2022
EMS Non-Transport of Low-Risk COVID-19 Patients
Couturier K, Nelson AR, Burns K, Cone DC, Rollins M, Venkatesh AK, Ulrich A, Shapiro M, Joseph D. EMS Non-Transport of Low-Risk COVID-19 Patients. Prehospital Emergency Care 2022, 27: 310-314. PMID: 35639643, DOI: 10.1080/10903127.2022.2083278.Peer-Reviewed Original ResearchConceptsEMS cliniciansLow-risk COVID-19 patientsSuburban EMS systemLow-risk patientsED visit ratesEMS systemCOVID-19 patientsCOVID-19 infectionCOVID-19ED visitsRetrospective reviewEmergency departmentCOVID-19 casesProtocol violationsCommon reasonConnecticut OfficeHospital resourcesPatientsSmall studyVisit ratesVital signsHealth systemSymptomsReasonable adherenceCliniciansAn Evaluation of Prehospital Adenosine Use
Nelson AR, Cone DC, Aydin A, Burns K, Cicero MX, Couturier K, Rollins M, Shapiro M, Joseph D. An Evaluation of Prehospital Adenosine Use. Prehospital Emergency Care 2022, 27: 343-349. PMID: 35639665, DOI: 10.1080/10903127.2022.2084579.Peer-Reviewed Original Research
2021
Early Changes in Patient Access Interval during the COVID-19 Pandemic
Rollins MK, Nelson AR, Boyd J, Couturier K, Joseph D, Burns K, Cone DC. Early Changes in Patient Access Interval during the COVID-19 Pandemic. Prehospital Emergency Care 2021, 26: 641-651. PMID: 34669556, DOI: 10.1080/10903127.2021.1995551.Peer-Reviewed Original ResearchConceptsExtended care facilitiesTotal casesPatient contactEMS personnelRetrospective cohort studyCardiac arrest callsCardiac arrest dataInitial patient contactSignificant increasePersonal protective equipmentTime-sensitive emergencyDifferent time pointsCohort studyRespiratory distressCardiac arrestPatient outcomesPatient presentationScene timeCare facilitiesPatient needsEarly changesAmbulance dataEMS agenciesProtective equipmentCOVID pandemicVirtual Telesimulation for Medical Students During the COVID-19 Pandemic
Ray JM, Wong AH, Yang TJ, Buck S, Joseph M, Bonz JW, Auerbach MA, Couturier K, Tomassoni AJ, Schwartz ML, Evans LV. Virtual Telesimulation for Medical Students During the COVID-19 Pandemic. Academic Medicine 2021, 96: 1431-1435. PMID: 33883398, PMCID: PMC8475640, DOI: 10.1097/acm.0000000000004129.Peer-Reviewed Original ResearchConceptsMedical studentsVideoconferencing platformUndergraduate medical educationImmersive educational experienceClinical skill developmentSimulation-based learningMedical student curriculumLearning experienceEducational experienceStudent curriculumClerkship rotationEducational modalitiesContent areasMedical educationMedical schoolsSkill developmentFacilitator interactionsStudentsOnline webinarsPatient actorsStudent volunteersCOVID-19 pandemicSimilar programsChat functionSchools
2020
Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial
Gross IT, Whitfill T, Redmond B, Couturier K, Bhatnagar A, Joseph M, Joseph D, Ray J, Wagner M, Auerbach M. Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial. Neonatology 2020, 117: 159-166. PMID: 31905354, DOI: 10.1159/000504853.Peer-Reviewed Original ResearchConceptsDelivery modeRandomized trialsTelemedical interventionsNeonatal specialistsClinical impactNeonatal resuscitationResuscitative careSecondary aimPatient telemedicineOverall checklist scoreSimulation-based trialRemote specialistSignificant differencesNeonatesResuscitationRemote consultantsChecklist scoresPrimary aimMental demandsTrialsTeleconsultantsVideo reviewIndex toolTelemedicineProviders
2019
Identifying Opioid Use Disorder in the Emergency Department: Multi-System Electronic Health Record–Based Computable Phenotype Derivation and Validation Study
Chartash D, Paek H, Dziura JD, Ross BK, Nogee DP, Boccio E, Hines C, Schott AM, Jeffery MM, Patel MD, Platts-Mills TF, Ahmed O, Brandt C, Couturier K, Melnick E. Identifying Opioid Use Disorder in the Emergency Department: Multi-System Electronic Health Record–Based Computable Phenotype Derivation and Validation Study. JMIR Medical Informatics 2019, 7: e15794. PMID: 31674913, PMCID: PMC6913746, DOI: 10.2196/15794.Peer-Reviewed Original ResearchOpioid use disorderNegative predictive valuePositive predictive valueEmergency department patientsEmergency departmentUse disordersHealth care systemPredictive valueComputable phenotypeExternal validation phasesDepartment patientsCare systemPhysician chart reviewLarge health care systemExternal validation cohortEmergency medicine physiciansHigh predictive valueElectronic health recordsChart reviewChief complaintValidation cohortPragmatic trialClinical dataBilling codesMedicine physicians
2018
Impact of telemedicine on neonatal resuscitation in the emergency department: a simulation-based randomised trial
Couturier K, Whitfill T, Bhatnagar A, Panchal RA, Parker J, Wong AH, Bruno CJ, Auerbach MA, Gross IT. Impact of telemedicine on neonatal resuscitation in the emergency department: a simulation-based randomised trial. BMJ Simulation & Technology Enhanced Learning 2018, 6: 10. PMID: 35514445, PMCID: PMC8936596, DOI: 10.1136/bmjstel-2018-000398.Peer-Reviewed Original ResearchPaediatric specialistsEmergency departmentNRP guidelinesEmergency medicine residentsImpact of telemedicineStandard care groupPediatric specialistsCare groupParticipant completionMedicine residentsTelemedicine groupEmergency medicineHigh-risk eventsImprove adherenceNASA Task Load IndexNeonatal resuscitationTask Load IndexSecondary outcomesOverall scoreClinical environmentTelemedicineAssociated with poor outcomesPractising skillsNASA-TLXNeonatal Resuscitation ProgramAn appraisal of emergency medicine clinical practice guidelines: Do we agree?
Zupon A, Rothenberg C, Couturier K, Tan T, Siddiqui G, James M, Savage D, Melnick ER, Venkatesh AK. An appraisal of emergency medicine clinical practice guidelines: Do we agree? International Journal Of Clinical Practice 2018, 73: e13289. PMID: 30372798, PMCID: PMC6351191, DOI: 10.1111/ijcp.13289.Peer-Reviewed Original ResearchConceptsACEP clinical policyClinical practice guidelinesStrength of recommendationsClinical policyPractice guidelinesEvidence-based emergency careAGREE II instrumentAppraisal of GuidelinesRigor of developmentAGREE II criteriaOverall qualityPrimary outcomeOverall assessmentEmergency physiciansAmerican CollegeEmergency carePublication dateClarity of presentationSecondary analysisAppraisal instrumentsMean scorePositive associationGuidelinesAppraisal itemsScores