Kevin M. Takakuwa

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BACKGROUND Point-of-care (POC) testing may expedite the care of emergency department (ED) patients suspected of having acute coronary syndromes (ACS). We evaluated the use patterns of cardiac bedside markers or POC testing for troponin in patients with non-ST-segment elevation (NSTE) ACS. METHODS NSTE ACS data were collected from the Can Rapid Risk(More)
PURPOSE To determine whether coronary computed tomographic (CT) angiography "triple rule-out" evaluation of emergency department (ED) patients presenting with symptoms suggestive of acute coronary syndrome (ACS) can help identify a subset of patients who can be discharged without adverse clinical outcomes within 30 days. MATERIALS AND METHODS This(More)
OBJECTIVE The purpose of this study was to assess knowledge and attitudes about radiation from CT among emergency department patients with symptoms prompting CT who were stratified on the basis of demographic variables, pain, and perceived illness. SUBJECTS AND METHODS This survey study was based on three knowledge and three attitude questions asked of(More)
OBJECTIVE To assess general knowledge and preventive behaviors regarding breast cancer among women who present to an urban emergency department. METHODS During a six-month study period, a convenience sampling of women aged 21 years and older who were in treatment and waiting areas was surveyed. The anonymous written survey asked about demographic(More)
STUDY OBJECTIVE Nausea and vomiting related to gastritis or gastroenteritis are common complaints in the emergency department. The most effective antiemetic agent is yet undetermined. This study was conducted to compare the efficacy of prochlorperazine versus promethazine for uncomplicated nausea and vomiting in the ED. METHODS The study was a randomized,(More)
OBJECTIVES The objectives were to determine if an emergency department (ED) could improve the adherence to a door-to-electrocardiogram (ECG) time goal of 10 minutes or less for patients who presented to an ED with chest pain and the effect of this adherence on door-to-balloon (DTB) time for ST-segment elevation myocardial infarction (STEMI) cardiac(More)
STUDY OBJECTIVES The study aimed to determine whether aspirin therapy was differentially administered according to race, sex, or age in patients with undifferentiated chest pain who presented to an urban academic emergency department. METHODS This was a prospective observational cohort study of patients older than 24 years who presented with chest pain(More)
OBJECTIVE "Triple rule-out" coronary CT angiography (CTA) using 64-MDCT technology is a new approach for evaluating emergency department patients presenting with symptoms suggestive of acute coronary syndrome (ACS). Our objective was to evaluate the reduction in effective radiation dose through the use of tube current modulation in patients who underwent a(More)