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"Kevin" "Munjal"

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https://www.readbyqxmd.com/read/27420753/quantitative-analysis-of-the-content-of-ems-handoff-of-critically-ill-and-injured-patients-to-the-emergency-department
#1
Scott A Goldberg, Avital Porat, Christopher G Strother, Nadine Q Lim, H R Sagara Wijeratne, Greisy Sanchez, Kevin G Munjal
OBJECTIVES: Patient handoff occurs when responsibility for patient diagnosis, treatment, or ongoing care is transferred from one healthcare professional to another. Patient handoff is an integral component of quality patient care and is increasingly identified as a potential source of medical error. However, evaluation of handoff from field providers to ED personnel is limited. We here present a quantitative analysis of the information transferred from EMS providers to ED physicians during handoff of critically ill and injured patients...
July 15, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27232532/patient-perspectives-on-ems-alternate-destination-models
#2
Kevin G Munjal, Siri Shastry, George T Loo, Daniel Reid, Corita Grudzen, Manish N Shah, Hugh H Chapin, Brandon First, Sasilada Sirirungruang, Erin Alpert, Kevin Chason, Lynne D Richardson
INTRODUCTION: Studies have shown that a large number of ambulance transports to emergency departments (ED) could have been safely treated in an alternative environment, prompting interest in the development of more patient-centered models for prehospital care. We examined patient attitudes, perspectives, and agreement/comfort with alternate destinations and other proposed innovations in Emergency Medical Services (EMS) care delivery and determined whether demographic, socioeconomic, acuity, and EMS utilization history factors impact levels of agreement...
May 27, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26626335/lesson-from-the-new-york-city-out-of-hospital-uncontrolled-donation-after-circulatory-determination-of-death-program
#3
Stephen P Wall, Bradley J Kaufman, Nicholas Williams, Elizabeth M Norman, Alexander J Gilbert, Kevin G Munjal, Shana Maikhor, Michael J Goldstein, Julia E Rivera, Harvey Lerner, Chad Meyers, Marion Machado, Susan Montella, Marcy Pressman, Lewis W Teperman, Nancy N Dubler, Lewis R Goldfrank
STUDY OBJECTIVE: In 2006, the Institute of Medicine emphasized substantial potential to expand organ donation opportunities through uncontrolled donation after circulatory determination of death (uDCDD). We pilot an out-of-hospital uDCDD kidney program for New York City in partnership with communities that it was intended to benefit. We evaluate protocol process and outcomes while identifying barriers to success and means for improvement. METHODS: We conducted a prospective, participatory action research study in Manhattan from December 2010 to May 2011...
April 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/25407562/cardiopulmonary-resuscitation-in-resource-limited-health-systems-considerations-for-training-and-delivery
#4
REVIEW
Jason Friesen, Dean Patterson, Kevin Munjal
In the past 50 years, cardiopulmonary resuscitation (CPR) has gained widespread recognition as a life-saving skill that can be taught successfully to the general public. Cardiopulmonary resuscitation can be considered a cost-effective intervention that requires minimal classroom training and low-cost equipment and supplies; it is commonly taught throughout much of the developed world. But, the simplicity of CPR training and its access for the general public may be misleading, as outcomes for patients in cardiopulmonary arrest are poor and survival is dependent upon a comprehensive "chain-of-survival," which is something not achieved easily in resource-limited health care settings...
February 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/24628747/randomized-clinical-trial-of-hydrocodone-acetaminophen-versus-codeine-acetaminophen-in-the-treatment-of-acute-extremity-pain-after-emergency-department-discharge
#5
RANDOMIZED CONTROLLED TRIAL
Andrew K Chang, Polly E Bijur, Kevin G Munjal, E John Gallagher
OBJECTIVES: The objective was to test the hypothesis that hydrocodone/acetaminophen (Vicodin [5/500]) provides more efficacious analgesia than codeine/acetaminophen (Tylenol #3 [30/300]) in patients discharged from the emergency department (ED). Both are currently Drug Enforcement Administration (DEA) Schedule III narcotics. METHODS: This was a prospective, randomized, double-blind, clinical trial of patients with acute extremity pain who were discharged home from the ED, comparing a 3-day supply of oral hydrocodone/acetaminophen (5 mg/500 mg) to oral codeine/acetaminophen (30 mg/300 mg)...
March 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/24268427/uncontrolled-organ-donation-after-circulatory-determination-of-death-us-policy-failures-and-call-to-action
#6
Stephen P Wall, Kevin G Munjal, Nancy N Dubler, Lewis R Goldfrank
In the United States, more than 115,000 patients are wait-listed for organ transplants despite that there are 12,000 patients each year who die or become too ill for transplantation. One reason for the organ shortage is that candidates for donation must die in the hospital, not the emergency department (ED), either from neurologic or circulatory-respiratory death under controlled circumstances. Evidence from Spain and France suggests that a substantial number of deaths from cardiac arrest may qualify for organ donation using uncontrolled donation after circulatory determination of death (uDCDD) protocols that rapidly initiate organ preservation in out-of-hospital and ED settings...
April 2014: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/23423411/realigning-reimbursement-policy-and-financial-incentives-to-support-patient-centered-out-of-hospital-care
#7
Kevin Munjal, Brendan Carr
No abstract text is available yet for this article.
February 20, 2013: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/23254821/a-rationale-in-support-of-uncontrolled-donation-after-circulatory-determination-of-death
#8
Kevin G Munjal, Stephen P Wall, Lewis R Goldfrank, Alexander Gilbert, Bradley J Kaufman, Nancy N Dubler
In the United States, when people die unexpectedly, they are usually not considered as organ donors because of the difficulty of keeping organs viable when death occurs outside the hospital, in "uncontrolled" circumstances. New protocols to permit donation in these cases have renewed the debate about how we decide whether a person has died- and whether the moral imperative to help those in need of transplant should affect the determination of death.
January 2013: Hastings Center Report
https://www.readbyqxmd.com/read/21521036/utilization-of-emergency-medical-services-in-a-large-urban-area-description-of-call-types-and-temporal-trends
#9
Kevin G Munjal, Robert A Silverman, John Freese, James D Braun, Bradley J Kaufman, Douglas Isaacs, Andrew Werner, Mayris Webber, Charles B Hall, David J Prezant
BACKGROUND: Emergency medical services (EMS) systems are used by the public for a range of medically related problems. OBJECTIVE: To understand and analyze the patterns of EMS utilization and trends over time in a large urban EMS system so that we may better direct efforts toward improving those services. METHODS: The 63 call type designations from all New York City (NYC) 9-1-1 EMS calls between 1999 and 2007 were obtained and grouped into 10 broad and 30 specific medical categories...
July 2011: Prehospital Emergency Care
https://www.readbyqxmd.com/read/16199942/selective-soft-tissue-release-preserves-growth-plate-architecture-during-limb-lengthening
#10
Sanjeev Sabharwal, Robert D Harten, Chris Sabatino, Jean S Yun, Kevin Munjal
Although distraction osteogenesis has proven successful in children, concerns remain regarding potential growth inhibition of the lengthened limb. Twenty-one 8-week-old New Zealand White rabbits underwent a unilateral 40% tibial lengthening with the contralateral tibia as control. The animals were divided into Achilles tendon release and non-release groups. Radiographs and histomorphometric analysis of the proximal tibial growth plate was performed 5 and 10 weeks after distraction. The corrected length of tibias without tenotomy was significantly shorter than the contralateral controls, whereas those with tenotomy were statistically equivalent to the contralateral control tibias...
September 2005: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/15215031/posttraumatic-pediatric-distal-tibiofibular-synostosis-a-case-report
#11
REVIEW
Kevin Munjal, Shyam Kishan, Sanjeev Sabharwal
INTRODUCTION: Posttraumatic pediatric distal tibiofibular synostosis is a rare complication of fractures at this level, unreported at this time. Implications include limb length discrepancy, angular malalignment, and gait and biomechanical abnormalities. MATERIALS AND METHODS: The authors present a case report of this complication in a 7-year-old child and review the relevant English literature. The patient was treated for a closed distal tibia-fibula fracture and developed a synostosis at that level, with valgus malalignment of the ankle joint...
June 2004: Foot & Ankle International
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