|Research Mentoring||Acute Care Surgery Fellowship|
Shooting and stabbing victims immobilized to protect their spines might be twice as likely to die because of the delay in transporting them to the hospital, Johns Hopkins researchers conclude in a new study that could trigger a review of treatment protocols used by Maryland paramedics.
Immobilization is standard procedure for paramedics in Maryland and many communities across the country, and the study could have particular significance in Baltimore, where 218 people were fatally shot or stabbed last year.
Immobilization "shouldn't be applied to every single patient who is shot or stabbed because it uses up precious time and doesn't necessarily benefit the patient," said Dr. Elliott R. Haut, lead author of the study published today in the Journal of Trauma.
Read More - Benefit of immobilizing trauma victims questioned
Frequent collaborator Michael Streiff, M.D., of Johns Hopkins Medicine, joins Dr. Haut to comment on a ruling by the CMS (US Centers for Medicare & Medicaid Services). Read more: The CMS Ruling on Venous Thromboembolism After Total Knee and Hip Arthroplasty - Weighing the Risks and Benefits.
Fostering Clinical Systems Innovation and Quality Improvement
Current Research Funding
Does Screening Variability Make DVT an Unreliable Quality Measure of Trauma Care?
DVT is a significant cause of morbidity and mortality in trauma patients, yet may be completely asymptomatic until the clot embolizes and causes sudden death from massive pulmonary embolism. Dr. Haut is working on correlating hospital-level DVT rates with the presence/absence of a screening protocol using the National Trauma Data Bank (NTDB). A multi-level analysis is being performed which looks at DVT predictors on an individual level.
This is a Mentored Clinical Scientist Development Award for Dr. Haut (see proposal summary). It builds upon the candidate's strengths and prior research skills, while utilizing the unique opportunities of The Johns Hopkins University. The mentorship of Dr. Peter Pronovost (left) and formal advanced degree coursework in the Graduate Training Program in Clinical Investigation (GTPCI), give Dr. Haut the tools and training to advance to the level of a fully independent health services researcher.
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Each error is described in a short, clinically relevant vignette, followed by a list of things that should always or never be done in that context and tips on how to avoid or ameliorate problems. Coverage includes all areas of ICU practice except the pediatric intensive care unit. Avoiding Common ICU Errors