2024
Effects of opening a vertical care area on emergency medicine resident clinical experience
Tsyrulnik A, Rothenberg C, Sun W, Venkatesh A, Coughlin R, Goldflam K, Sangal R. Effects of opening a vertical care area on emergency medicine resident clinical experience. AEM Education And Training 2024, 8: e11040. PMID: 39574943, PMCID: PMC11576914, DOI: 10.1002/aet2.11040.Peer-Reviewed Original ResearchEmergency Severity IndexBehavioral health patientsEmergency departmentHealth patientsPostgraduate year (PGY)-1 residentsAcuity level of patientsCare unitPractice registered nursesResident educational outcomesESI 4PGY-3 residentsFast-track unitPGY-1 residentsResident clinical experiencePatient acuityCritical care patientsCare patientsCare areasClinical educationTriage physiciansAcuity levelsCritical careLevels of patientsPGY-2PGY-1Is boarding compromising our residents' education? A national survey of emergency medicine program directors
Goldflam K, Bradby C, Coughlin R, Cordone A, Bod J, Bright L, Merrill R, Tsyrulnik A. Is boarding compromising our residents' education? A national survey of emergency medicine program directors. AEM Education And Training 2024, 8: e10973. PMID: 38633136, PMCID: PMC11018641, DOI: 10.1002/aet2.10973.Peer-Reviewed Original ResearchResident educationEmergency departmentCross-sectional convenience sampleHigher patient volumesFree-text responsesPearson chi-square testED throughputBoarding patientsResident staffingChi-square testPatient volumeED boardingMixed-methods approachPatient flowManagement of critically ill patientsBedside teachingUndifferentiated patientsDescriptive dataResidency trainingResident feedbackCritically ill patientsNational surveyResident learningProgram directorsLack of exposure
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
The diagnosis and management of Paget-Schroetter syndrome (primary effort thrombosis) in the emergency department
Jacob V, Daley J, Coughlin R. The diagnosis and management of Paget-Schroetter syndrome (primary effort thrombosis) in the emergency department. Medicine Case Reports And Study Protocols 2021, 2: e0106. DOI: 10.1097/md9.0000000000000106.Peer-Reviewed Original ResearchPaget-Schroetter syndromeEmergency departmentParamedic-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-linesSTEMI Equivalents and Their Incidence during EMS Transport
Palladino N, Shah A, McGovern J, Burns K, Coughlin R, Joseph D, Cone DC. STEMI Equivalents and Their Incidence during EMS Transport. Prehospital Emergency Care 2021, 26: 48-54. PMID: 33320732, DOI: 10.1080/10903127.2020.1863533.Peer-Reviewed Original ResearchST-elevation myocardial infarctionPercutaneous coronary interventionWellens' syndromePrehospital ECGSTEMI equivalentBalloon timeT waveUrban tertiary care emergency departmentPrehospital cliniciansTertiary care emergency departmentAVR ST elevationRetrospective chart reviewManagement of patientsCardiac catheterization labHospital ECGChest painChart reviewCoronary interventionCardiac catheterizationEarly reperfusionPrehospital patientsST elevationECG findingsEmergency departmentMyocardial infarction
2020
Research Protocol and Case Report of Emergency Department Endovascular Aortic Occlusion (REBOA) in Non-traumatic Cardiac Arrest
Daley J, Cannon K, Buckley R, Aydin A, Latich I, Perez Lozada J, Bonz J, Joseph D, Coughlin R, Belsky J, Sather J, Wira C, Liu R, Johnson A, Moore C. Research Protocol and Case Report of Emergency Department Endovascular Aortic Occlusion (REBOA) in Non-traumatic Cardiac Arrest. Journal Of Endovascular Resuscitation And Trauma Management 2020, 4 DOI: 10.26676/jevtm.v40i(2).140.Peer-Reviewed Original ResearchMean arterial pressureEmergency departmentEmergency physiciansAortic occlusionCardiac arrestCase reportResearch protocolNon-traumatic cardiac arrestFeasibility of REBOAFavorable neurologic outcomeInitial casesNon-traumatic OHCAFemoral arterial accessHospital cardiac arrestTidal carbon dioxideEndovascular aortic occlusionEarly human studiesNeurologic outcomeSecondary outcomesArterial pressureInitial patientsPrimary outcomeSpontaneous circulationHemodynamic changesArterial accessA Research Protocol and Case Report of Emergency Department Endovascular Aortic Occlusion (REBOA) in Non-traumatic Cardiac Arrest
Daley J, Cannon K, Buckley R, Aydin A, Latich I, Lozada J, Bonz J, Joseph D, Coughlin R, Belsky J, Van Tonder R, Sather J, Wira C, Liu R, Johnson A, Moore C. A Research Protocol and Case Report of Emergency Department Endovascular Aortic Occlusion (REBOA) in Non-traumatic Cardiac Arrest. Journal Of Endovascular Resuscitation And Trauma Management 2020, 4: 88-93. DOI: 10.26676/jevtm.v4i2.140.Peer-Reviewed Original ResearchAdvanced cardiac life supportCardiac life supportEmergency departmentEmergency physiciansAortic occlusionCardiac arrestCase reportNon-traumatic cardiac arrestLife supportResuscitative endovascular balloon occlusionResearch protocolFeasibility of REBOAFavorable neurologic outcomeMean arterial pressureNon-traumatic OHCAFemoral arterial accessEndovascular balloon occlusionHospital cardiac arrestTidal carbon dioxideEndovascular aortic occlusionEarly human studiesNeurologic outcomeSecondary outcomesArterial pressureInitial patients
2019
Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency
Coughlin RF, Peaper D, Rothenberg C, Golden M, Landry ML, Cotton J, Parwani V, Shapiro M, Ulrich A, Venkatesh AK. Electronic Health Record–Assisted Reflex Urine Culture Testing Improves Emergency Department Diagnostic Efficiency. American Journal Of Medical Quality 2019, 35: 252-257. PMID: 31296024, DOI: 10.1177/1062860619861947.Peer-Reviewed Original ResearchConceptsUrine culture ordersUrine culture testingED visitsUrine cultureEmergency departmentDiagnostic yieldCulture ordersCulture testingUrine culture utilizationClinical decision support toolElectronic health recordsSecondary outcomesPrimary outcomeTest utilizationHealth recordsSignificant decreaseDiagnostic efficiencyMean numberVisitsCulture utilizationOutcomesTesting algorithmEffects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses
Felice J, Coughlin RF, Burns K, Chmura C, Bogucki S, Cone DC, Joseph D, Parwani V, Li F, Saxa T, Ulrich A. Effects of Real-time EMS Direction on Optimizing EMS Turnaround and Load-balancing Between Neighboring Hospital Campuses. Prehospital Emergency Care 2019, 23: 788-794. PMID: 30798628, DOI: 10.1080/10903127.2019.1587123.Peer-Reviewed Original ResearchConceptsNurse navigator programSingle healthcare systemNavigator programHealthcare systemEmergency medical services (EMS) providersHealth system capacityNurse navigatorChief complaintEmergency departmentMedical service providersED volumeInpatient facilitiesTurnaround timeNeighboring hospitalRegistered NursesHospitalHospital campusSignificant decreaseED capacityIncidenceReal-time assessmentProgram implementationPrimary objectiveSignificant improvementPatients
2018
GPS Devices in a Simulated Mass Casualty Event
Gross IT, Coughlin RF, Cone DC, Bogucki S, Auerbach M, Cicero MX. GPS Devices in a Simulated Mass Casualty Event. Prehospital Emergency Care 2018, 23: 290-295. PMID: 30118640, DOI: 10.1080/10903127.2018.1489018.Peer-Reviewed Original ResearchConceptsEmergency departmentMass casualty eventsED staffPatient tracking toolCasualty eventsGlobal Positioning SystemEmergency medicine departmentPediatric emergency medicine (PEM) fellowsEmergency medical servicesSecondary outcomesPediatric patientsPrimary outcomeMedical evaluationPatient managementMedicine departmentStaff receptionPatient careReal-time trackingGPS devicesFree-text feedbackMedical servicesPatientsPatient actorsHospitalStaff perceptions
2017
Enhancement of Cricothyroidotomy Education Using a Novel Technique: Cadaver Autografting
Coughlin RF, Chandler I, Binford JC, Bonz JW, Hile DC. Enhancement of Cricothyroidotomy Education Using a Novel Technique: Cadaver Autografting. Journal Of Emergency Medicine 2017, 53: 885-889. PMID: 29066133, DOI: 10.1016/j.jemermed.2017.08.071.Peer-Reviewed Original Research
2012
Dose of reduced z-axis length of computed tomography angiography (CTA) of the chest for pulmonary embolism using 64-detector rows and adaptive iterative reconstruction techniques
Martillotti J, Silva N, Chhabra J, Molstrom C, Coughlin R, O’Loughlin M, Coughlin B. Dose of reduced z-axis length of computed tomography angiography (CTA) of the chest for pulmonary embolism using 64-detector rows and adaptive iterative reconstruction techniques. Emergency Radiology 2012, 20: 39-44. PMID: 22898866, DOI: 10.1007/s10140-012-1065-9.Peer-Reviewed Original ResearchConceptsPulmonary embolismDose-length productCT angiographyEmergency departmentVolume CT dose indexYears of ageCT dose indexInstitutional review boardAverage effective doseConventional CT angiographySignificant comorbiditiesConsecutive patientsAortic archContrast injectionPatientsBreast doseBreast shieldControl groupDose indexCT parametersEffective doseSame time periodReview boardDoseRadiation dose