Yanina A Purim-Shem-Tov

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BACKGROUND Reducing time to reperfusion treatment for patients with ST-segment elevation myocardial infarction (STEMI) improves patient outcomes. Few medical systems consistently meet current benchmarks regarding timely access to treatment. Studies have widely demonstrated that prehospital 12-lead electrocardiography can facilitate early catheterization(More)
BACKGROUND The Centers for Disease Control (CDC) recommends universal human immunodeficiency virus (HIV) testing for patients aged 13-64 years in health care settings where the seroprevalence is>0.1%. Rapid HIV testing has several advantages; however, recent studies have raised concerns about false positives in populations with low seroprevalence. STUDY(More)
INTRODUCTION Screening for Acute Coronary Syndrome in chest pain patients can be initiated with a 12-lead electrocardiogram (ECG). Current American College of Cardiology/American Heart Association guidelines recommends getting an ECG performed and reviewed within 10 minutes of the time these patients present to the Emergency Department (ED). One innovative(More)
OBJECTIVES Frequent, nonurgent emergency department use continues to plague the American health care system through ineffective disease management and unnecessary costs. In 2012, the Illinois Medical Home Network (MHN) was implemented to, in part, reduce an overreliance on already stressed emergency departments through better care coordination and access to(More)
BACKGROUND There has been considerable emphasis on the care of patients with ST-elevation myocardial infarction (STEMI) with the wide implementation of protocols to quickly identify and triage them from the emergency department (ED) to a cardiac catheterization laboratory for percutaneous coronary intervention. However, a small but important number of(More)
Nearly 90% of combat deaths occur on the battlefield before the casualty reaches a treatment facility. It has been shown that early intervention in trauma patients improves morbidity and mortality. Hence, the training of military health care providers in lifesaving measures is imperative to saving lives on the battlefield. To date, few courses exist to(More)
INTRODUCTION Patients at low risk for coronary artery disease (CAD) can be safely treated in the chest pain observation unit (CPOU). The goal of the study is to identify the differences in risk profiles of patients with positive and negative workup. METHODS The study is a retrospective CPOU chart review conducted over 6 months. Data collected included(More)
OBJECTIVES The main objective of this pilot study was to measure the effectiveness of a 1-year comprehensive training program on the long-term cognitive competence in disaster preparedness among attending emergency physicians (EPs). DESIGN Ten attending EPs participated in a year-long training program in disaster preparedness and management. A baseline(More)
INTRODUCTION Reducing door-to-balloon (DTB) time in ST-segment elevation myocardial infarction improves outcomes. Several hospital factors can delay DTB times and lead to increased morbidity and mortality. The effects of hospital design and an interventional platform (IP) on patient care, particularly on the DTB time, are unknown. METHODS We performed a(More)
A wealth of literature [1,2] addresses the multifaceted problem posed by frequent, nonurgent emergency department (ED) use to the health care system (eg, costs) as well as patients (eg, disease management). As Medicaid patients visit the ED more than those privately insured [3], numerous interventions [2,4,5] aim to decrease ED use among Medicaid patients.(More)