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"Reuben" "Strayer"

Sergey Motov, Reuben Strayer, Bryan D Hayes, Mark Reiter, Steven Rosenbaum, Melanie Richman, Zachary Repanshek, Scott Taylor, Benjamin Friedman, Gary Vilke, Daniel Lasoff
BACKGROUND: Pain is one of the most common reasons patients present to the emergency department (ED). Emergency physicians should be aware of the numerous opioid and nonopioid alternatives available for the treatment of pain. OBJECTIVES: To provide expert consensus guidelines for the safe and effective treatment of acute pain in the ED. METHODS: Multiple independent literature searches using PubMed were performed regarding treatment of acute pain...
May 2018: Journal of Emergency Medicine
Reuben J Strayer
Aortic dissection (AD) is a lethal, treatable disruption of the aortic vessel wall. It often presents without classic features, mimicking symptoms of other conditions, and diagnosis is often delayed. Established high-risk markers of AD should be sought and indicate advanced aortic imaging with CT, MRI, or TEE. Treatment is immediate surgical evaluation, aggressive symptom relief, and reduction of the force of blood against the aortic wall by control of heart rate, followed by blood pressure.
November 2017: Emergency Medicine Clinics of North America
Robert Cox, Mark Andreae, Bradley Shy, James DuCanto, Reuben Strayer
No abstract text is available yet for this article.
November 2017: American Journal of Emergency Medicine
Reuben J Strayer, Sergey M Motov, Lewis S Nelson
No abstract text is available yet for this article.
April 5, 2017: American Journal of Emergency Medicine
Reuben J Strayer, Bradley D Shy
No abstract text is available yet for this article.
February 2017: American Journal of Emergency Medicine
Reuben J Strayer, Sergey M Motov, Lewis S Nelson
The United States is currently experiencing a public health crisis of opioid addiction, which has its genesis in an industry marketing effort that successfully encouraged clinicians to prescribe opioids liberally, and asserted the safety of prescribing opioids for chronic non-cancer pain, despite a preponderance of evidence demonstrating the risks of dependence and misuse. The resulting rise in opioid use has pushed drug overdose deaths in front of motor vehicle collisions to become the leading cause of accidental death in the country...
February 2017: American Journal of Emergency Medicine
R Sean Morrison, Eitan Dickman, Ula Hwang, Saadia Akhtar, Taja Ferguson, Jennifer Huang, Christina L Jeng, Bret P Nelson, Meg A Rosenblatt, Jeffrey H Silverstein, Reuben J Strayer, Toni M Torrillo, Knox H Todd
OBJECTIVES: To compared outcomes of regional nerve blocks with those of standard analgesics after hip fracture. DESIGN: Multisite randomized controlled trial from April 2009 to March 2013. SETTING: Three New York hospitals. PARTICIPANTS: Individuals with hip fracture (N = 161). INTERVENTION: Participants were randomized to receive an ultrasound-guided, single-injection, femoral nerve block administered by emergency physicians at emergency department (ED) admission followed by placement of a continuous fascia iliaca block by anesthesiologists within 24 hours (n = 79) or conventional analgesics (n = 82)...
December 2016: Journal of the American Geriatrics Society
Bradley D Shy, Aldo Gutierrez, Reuben J Strayer
No abstract text is available yet for this article.
November 2015: Journal of Emergency Medicine
Christian A Pean, Keithara Davis, Robert Merrill, Brett Marinelli, Allison Lockwood, Zara Mathews, Reuben J Strayer, GeneviƩve Poitevien, Jennifer Galjour
BACKGROUND: During a 3-year time frame, a partnership between medical trainees in Haiti and the United States was forged with the objective of implementing an emergency response skills curriculum at a medical school in Port-au-Prince. The effort sought to assess the validity of a near-peer, bidirectional, cross-cultural teaching format as both a global health experience for medical students and as an effective component of improving medical education and emergency response infrastructure in developing countries such as Haiti...
March 2015: Annals of Global Health
Christopher R Tainter, Alan W Huang, Reuben J Strayer
BACKGROUND: Isolated distal deep vein thrombosis (DVT) is not traditionally viewed as a potentially life-threatening condition. There are conflicting recommendations regarding its evaluation and treatment, and wide variability in clinical practice. The presentation of this case highlights the fatal potential of this condition. CASE REPORT: This is the report of a previously healthy young woman who presented to the emergency department with calf pain concerning for a DVT...
February 2015: Journal of Emergency Medicine
Bradley D Shy, Jason S Shapiro, Peter L Shearer, Nicholas G Genes, Cindy F Clesca, Reuben J Strayer, Lynne D Richardson
For more than 25 years, emergency medicine researchers have examined 72-hour return visits as a marker for high-risk patient visits and as a surrogate measure for quality of care. Individual emergency departments frequently use 72-hour returns as a screening tool to identify deficits in care, although comprehensive departmental reviews of this nature may consume considerable resources. We discuss the lack of published data supporting the use of 72-hour return frequency as an overall performance measure and examine why this is not a valid use, describe a conceptual framework for reviewing 72-hour return cases as a screening tool, and call for future studies to test various models for conducting such quality assurance reviews of patients who return to the emergency department within 72 hours...
January 2015: American Journal of Emergency Medicine
Reuben J Strayer, Bradley D Shy, Peter L Shearer
BACKGROUND: Evaluating the quality of care as part of a quality improvement process is required in many clinical environments by accrediting bodies. It produces metrics used to evaluate department and individual provider performance, provides outcomes-based feedback to clinicians, and identifies ways to reduce error. DISCUSSION: To improve patient safety and train our residents to perform peer review, we expanded our quality assurance program from a narrow, administrative process carried out by a small number of attendings to an educationally focused activity of much greater scope incorporating all residents on a monthly basis...
December 2014: Journal of Emergency Medicine
Reuben J Strayer, Peter L Shearer, Luke K Hermann
Acute aortic dissection (AAD) is a rare and lethal disease with presenting signs and symptoms that can often be seen with other high risk conditions; diagnosis is therefore often delayed or missed. Pain is present in up to 90% of cases and is typically severe at onset. Many patients present with acute on chronic hypertension, but hypotension is an ominous sign, often reflecting hemorrhage or cardiac tamponade. The chest x-ray can be normal in 10-20% of patients with AAD, and though transthoracic echocardiography is useful if suggestive findings are seen, and should be used to identify pericardial effusion, TTE cannot be used to exclude AAD...
May 2012: Current Cardiology Reviews
Reuben J Strayer, Lewis S Nelson
STUDY OBJECTIVES: Ketamine is widely used as a procedural sedation agent in pediatrics, where its safety and efficacy are supported by numerous studies. Emergency physicians use ketamine infrequently in adults, as it is believed to have a more significant side effect profile in this population. However, adult data on ketamine use in the emergency medicine literature are sparse. Our objective was to determine ketamine's adverse effect profile in adults when used for procedural sedation...
November 2008: American Journal of Emergency Medicine
Reuben J Strayer, Eddy S Lang
No abstract text is available yet for this article.
May 2006: Annals of Emergency Medicine
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