K J Brasel

Summary

Affiliation: Medical College of Wisconsin
Country: USA

Publications

  1. ncbi request reprint Evaluation of error in medicine: application of a public health model
    K J Brasel
    Departments of Surgery, Family and Community Medicine, and Emergency Medicine, Wisconsin Injury Research Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    Acad Emerg Med 7:1298-302. 2000
  2. ncbi request reprint Significance of contrast extravasation in patients with pelvic fracture
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
    J Trauma 62:1149-52. 2007
  3. ncbi request reprint Length of stay: an appropriate quality measure?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    Arch Surg 142:461-5; discussion 465-6. 2007
  4. ncbi request reprint Quality-of-life assessment in palliative care
    Karen J Brasel
    Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Am J Hosp Palliat Care 24:231-5. 2007
  5. ncbi request reprint Needlesticks and surgical residents: who is most at risk?
    Karen J Brasel
    Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Surg Educ 64:395-8. 2007
  6. doi request reprint Injury severity and quality of life: whose perspective is important?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Trauma 68:263-8. 2010
  7. ncbi request reprint Meeting the Accreditation Council for Graduate Medical Education competencies using established residency training program assessment tools
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA
    Am J Surg 188:9-12. 2004
  8. doi request reprint Posttraumatic stress disorder: a primer for trauma surgeons
    Jennifer C Roberts
    Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 69:231-7. 2010
  9. ncbi request reprint Resident work hours: what they are really doing
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, 53226, USA
    Arch Surg 139:490-3; discussion 493-4. 2004
  10. ncbi request reprint Heart rate: is it truly a vital sign?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Wisconsin 53226, USA
    J Trauma 62:812-7. 2007

Detail Information

Publications55

  1. ncbi request reprint Evaluation of error in medicine: application of a public health model
    K J Brasel
    Departments of Surgery, Family and Community Medicine, and Emergency Medicine, Wisconsin Injury Research Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    Acad Emerg Med 7:1298-302. 2000
    ..Pre-event, event, and post-event phases are examined to find the weakest link, where intervention has the highest likelihood of successfully preventing future injuries...
  2. ncbi request reprint Significance of contrast extravasation in patients with pelvic fracture
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
    J Trauma 62:1149-52. 2007
    ..Contained contrast extravasation (CE) in solid organ injury is not well correlated with the need for operative intervention, but the significance of CE in patients with pelvic fracture is unknown...
  3. ncbi request reprint Length of stay: an appropriate quality measure?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    Arch Surg 142:461-5; discussion 465-6. 2007
    ..Although demographic and clinical information are known to affect hospital length of stay (LOS), we hypothesized that LOS after traumatic injury would be significantly influenced by nonclinical factors...
  4. ncbi request reprint Quality-of-life assessment in palliative care
    Karen J Brasel
    Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Am J Hosp Palliat Care 24:231-5. 2007
    ..Use of these instruments in the context of goal-setting and family meetings as well as common pitfalls in quality-of-life assessment are outlined...
  5. ncbi request reprint Needlesticks and surgical residents: who is most at risk?
    Karen J Brasel
    Division of Trauma and Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Surg Educ 64:395-8. 2007
    ..It was hypothesized that enhanced training would result in an increased reporting of exposures by surgical trainees and that risk would be greater in the first years of training...
  6. doi request reprint Injury severity and quality of life: whose perspective is important?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Trauma 68:263-8. 2010
    ..We hypothesized that patient-perceived injury severity, not Injury Severity Score (ISS), would be correlated with QOL in a model that included severity of post-traumatic stress disorder (PTSD) symptoms...
  7. ncbi request reprint Meeting the Accreditation Council for Graduate Medical Education competencies using established residency training program assessment tools
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA
    Am J Surg 188:9-12. 2004
    ..Most existing residency evaluation tools were constructed to evaluate the Accreditation Council for Graduate Medical Education (ACGME) competencies...
  8. doi request reprint Posttraumatic stress disorder: a primer for trauma surgeons
    Jennifer C Roberts
    Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 69:231-7. 2010
    ....
  9. ncbi request reprint Resident work hours: what they are really doing
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, 53226, USA
    Arch Surg 139:490-3; discussion 493-4. 2004
    ..We attempted to better quantitate resident work within our system of care...
  10. ncbi request reprint Heart rate: is it truly a vital sign?
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Wisconsin 53226, USA
    J Trauma 62:812-7. 2007
    ..We sought to determine whether admission heart rate is a valid predictor of hemodynamically significant injuries...
  11. ncbi request reprint Seat belts are more effective than airbags in reducing thoracic aortic injury in frontal motor vehicle crashes
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
    J Trauma 53:309-12; discussion 313. 2002
    ..Airbags reduce the probability of death in frontal collisions, but the effect is small compared with seat belts. Little is known about the influence of seat belts and airbags on the incidence of thoracic aortic injury (TAI)...
  12. ncbi request reprint Reasons for delayed discharge of trauma patients
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
    J Surg Res 107:223-6. 2002
    ..In the trauma population, increased length of stay is associated with age, comorbidities, and injury severity. We hypothesized that a significant contributor to a delay in length of stay was unrelated to these variables...
  13. ncbi request reprint Correlation of intracellular organisms with quantitative endotracheal aspirate
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 54:141-4; discussion 144-6. 2003
    ..We correlated ICOs with quantitative endotracheal aspirate (QA) in intubated patients...
  14. doi request reprint Gender-based differences in mortality in response to high product ratio massive transfusion
    Susan E Rowell
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 71:S375-9. 2011
    ..This has not been examined independently in women and men. A gender dichotomy in outcome after severe injury is known to exist. This study examined gender-related differences in mortality after high product ratio massive transfusion...
  15. doi request reprint Specific abbreviated injury scale values are responsible for the underestimation of mortality in penetrating trauma patients by the injury severity score
    Susan E Rowell
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97227, USA
    J Trauma 71:S384-8. 2011
    ..We hypothesized that the mechanism-based difference in mortality could be attributed to certain ISS ranges and specific AIS values by body region...
  16. doi request reprint Variations between level I trauma centers in 24-hour mortality in severely injured patients requiring a massive transfusion
    Charles E Wade
    Department of Surgery, and The Center for Translational Injury Research, The University of Texas Health Science Center at Houston, Houston, Texas, USA
    J Trauma 71:S389-93. 2011
    ..We hypothesized differences among centers in 24-hour mortality could predominantly be accounted for by differences in transfusion practices as well as patient characteristics...
  17. doi request reprint A high fresh frozen plasma: packed red blood cell transfusion ratio decreases mortality in all massively transfused trauma patients regardless of admission international normalized ratio
    Lisa M Brown
    Department of Surgery, University of California, San Francisco, San Francisco, California 94143 0470, USA
    J Trauma 71:S358-63. 2011
    ..Therefore, we hypothesized that patients with elevated International Normalized Ratio (INR) on arrival to the hospital may benefit more from transfusion with a high ratio of FFP:PRBC than those with a lower INR...
  18. doi request reprint Crystalloid resuscitation improves survival in trauma patients receiving low ratios of fresh frozen plasma to packed red blood cells
    Nicholas Spoerke
    Division of Trauma and Critical Care, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 71:S380-3. 2011
    ..Our aim was to determine whether the volume of crystalloid given during resuscitation correlated with differences in morbidity or mortality based on the ratio of FFP:PRBC given...
  19. doi request reprint Effect of high product ratio massive transfusion on mortality in blunt and penetrating trauma patients
    Susan E Rowell
    Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 71:S353-7. 2011
    ..This study was performed to determine whether mortality after high product ratio massive transfusion is different in blunt and penetrating trauma patients...
  20. doi request reprint A normal platelet count may not be enough: the impact of admission platelet count on mortality and transfusion in severely injured trauma patients
    Lisa M Brown
    Department of Surgery, University of California, San Francisco, California, USA
    J Trauma 71:S337-42. 2011
    ..The purpose of this study was to examine the relationship between admission platelet count and outcomes after trauma...
  21. doi request reprint Management of patients with anterior abdominal stab wounds: a Western Trauma Association multicenter trial
    Walter L Biffl
    Department of Surgery, Denver Health Medical Center University of Colorado Denver, Denver, Colorado 80204 4507, USA
    J Trauma 66:1294-301. 2009
    ....
  22. doi request reprint Surgical education in the internet era
    Carla M Pugh
    Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
    J Surg Res 156:177-82. 2009
    ..This paper highlights presentations about the challenges as well as the rewards of surgical education in the age of the Internet from the 2009 Academic Surgical Congress...
  23. doi request reprint Deleterious effect of cirrhosis on outcomes after motor vehicle crashes using the nationwide inpatient sample
    Jasmohan S Bajaj
    Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Am J Gastroenterol 103:1674-81. 2008
    ..Cirrhotics have poor post-trauma outcomes on small-scale studies. The aim was to examine the effect of cirrhosis on mortality, charges, and length of stay (LOS) after MVCs using the Nationwide Inpatient Sample (NIS) 2004...
  24. ncbi request reprint Predicting quality of life six months after traumatic injury
    James M Kiely
    Department of Surgery, Division of Trauma Critical Care, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 61:791-8. 2006
    ..This study examines predictors and correlates of QoL measured by the Short Form-36 (SF-36) one and six months postinjury...
  25. ncbi request reprint Postoperative atrial fibrillation in noncardiothoracic surgical patients
    K K Christians
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA
    Am J Surg 182:713-5. 2001
    ..This study was undertaken to investigate the incidence, association with known risk factors, treatment, and outcome of atrial fibrillation in postoperative noncardiac, nonthoracic surgical patients...
  26. doi request reprint Protected block curriculum enhances learning during general surgery residency training
    Travis P Webb
    Medical College of Wisconsin, Milwaukee, USA
    Arch Surg 144:160-6. 2009
    ..Changes in medical education require a rethinking of our training paradigm. We implemented a protected block curriculum for postgraduate year (PGY)-1 and PGY-2 surgery residents...
  27. doi request reprint Developing guidelines that identify patients who would benefit from palliative care services in the surgical intensive care unit
    Ciaran T Bradley
    Department of Surgery, Division of Trauma Critical Care Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
    Crit Care Med 37:946-50. 2009
    ..Because many patients who encounter difficult end-of-life issues in the SICU do not receive palliative care services, there is a need to educate surgeons on how to better identify those patients...
  28. doi request reprint Structured teaching versus experiential learning of palliative care for surgical residents
    Ciaran T Bradley
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA
    Am J Surg 200:542-7. 2010
    ..Previous end-of-life and palliative care curricula for surgical residents have shown improved learner confidence, but have not measured cognitive knowledge or skill acquisition...
  29. ncbi request reprint Patient safety efforts should focus on medical injuries
    Peter M Layde
    Injury Research Center at the Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USA
    JAMA 287:1993-7. 2002
  30. doi request reprint Cost-effectiveness of prolonged thromboprophylaxis after cancer surgery
    Ciaran T Bradley
    Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
    Ann Surg Oncol 17:31-9. 2010
    ..Several factors impede widespread adoption of these guidelines. These include lack of awareness, cost, increased bleeding complications, increased incidence of heparin-induced thrombocytopenia, and poor patient compliance...
  31. ncbi request reprint The 360-degree evaluation: increased work with little return?
    John A Weigelt
    Department of Surgery, The Medical College of Wisconsin, 9200 W Wisconsin Avenue, Milwaukee, WI 53226, USA
    Curr Surg 61:616-26; discussion 627-8. 2004
    ..To test a 360-degree resident evaluation tool on our trauma/critical care services to determine if multiple raters yielded equivalent information compared with traditional faculty evaluations...
  32. ncbi request reprint Multiple subfailures characterize blunt aortic injury
    Brian D Stemper
    Department of Neurosurgery, Medical College of Wisconsin, and Department of Veterans Affairs Medical Center, Milwaukee, USA
    J Trauma 62:1171-4. 2007
    ..Pathological findings can range from failure of specific vessel layers to immediate vessel wall rupture. The purpose of this investigation was to determine the sequence of local structural events that may lead to aortic wall disruption...
  33. doi request reprint Putting a price on education: hours and dollars for a general surgery curriculum
    Travis P Webb
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin, Milwaukee, WI 53226, USA
    Am J Surg 199:126-30. 2010
    ..In 2005, a new curricular model was implemented for general surgery residents and a Division of Education created for administrative support. These changes forced an evaluation of available resources to maintain a new curricular model...
  34. ncbi request reprint The Surgical Learning and Instructional Portfolio (SLIP) as a self-assessment educational tool demonstrating practice-based learning
    Travis P Webb
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Curr Surg 63:444-7. 2006
    ..The authors describe the evolution of the Surgical Learning and Instructional Portfolio (SLIP) into a worthwhile educational tool...
  35. doi request reprint Core competencies in palliative care for surgeons: interpersonal and communication skills
    Ciaran T Bradley
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Am J Hosp Palliat Care 24:499-507. 2007
    ..Case examples and recommendations for the appropriate words and actions to use in these scenarios are offered. It is important for both surgeons in practice and those in training to achieve proficiency with these communication skills...
  36. pmc Excess mortality caused by medical injury
    Linda N Meurer
    Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisc 53226, USA
    Ann Fam Med 4:410-6. 2006
    ..We wanted to estimate excess risk of in-hospital mortality associated with medical injuries identified using an injury surveillance system, after controlling for risk of death resulting from comorbidities...
  37. ncbi request reprint Quality of life and functional outcome after pediatric trauma
    Andrea L Winthrop
    Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Trauma 58:468-73; discussion 473-4. 2005
    ..The specific aim of this study was to determine the quality of life and functional status of moderately to severely injured pediatric trauma patients at hospital discharge and at 1, 6, and 12 months postinjury...
  38. ncbi request reprint Research ethics primer
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Surg Res 128:221-5. 2005
  39. ncbi request reprint What mechanism justifies abdominal evaluation in motor vehicle crashes?
    Karen J Brasel
    Department of Surgery, The Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 59:1057-61. 2005
    ..Most have no clinically significant injuries. We sought to define crash and occupant characteristics that would be associated with a low probability of clinically significant abdominal injury...
  40. ncbi request reprint A PGY1 curriculum--meeting a need for changing times
    John A Weigelt
    Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    Curr Surg 63:410-7. 2006
    ..Feedback was positive, learning objectives appeared to be achieved and the plan is to continue to develop the PGY1 curriculum in the same format...
  41. ncbi request reprint Surgical origins: new teaching modalities integrating clinical and basic science years--a role for residents as active teachers
    Colleen M Fitzpatrick
    Department of General Surgery, Medical College of Wisconsin, 92100 W Wisconsin Avenue, Milwaukee, WI 53226, USA
    Surgery 133:353-5. 2003
  42. doi request reprint Patient risk factors for medical injury: a case-control study
    A M Marbella
    Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    BMJ Qual Saf 20:187-93. 2011
    ..To determine risk factors of medical injury, defined as untoward injury from diagnostic or therapeutic healthcare interventions. Identifying risk factors for medical injuries could inform the development of preventive interventions...
  43. ncbi request reprint Palliative care education for surgeons
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    J Am Coll Surg 199:495-9. 2004
  44. ncbi request reprint Correlation of SF-12 and SF-36 in a trauma population
    James M Kiely
    Department of Surgery, Division of Trauma Critical Care, Medical College of Wisconsin, Milwaukee, WI 53226, USA
    J Surg Res 132:214-8. 2006
    ..The SF-12 is a related tool with less response burden, but its performance in a general trauma population is unknown. Hypothesis: The SF-12 would provide similar QoL information to the SF-36 in blunt trauma patients...
  45. ncbi request reprint Effective retention of primary survey skills by medical students after participation in an expanded Trauma Evaluation and Management course
    Mona S Li
    Department of Surgery, Division of Trauma Critical Care, Medical College of Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226, USA
    Am J Surg 191:276-80. 2006
    ..At the Medical College of Wisconsin, a course based on expanded TEAM (eTEAM) was developed for junior medical students. This study determined whether eTEAM improved the ability to perform and retain primary survey skills...
  46. doi request reprint Preinjury beta blockers are associated with increased mortality in geriatric trauma patients
    Todd Neideen
    Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    J Trauma 65:1016-20. 2008
    ..We hypothesized that preinjury beta blockade would increase mortality in geriatric trauma patients, given beta-blockers inhibit patient's physiologic responses to hypovolemic shock...
  47. ncbi request reprint Incidence of asymptomatic pulmonary embolism in moderately to severely injured trauma patients
    David J Schultz
    Department of Surgery Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
    J Trauma 56:727-31; discussion 731-3. 2004
    ..Chest computed tomographic (CT) scanning is used frequently to evaluate symptomatic patients for pulmonary embolus (PE). The incidence of PE diagnosed by helical CT scanning in asymptomatic patients is unknown...
  48. doi request reprint High ratios of plasma and platelets to packed red blood cells do not affect mortality in nonmassively transfused patients
    Chitra N Sambasivan
    Division of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Oregon Health and Science University, Portland, Oregon 97239, USA
    J Trauma 71:S329-36. 2011
    ..We aimed to determine the effect of high ratios of fresh frozen plasma (FFP) and platelets (PLT) to packed red blood cells (PRBC) in nonmassively transfused patients...
  49. ncbi request reprint The value of process measures in evaluating an evidence-based guideline
    Karen J Brasel
    Department of Surgery, Medical College of Wisconsin, 9200 W Wisconsin Avenue, Milwaukee, WI 52336, USA
    Surgery 134:605-10; discussion 610-12. 2003
    ..Linking the process of evidence-based guidelines to outcomes is difficult. We hypothesized that the process of implementing an evidence-based clinical guideline for blunt splenic trauma would reduce resource consumption and improve outcome...
  50. ncbi request reprint Rib fractures: relationship with pneumonia and mortality
    Karen J Brasel
    Department of Surgery, Injury Research Center, Medical College of Wisconsin, USA
    Crit Care Med 34:1642-6. 2006
    ..Sample size has limited the assessment of other risk factors. We used a national database to analyze suspected risk factors contributing to pneumonia and mortality in patients sustaining rib fractures...
  51. pmc Out-of-hospital hypertonic resuscitation following severe traumatic brain injury: a randomized controlled trial
    Eileen M Bulger
    Department of Surgery, University of Washington, Seattle, USA
    JAMA 304:1455-64. 2010
    ..Hypertonic fluids restore cerebral perfusion with reduced cerebral edema and modulate inflammatory response to reduce subsequent neuronal injury and thus have potential benefit in resuscitation of patients with traumatic brain injury (TBI)...
  52. doi request reprint Physician attitudes regarding advance directives for high-risk surgical patients: a qualitative analysis
    Ciaran T Bradley
    The Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
    Surgery 148:209-16. 2010
    ..A qualitative exploration of physicians' opinions of ADs for surgical patients was designed. This methodology is preferred to quantitative techniques, which are subject to bias when an issue's underlying themes are unknown...
  53. ncbi request reprint Porcine small intestine submucosa as a treatment for enterocutaneous fistulas
    David J Schultz
    Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
    J Am Coll Surg 194:541-3. 2002
  54. doi request reprint Management of maxillofacial injuries with severe oronasal hemorrhage: a multicenter perspective
    Thomas H Cogbill
    Department of Surgery, Gundersen Lutheran Medical Center, LaCrosse, Wisconsin, USA
    J Trauma 65:994-9. 2008
    ..This study was formulated to develop effective algorithms for managing these challenging injuries...
  55. ncbi request reprint Management of the patient with an open abdomen: techniques in temporary and definitive closure
    Edmund J Rutherford
    Surgical Intensive Care Unit, University of North Carolina, Chapel Hill, North Carolina, USA
    Curr Probl Surg 41:815-76. 2004