Thomas E. Grissom

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BACKGROUND Many resuscitation scenarios include the use of emergency intubation to support injured patients. New video-guided airway management technology is available, which may minimize the risk to patients from this procedure. METHODS This was a controlled clinical trial conducted in the trauma receiving unit in a university-affiliated urban hospital(More)
OBJECTIVE To compare propofol, methohexital, and midazolam administered as titrated infusions for sedation during electrical cardioversion. DESIGN A prospective, randomized, single-blind comparative study. SETTING Coronary care unit in a military teaching hospital. PATIENTS Thirty adult patients with atrial fibrillation, atrial flutter, or paroxysmal(More)
PURPOSE OF REVIEW Death from exsanguinating hemorrhage remains a priority in the management of combat casualties and civilian trauma patients with truncal and junctional injuries. Appropriate use of hemostatic agents and dressings in the prehospital setting may allow for earlier control and an improved survival rate. RECENT FINDINGS Third-generation(More)
OBJECTIVES a) To determine the response of endotoxin-exposed vascular smooth muscle to exogenous vasoconstrictors during concomitant exposure to an inhaled anesthetic (halothane); and b) to determine if excess nitric oxide production is responsible for any altered response. DESIGN In vitro, prospective, repeated-measures, dose-response study. SETTING(More)
BACKGROUND Care of the polytrauma patient does not end in the operating room or resuscitation bay. The patient presenting to the intensive care unit following initial resuscitation and damage control surgery may be far from stable with ongoing hemorrhage, resuscitation needs, and injuries still requiring definitive repair. The intensive care physician must(More)
Recent healthcare legislation, financial pressures, and regulatory oversight have increased the need to create improved mechanisms for performance measurement, quality management tracking, and outcomesbased research. The Anesthesia Quality Institute (AQI) has established the National Anesthesia Clinical Outcomes Registry (NACOR) to support these(More)
OBJECTIVE The provision of sophisticated medical care in an austere environment is challenging. During and after a mass casualty event, it is likely that critical care services will be needed beyond an intensive care unit (ICU) setting. The objective of this article is to explore existing ICU care systems such as military aeromedical transport that may be(More)
We evaluated the effects of anesthetics on neurologic outcome in a model of recoverable experimental spinal cord injury (SCI). Adult rats were implanted with various sizes of hygroscopic plastic material at the T12 spinal level to determine the dimensions that would produce a progressive neurologic deficit from which recovery could occur. Neurologic(More)
BACKGROUND Although the use of an anesthesiology "airway" rotation to train the nonanesthesiologist is commonly employed, little data exist on the utility, clinical exposure, and outcomes of these programs. METHODS A prospectively collected observational dataset of airway procedures completed by trainees in a 4-week, anesthesiology-based, airway rotation(More)