Research Topics
| Patrick M ReillySummaryAffiliation: University of Pennsylvania Country: USA Publications
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Detail Information
Publications
Training in trauma surgery: quantitative and qualitative aspects of a new paradigm for fellowshipPatrick M Reilly
Division of Traumatology and Surgical Critical Care Department of Surgery University of Pennsylvania School of Medicine philadelphia, PA 19104, USA
Ann Surg 238:596-603; discussion 603-4. 2003....
The invisible trauma patient: emergency department dischargesPatrick M Reilly
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 58:675-83; discussion 683-5. 2005..Our objective was to quantify and begin to qualify the evolving picture of the trauma ED discharge population as a work component of trauma service function in an urban, Level I trauma center with an aeromedical program...
The impact of trauma activations on the care of emergency department patients with potential acute coronary syndromesPeter E Fishman
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA
Ann Emerg Med 48:347-53. 2006..Although trauma activations improve the care of trauma patients, they may be associated with a negative impact on the care of other patients requiring contemporaneous resources...
Weekend and night outcomes in a statewide trauma systemBrendan G Carr
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Arch Surg 146:810-7. 2011..To evaluate whether mortality and clinical outcomes vary for injured patients in a mature trauma system on weeknights and weekends compared with weekdays...
Does the trauma system protect against the weekend effect?Brendan G Carr
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 69:1042-7; discussion 1047-8. 2010..We sought to determine whether the "weekend effect" exists for injured patients at our trauma center...
Cumulative radiation dose caused by radiologic studies in critically ill trauma patientsPatrick K Kim
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 57:510-4. 2004..The purpose of this study was to estimate the cumulative effective dose (CED) of radiation resulting from radiologic studies in critically ill trauma patients...
Integrating emergency general surgery with a trauma service: impact on the care of injured patientsJohn P Pryor
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 57:467-71; discussion 471-3. 2004..We hypothesized that the care of trauma patients would be negatively affected by adding emergency general surgery responsibilities to a trauma service...
Emergency department thoracotomy for penetrating injuries of the heart and great vessels: an appraisal of 283 consecutive cases from two urban trauma centersMark J Seamon
Division of Trauma and Surgical Critical Care, Department of Surgery, Temple University School of Medicine, Philadelphia, PA 19104, USA
J Trauma 67:1250-7; discussion 1257-8. 2009..Our primary study objective was to determine which patients requiring EDT for penetrating cardiac or great vessel (CGV) injury are salvageable...
Pancreatic injury in damage control laparotomies: Is pancreatic resection safe during the initial laparotomy?Mark J Seamon
Division of Trauma and Surgical Critical Care, Department of Surgery, Temple University School of Medicine, Philadelphia, PA, United States
Injury 40:61-5. 2009..We sought to characterise pancreatic injury patterns and outcomes to better determine optimal initial operative management in the DC population...
Maintaining patient throughput on an evolving trauma/emergency surgery serviceMary Kate Fitzpatrick
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA
J Trauma 60:481-6; discussion 486-8. 2006..With the addition of emergency general surgery (EGS) to our practice, we reviewed the ability of the case management team to absorb EGS patients on the inpatient trauma service while maintaining the improvements initially realized...
Pelvic radiography in blunt trauma resuscitation: a diminishing roleOscar D Guillamondegui
Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, USA
J Trauma 53:1043-7. 2002..The PXR may continue to be beneficial in unstable patients, those with positive physical findings, or those who cannot undergo CT scanning because of other clinical priorities...
Redefining the future of trauma surgery as a comprehensive trauma and emergency general surgery servicePatrick K Kim
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
J Am Coll Surg 199:96-101. 2004..A comprehensive trauma and emergency general surgery service may be an attractive model for the future of trauma surgery and provide logistical and medical advantages to the emergency general surgery patient population...
Preventability classification in mortality cases: a reliability studyMichael D Pasquale
Department of Surgery, Lehigh Valley Hospital, Allentown, Pennsylvania 18105 1556, USA
J Trauma 67:1097-102. 2009..This study was performed to evaluate inter-rater reliability of POPIMS software for mortality classification...
Anemia management program reduces transfusion volumes, incidence of ventilator-associated pneumonia, and cost in trauma patientsAngela S Earley
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
J Trauma 61:1-5; discussion 5-7. 2006..No significant differences in length of stay, mortality rate, or MI rate were seen. The significant decrease in the rate of VAP requires further elucidation. Further long-term and larger studies are indicated...
Emergency department length of stay: a major risk factor for pneumonia in intubated blunt trauma patientsBrendan G Carr
Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
J Trauma 63:9-12. 2007..Nationwide, hospital crowding has resulted in prolonged ED length of stay (LOS). We sought to study the association between prolonged ED LOS and rates of pneumonia...
An acute care surgery model improves outcomes in patients with appendicitisAngela S Earley
From the Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Surg 244:498-504. 2006..To compare outcomes of appendectomy in an Acute Care Surgery (ACS) model to that of a traditional home-call attending surgeon model...
Respiratory complications and mortality risk associated with thoracic spine injuryBryan A Cotton
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Trauma 59:1400-7; discussion 1407-9. 2005..We sought to determine whether high-thoracic (HT) SCI was associated with a similar increased risk of respiratory complications and death...
Evaluation of the lower spine after blunt trauma using abdominal computed tomographic scanning supplemented with lateral scanogramsMark L Gestring
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
J Trauma 53:9-14. 2002..Further study is required to determine whether CT + S can routinely replace conventional radiographs of the lower spine after blunt trauma...
Cerebral cortical oxygenation: a pilot studyVicente H Gracias
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, 3440 Market Street, First Floor, Philadelphia, PA 19104, USA
J Trauma 56:469-72; discussion 472-4. 2004..We present our preliminary results observing Pbro2 in patients with traumatic brain injury (TBI)...
The evolving role of interventional radiology in trauma careJohn P Pryor
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, PA 19104, USA
J Trauma 59:102-4. 2005..We hypothesized that IR has evolved at our institution over the last decade from a largely diagnostic to a more therapeutic role in the care of the injured patient...
Formalized radiology rounds: the final component of the tertiary surveyWilliam S Hoff
Division of Traumatology and Surgical Critical Care, University of Pennsylvania Medical Center, Philadelphia, PA 18015, USA
J Trauma 56:291-5. 2004..Formalized radiology rounds promotes clinical efficiency through early identification of these injuries, which facilitates any necessary alteration in the care plan...
Successful percutaneous retrieval of a swan-ganz catheter entrapped in an inferior vena cava filterElliott R Haut
Division of Trauma and Surgical Critical Care, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland 21287, USA
J Trauma 62:1507-10. 2007
Resuscitation of hypotensive head-injured patients: is hypertonic saline the answer?Jose L Pascual
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Am Surg 74:253-9. 2008..Institutional use of HTS in STBI can be safely implemented in a center caring for neurotrauma patients. HTS infusion in hypotensive STBI reduces ICP and raises CPP. Brain tissue oxygenation tends to improve after HTS infusion...
Transition to a semiclosed surgical intensive care unit (SICU) leads to improved resident job satisfaction: a prospective, longitudinal analysisMeredith S Tinti
Division of Trauma and Critical Care, Department of Surgery, UMDNJ Robert Wood Johnson University Hospital, New Brunswick, New Jersey 08816, USA
J Surg Educ 66:25-30. 2009..We hypothesized that surgical residents would have improved job satisfaction with the transition from a mandatory consultation SICU to a semiclosed SICU model...
Incidence and natural history of below-knee deep venous thrombosis in high-risk trauma patientsRichard P Sharpe
Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, USA
J Trauma 53:1048-52. 2002..Proximal propagation occurred in 4.7% and led to changes in management. Serial duplex examination of the BKDVT alone, rather than systemic anticoagulation or IVC filter placement, appears to be a reasonable treatment alternative...
Improved nurse job satisfaction and job retention with the transition from a "mandatory consultation" model to a "semiclosed" surgical intensive care unit: a 1-year prospective evaluationElliott R Haut
Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
Crit Care Med 34:387-95. 2006..SICU sections with greater SCCS involvement had more dramatic improvements. This semiclosed SICU model may help retain SICU nurses in a competitive job market in which experienced nurses are in short supply...
The role of positive examinations in training for the focused assessment sonogram in trauma (FAST) examinationVicente H Gracias
Division of Traumatology and Surgical Critical Care, The University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA
Am Surg 68:1008-11. 2002..When screened properly PD patients can be used effectively to demonstrate positive FAST studies...
Traumatic coagulopathy: the effect of brain injuryCasey H Halpern
Department of Neurosurgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Third Floor, Silverstein Pavilion, Philadelphia, PA 19104, USA
J Neurotrauma 25:997-1001. 2008..Peripheral hematologic studies may not reflect persistent coagulopathy in cerebral circulation...
The impact of a concurrent trauma alert evaluation on time to head computed tomography in patients with suspected strokeEsther H Chen
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 13:349-52. 2006..Emergency department (ED) overcrowding threatens quality of care by delaying the time to diagnosis and treatment of patients with time-sensitive diseases, such as acute stroke...
Nonoperative management of abdominal gunshot woundsJohn P Pryor
Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Emerg Med 43:344-53. 2004....
The association of early transfusion with acute lung injury in patients with severe injuryDaniel N Holena
Division of Traumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Trauma Acute Care Surg 73:825-31. 2012..We hypothesized that the relationship between PRBC delivery and ALI risk varies through time after injury...
Timing of pulmonary emboli after trauma: implications for retrievable vena cava filtersRonald F Sing
Department of Surgery, FH Sammy Ross Jr Trauma Center, Charlotte, NC 28203, USA
J Trauma 60:732-4; discussion 734-5. 2006..No evidence-based guidelines exist on the appropriate time to remove optional VCF. The purpose of this study was to examine the timing of pulmonary emboli (PE) and determine the optimal time to remove optional VCFs...
The inefficiency of plain radiography to evaluate the cervical spine after blunt traumaStephen C Gale
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
J Trauma 59:1121-5. 2005..Plain cervical spine radiographs need not be obtained. The EAST guidelines for cervical spine evaluation after blunt trauma should be updated to reflect this evolving practice pattern...
Similar effects of hypertonic saline and mannitol on the inflammation of the blood-brain barrier microcirculation after brain injury in a mouse modelJoshua A Marks
Department of Surgery, Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
J Trauma Acute Care Surg 73:351-7; discussion 357. 2012..We hypothesized that HTS, as compared with MTL, would more greatly reduce PMN-EC interactions, thereby reducing BBB permeability and tissue edema after simulated TBI...
Acute care surgery: the academic hospital's perspectivePatrick M Reilly
Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Surgery 141:299-301. 2007
Hepatic angiography in patients undergoing damage control laparotomyJon W Johnson
Department of Surgery, Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
J Trauma 52:1102-6. 2002..CONCLUSION: Hepatic angiography is a safe adjunct to the principles of damage control. It has a high therapeutic ratio, with no significant untoward effect in this small study population...
Alternating day emergency medicine and anesthesia resident responsibility for management of the trauma airway: a study of laryngoscopy performance and intubation successRichard M Levitan
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Emerg Med 43:48-53. 2004..We compare laryngoscopy performance and overall intubation success in trauma airways when primary airway management alternated between emergency medicine and anesthesia residents on an every-other-day basis...
The position of the Eastern Association for the Surgery of Trauma on the future of trauma surgeryMichael F Rotondo
Department of Surgery, East Carolina University, Brody School of Medicine, Greenville, North Carolina 27834, USA
J Trauma 59:77-9. 2005
Experience with the recovery filter as a retrievable inferior vena cava filterWilliam J Grande
Section of Interventional Radiology, Department of Radiology, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA
J Vasc Interv Radiol 16:1189-93. 2005..CONCLUSIONS: Although all the filters were placed with the intention of being removed, a large percentage of filters were not retrieved. The Recovery filter was safe and effective in preventing PE when used as a retrievable IVC filter...
Poor glycemic control is associated with increased mortality in critically ill trauma patientsStephen C Gale
Tulane University School of Medicine, New Orleans, Louisiana, USA
Am Surg 73:454-60. 2007..Prospective assessment is needed to further clarify the benefits of aggressive glycemic control, to assess the optimal mode of insulin delivery, and to better define therapeutic goals in critically ill, injured patients...
Multidisciplinary critical care: right care, right nowBrendan G Carr
Crit Care Med 34:1579-80; author reply 1580. 2006
Analgesic use in intubated patients during acute resuscitationAnne Chao
Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan, Republic of China
J Trauma 60:579-82. 2006..The inadequacy appears to be in the timing and repetition of administration, rather than the dose. Patients who were transferred early to the intensive care unit were more likely to receive analgesics...
