadrado, Amy B Smith, Marna R Greenberg, Jessica L Jacoby, Joanne N Quinones

Department of Emergency Medicine

Objective: To determine whether biopsychosocial factors are associated with sexual activity and contraceptive utilization among homeless shelter adolescents. Methods: A retrospective study of 440 adolescents at a shelter in Pennsylvania between February 2015 and September 2019 was conducted. The cohort was evaluated to determine what relationship age, gender identity, substance use, and trauma history have with sexual activity and contraceptive utilization. Results: Sexual activity was significantly related to age (mean 15.8+1.4 years in sexually active vs. 14.7+1.6 years in abstinent youth, p<0.001); remote history of self-harm behavior (relative risk ratio (RR) 1.23 [95% CI 1.03-1.46]; p=0.02), history of aggressive behavior (RR 1.21 [95% CI 1.01-1.46]; p=0.04), history of trauma (RR 1.24 [95% CI 1.04-1.48]; p=0.03), and substance use (RR 2.27 [95%CI 1.86-2.77]; p<0.001). There were 55.7% sexually active females vs. 42.50% males reporting contraception use (p=0.01). After adjustment, older age and substance use remained significantly associated with sexual activity (adjusted odds ratio (AOR) 1.58 [95% CI 1.36-1.83]; p<0.001 and AOR 5.18 [95% CI 3.28-8.18]; p<0.001, respectively). Conclusions: Females self-reported sexual activity using contraception more than males. After adjustment, older age and substance use were associated with sexual activity. By better understanding the impact these factors can have on contraceptive utilization, informed policy and practice interventions can be developed and implemented to help increase safe sex practices in spaces where homeless adolescents access healthcare.

Implementing An Inpatient Virtual Discharge Nurse Program – Riding The Wave Of Technology At The Bedside, Marjorie Lavin Rn, Bsn, Jaclyn Stine Bs

Posters

No abstract provided.

Teaching Wilderness Medicine Virtually During Covid-19, Nicole Elliott Do, Derek J. Fikse Do, Eric Schneider Do, Kevin R. Roth Do, Facoep, Bryan G. Kane Md, Hillary Irons Md, Michael C. Nguyen Md

Department of Emergency Medicine

No abstract provided.

Integrated Onboarding: Synchronous Teaching To Prepare Learners For Successful Orientation, Nicole Wiswesser Msn, Rn, Cmsrn, Kathleen L. Chenard Msn, Rnc-Ob, Elizabeth A. Posasinski

Department of Education

No abstract provided.

A Standardized Orientation For Newly-Licensed Nurses And Preceptors In The Emergency Department, Judith Baker Bsn, Rn, Michelle Greis Bsn, Rn, Cen, Reza Armaghan Msn, Rn, Cen, Phrn

Department of Emergency Medicine

No abstract provided.

Assessing Knowledge In The Classroom Setting: It's More Than Just A Test, Jessica A. Conlin, Rachel Bareltta-Scarcella

Department of Education

No abstract provided.

Syndrome Of Inappropriate Antidiuretic Hormone Secretion And Lead Toxicity In A Child With Sickle Cell Disease And Pica., Akshay Gupta Do, Alexandra Amaducci Do, Andrew L. Koons, John D. Lindmark, Gillian A. Beauchamp Md

Department of Emergency Medicine

We describe the presentation and management of a three-year-old child with a history of pica, vitamin D deficiency, and sickle cell disease, who was admitted for pyelonephritis, and found to have elevated blood lead level (BLL) of 103.7 µg/dL, and who subsequently developed altered mental status and syndrome of inappropriate antidiuretic hormone secretion (SIADH). In consultation with Medical Toxicology, the patient was chelated with calcium disodium edetate (EDTA) and British Anti Lewisite (BAL). The patient's hyponatremia was managed with hypertonic saline infusion. The patient's encephalopathy improved throughout her hospital course, and she was discharged on hospital day 8. Following five …

Assessment Of Emergency Medicine Resident Performance In A Pediatric In Situ Simulation Using Multi-Source Feedback., Michael C Nguyen, Nicole C Elliott, Diane P Begany, Katie M Best, Matthew D Cook, Michael R Jong, Zachary M Matuzsan, Louis A Morolla, Suzanne S Partington, Bryan G Kane

Department of Emergency Medicine

Introduction Multi-source feedback (MSF) is an evaluation method mandated by the Accreditation Council for Graduate Medical Education (ACGME). The Queen's Simulation Assessment Tool (QSAT) has been validated as being able to distinguish between resident performances in a simulation setting. The QSAT has also been demonstrated to have excellent MSF agreement when used in an adult simulation performed in a simulation lab. Using the QSAT, this study sought to determine the degree of agreement of MSF in a single pediatric (Peds) simulation case conducted in situ in a Peds emergency department (ED). Methods This Institutional Review Board-approved study was conducted in …

Management Of Peritonsillar Abscess Within A Local Emergency Department: A Quality Analysis Study., Briana K Ortega, Spencer Short, Bryan G. Kane Md, Robert M. Dedio Md

Department of Emergency Medicine

OBJECTIVE: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck, affecting thousands of people annually with high treatment costs. The purpose of this project was to determine how in-network emergency departments (EDs) adhere to generally accepted guidelines regarding diagnosis and management of potential PTAs.

METHODS: The authors performed a retrospective chart review to identify patients with PTA in five EDs in one year. Information pertaining to diagnostic tests, treatment, and airway status was also collected. Descriptive analysis was used to assess if EDs were consistent with generally accepted guidelines.

RESULTS: Six hundred twenty-one patient …

Mechanical Circulatory Support Using Impella Devices For Cardiogenic Shock, Gabriella Gormas, James K. Wu Md

Research Scholars

No abstract provided.

Improving Patient Access Knowledge, Xinyi He, Krista Bott Md, Sean Quinlan-Davidson Md

Research Scholars

No abstract provided.

The Impact Of Covid-19 On Pregnancy And Neonatal Outcomes, Jessica Davis, Joanne Quiñones Md, Msce, Michael Young

Research Scholars

No abstract provided.

Impact Of Fellow/Resident Involvement During Colonoscopy In A High-Volume Colorectal Surgical Practice, Zachary Chomitzky, William Sangster

Research Scholars

No abstract provided.

Is There A Difference Between Burn Patients Treated With Topical Mafenide Acetate Before And During Covid-19?, Morgan Anderson, Sigrid A. Blome-Eberwein Md

Research Scholars

No abstract provided.

Top Comorbidities Associated With Patient Malnutrition On 30 Day Readmission Rate, Kaitlyn Mcginley, Melissa Faura Rd, Ldn, Ann Flickinger Ms, Rd, Ldn, Kimberly Procaccino Mba, Rd, Ldn

Research Scholars

No abstract provided.