The Experts below are selected from a list of 78 Experts worldwide ranked by ideXlab platform
Usama S. Hamdan - One of the best experts on this subject based on the ideXlab platform.
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Implementation of an emergency response protocol for overseas surgical outreach initiatives.
Plastic and reconstructive surgery, 2013Co-Authors: Raj M. Vyas, Kyle R. Eberlin, Usama S. HamdanAbstract:BACKGROUND Many health organizations sponsor overseas surgical outreach initiatives, yet none has published a standardized protocol to prevent and manage unforeseen emergencies. Surgeons, anesthesiologists, nurses, and administrators-working together on a brief overseas humanitarian initiative-benefit from education and training to maximize their collective emergency responsiveness. This article outlines the emergency response protocol instituted by the Global Smile Foundation, a 501(c)(3) nonprofit global outreach organization providing comprehensive cleft care for the past 25 years. METHODS The Global Smile Foundation emergency response protocol was constructed to provide all team members resources and training needed to emulate the high emergency response standards of developed nations. In this article, the authors share their education/training strategy, emergency "Crash" Cart inventory, site-specific safety checklist, and team member roles and responsibilities during various emergencies. RESULTS The authors' protocol emphasizes equipment portability, location-specific adaptability, clear workflow/communication, and standardized team roles. On-site training is likewise portable, standardized, reproducible, efficient, and adaptive to each setting. These characteristics make the authors' protocol widely adoptable. CONCLUSIONS Most morbidity and mortality during overseas surgical outreach initiatives result from unfamiliarity with the host hospital and other team members during operative (e.g., airway, bleeding, circulatory, anesthetic) or location-based (e.g., power outage, fire, oxygen shortage) emergencies. These complications are prevented and managed with aggressive team education and training. The Global Smile Foundation protocol adapts to the uncertainties of providing medical care in underresourced settings and reflects experience accumulated over the past quarter century. It is the authors' hope that other humanitarian outreach groups will adopt, customize, and build on these basic tenets.
Raj M. Vyas - One of the best experts on this subject based on the ideXlab platform.
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Implementation of an emergency response protocol for overseas surgical outreach initiatives.
Plastic and reconstructive surgery, 2013Co-Authors: Raj M. Vyas, Kyle R. Eberlin, Usama S. HamdanAbstract:BACKGROUND Many health organizations sponsor overseas surgical outreach initiatives, yet none has published a standardized protocol to prevent and manage unforeseen emergencies. Surgeons, anesthesiologists, nurses, and administrators-working together on a brief overseas humanitarian initiative-benefit from education and training to maximize their collective emergency responsiveness. This article outlines the emergency response protocol instituted by the Global Smile Foundation, a 501(c)(3) nonprofit global outreach organization providing comprehensive cleft care for the past 25 years. METHODS The Global Smile Foundation emergency response protocol was constructed to provide all team members resources and training needed to emulate the high emergency response standards of developed nations. In this article, the authors share their education/training strategy, emergency "Crash" Cart inventory, site-specific safety checklist, and team member roles and responsibilities during various emergencies. RESULTS The authors' protocol emphasizes equipment portability, location-specific adaptability, clear workflow/communication, and standardized team roles. On-site training is likewise portable, standardized, reproducible, efficient, and adaptive to each setting. These characteristics make the authors' protocol widely adoptable. CONCLUSIONS Most morbidity and mortality during overseas surgical outreach initiatives result from unfamiliarity with the host hospital and other team members during operative (e.g., airway, bleeding, circulatory, anesthetic) or location-based (e.g., power outage, fire, oxygen shortage) emergencies. These complications are prevented and managed with aggressive team education and training. The Global Smile Foundation protocol adapts to the uncertainties of providing medical care in underresourced settings and reflects experience accumulated over the past quarter century. It is the authors' hope that other humanitarian outreach groups will adopt, customize, and build on these basic tenets.
Carlos Andrei Quiros Nunez - One of the best experts on this subject based on the ideXlab platform.
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ventriculostomy supply Cart decreases time to external ventricular drain placement in the emergency department
Surgical Neurology International, 2021Co-Authors: Henry Chang, Michael A Silva, Alexander Giner, Yvonne Diaz, Marie Ann Sosa, Grace Knudsen, Anil K Mahavadi, June Ellis, Arlene Cameron, Carlos Andrei Quiros NunezAbstract:Background Minimizing time-to-external ventricular drain (EVD) placement in the emergency department (ED) is critical. We sought to understand factors affecting time-to-EVD placement through a quality improvement initiative. Methods The use of process mapping, root cause analyses, and interviews with staff revealed decentralized supply storage as a major contributor to delays in EVD placement. We developed an EVD "Crash Cart" as a potential solution to this problem. Time-to-EVD placement was tracked prospectively using time stamps in the electronic medical record (EMR); preCart control patients were reviewed retrospectively. Results The final cohorts consisted of 33 preCart and 18 postCart cases. The mean time-to-EVD in the preCart group was 99.09 min compared to 71.88 min in the postCart group (two-tailed t-test, P = 0.023). Median time-to-EVD was 92 min in the preCart group compared to 64 min in the postCart group (rank sum test, P = 0.0165). PostCart patients trended toward improved outcomes with lower modified Rankin score scores at 1 year, but this did not reach statistical significance (two-tailed t-test, P = 0.177). Conclusion An EVD "Crash Cart" is a simple intervention that can significantly reduce time-to-EVD placement and may improve outcomes in patients requiring an EVD.
Kyle R. Eberlin - One of the best experts on this subject based on the ideXlab platform.
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Implementation of an emergency response protocol for overseas surgical outreach initiatives.
Plastic and reconstructive surgery, 2013Co-Authors: Raj M. Vyas, Kyle R. Eberlin, Usama S. HamdanAbstract:BACKGROUND Many health organizations sponsor overseas surgical outreach initiatives, yet none has published a standardized protocol to prevent and manage unforeseen emergencies. Surgeons, anesthesiologists, nurses, and administrators-working together on a brief overseas humanitarian initiative-benefit from education and training to maximize their collective emergency responsiveness. This article outlines the emergency response protocol instituted by the Global Smile Foundation, a 501(c)(3) nonprofit global outreach organization providing comprehensive cleft care for the past 25 years. METHODS The Global Smile Foundation emergency response protocol was constructed to provide all team members resources and training needed to emulate the high emergency response standards of developed nations. In this article, the authors share their education/training strategy, emergency "Crash" Cart inventory, site-specific safety checklist, and team member roles and responsibilities during various emergencies. RESULTS The authors' protocol emphasizes equipment portability, location-specific adaptability, clear workflow/communication, and standardized team roles. On-site training is likewise portable, standardized, reproducible, efficient, and adaptive to each setting. These characteristics make the authors' protocol widely adoptable. CONCLUSIONS Most morbidity and mortality during overseas surgical outreach initiatives result from unfamiliarity with the host hospital and other team members during operative (e.g., airway, bleeding, circulatory, anesthetic) or location-based (e.g., power outage, fire, oxygen shortage) emergencies. These complications are prevented and managed with aggressive team education and training. The Global Smile Foundation protocol adapts to the uncertainties of providing medical care in underresourced settings and reflects experience accumulated over the past quarter century. It is the authors' hope that other humanitarian outreach groups will adopt, customize, and build on these basic tenets.
Henry Chang - One of the best experts on this subject based on the ideXlab platform.
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ventriculostomy supply Cart decreases time to external ventricular drain placement in the emergency department
Surgical Neurology International, 2021Co-Authors: Henry Chang, Michael A Silva, Alexander Giner, Yvonne Diaz, Marie Ann Sosa, Grace Knudsen, Anil K Mahavadi, June Ellis, Arlene Cameron, Carlos Andrei Quiros NunezAbstract:Background Minimizing time-to-external ventricular drain (EVD) placement in the emergency department (ED) is critical. We sought to understand factors affecting time-to-EVD placement through a quality improvement initiative. Methods The use of process mapping, root cause analyses, and interviews with staff revealed decentralized supply storage as a major contributor to delays in EVD placement. We developed an EVD "Crash Cart" as a potential solution to this problem. Time-to-EVD placement was tracked prospectively using time stamps in the electronic medical record (EMR); preCart control patients were reviewed retrospectively. Results The final cohorts consisted of 33 preCart and 18 postCart cases. The mean time-to-EVD in the preCart group was 99.09 min compared to 71.88 min in the postCart group (two-tailed t-test, P = 0.023). Median time-to-EVD was 92 min in the preCart group compared to 64 min in the postCart group (rank sum test, P = 0.0165). PostCart patients trended toward improved outcomes with lower modified Rankin score scores at 1 year, but this did not reach statistical significance (two-tailed t-test, P = 0.177). Conclusion An EVD "Crash Cart" is a simple intervention that can significantly reduce time-to-EVD placement and may improve outcomes in patients requiring an EVD.