Thomas Lardaro, MD, MPH
Associate Professor of Emergency Medicine, EMS Section ChiefCards
About
Research
Publications
2025
371 Trends in Emergency Medical Services Closures: Impact of Ownership, Geography, and Service Type
Kurkurina E, Cha P, Venkatesh A, Rothenberg C, Couturier K, Lardaro T, Petrosino J, Gettel C. 371 Trends in Emergency Medical Services Closures: Impact of Ownership, Geography, and Service Type. Annals Of Emergency Medicine 2025, 86: s161. DOI: 10.1016/j.annemergmed.2025.06.389.Peer-Reviewed Original ResearchPrehospital Trauma Compendium: Prehospital Management of Adults with Traumatic Out-of-Hospital Circulatory Arrest – A Joint Position Statement and Resource Document of NAEMSP, ACS-COT, and ACEP
Breyre A, George N, Nelson A, Ingram C, Lardaro T, Vanderkolk W, Lyng J. Prehospital Trauma Compendium: Prehospital Management of Adults with Traumatic Out-of-Hospital Circulatory Arrest – A Joint Position Statement and Resource Document of NAEMSP, ACS-COT, and ACEP. Prehospital Emergency Care 2025, ahead-of-print: 1-15. PMID: 40068140, DOI: 10.1080/10903127.2024.2428668.Peer-Reviewed Original ResearchNational Association of Emergency Medical Services PhysiciansAmerican College of Emergency PhysiciansPoint-of-care ultrasoundLife-saving interventionsOut-of-hospital circulatory arrestDiscontinue resuscitative effortsACS-COTResuscitation attemptsReturn of spontaneous circulationPosition statementAdvance care planning documentationDefinitive careAmerican College of Surgeons Committee on TraumaEmergency Medical Services PhysiciansClinician safetyTime to definitive careCare planning documentsResuscitation effortsAmerican CollegeLikelihood of return of spontaneous circulationScope of practiceTransport to definitive careTrauma system resourcesAdvanced cardiac life supportIndividual patient costsHigh-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations
McNeilly B, Maggiore W, Goebel M, O’Brien M, Cozzi N, Ariyaprakai N, Lardaro T, Weinstock M. High-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100083. PMID: 40125342, PMCID: PMC11927591, DOI: 10.1016/j.acepjo.2025.100083.Peer-Reviewed Original ResearchEmergency medical servicesEmergency medical services medical directorsMedical directorsEmergency Medical Services ProfessionsEmergency medical services systemIn-hospital physiciansDecline careQuality assessment effortsMedical oversightMedical servicesEmergency departmentQuality improvementRisk of morbidityLife-threatening emergencyHigh-risk procedureDeclined treatmentHigh riskPatient refusalDeliberate trainingLegal counselState statutesLegal considerationsLegal risksRiskStandard policyPrehospital Management of Adults With Traumatic Out-of-Hospital Circulatory Arrest—A Joint Position Statement
Breyre A, George N, Nelson A, Ingram C, Lardaro T, Vanderkolk W, Lyng J. Prehospital Management of Adults With Traumatic Out-of-Hospital Circulatory Arrest—A Joint Position Statement. Annals Of Emergency Medicine 2025, 85: e25-e39. PMID: 39984237, DOI: 10.1016/j.annemergmed.2024.12.015.Peer-Reviewed Original ResearchConceptsNational Association of Emergency Medical Services PhysiciansAmerican College of Emergency PhysiciansJoint position statementACS-COTPosition statementEmergency Medical Services PhysiciansAmerican College of Surgeons Committee on TraumaAmerican CollegeOut-of-hospital circulatory arrestAdvanced cardiac life supportCare of patientsMedical cardiac arrestCardiac life supportService physiciansManagement of adultsPrehospital managementResuscitation attemptsEmergency physiciansClinician safetyEvidence-basedEtiology of arrestCirculatory arrestLife-threatening traumaPatient outcomesLife supportUse of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience
Kuhn D, Pang P, Mazurenko O, Glober N, Lardaro T, Li X, Harle C, Musey P. Use of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience. Annals Of Emergency Medicine 2025, 86: 150-157. PMID: 39831869, DOI: 10.1016/j.annemergmed.2024.11.020.Peer-Reviewed Original ResearchPatient experience scoresExperience scoresEmergency departmentPatient experiencePatient visitsAssociated with patient experiencePatient-centered emergency careCoordination of careRisk adjustmentRegional health systemUnique patient visitsCenters for MedicareDischarged ED patientsSurvey response rateExperience ratingCross-sectional studyMultivariable mixed-effects regressionPatient-centerednessMixed-effects regressionAfrican American patientsEmergency careHealth systemHallway bedsBed placementMedicaid insuranceDecreased racial disparities in sepsis mortality after an order set–driven initiative: An analysis of 8151 patients
Olivera M, Pafford C, Lardaro T, Roumpf S, Saysana M, Hunter B. Decreased racial disparities in sepsis mortality after an order set–driven initiative: An analysis of 8151 patients. Academic Emergency Medicine 2025, 32: 598-603. PMID: 39757728, PMCID: PMC12171656, DOI: 10.1111/acem.15083.Peer-Reviewed Original ResearchIntervention periodRacial disparitiesAntibiotic administrationDecrease racial disparitiesMultivariate logistic regression modelAssociated with increased riskSepsis mortalityAssociated with increased risk of deathLogistic regression modelsMultivariate logistic regressionPatients of colorSepsis order setRisk of deathStatistically significant associationPreintervention periodPreintervention cohortOutcome disparitiesSepsis orderDiagnosis codesEmergency departmentIntervention cohortSepsis initiativeBlack raceLogistic regressionWhite patients
2024
Prehospital Trauma Compendium: Fluid Resuscitation in Trauma – a Position Statement and Resource Document of NAEMSP
McMullan J, Curry B, Calhoun D, Forde F, Gray J, Lardaro T, Larrimore A, LeBlanc D, Li J, Morgan S, Neth M, Sams W, Lyng J. Prehospital Trauma Compendium: Fluid Resuscitation in Trauma – a Position Statement and Resource Document of NAEMSP. Prehospital Emergency Care 2024, ahead-of-print: 1-11. PMID: 39576138, DOI: 10.1080/10903127.2024.2433146.Peer-Reviewed Original ResearchEmergency medical servicesPrehospital trauma careTraumatic brain injuryTrauma carePrehospital trauma managementFluid usePrehospital providersIV fluidsVolume crystalloid resuscitationMedical servicesClinical careCrystalloid solutionTrauma resuscitationPosition statementCareWithholding fluidsBlood product administrationIndividual riskPolytrauma patientsTrauma managementMedical compatibilityIsotonic crystalloid solutionsResuscitationFluid resuscitationCrystalloid resuscitationAssessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program
Lardaro T, Balaji A, Yang D, Kuhn D, Glober N, Brent C, Couturier K, Breyre A, Vaizer J, Hunter B. Assessing the Risk of Interfacility Transport in Pregnant Patients Due to Progression of Labor: Lessons From a Specialized Maternal-Fetal Transport Program. Cureus 2024, 16: e70542. PMID: 39351039, PMCID: PMC11441717, DOI: 10.7759/cureus.70542.Peer-Reviewed Original ResearchProgress of laborPregnant patientsCervical dilatationInterfacility transferPrimary outcomeInterfacility transportStudy of pregnant patientsAdvanced cervical dilatationRegional healthcare systemHours of arrivalIdentified risk factorsGestational ageLaboring patientsEarly deliveryPrenatal careRetrospective studyHealthcare systemContraction frequencyInterfacilityPatientsRisk factorsHigh riskTransport teamPrecipitous deliveryTransfer teamPatient Comments and Patient Experience Ratings Are Strongly Correlated With Emergency Department Wait Times
Kuhn D, Pang P, Hunter B, Musey P, Bilimoria K, Li X, Lardaro T, Smith D, Strachan C, Canfield S, Monahan P. Patient Comments and Patient Experience Ratings Are Strongly Correlated With Emergency Department Wait Times. Quality Management In Health Care 2024, 33: 192-199. PMID: 38941584, DOI: 10.1097/qmh.0000000000000460.Peer-Reviewed Original ResearchConceptsPatient experience ratingsED wait timesPatient commentsPatient experienceEmergency department wait timesExperience ratingRegional health care systemExperiences SurveyPatient experience surveysLogistic regressionPatient-centered carePatient experience dataQuality of careWaiting timeValue-based purchasingHealth care systemCross-sectional observational studyMultivariable ordinal logistic regressionOrdinal logistic regressionQuality Incentive ProgramTriage acuityED sitesCare systemPotential confoundersEmergency departmentAssociation Between Clinicians’ Average Patient Length of Stay and Patient Experience Scores
Kuhn D, Lardaro T, Pollard K, Pafford C, Roumpf S, Strachan C, Vaizer J, Glober N, Hunter B. Association Between Clinicians’ Average Patient Length of Stay and Patient Experience Scores. Patient Experience Journal 2024, 11: 149-153. DOI: 10.35680/2372-0247.1882.Peer-Reviewed Original Research
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