On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of… (More)
Musical instruction often includes materials that can act as a barrier to learning. New technologies using augmented reality may aid in reducing the initial difficulties involved in learning music by lowering these barriers characteristic of traditional instructional materials. Therefore, this set of studies examined a novel augmented reality guitar… (More)
Lupus nephritis (LN) is a potentially dangerous end organ pathology that affects upwards of 60% of lupus patients. Bruton's tyrosine kinase (BTK) is important for B cell development, Fc receptor signaling, and macrophage polarization. In this study, we investigated the effects of a novel, highly selective and potent BTK inhibitor, BI-BTK-1, in an inducible… (More)
OBJECTIVE The overall purpose was to understand the effects of handoff protocols using meta-analytic approaches. BACKGROUND Standardized protocols have been required by the Joint Commission, but meta-analytic integration of handoff protocol research has not been conducted. METHOD The primary outcomes investigated were handoff information passed during… (More)
INTRODUCTION Work interruptions during patient care have been correlated with error. Task-switching is identified by the Accreditation Council for Graduate Medical Education (ACGME) as a core competency for emergency medicine (EM). Simulation has been suggested as a means of assessing EM core competencies. We assumed that senior EM residents had better… (More)
their encouragement, in-class presentations, discussions, and suggestions. I am especially thankful to Ben Newman for his comments and suggestions, and to Andrew Bergal and Alex Oster for their encouragement and for making my experience in class more enjoyable. Thanks to Sher Mern Tan for pushing me to work hard on my thesis, especially during the last few… (More)
Guillain Barré Syndrome (GBS), although an uncommon diagnosis in the emergency department (ED), usually presents as one of the more common chief complaints-weakness. In this report we present an unusual case of weakness, initially seen in the ED and sent home only to return with worsening symptoms and ultimately found to be GBS.
Objective: To determine whether it is the direction of the needle bevel, J-tip guidewire, or both that influences the direction of the guidewire in subclavian central line placement. Methods: A total of 1,200 trials were performed using a plastic tubular model simulating the subclavian, IJV, and SCV junction. The trials were divided into six groups: needle… (More)