2017
The Care of the Ultra-Orthodox Jewish Patient
Gabbay E, McCarthy M, Fins J. The Care of the Ultra-Orthodox Jewish Patient. Journal Of Religion And Health 2017, 56: 545-560. PMID: 28102466, DOI: 10.1007/s10943-017-0356-6.Peer-Reviewed Original ResearchConceptsStigma associated with mental illnessEnd-of-life decisionsEnd-of-lifeUltra-Orthodox Jewish patientsSystem of valuesModern hospital settingUltra-Orthodox worldEthical scenariosReligious traditionsEnhance careUltra-Orthodox Jewish communityMental illnessPrenatal careModern medical practicePatient autonomyJewish communityHospital settingStandard risk assessmentTraditional societiesMedical practiceCareJewish patientsUnique challengesDivineTradition
2016
A major miss in prognostication after cardiac arrest: Burst suppression and brain healing
Becker D, Schiff N, Becker L, Holmes M, Fins J, Horowitz J, Devinsky O. A major miss in prognostication after cardiac arrest: Burst suppression and brain healing. Epilepsy & Behavior Reports 2016, 7: 1-5. PMID: 28053858, PMCID: PMC5198796, DOI: 10.1016/j.ebcr.2016.09.004.Peer-Reviewed Original ResearchCardiac arrestBurst suppressionTherapeutic hypothermiaLoss of brainstem reflexesMechanisms of therapeutic hypothermiaOut-of-hospital cardiac arrestAbsent motor responseStatus epilepticusBrainstem reflexesNeuronal cell deathFunctional capacityStandard criteriaCell deathArrestNegative endpointsHypothermiaMotor responseEnd-of-life decisionsBrain healingEnd-of-lifeEpilepticusSuppressionEndpoint
2014
DNR and ECMO: a paradox worth exploring.
Meltzer E, Ivascu N, Fins J. DNR and ECMO: a paradox worth exploring. The Journal Of Clinical Ethics 2014, 25: 13-9. PMID: 24779313, DOI: 10.1086/jce201425102.Peer-Reviewed Original ResearchConceptsDo-not-resuscitateDifficult end-of-life decisionsDo-not-resuscitate discussionsEnd-of-life decisionsDo-not-resuscitate ordersHeart-lung bypass machineExtracorporeal membrane oxygenationVA-ECMOStepping-stoneCardiac failurePulmonary dysfunctionCardiopulmonary failureMembrane oxygenationSurgical proceduresBypass machineChest compressionsDiscussionOperating roomConfusionPatientsContext
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officersFactors Influencing DNR Decision-Making in a Surgical ICU
Bacchetta M, Eachempati S, Fins J, Hydo L, Barie P. Factors Influencing DNR Decision-Making in a Surgical ICU. Journal Of The American College Of Surgeons 2006, 202: 995-1000. PMID: 16735215, DOI: 10.1016/j.jamcollsurg.2006.02.027.Peer-Reviewed Original ResearchConceptsDNR ordersPresence of DNR ordersCritically ill surgical patientsEnd-of-life decisionsDNR decision-makingNo-DNR groupIll surgical patientsMedical historyMultiple organ dysfunction scoreEnd-of-lifeOrgan dysfunction scoreIII scoreAcuity of illnessSurgical patientsChi-square statistical testMultivariate ANOVADNR patientsHospital length of stayDysfunction scoreIll patient populationLength of stayCritically ill patient populationAPACHE III scoreDNRIllness severity