Institution
Lincoln Hospital
Healthcare•New York, New York, United States•
About: Lincoln Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Emergency department. The organization has 1033 authors who have published 929 publications receiving 14486 citations. The organization is also known as: Lincoln Medical and Mental Health Center & Lincoln Hospital.
Topics: Population, Emergency department, Medicine, Poison control, Health care
Papers published on a yearly basis
Papers
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TL;DR: Whether a routine brain CT scan should be obtained in patients with LOC, no physical findings, and a normal GCS after blunt head trauma raises the question of whether there is a subset of patients for whom CT scan need not be performed.
Abstract: A report of loss of consciousness (LOC) is frequently considered reason enough to obtain a computed tomography (CT) scan in the evaluation of head trauma. We conducted this study to reduce exposure to radiation from CT, while still not overlooking clinically significant injuries. The objective of the study is to determine the correlation between LOC status and brain CT scan results in patients with blunt head trauma and to determine whether there is a subset of patients for whom CT scan need not be performed, without missing clinically significant intracranial injuries. This is a retrospective study conducted in the emergency department of an inner-city hospital. The patient population included patients ranging between 13 and 35 years of age, with blunt head trauma, who presented to the emergency department (ED) between January 2010 and December 2013. Patients were divided into two groups: “LOC” group and “no LOC” group. The results of brain CT scans from each group were compared with LOC status. For study purposes, “clinically significant” were those that required interventions or ICU hospitalization of at least 24 h or extended hospitalization. The results were analyzed using chi-square calculations. During the study period, 494 patients were identified as having suffered head trauma. Of these, 185 (37.5%) reported LOC and 309 (62.5%) did not lose consciousness. In the LOC group, 15 (8.1%) had significant CT findings compared to 1.3% (4/309) of those without LOC (p < .001). Of the 4 who had no LOC and had significant brain CT findings, all 4 patients had positive physical findings of head, neck, or facial trauma. In the LOC group, only 1/15 (6.7%) had significant CT findings with a normal GCS of 15 and no physical signs of the head, neck, or facial trauma. A small proportion of patients with LOC had CT finding requiring intervention. Head trauma patients with no physical injuries to the head, neck, or face and a normal GCS had no significant brain CT findings. This raises the question of whether a routine brain CT scan should be obtained in patients with LOC, no physical findings, and a normal GCS after blunt head trauma.
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TL;DR: The cases of 2 teenagers with syncope and headaches who were subsequently found to have central nervous system etiologies (arteriovenous malformation and arachnoid cyst) of their syncope highlight the importance of a focused history and physical examination when evaluating patients who present withsyncope.
Abstract: We report the cases of 2 teenagers with syncope and headaches who were subsequently found, on head computed tomography examinations, to have central nervous system etiologies (arteriovenous malformation and arachnoid cyst) of their syncope. These cases highlight the importance of a focused history and physical examination when evaluating patients who present with syncope.
1 citations
15 Dec 2019
TL;DR: In this article, in situ simulation is physically integrated into the clinical or work environment, which offers a unique opportunity to practice critical, non-technical skills, particularly teamwork, and assesses workplace attitude and effectiveness when testing a facility or a system.
Abstract: Simulation has emerged as an important modality for medical education and training. In recent years, it has become more commonplace throughout the healthcare system. This process improves knowledge, competency, and communication among providers, leading to improved patient care. Traditionally, simulations occur in a simulation center, whereas in situ simulation offers healthcare professionals a unique learning opportunity within the confines of their actual work environment. In this, simulation becomes physically integrated into the clinical or work environment. Simulation can replicate various aspects of real clinical practice. Many facilities do not have space or finances to support a traditional simulation center. In these circumstances, in situ simulation is physically integrated into the clinical or work environment. It offers a unique opportunity to practice critical, non-technical skills, particularly teamwork. This preparation is particularly crucial for critical clinical areas such as emergency departments, operating rooms, and intensive care units where participants can find themselves exposed to high-risk patient encounters. It also assesses workplace attitude and effectiveness when testing a facility or a system.
1 citations
Authors
Showing all 1035 results
Name | H-index | Papers | Citations |
---|---|---|---|
Gbenga Ogedegbe | 61 | 333 | 17984 |
Kathryn Anastos | 59 | 351 | 13391 |
Marios Loukas | 54 | 885 | 13823 |
Sharon Nachman | 47 | 180 | 7199 |
Stephen J. Peterson | 34 | 118 | 3778 |
Miklos F. Losonczy | 31 | 65 | 3057 |
Stephen T. Chasen | 30 | 163 | 2855 |
Theodore J. Gaeta | 28 | 78 | 3239 |
Vikram Paruchuri | 23 | 43 | 1863 |
Henrietta Kotlus Rosenberg | 23 | 96 | 1622 |
Enrica Marchi | 22 | 76 | 1968 |
Harsh Grewal | 22 | 63 | 1448 |
R. R. Ivatury | 21 | 33 | 1956 |
Alicia Mangram | 21 | 55 | 1177 |
Edward J. Brown | 20 | 46 | 6877 |