Year in review 2009: Critical Care--cardiac arrest, trauma and disastersJeffery C Metzger
Department of Surgery Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Mail Code 8579, Dallas, TX 75390 8579, USA
Crit Care 14:242. 2010
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- Year in review 2008: Critical Care--trauma
Jeffery C Metzger
Department of Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Mail Code 8579, Dallas, TX 75390 8579, USA
Crit Care 13:226. 2009
..Finally, an experimental model showed that both splenic apoptosis and lymphocytopenia may occur shortly after severe hemorrhage, thus increasing the threat of immunosuppression in those with severe blood loss...
- Clinical trials in the out-of-hospital setting: rationale and strategies for successful implementation
Paul E Pepe
Department of Medicine, School of Public Health, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA
Crit Care Med 37:S91-101. 2009
..Such efforts should be led by respected, academically authoritative, grassroots emergency medical services medical directors and trauma chiefs, preferably those based at the main trauma centers or public receiving facilities...
- The lifesaving potential of specialized on-scene medical support for urban tactical operations
Jeffery C Metzger
Emergency Medicine Section of EMS, Homeland Security and Disaster Medicine, and the Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390 8579, USA
Prehosp Emerg Care 13:528-31. 2009
..Considering the rapid decline in the patient's condition, it was later deemed by quality assurance reviewers that the on-scene presence of these TEMS providers was lifesaving...
- Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study
Lynn P Roppolo
Department of Surgery Division of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
Resuscitation 74:276-85. 2007
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- Layperson training for cardiopulmonary resuscitation: when less is better
Lynn P Roppolo
Department of Surgery Division of Emergency Medicine and Dallas Center for Resuscitation Research, University of Texas Southwestern Medical Center, Dallas, Texas 75309 8579, USA
Curr Opin Crit Care 13:256-60. 2007
..However, even when motivated, those wishing to acquire training traditionally have faced a myriad of barriers including the typical time commitment (3-4 h) and the number of certified instructors and equipment caches required...
- Mechanical devices for cardiopulmonary resuscitation
Jane G Wigginton
Division of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas 75390 8579, USA
Curr Opin Crit Care 11:219-23. 2005
..However, there remain multiple inadequacies in the actual delivery of manual chest compressions during cardiopulmonary resuscitation. One potential solution is use of adjunct mechanical devices...
- Intravenous fluid resuscitation for the trauma patient
Lynn P Roppolo
Department of Surgery Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390 8579, USA
Curr Opin Crit Care 16:283-8. 2010
..g., deep truncal injury) versus a controllable source (e.g., distal extremity wound)...
- Modified cardiopulmonary resuscitation (CPR) instruction protocols for emergency medical dispatchers: rationale and recommendations
Lynn P Roppolo
Chair, Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Mail Code 8579, Dallas, TX 75390-8579, USA
Resuscitation 65:203-10. 2005
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- Attributes of effective disaster responders: focus group discussions with key emergency response leaders
Richard V King
University of Texas Southwestern Medical Center, Dallas, 75390, USA
Disaster Med Public Health Prep 4:332-8. 2010
..These sessions were recorded with audio equipment and later transcribed...
- The perspective of paramedics about on-scene termination of resuscitation efforts for pediatric patients
William L Hall
Department of Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA
Resuscitation 60:175-87. 2004
..The purpose of this study was to assess the attitude of paramedics to on-scene termination of cardiopulmonary resuscitation (T-CPR) efforts in children prior to developing a pediatric T-CPR policy...
- The detrimental effects of ventilation during low-blood-flow states
Paul E Pepe
Emergency Medicine Administration, The University of Texas Southwestern Medical Center, Dallas, Texas 75390 8579, USA
Curr Opin Crit Care 11:212-8. 2005
..In recent years, it has become increasingly apparent that resuscitative ventilatory procedures, classically thought to be life saving, may have profound detrimental effects...
- The role of the plastic surgeon in disaster relief
Hema J Thakar
Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390 9132, USA
Plast Reconstr Surg 124:975-81. 2009
..In turn, training programs should include key elements of incident command and catastrophe relief...
- Retention, retention, retention: targeting the young in CPR skills training!
Lynn P Roppolo
Departments of Surgery Emergency Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390 8579, USA
Crit Care 13:185. 2009
..In addition, early training not only sets the stage for subsequent training and better retention, but it also reinforces the concept of a social obligation to help others...
- Evolving need for alternative triage management in public health emergencies: a Hurricane Katrina case study
Kelly R Klein
Section of EMS, Homeland Security and Disaster Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390 8890, USA
Disaster Med Public Health Prep 2:S40-4. 2008
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- Preoperative resuscitation of the trauma patient
Paul E Pepe
Department of Surgery Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390 8579, USA
Curr Opin Anaesthesiol 21:216-21. 2008
..g. deep truncal injury) versus a controllable source (e.g. distal extremity wound) as well as the use of new techniques to inhibit bleeding and better ways to monitor the patient's condition...
- In hospital care--extension of EMS. Reversing the traditional perspective
Paul E Pepe
University of Texas Southwestern Medical Center, Dallas, USA
JEMS 32:S4. 2007
- Endotracheal intubation in the field: con position
Jane G Wigginton
Faculty in Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, TX 75390-8579, USA
Hosp Med 66:91-4. 2005
- Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology
Paul E Pepe
The University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, 5323 Harry Hines Boulevard, Dallas, TX 75390 8579, USA
Crit Care 10:119. 2006
..As a result of these technological advances, survival rates for cardiac arrest are now expected to improve significantly...
- Is coronary computed tomography angiography a resource sparing strategy in the risk stratification and evaluation of acute chest pain? Results of a randomized controlled trial
Adam H Miller
From the University of Texas Southwestern Medical Center, Department of Surgery, Division of Emergency Medicine AHM, PEP, Parkland Health and Hospital System, Dallas, TX, USA
Acad Emerg Med 18:458-67. 2011
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- ED ultrasound in hepatobiliary disease
Adam H Miller
Department of Medicine, University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, Dallas, Texas 75390-8579, USA
J Emerg Med 30:69-74. 2006
..The sensitivity of the EPUS for detecting stones was 94% (positive predictive value 99%; specificity 96%; negative predictive value 73%). In conclusion, the EPUS is a highly sensitive and reliable indicator of the presence of gallstones...
- Food and Drug Administration public hearing on the conduct of emergency clinical research: testimony of Dr. Pepe--defending the rights of all individuals to have access to potential life-saving therapies and resuscitation studies
Paul E Pepe
Emergency Medicine Programs at the University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, Dallas, TX, USA
Acad Emerg Med 14:e51-6. 2007
- Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation
Paul E Pepe
Professor of Medicine, Surgery, Public Health and Riggs Family Chair in Emergency Medicine, The University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, Dallas, Texas, USA
Crit Care 8:41-5. 2004
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- Conductive electrical devices: a prospective, population-based study of the medical safety of law enforcement use
Alexander L Eastman
Division of Burns, Trauma and Critical Care, Emergency Medicine Section of EMS, Disaster Management and Homeland Security, University of Texas Southwestern Medical Center, Dallas, Texas, USA
J Trauma 64:1567-72. 2008
..To examine police compliance with policies for the proper use of conductive electrical devices (CEDs) and, in turn, track any associated medical events following CED application...
- Detrimental hemodynamic effects of assisted ventilation in hemorrhagic states
Paul E Pepe
Department of Surgery, and the School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA
Crit Care Med 32:S414-20. 2004
..Current ventilatory protocols for trauma resuscitation should be re-examined and considered a possible cause of worsened clinical outcomes and unrecognized confounded study results...
- Evidence-based performance measures for emergency medical services systems: a model for expanded EMS benchmarking
J Brent Myers
Section of EMF Homeland Security and Disaster Medicine, The University of Texas Southwestern Medical Center, Dallas, TX 75390 8579, USA
Prehosp Emerg Care 12:141-51. 2008
..It is hoped that utilization of this model will serve to improve EMS system design and deployment strategies while enhancing the benchmarking and sharing of best practices among EMS systems...
- Sex-related differences in the presentation and outcome of out-of-hospital cardiopulmonary arrest: a multiyear, prospective, population-based study
Jane G Wigginton
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-8579, USA
Crit Care Med 30:S131-6. 2002
..Additional studies are required to validate these observations, not only for long-term survival and external validity, but also for other potential genetic factors and potential discrepancies with other studies...
- Prehospital care of the patient with major trauma
Raymond Fowler
University of Texas Southwestern Medical Center, Parkland Health and Hospital System, Dallas Metropolitan Biotel (EMS) System, Emergency Medicine, MC 8579, 5323 Harry Hines Boulevard, Dallas, TX 75390-8579, USA
Emerg Med Clin North Am 20:953-74. 2002
..It is hoped that, in the future, EMS physicians will be able to not only better discriminate in their management of patients with major trauma but also improve outcomes as a result...
- Role of the physician in prehospital management of trauma: North American perspective
Fernando L Benitez
Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390 8579, USA
Curr Opin Crit Care 8:551-8. 2002
..In addition, active participation helps the accountable EMS physician not only to identify weaknesses in personnel skills and system approaches, but it also provides an opportunity for role modeling, both medically and managerially...
- Advances in resuscitative trauma care
J G Wigginton
The Parkland Memorial Hospital Emergency Trauma Center, TX, USA
Minerva Anestesiol 77:993-1002. 2011
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