2022
Emergency department initiated resuscitative endovascular balloon occlusion of the aorta (REBOA) for out‐of‐hospital cardiac arrest is feasible and associated with improvements in end‐tidal carbon dioxide
Daley J, Buckley R, Kisken KC, Barber D, Ayyagari R, Wira C, Aydin A, Latich I, Lozada JCP, Joseph D, Marino A, Mojibian H, Pollak J, Chaar CO, Bonz J, Belsky J, Coughlin R, Liu R, Sather J, Van Tonder R, Beekman R, Fults E, Johnson A, Moore C. Emergency department initiated resuscitative endovascular balloon occlusion of the aorta (REBOA) for out‐of‐hospital cardiac arrest is feasible and associated with improvements in end‐tidal carbon dioxide. Journal Of The American College Of Emergency Physicians Open 2022, 3: e12791. PMID: 36176506, PMCID: PMC9463569, DOI: 10.1002/emp2.12791.Peer-Reviewed Original ResearchAdvanced cardiac life supportResuscitative endovascular balloon occlusionEnd-tidal carbon dioxideHospital cardiac arrestEndovascular balloon occlusionAortic occlusionCardiac life supportOHCA patientsBalloon occlusionCardiac arrestEmergency departmentLife supportAcademic urban EDEarly feasibility trialUrban ED settingIntra-aortic balloonTidal carbon dioxideReperfusion strategyHospital admissionSpontaneous circulationUrban EDED settingFeasibility trialBalloon deflationChest compressions
2021
Paramedic-performed Prehospital Point-of-care Ultrasound for Patients with Undifferentiated Dyspnea: A Pilot Study
Schoeneck JH, Coughlin RF, Baloescu C, Cone DC, Liu RB, Kalam S, Medoro AK, Medoro I, Joseph D, Burns K, Bohrer-Clancy JI, Moore CL. Paramedic-performed Prehospital Point-of-care Ultrasound for Patients with Undifferentiated Dyspnea: A Pilot Study. Western Journal Of Emergency Medicine 2021, 22: 750-755. PMID: 34125056, PMCID: PMC8203026, DOI: 10.5811/westjem.2020.12.49254.Peer-Reviewed Original ResearchConceptsCongestive heart failureBilateral B-linesDiagnosis of CHFHeart failureDischarge diagnosisEmergency departmentB-lines
2020
Trends in Diagnostic Point-of-Care Ultrasonography Reimbursement for Medicare Beneficiaries Among the US Emergency Medicine Workforce, 2012 to 2016
Birch MS, Marin JR, Liu RB, Hall J, Hall MK. Trends in Diagnostic Point-of-Care Ultrasonography Reimbursement for Medicare Beneficiaries Among the US Emergency Medicine Workforce, 2012 to 2016. Annals Of Emergency Medicine 2020, 76: 609-614. PMID: 32653329, DOI: 10.1016/j.annemergmed.2020.05.024.Peer-Reviewed Original ResearchConceptsCare ultrasonographyEmergency physiciansDiagnostic pointCurrent Procedural Terminology codesEmergency medicine cliniciansAdvanced practice providersCross-sectional studyProcedural Terminology codesEmergency medicine workforceAbdominal examinationUltrasonographic studyEmergency departmentClinician workforceUltrasonographic examinationCritical careMedicaid feePractice providersMedicine cliniciansLow prevalenceTerminology codesMedicare beneficiariesReimbursement patternsInternal medicineRapid diagnosisUltrasonography
2018
Challenges and Changes to the Management of Pulmonary Embolism in the Emergency Department
Moore C, McNamara K, Liu R. Challenges and Changes to the Management of Pulmonary Embolism in the Emergency Department. Clinics In Chest Medicine 2018, 39: 539-547. PMID: 30122178, DOI: 10.1016/j.ccm.2018.04.009.Peer-Reviewed Original Research
2016
Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism
Daley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, Taylor A, Moore CL. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. The American Journal Of Emergency Medicine 2016, 35: 106-111. PMID: 27793505, DOI: 10.1016/j.ajem.2016.10.018.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overCohort StudiesComputed Tomography AngiographyEchocardiographyEmergency MedicineFemaleHumansMaleMiddle AgedObserver VariationPhysiciansPoint-of-Care SystemsPoint-of-Care TestingProspective StudiesPulmonary EmbolismReproducibility of ResultsROC CurveSensitivity and SpecificitySystoleTricuspid ValveVentricular Dysfunction, RightYoung AdultConceptsTricuspid annular plane systolic excursionAnnular plane systolic excursionDiagnosis of PEPulmonary embolismSystolic excursionProspective observational cohort studyUrban academic emergency departmentObservational cohort studyAcademic emergency departmentCharacteristic curve analysisModerate diagnostic valueIntraclass correlation coefficientCohort studyEmergency departmentTomographic angiographyEmergency physiciansOptimal cutoffPatientsDiagnostic valueAbnormal cutoffsSecondary objectiveΚ statisticCurve analysisConvenience sampleInterrater reliabilityUse of Point‐of‐Care Ultrasound in the Emergency Department
Hall MK, Hall J, Gross CP, Harish NJ, Liu R, Maroongroge S, Moore CL, Raio CC, Taylor RA. Use of Point‐of‐Care Ultrasound in the Emergency Department. Journal Of Ultrasound In Medicine 2016, 35: 2467-2474. PMID: 27698180, DOI: 10.7863/ultra.16.01041.Peer-Reviewed Original ResearchConceptsCare ultrasoundEmergency departmentOdds ratioHealthcare Common Procedure Coding System codesMedicaid Services feeCare ultrasound useEmergency medicine practitionersMedical school graduation yearUse of pointPatient outcomesUltrasound examinationMedicare beneficiariesEM residenciesMedicare Part B feeUltrasound useMedicine practitionersPart B feePractice locationProvider UtilizationB feeService reimbursementEM practitionersReimbursementUltrasoundLower rates
2015
Emergency 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 rateDissectionUltrasoundMortalityPhysiciansThe “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 assessmentUltrasound
2013
Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strain