2015
Lactate Clearance Predicts Survival Among Patients in the Emergency Department with Severe Sepsis
Bhat SR, Swenson KE, Francis MW, Wira CR. Lactate Clearance Predicts Survival Among Patients in the Emergency Department with Severe Sepsis. Western Journal Of Emergency Medicine 2015, 16: 1118-1126. PMID: 26759665, PMCID: PMC4703153, DOI: 10.5811/westjem.2015.10.27577.Peer-Reviewed Original ResearchConceptsSevere sepsisSeptic shockLactate clearanceClearance groupLactate levelsPredictors of mortalityEmergency department patientsInitial lactate levelCross-sectional studySepsis registryVasopressor supportED stayDepartment patientsHospital interventionsMechanical ventilationEmergency departmentLactate changesSepsisPatientsMortality rateHigh mortalityHospital floorMortalityClearanceED
2014
The Shock Index as a Predictor of Vasopressor Use in Emergency Department Patients with Severe Sepsis
Wira CR, Francis MW, Bhat S, Ehrman R, Conner D, Siegel M. The Shock Index as a Predictor of Vasopressor Use in Emergency Department Patients with Severe Sepsis. Western Journal Of Emergency Medicine 2014, 15: 60-66. PMID: 24696751, PMCID: PMC3952891, DOI: 10.5811/westjem.2013.7.18472.Peer-Reviewed Original ResearchConceptsSevere sepsisEmergency departmentVasopressor useCardiovascular collapseOrgan failureElevation groupEscalation of careEmergency department patientsCross-sectional studySepsis registryVasopressor dependenceED admissionDepartment patientsInitial presentationShock indexED patientsRisk stratificationLeading causeUseful modalityPatientsSepsisDisease escalationEarly identificationMean numberHigh rate
2011
Cardiac Complications in Acute Ischemic Stroke
Wira CR, Rivers E, Martinez-Capolino C, Silver B, Iyer G, Sherwin R, Lewandowski C. Cardiac Complications in Acute Ischemic Stroke. Western Journal Of Emergency Medicine 2011, 12: 414-420. PMID: 22224130, PMCID: PMC3236132, DOI: 10.5811/westjem.2011.2.1765.Peer-Reviewed Original ResearchHospital mortality rateCardiac complicationsTroponin elevationIschemic changesAtrial fibrillationAIS patientsEmergency departmentMortality rateSystolic dysfunctionAcute ischemic stroke patientsRetrospective cross-sectional studyActive atrial fibrillationAcute ischemic strokeHours of admissionIschemic stroke patientsUrban emergency departmentCross-sectional studySerum troponin elevationAcute presentationIschemic strokeSymptom onsetEjection fractionStroke patientsSubgroup analysisAdjunctive role