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Species | Ronald M StewartSummaryAffiliation: University of Texas Health Science Center Country: USA Publications
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Tort reform is associated with more medical board complaints and disciplinary actionsRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
J Am Coll Surg 214:567-71; discussion 572-3. 2012..We hypothesized that complaints to the Texas Medical Board (TMB) increased after tort reform...- Transparent and open discussion of errors does not increase malpractice risk in trauma patientsRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, University Hospital, 78229, USA
Ann Surg 243:645-9; discussion 649-51. 2006..We set out to determine if there is an increased medical malpractice lawsuit rate when trauma patient cases are presented at an open, multidisciplinary morbidity and mortality conference (M&M)... - Claude H. Organ Jr Memorial Lecture. The care of the patient: character, science, and serviceRonald M Stewart
Am J Surg 202:632-40. 2011.... - Seven hundred fifty-three consecutive deaths in a level I trauma center: the argument for injury preventionRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, University Health System, San Antonio, Texas 78229 3900, USA
J Trauma 54:66-70; discussion 70-1. 2003..We hypothesize that further major reduction in injury mortality will be obtained through injury prevention, rather than improvements in therapy... - Injury prevention: why so important?Ronald M Stewart
Department of Surgery, The University of Texas Health Science Center at San Antonio, USA
J Trauma 62:S47-8. 2007 - Malpractice risk and cost are significantly reduced after tort reformRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, and University Hospital, San Antonio, TX 78229, USA
J Am Coll Surg 212:463-7, 467.e1-42; discussion 467-9. 2011..We compared malpractice prevalence, incidence, and liability costs before and after comprehensive state tort reform measures were implemented... - Trauma surgery malpractice risk: perception versus realityRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio University Hospital, San Antonio Texas 78229, USA
Ann Surg 241:969-75; discussion 975-7. 2005..We set out to compare the malpractice lawsuit risk and incidence in trauma surgery, emergency surgery, and elective surgery at a single academic medical center... - Computed tomography grading systems poorly predict the need for intervention after spleen and liver injuriesStephen M Cohn
Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78229, USA
Am Surg 75:133-9. 2009..Considerable inconsistency exists in interpretation of abdominal CT scans after trauma, even among experienced clinicians... - Time and degree of glycemic derangement are associated with increased mortality in trauma patients in the setting of tight glycemic controlMichael G Corneille
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
Am J Surg 200:832-7; discussion 837-8. 2010..Tight glucose control (TGC) may reduce mortality in critically ill trauma patients. We hypothesize that euglycemia is beneficial, and a measure considering time and degree of hyperglycemia is most associated with mortality... - A crisis in the delivery of care to patients with brain injuries in South TexasStephen M Cohn
Department of Surgery, The University of Texas Health Science Center at San Antonio, Texas 78229, USA
J Trauma 62:951-62; discussion 962-3. 2007..To determine the opinions of neurosurgeons regarding the care of the injured and to assess the impact of these attitudes on the care of the patients with brain injuries... - Surgical critical care and private practice surgeons: a different world out there!Stephen M Cohn
Department of Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX
J Am Coll Surg 206:419-25. 2008..We hypothesized substantial differences exist in practice patterns and attitudes between SCC surgeons in academic practice (ACs) and in private practice (PVTs)... - Impact of low-dose vasopressin on trauma outcome: prospective randomized studyStephen M Cohn
Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
World J Surg 35:430-9. 2011..We hypothesized that a resuscitation regimen that limited the total volume of fluid administered would reduce morbidity and mortality rates in critically ill trauma patients... - Pediatric vascular injuries: acute management and early outcomesMichael G Corneille
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
J Trauma 70:823-8. 2011..Although uncommon in children, traumatic vascular injuries have the potential for lifelong disability. We reviewed these injuries, their acute management, and early outcomes at a Level I trauma center... - Right ventricular air embolism during radiographic evaluation of a pediatric patient for blunt vehicular traumaScott T McKnight
School of Medicine, Division of Trauma and Emergency Surgery, University of Texas Health Science Center at San Antonio, TX, USA
J Trauma 57:890-1. 2004 - A right renal vein pseudoaneurysm secondary to blunt abdominal trauma: a case report and review of the literatureJuan C Mejia
Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, Texas 78229, USA
J Trauma 60:1124-8. 2006 - Case discussion in blood glucose variabilityCharles C Reed
Surgical Trauma Neurosurgical ICU, University Hospital, San Antonio, TX, USA
J Neurosci Nurs 43:70-4; quiz 75-6. 2011..If so, these events warrant rapid investigation and treatment of the underlying problem... - Perceptions and attitudes of critical care training and careers among United States surgical residents: who wants to be a surgical intensivist?Stephen M Cohn
Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
Am Surg 73:433-7. 2007..Theoretical expansion of surgical critical fellowships to include more general or trauma surgery (acute care surgery) increased the level of interest among senior surgical residents... - The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacyMichael G Corneille
Department of Surgery, University of Texas, Health Science Center, San Antonio, USA
Am J Surg 200:363-7. 2010..Laparoscopic surgery in pregnant women has become increasingly more common since the 1990s; however, the safety of laparoscopy in this population has been widely debated, particularly in emergent and urgent situations... - Pediatric radiation exposure during the initial evaluation for blunt traumaDeborah L Mueller
Department of Surgery, University of Texas Health Science Center, San Antonio, Texas, USA
J Trauma 70:724-31. 2011..Our aim was to measure radiation dose received in pediatric blunt trauma patients during initial CT evaluation and to determine whether doses exceed doses historically correlated with an increased risk of thyroid cancer... - The multiply injured patientHector A Flores
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
Semin Thorac Cardiovasc Surg 20:64-8. 2008..Patients with multiple penetrating wounds require the surgical team to be expeditious and flexible, and damage control is a helpful strategy in these patients... - Transfusion-related acute lung injury in a rat model of trauma-hemorrhageSusannah E Nicholson
Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
J Trauma 70:466-71. 2011..Our objective was to develop a trauma-relevant two-event model of TRALI by examining the effect of aged packed red blood cells (PRBC) on lung injury in rats with trauma-hemorrhage... - Laparoscopic appendectomy is superior to open appendectomy in obese patientsMichael G Corneille
Department of Surgery, Division of Trauma and Emergency Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229 3900, USA
Am J Surg 194:877-80; discussion 880-1. 2007..There are minimal data comparing laparoscopic appendectomy (LA) with open appendectomy (OA) in obese patients... - Less is more: improved outcomes in surgical patients with conservative fluid administration and central venous catheter monitoringRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
J Am Coll Surg 208:725-35; discussion 735-7. 2009..Because surgical patients may have been fundamentally different from the overall FACTT cohort, we set out to separately analyze the surgery patients in the trial... - Pneumoperitoneum after percutaneous endoscopic gastrostomy in patients in the intensive care unitJoshua B Alley
Department of Surgery, University of Texas Health Science Center at San Antonio, University Hospital, San Antonio, Texas 78229 3900, USA
Am Surg 73:765-7; discussion 768. 2007..PEG-related complications were not associated with postprocedure pneumoperitoneum... - Air gun injuries to the abdominal aorta: report of two cases and review of the literatureAlejandro Mejia
Department of Surgery, University of Texas Health Science Center at San Antonio, 78229, USA
J Trauma 54:1235-8. 2003 - Performance on brief practice examination identifies residents at risk for poor ABSITE and ABS qualifying examination performanceMichael G Corneille
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
J Surg Educ 68:246-9. 2011..We hypothesize that a brief practice exam administered 1-3 times each academic year can identify residents at risk of poor ABSITE performance and also identify early in the chief resident year those at risk for poor QE performance... - Intensive insulin protocol improves glucose control and is associated with a reduction in intensive care unit mortalityCharles C Reed
Surgical Trauma Intensive Care Unit, University Health System, San Antonio, TX 78229, USA
J Am Coll Surg 204:1048-54; discussion 1054-5. 2007..We hypothesized that, by use of a protocol, tight glucose control could be achieved in the surgical trauma intensive care unit (STICU), and that improved glucose control would be beneficial... - A large single-center experience with treatment of patients with crotalid envenomations: outcomes with and evolution of antivenin therapyMichael G Corneille
Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX 78229 3900, USA
Am J Surg 192:848-52. 2006..Allergic reactions are fewer with ovine Fab antivenin (FabAV). This study describes the management of crotalid envenomations in patients treated with FabAV or ACP, and without antivenin... - A regional medical operations center improves disaster response and inter-hospital trauma transfersEric E Epley
The Southwest Texas Regional Advisory Council for Trauma, San Antonio, TX, USA
Am J Surg 192:853-9. 2006..The RMOC, based on the same principles of cooperation and communication, allows for rapid transfer of hospitalized and special needs patients during disaster/mass casualty situations... - Emergency department thoracotomyJuan C Mejia
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
Semin Thorac Cardiovasc Surg 20:13-8. 2008..In this brief review, we summarize the available literature, technical concerns and indications for the procedure. We aim to provide suitable information for individual readers to refine their approach to EDT... - Current issues in traumaTimothy C Fabian
Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
Curr Probl Surg 39:1160-244. 2002 - Common complications following thoracic trauma: their prevention and treatmentRonald M Stewart
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
Semin Thorac Cardiovasc Surg 20:69-71. 2008..The authors review these complications and describe a plan to reduce these complications... - Significant variations in mortality occur at similarly designated trauma centersShahid Shafi
Department of Surgery, Division of Burns, Trauma, and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
Arch Surg 144:64-8. 2009..Mortality rates vary across designated trauma centers (TC), even after controlling for injury severity... - Upper airway injury and its managementMichael G Corneille
Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
Semin Thorac Cardiovasc Surg 20:8-12. 2008..Associated injuries are common and must be addressed concomitantly. Postoperative complications are frequent, requiring perioperative vigilance and long-term follow-up to ensure best outcome... - Surgeons' performance during critical situations: competence, confidence, and composureKatie Wiggins-Dohlvik
Department of Surgery, The University of Texas, Health Science Center at San Antonio, San Antonio, TX 78229, USA
Am J Surg 198:817-23. 2009..Little is known about surgeons' performance during critical situations. We hypothesized that there are methods and techniques used by surgeons that facilitate performance during critical situations... - Improving outcomes following penetrating colon wounds: application of a clinical pathwayPreston R Miller
Department of Surgery, The University of Tennessee Health Science Center, Memphis, 38163, USA
Ann Surg 235:775-81. 2002..The data demonstrated the need for colostomy in the face of shock and comorbidities. Institution of this pathway results in colostomy for only 7% of all colon wounds... - Blunt avulsion of the right inferior pulmonary veinRaymond Fang
Department of Surgery, Wilford Hall Medcial Center, Lackland Air Force Base, San Antonio, TX, USA
J Trauma 56:191-3. 2004 - Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of life--UpdatedJoan Cassell
Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
Crit Care Med 31:1551-7; discussion 1557-9. 2003..To improve care at the end of life, we must critically examine these features... - Vascular arginase contributes to arteriolar endothelial dysfunction in a rat model of hemorrhagic shockRobert A Johnson
Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
J Trauma 69:384-91. 2010..However, the role of arginase in hemorrhage-induced endothelial dysfunction has not been studied. This study tests the hypothesis that arginase inhibition improves endothelial function after hemorrhage... - Appendicitis: selective use of abdominal CT reduces negative appendectomy rateGregory M DeArmond
University of Texas Health Sciences Center, San Antonio 78229-3900, USA
Surg Infect (Larchmt) 4:213-8. 2003..7%, p < 0.03) and after CT (19% vs. 6%, p < 0.02). CONCLUSION: Selective use of CT scan in patients presenting with right lower quadrant pain is helpful in reducing the incidence of nontherapeutic appendectomy... - Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of lifeJoan Cassell
Departments of Surgery, Washington University School of Medicine, St. Louis, MO, USA
Crit Care Med 31:1263-70. 2003..To improve care at the end of life, we must critically examine these features...