Research Topics
| K J BraselSummaryAffiliation: Medical College of Wisconsin Country: USA Publications
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Detail Information
Publications
Evaluation of error in medicine: application of a public health modelK 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...- Significance of contrast extravasation in patients with pelvic fractureKaren 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... - 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... - Quality-of-life assessment in palliative careKaren 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... - 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... 
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...- Meeting the Accreditation Council for Graduate Medical Education competencies using established residency training program assessment toolsKaren 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... - Posttraumatic stress disorder: a primer for trauma surgeonsJennifer C Roberts
Division of Trauma Critical Care, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
J Trauma 69:231-7. 2010.... - Resident work hours: what they are really doingKaren 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... - 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... - Seat belts are more effective than airbags in reducing thoracic aortic injury in frontal motor vehicle crashesKaren 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)... - Reasons for delayed discharge of trauma patientsKaren 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... - Correlation of intracellular organisms with quantitative endotracheal aspirateKaren 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... - Gender-based differences in mortality in response to high product ratio massive transfusionSusan 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... - Specific abbreviated injury scale values are responsible for the underestimation of mortality in penetrating trauma patients by the injury severity scoreSusan 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... - Variations between level I trauma centers in 24-hour mortality in severely injured patients requiring a massive transfusionCharles 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... - A high fresh frozen plasma: packed red blood cell transfusion ratio decreases mortality in all massively transfused trauma patients regardless of admission international normalized ratioLisa 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... - Crystalloid resuscitation improves survival in trauma patients receiving low ratios of fresh frozen plasma to packed red blood cellsNicholas 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... - Effect of high product ratio massive transfusion on mortality in blunt and penetrating trauma patientsSusan 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... - A normal platelet count may not be enough: the impact of admission platelet count on mortality and transfusion in severely injured trauma patientsLisa 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... - Management of patients with anterior abdominal stab wounds: a Western Trauma Association multicenter trialWalter L Biffl
Department of Surgery, Denver Health Medical Center University of Colorado Denver, Denver, Colorado 80204 4507, USA
J Trauma 66:1294-301. 2009.... - Surgical education in the internet eraCarla 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... - Deleterious effect of cirrhosis on outcomes after motor vehicle crashes using the nationwide inpatient sampleJasmohan 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... - Predicting quality of life six months after traumatic injuryJames M Kiely
Department of Surgery, Division of Trauma/Critical Care, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
J Trauma 61:791-8. 2006..Interventions to address these areas should be further studied with respect to their impact on long-term QoL... - Postoperative atrial fibrillation in noncardiothoracic surgical patientsK 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... - Protected block curriculum enhances learning during general surgery residency trainingTravis 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... - Developing guidelines that identify patients who would benefit from palliative care services in the surgical intensive care unitCiaran 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... - Structured teaching versus experiential learning of palliative care for surgical residentsCiaran 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... - Patient safety efforts should focus on medical injuriesPeter M Layde
Injury Research Center at the Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USA
JAMA 287:1993-7. 2002 - Cost-effectiveness of prolonged thromboprophylaxis after cancer surgeryCiaran 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... - 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... - Multiple subfailures characterize blunt aortic injuryBrian 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... - Putting a price on education: hours and dollars for a general surgery curriculumTravis 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... - The Surgical Learning and Instructional Portfolio (SLIP) as a self-assessment educational tool demonstrating practice-based learningTravis 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... - Core competencies in palliative care for surgeons: interpersonal and communication skillsCiaran 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... 
Excess mortality caused by medical injuryLinda 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...- Quality of life and functional outcome after pediatric traumaAndrea 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... - Research ethics primerKaren J Brasel
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
J Surg Res 128:221-5. 2005 - 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... - A PGY1 curriculum--meeting a need for changing timesJohn 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... - Surgical origins: new teaching modalities integrating clinical and basic science years--a role for residents as active teachersColleen M Fitzpatrick
Department of General Surgery, Medical College of Wisconsin, 92100 W. Wisconsin Avenue, Milwaukee, WI 53226, USA
Surgery 133:353-5. 2003 - Patient risk factors for medical injury: a case-control studyA 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... - Palliative care education for surgeonsKaren J Brasel
Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
J Am Coll Surg 199:495-9. 2004 - Correlation of SF-12 and SF-36 in a trauma populationJames 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..Summary scores may not be sufficient to fully assess QoL in this population. Combining the SF-12 with measures to assess psychosocial variables should be further investigated... - Effective retention of primary survey skills by medical students after participation in an expanded Trauma Evaluation and Management courseMona 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..CONCLUSIONS: Medical students participating in eTEAM retained the ability to perform a primary survey in proper sequence 1 year later better than students receiving the information in lecture format only... - Preinjury beta blockers are associated with increased mortality in geriatric trauma patientsTodd 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... - Incidence of asymptomatic pulmonary embolism in moderately to severely injured trauma patientsDavid J Schultz
Department of Surgery Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
J Trauma 56:727-31; discussion 731-3. 2004..CONCLUSION: Asymptomatic PE occur in 24% of moderately to severely injured patients. Age, head, chest, and lower extremity injury are associated with an increased risk. Standard thromboembolic prophylaxis is not reliably protective... - High ratios of plasma and platelets to packed red blood cells do not affect mortality in nonmassively transfused patientsChitra 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... - The value of process measures in evaluating an evidence-based guidelineKaren 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..An evidence-based clinical guideline evaluated with process measures can reduce resource use and improve outcome in a trauma program... - Rib fractures: relationship with pneumonia and mortalityKaren J Brasel
Department of Surgery, Injury Research Center, Medical College of Wisconsin, USA
Crit Care Med 34:1642-6. 2006..Pneumonia was significantly associated with mortality only in patients with isolated thoracic trauma... - Out-of-hospital hypertonic resuscitation following severe traumatic brain injury: a randomized controlled trialEileen 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)... - Physician attitudes regarding advance directives for high-risk surgical patients: a qualitative analysisCiaran 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... - Porcine small intestine submucosa as a treatment for enterocutaneous fistulasDavid J Schultz
Department of Surgery, Medical College of Wisconsin, Milwaukee 53226, USA
J Am Coll Surg 194:541-3. 2002 - Management of maxillofacial injuries with severe oronasal hemorrhage: a multicenter perspectiveThomas 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... - Management of the patient with an open abdomen: techniques in temporary and definitive closureEdmund J Rutherford
Surgical Intensive Care Unit, University of North Carolina, Chapel Hill, North Carolina, USA
Curr Probl Surg 41:815-76. 2004