Jeremy S Juern

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Diaphragm rupture is associated with approximately 5% of blunt abdominal trauma. However, rupture of the central tendon of the diaphragm leading to an intrapericardial diaphragmatic hernia is very rare, with less than 100 cases reported in the world literature. All previously reported cases have been repaired via laparotomy or thoracotomy. In this paper, we(More)
T of pH, carbon dioxide, and oxygen in blood goes back hundreds of years. This scientific history involves distinguished names such as Boyle, Dalton, Avogadro, Arrhenius, Henderson, and Hasselbach. Following in the footsteps of these luminaries, Siggaard-Andersen and Astrup developed the term base excess (BE) to describe the metabolic component of an(More)
Weaning from mechanical ventilation is usually straightforward but is occasionally challenging. Sedation must be used at the appropriate times and with appropriate dosing. A protocol that calls for a daily sedation holiday with a spontaneous breathing trial decreases time on the ventilator. Early tracheostomy is beneficial in traumatic brain injury(More)
BACKGROUND The topic of restrictive covenants in fellowships that are not approved by the Accreditation Council for Graduate Medical Education (ACGME) has not been studied. OBJECTIVE To investigate the presence of institutional polices at academic medical centers regarding restrictive covenants in non-ACGME fellowships. METHODS The graduate medical(More)
Indications A gastrostomy tube may need to be reinserted after accidental dislodgement, or it may be need to be removed and replaced because of a malfunction, such as tubing that is cracked or a balloon that no longer works. Gastrostomy tubes may be changed on a schedule to prevent malfunction. The longevity of gastrostomy-tube balloons is variable and(More)
INTRODUCTION Blunt pelvic fractures can be associated with major pelvic bleeding. The significance of contrast extravasation (CE) on computed tomography (CT) is debated. We sought to update our experience with CE on CT scan for the years 2009-2014 to determine the accuracy of CE in predicting the need for angioembolization. METHODS This is a retrospective(More)
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