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9. An observational study of adults seeking emergency care in Cambodia/ Une etude observationnelle des adultes recourant aux soins d'urgence au Cambodge/ Un estudio observacional de adultos que solicitan atencion de emergencia en Camboya

Author

Yan, Lily D., Mahadevan, Swaminatha V., Yore, Mackensie, Pirrotta, Elizabeth A., Woods, Joan, Somontha, Koy, Sovannra, Yim, Raman, Maya, Cornell, Erika, Grundmann, Christophe, and Strehlow, Matthew C.

Subjects
Medical care utilization -- Forecasts and trends, Health behavior -- Evaluation, Public health administration, Market trend/market analysis, Health
Abstract

Objective To describe the characteristics and chief complaints of adults seeking emergency care at two Cambodian provincial referral hospitals. Methods Adults aged 18 years or older who presented without an appointment at two public referral hospitals were enrolled in an observational study. Clinical and demographic data were collected and factors associated with hospital admission were identified. Patients were followed up 48 hours and 14 days after presentation. Findings In total, 1295 hospital presentations were documented. We were able to follow up 85% (1098) of patients at 48 hours and 77% (993) at 14 days. The patients' mean age was 42 years and 64% (823) were females. Most arrived by motorbike (722) or taxi ortuk-tuk (312). Most common chief complaints were abdominal pain (36%; 468), respiratory problems (15%; 196) and headache (13%; 174). Of the 1050 patients with recorded vital signs, 280 had abnormal values, excluding temperature, on arrival. Performed diagnostic tests were recorded for 539 patients: 1.2% (15) of patients had electrocardiography and 14% (175) had diagnostic imaging. Subsequently, 783 (60%) patients were admitted and 166 of these underwent surgery. Significant predictors of admission included symptom onset within 3 days before presentation, abnormal vital signs and fever. By 14-day follow-up, 3.9% (39/993) of patients had died and 19% (192/993) remained functionally impaired. Conclusion In emergency admissions in two public hospitals in Cambodia, there is high admission-to-death ratio and limited application of diagnostic techniques. We identified ways to improve procedures, including better documentation of vital signs and increased use of diagnostic techniques. [TEXT NOT REPRODUCIBLE IN ASCII] [TEXT NOT REPRODUCIBLE IN ASCII] Objectif Decrire les caracteristiques et les principales affections des adultes qui ont recours aux soins d'urgence dans deux hopitaux cambodgiens provinciaux de reference. Methodes Les adultes ages de plus de 18 ans qui se sont presentes sans rendez-vous a deux hopitaux publics de reference, ont ete inscrits a une etude observationnelle. Les donnees cliniques et demographiques ont ete recueillies et les facteurs associes a l'hospitalisation ont ete identifies. Les patients ont ete suivis 48 heures et 14 jours apres leur presentation. Resultats Au total, 1295 presentations a Lhopital ont ete documentees. Nous avons pu suivre 85% (1098) des patients 48 heures et 77% (993) 14 jours apres leur presentation. L'age moyen des patients etait de 42 ans et 64% (823) des patients etaient des femmes. La plupart des patients etaient arrives en moto (722), en taxi ou en tuk-tuk (312). Les principales affections communes etaient en majorite des douleurs abdominales (36%; 468), des problemes respiratoires (15%; 196) et des maux de tete (13%; 174). Parmi les 1050 patients dont les signes vitaux ont ete enregistres, 280 avaient des valeurs anormales, hormis la temperature, lors de leur arrivee. Les tests diagnostiques realises ont ete enregistres pour 539 patients: 1,2% (15) des patients avait beneficie d'une electrocardiographie et 14% (175) des patients avaient beneficie de l'imagerie diagnostique. Par la suite, 783 (60%) patients ont ete hospitalises et 166 d'entre eux ont subi une operation chirurgicale. Les indicateurs significatifs d'hospitalisation comprenaient l'apparition des symptomes dans les 3 jours precedant la presentation, des signes vitaux anormauxet la fievre. A Tissue du suivi des 14 jours, 3,9% (39/993) des patients etaient decedes et 19% (192/993) des patients presentaient des capacites fonctionnelles diminuees. Conclusion Dans les hospitalisations d'urgence dans les deux hopitaux publics au Cambodge, il y a un rapport hospitalisation-deces eleve et une application limitee des techniques de diagnostic. Nous avons identifie des moyens pour ameliorer les procedures, y compris Ia meilleure documentation des signes vitaux et l'utilisation accrue des techniques de diagnostic. Objetivo Describir las caracteristicas y quejas principales de los adultos que solicitan atencion de emergencia en dos hospitals provinciales de remision de Camboya. Metodos Se inscribio a adultos mayores de 18 anos que acudieron sin cita previa a dos hospitales publicos de remision en un estudio observacional. Se recogieron datos clinicos y demograficos y se identificaron los factores relacionados con el ingreso hospitalario. Se realizo un seguimiento a los pacientes durante 48 horas y 14 dias despues de la visita hospitalaria. Resultados En total, se documentaron 1295 visitas hospitalarias. Se logro realizar un seguimiento del 85 % (1098) y del 77 % (993) de los pacientes a las 48 horas y a los 14 dias, respectivamente. La edad media de los pacientes fue de 42 anos y el 54 % (823) eran mujeres. La mayoria acudio en motocicleta (722), taxi o tuk-tuk (312). Las quejas principales mas comunes fueron dolor abdominal (36 %; 458), problemas respiratorios (15 %; 196) y cefalea (13 %; 174). De los 1050 pacientes con registro de constantes vitales, 280 presentaron valores anomalos, a excepcion de la temperatura corporal, a su llegada. Se registraron las pruebas diagnosticas realizadas en 539 pacientes: se realizo una electrocardiografia al 1,2% (15) e imagenes diagnosticas al 14% (175) de los pacientes. Posteriormente, 783 (60 %) de los pacientes fueron ingresados, de los cuales 166 se sometieron a cirugia. Los predictores significativos para el ingreso incluyeron Ia aparicion de los sintomas 3 dias antes de Ia visita hospitalaria, constantes vitales anomalas yfiebre. Antes de finalizar el seguimiento de 14 dias, el 3,9 % (39/993) de los pacientes habia fallecido y el 19 % (192/993) seguia presentando discapacidades funcionales. Conclusion Las hospitalizaciones de emergencia de dos hospitales publicos de Camboya presentan una elevada relacion entre ingreso y defuncion, asi como un uso limitado de Ias tecnicas de diagnostico. Se identificaron formas de mejorar los procedimientos, como una mejor documentacion de las constantes vitales y un mayor uso de Ias tecnicas de diagnostico., Introduction Emergency medicine is a neglected component of health-care systems in most low- and middle-income countries. Nearly half of deaths and one third of disability adjusted life-years lost in these [...]

Published
2015
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10. Continuing Education for Prehospital Healthcare Providers in India – A Novel Course and Concept

Author

Lindquist, Benjamin D, Koval, Kathryn W, Acker, Peter C, Bills, Corey B, Khan, Ayesha, Zachariah, Sybil, Newberry, Jennifer A, Rao, G V Ramana, Mahadevan, Swaminatha V, and Strehlow, Matthew C

Subjects
prehospital care, continuing medical education, emergency medical services, prehospital education, Perspectives
Abstract

Background Emergency medical services (EMS) in India face enormous challenges in providing care to a geographically expansive and diverse patient population. Over the last decade, the public–private-partnership GVK EMRI (Emergency Management and Research Institute) has trained over 100,000 emergency medical technicians (EMTs), with greater than 21,000 currently practicing, to address this critical gap in the healthcare workforce. With the rapid development and expansion of EMS, certain aspects of specialty development have lagged behind, including continuing education requirements. To date, there have been no substantial continuing education EMT skills and training efforts. We report lessons learned during development and implementation of a continuing education course (CEC) for EMTs in India. Methods From 2014 to 2017, we employed an iterative process to design and launch a novel CEC focused on five core emergency competency areas (medicine and cardiology, obstetrics, trauma, pediatrics, and leadership and communication). Indian EMT instructors and providers partnered in design and content, and instructors were trained to independently deliver the CEC. Many challenges had to be overcome: scale (>21,000 EMTs), standardization (highly variable skill levels among providers and instructors), culture (educational emphasis on rote memorization rather than practical application), and translation (22 major languages and a few hundred local dialects spoken nationwide). Lessons Learned During the assessment and development phases, we identified five key strategies for success: (1) use icon-based video instruction to ensure consistent quality and allow voice-over for easy translation; (2) incorporate workbooks during didactic videos and (3) employ low-cost simulation and case discussions to emphasize active learning; (4) focus on non-technical skills; (5) integrate a formal training-of-trainers prior to delivery of materials. Conclusion These key strategies can be combined with innovation and flexibility to address unique challenges of language, system resources, and cultural differences when developing impactful continuing educational initiatives in bourgeoning prehospital care systems in low- and middle-income countries.

Published
2020

12. Development and implementation of a novel Web‐based gaming application to enhance emergency medical technician knowledge in low‐ and middle‐income countries

Author

Lindquist, Benjamin, primary, Gaiha, Shivani M., additional, Vasudevan, Arjun, additional, Dooher, Sean, additional, Leggio, William, additional, Mulkerin, William, additional, Zozula, Alexander, additional, Strehlow, Matthew, additional, Sebok‐Syer, Stefanie S., additional, and Mahadevan, Swaminatha V., additional

Published
2021
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13. "So Why Should I Call Them?": Survivor Support Service Characteristics as Drivers of Help-Seeking in India.

Author

Newberry, Jennifer A., Kaur, Japsimran, Gurrapu, Shravya, Behl, Rasika, Darmstadt, Gary L., Halpern-Felsher, Bonnie, Rao, G.V. Ramana, Mahadevan, Swaminatha V., and Strehlow, Matthew C.

Subjects
SAFETY, CULTURE, SOCIAL support, RURAL conditions, HELP-seeking behavior, INTERVIEWING, DOMESTIC violence, SOCIAL stigma, INTIMATE partner violence, SELF-efficacy, SOCIOECONOMIC factors, RESEARCH funding, SOCIODEMOGRAPHIC factors, THEMATIC analysis, MARITAL status, METROPOLITAN areas, WOMEN'S health, TRUST
Abstract

Women in South Asia face the highest lifetime prevalence of intimate partner violence in the world, which is just one form of violence against women (VAW). In India, few women seek help after experiencing violence, particularly from formal resources, such as physicians or the police. While many studies have investigated the impact of survivor characteristics and patterns of violence on help-seeking behaviors, there is scant research on support service characteristics and their impact on help-seeking. The introduction of a novel crisis helpline in Gujarat, India provided an opportunity to better understand how successful help-seeking can be driven by the perceived and experienced characteristics of the helpline. We conducted in-depth interviews with helpline users to identify factors and pathways that promoted or discouraged help-seeking in general, help-seeking from a formal source, and help-seeking from this particular helpline. We analyzed 32 interviews of women who used the helpline. Participants were from eight districts across the state, representing a diverse range of sociodemographic backgrounds. After conducting a thematic analysis, we found that action-oriented service, timeliness, and women-focused staff influenced (positively and negatively) participants' feelings of safety, empowerment, and trust in the helpline, which ultimately impacted their decision to seek help from the helpline or even to seek help at all. This study illuminates how service characteristics, in and of themselves, can influence the likelihood that survivors will seek help, emphasizing the need for survivors to have a voice in the growth and refinement of VAW support services. Consequently, these areas must be a focus of future research and initiatives to improve help-seeking by VAW survivors. [ABSTRACT FROM AUTHOR]

Published
2022
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14. Continuing Education for Prehospital Healthcare Providers in India – A Novel Course and Concept

Author

Lindquist,Benjamin D, Koval,Kathryn W, Acker,Peter C, Bills,Corey B, Khan,Ayesha, Zachariah,Sybil, Newberry,Jennifer A, Rao,GV Ramana, Mahadevan,Swaminatha V, Strehlow,Matthew C, Lindquist,Benjamin D, Koval,Kathryn W, Acker,Peter C, Bills,Corey B, Khan,Ayesha, Zachariah,Sybil, Newberry,Jennifer A, Rao,GV Ramana, Mahadevan,Swaminatha V, and Strehlow,Matthew C

Abstract

Benjamin D Lindquist,1 Kathryn W Koval,2 Peter C Acker,1 Corey B Bills,1,3 Ayesha Khan,1 Sybil Zachariah,1 Jennifer A Newberry,1 GV Ramana Rao,4 Swaminatha V Mahadevan,1 Matthew C Strehlow1 1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA; 2Department of Emergency Medicine, Medical University of South Carolina, Charleston, SC 29425, USA; 3University of California San Francisco, San Francisco, CA 94143, USA; 4GVK Emergency Management and Research Institute, Secunderabad, Telangana 500078, IndiaCorrespondence: Benjamin D Lindquist Email blindqu1@stanford.eduBackground: Emergency medical services (EMS) in India face enormous challenges in providing care to a geographically expansive and diverse patient population. Over the last decade, the public–private-partnership GVK EMRI (Emergency Management and Research Institute) has trained over 100,000 emergency medical technicians (EMTs), with greater than 21,000 currently practicing, to address this critical gap in the healthcare workforce. With the rapid development and expansion of EMS, certain aspects of specialty development have lagged behind, including continuing education requirements. To date, there have been no substantial continuing education EMT skills and training efforts. We report lessons learned during development and implementation of a continuing education course (CEC) for EMTs in India.Methods: From 2014 to 2017, we employed an iterative process to design and launch a novel CEC focused on five core emergency competency areas (medicine and cardiology, obstetrics, trauma, pediatrics, and leadership and communication). Indian EMT instructors and providers partnered in design and content, and instructors were trained to independently deliver the CEC. Many challenges had to be overcome: scale (> 21,000 EMTs), standardization (highly variable skill levels among providers and instructors), culture (educational emphasis on rote memorization rather

Published
2020

16. Contributors

Author

Abraham, Michael K., primary, Abrahamian, Fredrick M., additional, Abu Aish, Mohammed A., additional, Adams, Bruce D., additional, Adams, James G., additional, Afshar, Nima, additional, Ahn, James, additional, Aldeen, Amer Z., additional, Allegretti, Paul J., additional, Anders, Jennifer F., additional, Anderson, Jana L., additional, Andrus, Phillip, additional, Arbelaez, Christian, additional, Arbogast, Charles B., additional, Aubin, Chandra D., additional, Avegno, Jennifer, additional, Bailitz, John, additional, Baines, Patricia, additional, Bair, Aaron E., additional, Bakes, Katherine, additional, Barksdale, Aaron N., additional, Barsan, William G., additional, Barton, Erik D., additional, Bassin, Benjamin S., additional, Bates, Craig G., additional, Bayram, Jamil D., additional, Begaz, Tomer, additional, Benko, Kip, additional, Bhanot, Kavita, additional, Bhatia, Kriti, additional, Biddinger, Paul D., additional, Blomkalns, Andra L., additional, Boe, John M., additional, Bohan, J. Stephen, additional, Boniface, Keith, additional, Bontempo, Laura J., additional, Borczuk, Pierre, additional, Borg, Keith, additional, Borm, Nicholas A., additional, Bossart, Philip, additional, Osborn, Megan Boysen, additional, Brady, William J., additional, Branzetti, Jeremy B., additional, Brown, Bart S., additional, Brown, David F.M., additional, Bryant, Sean M., additional, Burton, John H., additional, Butts, Christine, additional, Byrne, Mark W., additional, Cabrera, Daniel, additional, Cannon, Robert D., additional, Caro, David A., additional, Carpenter, Christopher R., additional, Carter, Wallace A., additional, Chan, Cindy W., additional, Chan, Gar Ming, additional, Chang, Andrew K., additional, Char, Douglas M., additional, Cheema, Navneet, additional, Chng, Yi-Mei, additional, Christian, Michael R., additional, Clark, Richard F., additional, Clem, Kathleen J., additional, Colletti, James E., additional, Collings, Jamie L., additional, Colwell, Christopher B., additional, Cook, Justin, additional, Cooke, Jeremy L., additional, Cooper, Julie J., additional, Courtney, D. Mark, additional, Cumpston, Kirk L., additional, Cydulka, Rita K., additional, Daniel-Underwood, Lynda, additional, Datner, Elizabeth M., additional, Davis, Jonathan E., additional, Davis, Virgil, additional, De La Calzada-Jeanlouie, Mae F., additional, de Ramirez, Sarah Steward, additional, DeBlieux, Peter M.C., additional, Decker, Wyatt W., additional, del Castillo, Jorge, additional, Deledda, John, additional, Delgado, Eva M., additional, Delgado, M. Kit, additional, DiGeronimo, Margaret M., additional, D’Onofrio, Gail, additional, Doyle, Gerard S., additional, Dreifuss, Bradley A., additional, Druck, Jeffrey, additional, Edlow, Jonathan A., additional, Elder, Jeffrey M., additional, Engel, Kirsten G., additional, Ezenkwele, Ugo A., additional, Fulton, Jessica A., additional, Gallahue, Fiona E., additional, Garg, Manish, additional, Garmel, Gus M., additional, Geers, Ryan T., additional, Germann, Carl A., additional, Ghaemmaghami, Chris A., additional, Gibbs, Michael A., additional, Gilbert, Gregory H., additional, Gisondi, Michael A., additional, Godwin, Steven A., additional, Goldstein, Joshua N., additional, Goralnick, Eric, additional, Goyal, Deepi G., additional, Graber, Matthew N., additional, Gummin, David D., additional, Gupta, Geetika, additional, Guth, Todd A., additional, Hamedani, Azita G., additional, Hankin, Abigail D., additional, Harrison, Benjamin P., additional, Hartsell, Stephen C., additional, Hedayati, Tarlan, additional, Heffner, Alan C., additional, Heller, Diane B., additional, Hemphill, Robin R., additional, Henry, Gregory L., additional, Hern, H. Gene, additional, Heron, Sheryl L., additional, Hobgood, Cherri D., additional, Hoffmann, Beatrice, additional, Hoffman, Lance H., additional, Hopkins, Christy, additional, Horowitz, Russ, additional, Houry, Debra E., additional, Howes, David S., additional, Huff, J. Stephen, additional, Hwang, James Q., additional, Isaacs, Eric, additional, Jackson, Benjamin F., additional, Jagoda, Andy, additional, Jauch, Edward C., additional, Jones, Kerin A., additional, Jotte, Randall S., additional, Kang, Christopher S., additional, Khorasanee, Jacqueline, additional, Kiefer, Christopher S., additional, Kim, Tae Eung, additional, Kimberly, Heidi H., additional, Kippenhan, Matthew, additional, Kissoon, Niranjan, additional, Klauer, Kevin, additional, Korley, Frederick, additional, Kosowsky, Joshua M., additional, Kuehl, Karen Nolan, additional, Kunisaki, Thomas, additional, Kusin, Shana, additional, Lambert, Michael, additional, Lank, Patrick M., additional, Lareau, Erin M., additional, Lary, Sara, additional, Laurin, Erik G., additional, Ledyard, Holly K., additional, Legome, Eric L., additional, LeGros, Tracy Leigh, additional, Leone, Katrina A., additional, Levine, Matthew R., additional, Levine, Michael, additional, Liebzeit, Jason E., additional, Lin, Michelle, additional, Linscott, M. Scott, additional, Lippert, Suzanne, additional, Lissoway, John B., additional, Lockwood, Robert, additional, Long, Heather, additional, Lu, Dave W., additional, Ly, Binh T., additional, Lynch, Catherine A., additional, Madsen, Troy E., additional, Mahadevan, Swaminatha V., additional, Malik, Mamta, additional, Mallemat, Haney A., additional, Mallin, Michael P., additional, Maloney, Gerald, additional, Malouf, Nicole, additional, Manfredi, Rita A., additional, Manthey, David E., additional, Marill, Keith A., additional, Marinelli, Melissa, additional, Martinez, Joseph P., additional, Mattu, Amal, additional, McFarlin, Anna K., additional, McIntosh, Mark, additional, McNaughton, Candace D., additional, Medzon, Ron, additional, Menckhoff, Carl R., additional, Michael, Glen E., additional, Mick, Nathan W., additional, Mills, Lisa D., additional, Mills, Trevor J., additional, Monteleone, Peter P., additional, Morchi, Raveendra S., additional, Moreno-Walton, Lisa, additional, Mort, Elizabeth A., additional, Morrissey, Thomas, additional, Murphy-Lavoie, Heather, additional, Mycyk, Mark B., additional, Nadel, Eric S., additional, Nadindla, Swathi, additional, Nelson, Brian K., additional, Nelson, Lewis S., additional, Nelson, Sara W., additional, Newman, David H., additional, Nicks, Bret A., additional, Noble, Vicki E., additional, Nogar, Joshua N., additional, Norris, Robert L., additional, Norse, Ashley Booth, additional, O’Connor, Robert E., additional, O’Keefe, Kelly P., additional, Okuda, Haru, additional, Patterson, Brian W., additional, Patterson, Leigh A., additional, Paula, Richard, additional, Peabody, Joseph F., additional, Peak, David A., additional, Perret, John Nelson, additional, Perron, Andrew D., additional, Piazza, Vanessa Maria, additional, Poirier, Robert F., additional, Powell, Emilie S., additional, Promes, Susan B., additional, Quest, Tammie E., additional, Quinn, James, additional, Ranniger, Claudia, additional, Rathlev, Niels K., additional, Rhee, James W., additional, Robertson, Keri, additional, Robinson, Matthew T., additional, Rogers, Robert L., additional, Rosen, Carlo L., additional, Ross, Christopher, additional, Rudkin, Scott E., additional, Ruha, Anne-Michelle, additional, Runyon, Michael S., additional, Sadosty, Annie T., additional, Sanson, Tracy G., additional, Santanilla, Jairo I., additional, Santen, Sally A., additional, Sayan, Osman R., additional, Schmidt, Michael J., additional, Schrank, Kathleen S., additional, Schuur, Jeremiah D., additional, Schwab, Theresa, additional, Self, Wesley H., additional, Sellas, Monique I., additional, Shannon, Andrew W., additional, Sharieff, Ghazala Q., additional, Sharma, Rahul, additional, Shayne, Philip, additional, Shreves, Ashley, additional, Singh, Amandeep, additional, Slaven, Ellen M., additional, Sochor, Mark, additional, Sokolosky, Mitchell C., additional, Sperling, Jeremy D., additional, Stahmer, Sarah A., additional, Stephen, Robert L., additional, Stettler, Brian A., additional, Strehlow, Matthew, additional, Su, Mark, additional, Sudhir, Amita, additional, Sullivan, D. Matthew, additional, Tabas, Jeffrey, additional, Taira, Taku, additional, Takayesu, James K., additional, Tarabar, Asim F., additional, Thomas, Danny G., additional, Thompson, Kristine M., additional, Thompson, Trevonne M., additional, Thornton, Stephen, additional, Tran, T. Paul, additional, Ufberg, Jacob, additional, Ulrich, Andrew S., additional, Wadman, Michael C., additional, Wang, Ernest E., additional, Wang, N. Ewen, additional, Ware-McGee, Danielle M., additional, Wedmore, Ian S., additional, Wheaton, Natasha, additional, Whisenant, Beranton, additional, Wintermark, Max, additional, Winters, Michael E., additional, Wolf, Stephen J., additional, Wolfe, Richard E., additional, Wylie, Todd, additional, Yang-Kauh, Christine, additional, Young, Timothy P., additional, Zahn, Steven M., additional, Zeretzke, Cristina M., additional, Zich, David K., additional, and Zosel, Amy E., additional

Published
2013
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22. Contributors

Author

Adachi, Javier A., primary, Alexander, Martin E., additional, Allen, Robert C., additional, Anderson, Bryan E., additional, Anderson, Susan, additional, Andrews, Christopher J., additional, Askew, E. Wayne, additional, Atkins, Dale, additional, Atwater, Brett D., additional, Auerbach, Paul S., additional, Bacal, Kira, additional, Backer, Howard D., additional, Binford, Greta J., additional, Bookspan, Jolie, additional, Bowman, Warren D., additional, Boyer, Leslie V., additional, Burgess, George H., additional, Bush, Robert K., additional, Bush, Sean Paul, additional, Butler, Frank K., additional, Carleton, Steven C., additional, Carlisle, Betty, additional, Castellani, John W., additional, Chatterjee, Monalisa, additional, Clark, Richard F., additional, Collier, Bryan R., additional, Cooper, Donald C., additional, Cooper, Mary Ann, additional, Crawshaw, Larry Ingram, additional, Cummins, Gregory A., additional, Danzl, Daniel F., additional, Dart, Richard C., additional, Dasgupta, Samhita, additional, Davis, Ian, additional, Davis, Kathleen Mary, additional, Davison, Kevin Jon, additional, Dawson, Chad P., additional, DeLoughery, Thomas G., additional, Donnelly, Mark W., additional, Donner, Howard J., additional, Douglas, Eric, additional, DuPont, Herbert L., additional, Ellis, Thomas J., additional, Erb, Blair Dillard, additional, Erickson, Timothy B., additional, Ericsson, Charles D., additional, Feldman, Joanne, additional, Fowler, Murray E., additional, Fradin, Mark S., additional, Frank, Bryan L., additional, Freer, Luanne, additional, French, Steven P., additional, Gaffin, Stephen L., additional, Gardner, Angela F., additional, Garza, Daniel, additional, Giesbrecht, Gordon G., additional, Graeme, Kimberlie A., additional, Gravatt, Andrea R., additional, Grissom, Colin K., additional, Hackett, Peter H., additional, Hawley, Charles G., additional, Hefle, Sue L., additional, Heggers, John P., additional, Heimbach, David M., additional, Heiskell, Lawrence E., additional, Hendee, John C., additional, Herrmann, Henry J., additional, Holle, Ronald L., additional, Hsia, Renee Y., additional, Hubbell, Franklin R., additional, Hudson, Steve E., additional, Iserson, Kenneth V., additional, Jacobs, Michael E., additional, Jensen, Suzanne C., additional, Kaplan, Lee A., additional, Kazura, James W., additional, Killyon, Garry W., additional, Kizer, Kenneth W., additional, Klein, Judith R., additional, Kuehl, Karen Nolan, additional, Kummerfeldt, Peter, additional, Langer, Carolyn S., additional, Laskin, Daniel M., additional, “Rick” LaValla, Patrick H., additional, Lee, Catherine Yumi, additional, Lemery, Jay, additional, Lewin, Matthew R., additional, Liffrig, James R., additional, Lipman, Grant S., additional, Ly, Binh T., additional, Maeyens, Edgar, additional, Mahadevan, Swaminatha V., additional, Mann, Roberta, additional, Marinelli, Rick, additional, Marks, Ariel Dan, additional, Marks, James G., additional, Martinez, Denise, additional, Matteucci, Michael J., additional, Mazzorana, Vicki, additional, McCauley, Robert L., additional, McCurley, Loui H. (Clem), additional, McNally, Jude T., additional, Mendel, Liran, additional, Messenger, James, additional, Mier, Timothy P., additional, Mitchell, James K., additional, Mohler, David G., additional, Moon, Richard E., additional, Moran, Daniel S., additional, Morenz, Barry, additional, Morris, John A., additional, Mutch, Robert W., additional, Nachat, Arian, additional, Nagy, Roger J., additional, Newman, Andrew B., additional, Nimec, Donna L., additional, Nix, David A., additional, Noji, Eric K., additional, Nolan, Donald B., additional, Norris, Robert L., additional, Olesnicky, Bohdan T., additional, Olson, Sheryl K., additional, Otten, Edward J. (Mel), additional, Patel, Ketan H., additional, Patel, Naresh J., additional, Patel, Sheral S., additional, Platts-Mills, Timothy F., additional, Plotkin, Mark, additional, Reed, Sheila B., additional, Riordan, William P., additional, Roach, Robert C., additional, Robson, Martin C., additional, Roe, Matthew T., additional, Schneider, Sandra M., additional, Schoene, Robert B., additional, Shandro, Jamie, additional, Smith, David J., additional, Steinman, Alan M., additional, Stoffel, Robert C., additional, Suchard, Jeffrey R., additional, Swiontkowski, Marc F., additional, Switzer, Julie A., additional, Taylor, Steve L., additional, Tilling, Robert I., additional, Townes, David A., additional, Traub, Stephen J., additional, Hoesen, Karen B. Van, additional, Van Tilburg, Christopher, additional, Walden, John, additional, Wallace, Helen L., additional, Wang, Andrew, additional, Warrell, David A., additional, Weiss, Eric A., additional, Welling, Lynn E., additional, Wilkerson, James A., additional, Williams, Knox, additional, and Williams, Sarah R., additional

Published
2007
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27. Comparing Teaching Methods in Resource-Limited Countries

Author

Mahadevan, Swaminatha V., primary, Walker, Rebecca, additional, Kalanzi, Joseph, additional, Stone, Luggya Tonny, additional, Bills, Corey, additional, Acker, Peter, additional, Apfeld, Jordan C., additional, Newberry, Jennifer, additional, Becker, Joseph, additional, Mantha, Aditya, additional, Tecklenburg Strehlow, Anne N., additional, and Strehlow, Matthew C., additional

Published
2018
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28. Comparison of Online and Classroom-based Formats for Teaching Emergency Medicine to Medical Students in Uganda

Author

Mahadevan, Swaminatha V., primary, Walker, Rebecca, additional, Kalanzi, Joseph, additional, Stone, Luggya Tonny, additional, Bills, Corey, additional, Acker, Peter, additional, Apfeld, Jordan C., additional, Newberry, Jennifer, additional, Becker, Joseph, additional, Mantha, Aditya, additional, Tecklenburg Strehlow, Anne N., additional, and Strehlow, Matthew C., additional

Published
2017
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29. 2 Tandem Measurement of D-Dimer and Myeloperoxidase Decreases Unnecessary Pulmonary Vascular Imaging in Emergency Department Patients Evaluated for Pulmonary Embolism

Author

Nordenholz, Kristen E., Mitchell, Alice M., Kline, Jeffrey A., Shapiro, Sharon, Stanley, Kristi, Henderson, Sean O, Massopust, Kristy, Stanley, N Kristi A., Henderson, Sean O., Laeben, Lester, Niles, Christopher, Crandall, Cameron, Braude, Darren, Tran, T. Paul, Zeger, Wes, Moreno-Walton, Lisa, Ryan, Mary T., Nunez, Ramon, Alexander, Brigette, Ramarajan, Naresh, Krishnamoorthi, Rajesh, Strehlow, Matthew, Quinn, James, Mahadevan, Swaminatha V., Snyder, Quinn, Hiller, Katherine M., Bogert, James, Sanders, Art, Fredrickson, Asia, Fernandez, Marissa, Swartzberg, Jeremy, Jang, Timothy, Bradley, Richard N., Huff, Ester N., Stone, Susan C., Kilker, Bret, McClung, Christian, Gabel, Eilon, Yee, Kandra, Iserson, Kenneth V., Lotfipour, Shahram, Moheban, Adam, Gupta, Prahbas, Anderson, Craig, Vaca, Federico, Hoonpongsimanont, Wirachin, Winn, Diane, Agran, Phyllis, White, Douglas, Warren, Otis, Scribner, Alicia, Norton, Robert L., Granger, Gary, DeLuca, Lawrence, Bitar, Jamil, Leeson, Kimberly, Keim, Samuel M., Colwell, Christopher, Mehler, Phillip, Sabel, Allison, Harper, Justin, Johnson, Luke, and Cassell, Lisa

Subjects
Abstracts
Published
2008

33. An observational study of adults seeking emergency care in Cambodia

Author

Yan, Lily D, primary, Mahadevan, Swaminatha V, additional, Yore, Mackensie, additional, Pirrotta, Elizabeth A, additional, Woods, Joan, additional, Somontha, Koy, additional, Sovannra, Yim, additional, Raman, Maya, additional, Cornell, Erika, additional, Grundmann, Christophe, additional, and Strehlow, Matthew C, additional

Published
2014
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34. Expedition Orthopedics

Author

Gianotti, Alan MD, primary, Mahadevan, Swaminatha V. MD, additional, Bledsoe, Gregory H., additional, Manyak, Michael J., additional, and Townes, David A., additional

Full Text
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43. Index.

Author

Mahadevan, Swaminatha V. and Garmel, Gus M.

Published
2005

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