2023
Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity
Baloescu C, Weingart G, Moore C. Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity. Journal Of Ultrasound In Medicine 2023, 42: 1841-1850. PMID: 36840721, DOI: 10.1002/jum.16205.Peer-Reviewed Original ResearchConceptsLeft ventricular ejection fractionPleural line abnormalitiesSevere COVID-19Emergency departmentSevere COVIDPOCUS findingsCOVID-19Decreased LVEFEmergency department pointHypoxemic respiratory failureRetrospective cohort studyAdult ED patientsRight ventricular dilationVentricular ejection fractionWeeks of presentationSevere clinical courseCOVID-19 severityLung POCUSRespiratory failureCohort studyCare echocardiographyClinical courseDisease courseEjection fractionHospital admission
2018
Intravenous Infiltration Resulting in Compartment Syndrome
Pare JR, Moore CL. Intravenous Infiltration Resulting in Compartment Syndrome. Journal Of Patient Safety 2018, 14: e6-e8. PMID: 26241617, DOI: 10.1097/pts.0000000000000233.Peer-Reviewed Original ResearchConceptsCompartment syndromeSurgical interventionCases of CSCharacteristics of patientsPatient's mental statusAvailable English literatureLong-term deficitsIntravenous infiltrationMental statusPatient outcomesInclusion criteriaMEDLINE searchMeeting inclusionHigh riskClinical informationPatientsSystematic reviewYounger ageLiterature searchHand amputationSyndromeEnglish literaturePersistent deficitsUnclear mechanismsInfiltration
2017
Predictors of Hospital Admission and Urological Intervention in Adult Emergency Department Patients with Computerized Tomography Confirmed Ureteral Stones
Daniels B, Schoenfeld E, Taylor A, Weisenthal K, Singh D, Moore CL. Predictors of Hospital Admission and Urological Intervention in Adult Emergency Department Patients with Computerized Tomography Confirmed Ureteral Stones. Journal Of Urology 2017, 198: 1359-1366. PMID: 28652122, PMCID: PMC5693671, DOI: 10.1016/j.juro.2017.06.077.Peer-Reviewed Original ResearchConceptsComputerized tomography findingsUrological interventionPredictors of interventionTomography findingsHospital admissionRenal ultrasoundC-statisticEmergency departmentUreteral stonesPrior proceduresAdult emergency department patientsLonger pain durationSimilar C-statisticsEmergency department patientsPredictors of admissionLarge stonesObstructing ureteral stonePatients 66Kidney injuryPain durationDepartment patientsRegression modelsSymptomatic stonesProspective dataDiagnostic pathwayRight Upper Quadrant Pain: Ultrasound First!
Revzin MV, Scoutt LM, Garner JG, Moore CL. Right Upper Quadrant Pain: Ultrasound First! Journal Of Ultrasound In Medicine 2017, 36: 1975-1985. PMID: 28586152, DOI: 10.1002/jum.14274.Peer-Reviewed Original ResearchConceptsUpper quadrant painQuadrant painRight upper quadrant painFirst-line imaging modalityUpper abdominal pathologyCommon presenting symptomInitial imaging modalityDiagnosis of gallstonesImaging modalitiesLimitations of ultrasoundOutpatient medical practicePresenting symptomSurgical causesAbdominal pathologyEmergency departmentHepatic pathologyUltrasound examinationPatient managementCorrect diagnosisPathologyPainMedical practiceDiagnosisUltrasoundModalities
2016
Cost‐effectiveness of the Cardiac Component of the Focused Assessment of Sonography in Trauma Examination in Blunt Trauma
Hall MK, Omer T, Moore CL, Taylor RA. Cost‐effectiveness of the Cardiac Component of the Focused Assessment of Sonography in Trauma Examination in Blunt Trauma. Academic Emergency Medicine 2016, 23: 415-423. PMID: 26857839, DOI: 10.1111/acem.12936.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedBlood PressureCost-Benefit AnalysisDecision Support TechniquesFemaleHeart InjuriesHumansHypotensionLife ExpectancyMedicareMiddle AgedModels, EconometricPoint-of-Care SystemsQuality-Adjusted Life YearsReproducibility of ResultsUltrasonographyUnited StatesWounds, NonpenetratingConceptsNormotensive blunt trauma patientsIncremental cost-effectiveness ratioBlunt trauma patientsTrauma patientsBlunt traumaNormotensive patientsHypotensive patientsFocused assessmentBlunt cardiac injuryIncidental pericardial effusionCardiac componentCost-effectiveness ratioDecision analytic modelProbability of deathPericardial effusionPrompt treatmentClinical probabilityCardiac injurySurgical interventionTrauma (FAST) examFAST examLow prevalencePatientsTrauma (FAST) examinationPay thresholdsUreteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score.
Moore CL, Daniels B, Singh D, Luty S, Gunabushanam G, Ghita M, Molinaro A, Gross CP. Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score. Radiology 2016, 280: 743-51. PMID: 26943230, PMCID: PMC5341691, DOI: 10.1148/radiol.2016151691.Peer-Reviewed Original ResearchConceptsReduced-dose CTEmergency departmentUrologic interventionUreteral stonesHigher likelihoodDose CTAverage dose-length productSingle-center studyClinical prediction ruleDose-length productComputed tomography protocolStandard-dose CTInstitutional review boardHIPAA authorizationNonurologic causesPrimary outcomeClinical courseClinician's discretionDose reductionClinical reportsPatientsSTONE scoreCT protocolInformed consentReview boardImpact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock
Hall MK, Taylor RA, Luty S, Allen IE, Moore CL. Impact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock. The American Journal Of Emergency Medicine 2016, 34: 1022-1030. PMID: 26988105, DOI: 10.1016/j.ajem.2016.02.059.Peer-Reviewed Original ResearchConceptsPOC ultrasonographyEmergency departmentNontraumatic shockCare ultrasonographyPropensity scorePropensity score matchElectronic health recordsHospital mortalityShock patientsPrompt diagnosisED arrivalED patientsED physiciansPoint of careRetrospective studyUnique patientsImpact of pointMean reductionPropensity score modelPatientsUltrasonographyED timeDiagnostic ultrasonographyCovariates of timeEvidence of reduction
2015
STONE PLUS: Evaluation of Emergency Department Patients With Suspected Renal Colic, Using a Clinical Prediction Tool Combined With Point-of-Care Limited Ultrasonography
Daniels B, Gross CP, Molinaro A, Singh D, Luty S, Jessey R, Moore CL. STONE PLUS: Evaluation of Emergency Department Patients With Suspected Renal Colic, Using a Clinical Prediction Tool Combined With Point-of-Care Limited Ultrasonography. Annals Of Emergency Medicine 2015, 67: 439-448. PMID: 26747219, PMCID: PMC5074842, DOI: 10.1016/j.annemergmed.2015.10.020.Peer-Reviewed Original ResearchConceptsHigh-risk patientsEmergency department patientsSymptomatic stonesUrologic interventionUreteral stonesComputed tomographyDepartment patientsUncomplicated ureteral stonesAbsence of hydronephrosisAdult ED patientsModerate-risk patientsProspective observational studyClinical prediction toolPresence of hydronephrosisClinical prediction scoreSymptomatic ureteral stonesAlternative findingsRenal pointSecondary outcomesPrimary outcomeED patientsRecord reviewRenal colicRisk stratificationScore patientsEmergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection
Pare JR, Liu R, Moore CL, Sherban T, Kelleher MS, Thomas S, Taylor RA. Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection. The American Journal Of Emergency Medicine 2015, 34: 486-492. PMID: 26782795, DOI: 10.1016/j.ajem.2015.12.005.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, ThoracicAortic DissectionAutopsyDiagnostic ErrorsEchocardiography, TransesophagealEmergency Medical ServicesEmergency MedicineFemaleHumansMaleMedical RecordsMiddle AgedMulticenter Studies as TopicMulti-Institutional SystemsOutcome Assessment, Health CareRetrospective StudiesTime FactorsTomography, X-Ray ComputedConceptsAortic dissectionCardiac ultrasoundEmergency departmentEmergency physiciansAscending aortic dissectionPrimary outcome measureFocus groupsNonspecific presentationED visitsSecondary outcomesAortic dilationMedian timeRetrospective reviewResuscitate statusMedical recordsThoracic aortaDeadly diagnosisOutcome measuresAutopsy reportsPatientsMisdiagnosis rateDissectionUltrasoundMortalityPhysiciansEmergency Department Diagnostic Imaging: The Journey to Quality
Kanzaria HK, Hall MK, Moore CL, Burstin H. Emergency Department Diagnostic Imaging: The Journey to Quality. Academic Emergency Medicine 2015, 22: 1380-1384. PMID: 26575420, DOI: 10.1111/acem.12817.Peer-Reviewed Original ResearchComparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting
Moore CL, Broder J, Gunn ML, Bhargavan‐Chatfield M, Cody D, Cullison K, Daniels B, Gans B, Hall M, Gaines BA, Goldman S, Heil J, Liu R, Marin JR, Melnick ER, Novelline RA, Pare J, Repplinger MD, Taylor RA, Sodickson AD. Comparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting. Academic Emergency Medicine 2015, 22: 1465-1473. PMID: 26576033, DOI: 10.1111/acem.12831.Peer-Reviewed Original ResearchConceptsAcute care settingCare settingsComputed tomography (CT) useCare of patientsAlternative diagnostic strategiesComputed tomography scanningEssential diagnostic toolTomography useCT useEmergency physiciansEmergency radiologistsComparative effectivenessTomography scanningDiagnostic strategiesDiagnostic toolDelphi techniqueSettingPatientsMedical physicistsPhysiciansCareCTTime to Abandon the Term “3 in 1” Block
Moore CL. Time to Abandon the Term “3 in 1” Block. Annals Of Emergency Medicine 2015, 66: 215. PMID: 26208737, DOI: 10.1016/j.annemergmed.2015.04.015.Peer-Reviewed Original ResearchMcConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature
Walsh BM, Moore CL. McConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature. Journal Of Emergency Medicine 2015, 49: 301-304. PMID: 25986329, DOI: 10.1016/j.jemermed.2014.12.089.Peer-Reviewed Original ResearchConceptsPulmonary embolismMcConnell's signAcute right heart strainChronic obstructive pulmonary diseaseRight heart strainDeep venous thrombosisObstructive pulmonary diseaseSystemic lupus erythematosusComputed tomography angiogramRV free wallFour-chamber viewPulmonary hypertensionApical sparingHeart strainLeg swellingLupus erythematosusPulmonary diseaseVenous thrombosisD-dimerTomography angiogramEmergency departmentCase reportLower extremitiesEmergency physiciansFree wallThe “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance
Hall M, Coffey EC, Herbst M, Liu R, Pare JR, Taylor R, Thomas S, Moore CL. The “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance. Academic Emergency Medicine 2015, 22: 583-593. PMID: 25903585, DOI: 10.1111/acem.12652.Peer-Reviewed Original ResearchConceptsEmergency physiciansCardiac ultrasoundLife-threatening conditionLeft ventricular ejectionAcademic emergency departmentFocused cardiac ultrasoundRelevant clinical informationEmergency medicine literaturePericardial effusionEmergency departmentVentricular ejectionEmergency settingClinical informationFOCUS findingsMedicine literatureYears of experienceEffusionPhysiciansSpecific assessmentUltrasoundIndependent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath
Russell FM, Moore CL, Courtney DM, Kabrhel C, Smithline HA, Nordenholz KE, Richman PB, O'Neil BJ, Plewa MC, Beam DM, Mastouri R, Kline JA. Independent evaluation of a simple clinical prediction rule to identify right ventricular dysfunction in patients with shortness of breath. The American Journal Of Emergency Medicine 2015, 33: 542-547. PMID: 25769797, PMCID: PMC7032017, DOI: 10.1016/j.ajem.2015.01.026.Peer-Reviewed Original ResearchConceptsRight ventricular dysfunctionClinical decision ruleSimple clinical prediction ruleRV dysfunctionPersistent dyspneaClinical prediction ruleVentricular dysfunctionDyspneic emergency department (ED) patientsProspective observational multicenter studyPrediction ruleIsolated RV dysfunctionUnexplained persistent dyspneaObservational multicenter studySevere tricuspid regurgitationShortness of breathEmergency department patientsNormal CTPARV hypokinesisStandard careTreatable causeTricuspid regurgitationDepartment patientsMulticenter studyEmergency departmentSame complaintThe student's dilemma, liver edition: Incorporating the sonographer's language into clinical anatomy education
Hall MK, Mirjalili SA, Moore CL, Rizzolo LJ. The student's dilemma, liver edition: Incorporating the sonographer's language into clinical anatomy education. Anatomical Sciences Education 2015, 8: 283-288. PMID: 25573229, DOI: 10.1002/ase.1518.Peer-Reviewed Original ResearchConceptsMain portal fissurePortal fissureCystic pedicleDifficult laparoscopic cholecystectomyMiddle hepatic veinRight hepatic arteryRight upper quadrantImportant clinical roleHepatic arteryLaparoscopic cholecystectomyCystic ductUpper quadrantBiliary systemHepatic veinCadaveric liversExtrahepatic structuresAnatomic variationsClinical roleBlood vesselsLobar fissuresDifferent clinical disciplinesPedicleClinical disciplinesFuture studiesFissuresIncidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations
Samim M, Goss S, Luty S, Weinreb J, Moore C. Incidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations. Journal Of The American College Of Radiology 2015, 12: 63-69. PMID: 25557571, DOI: 10.1016/j.jacr.2014.07.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overComorbidityConnecticutEmergency Medical ServicesEmergency Service, HospitalFemaleHumansIncidental FindingsLung DiseasesMaleMiddle AgedPelvic Inflammatory DiseasePrevalenceRenal ColicRisk AssessmentSex DistributionTomography, X-Ray ComputedUrolithiasisYoung AdultConceptsImportant incidental findingsNon-enhanced CT scansIncidental findingRenal colicEmergency departmentCT scanSuspected Renal ColicEmergency department patientsSubstantial inter-rater agreementSubset of reportsACR White PaperAdult patientsDepartment patientsRetrospective reviewProspective studyHigh prevalenceConsensus recommendationsInter-rater agreementConsecutive examinationsInter-rater variabilityOlder individualsColicPrevalencePatientsScans
2014
Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting
Ashurst JV, Cherney AR, Evans EM, Hall M, Hess EP, Kline JA, Mitchell AM, Mills AM, Weigner MB, Moore CL. Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting. Academic Emergency Medicine 2014, 21: 1431-1437. PMID: 25420885, DOI: 10.1111/acem.12537.Peer-Reviewed Original ResearchConceptsAcute care settingCare settingsDiagnostic imaging decisionsLower abdominal painCoronary artery diseaseEmergency department settingGender-specific researchAcademic Emergency Medicine consensus conferenceAbdominal painChest painPulmonary embolismArtery diseaseEmergency departmentPatient evaluationDepartment settingPatient outcomesImaging decisionsConsensus conferenceEmergency careRole of sexResearch prioritiesExpert consensusImaging choiceNominal group techniqueDiagnostic imagingUse of Point-of-Care Ultrasound in Connecticut Emergency Departments
Herbst MK, Camargo CA, Perez A, Moore CL. Use of Point-of-Care Ultrasound in Connecticut Emergency Departments. Journal Of Emergency Medicine 2014, 48: 191-196.e2. PMID: 25440859, DOI: 10.1016/j.jemermed.2014.09.017.Peer-Reviewed Original ResearchConceptsEmergency departmentPOC-USCare ultrasoundCommunity ED settingEmergency Physicians guidelinesRespondents' emergency departmentsAbdominal aortic aneurysmAcademic emergency departmentPhysicians guidelinesED settingUse of pointAortic aneurysmED directorsACEP guidelinesEmergency physiciansAmerican CollegeResponse rateTrauma (FAST) examinationUS machineFocused assessmentBilling patternsHospital privilegesMinority useQuality assurance programUS performanceAccuracy of Reduced-Dose Computed Tomography for Ureteral Stones in Emergency Department Patients
Moore CL, Daniels B, Ghita M, Gunabushanam G, Luty S, Molinaro AM, Singh D, Gross CP. Accuracy of Reduced-Dose Computed Tomography for Ureteral Stones in Emergency Department Patients. Annals Of Emergency Medicine 2014, 65: 189-198.e2. PMID: 25441242, PMCID: PMC5131573, DOI: 10.1016/j.annemergmed.2014.09.008.Peer-Reviewed Original ResearchConceptsUreteral stonesReduced-dose CT protocolDose CTBlinded observational studyEmergency department patientsSize-specific dose estimateEmergency department settingComputed tomography scanSymptomatic ureteral stonesReduced-dose CTDose computed tomography (CT) scansAcademic medical centerDose CT scansReduced-dose protocolObese patientsSubstantial dose reductionDepartment patientsPrimary outcomeED patientsAbdominal diameterDepartment settingTomography scanObservational studyMedical CenterCT scan