A Case Report of Aortic Dissection Involving the Aortic Root, Left Common Carotid Artery, and Iliac Arteries.

Unlabelled: Acute aortic dissection is a life-threatening event caused by separation of the aortic layers that requires prompt management and surgical consultation. We present the case of a 53-year-old male who developed acute, severe chest pain radiating to his back at a community hospital and was transferred to a tertiary center for definitive surgical management. The patient's aortic dissection was diagnosed via computed tomography angiography.

Jefferson Fracture and the Classification System for Atlas Fractures, A Case Report.

Unlabelled: The Jefferson fracture classification system describes fractures of the atlas (first cervical vertebra or C1). Jefferson fractures with potential tears in the transverse ligament can cause cervical spine instability and can result in neurologic injury if not appropriately diagnosed and managed. We present the case of a 54-year-old man who fell head first with cervical spine tenderness and upper extremity paresthesias.

Supporting the Quadruple Aim Using Simulation and Human Factors During COVID-19 Care.

The health care sector has made radical changes to hospital operations and care delivery in response to the coronavirus disease (COVID-19) pandemic. This article examines pragmatic applications of simulation and human factors to support the Quadruple Aim of health system performance during the COVID-19 era. First, patient safety is enhanced through development and testing of new technologies, equipment, and protocols using laboratory-based and in situ simulation.

Telesimulation: An Innovative Tool for Health Professions Education.

Telesimulation is a new and innovative concept and process that has been used to provide education, training, and assessment in health-related fields such as medicine. This new area of simulation, and its terminology, has its origins within the past decade. The face validity and ability to provide the benefits of simulation education to learners at off-site locations has allowed the wide and rapid adoption of telesimulation in the field of medical education.

Quantifying the Risk of Spinal Injury in Motor Vehicle Collisions According to Ambulatory Status: A Prospective Analytical Study.

Background: The association between ambulation at the scene of a motor vehicle collision (MVC) and spinal injury has never been quantified.

Objective: To evaluate the association between ambulation and spinal injury in patients involved in a MVC.

Methods: Prospective analytical-observational cohort study.

A retrospective analysis of ethnic and gender differences in alcohol consumption among emergency department patients: a cross-sectional study.

Background: Previous studies of alcohol use have recognized several trends in consumption patterns among gender and age yet few have examined ethnic differences. This study examines the intra- and inter-ethnic differences in alcohol consumption among a population of patients seen in the emergency department.

Methods: This is a cross-sectional study conducted in the emergency department in a large urban setting.

Race-related Healthcare Disparities Among California Workers: Public Health Considerations for Immigration Reform.

Background: Healthcare disparities are prevalent in medicine and identifying them will provide healthcare professionals, administrators, and policy makers needed information to address this public health concern.

Objective: To evaluate racial and ethnic disparities in the rates of hospital admission and death among California workers.

Methods: We performed an analysis of hospital and emergency department (ED) data from the Office of Statewide Health Planning and Development (OSHPD).

Simulation in medical school education: review for emergency medicine.

Medical education is rapidly evolving. With the paradigm shift to small-group didactic sessions and focus on clinically oriented case-based scenarios, simulation training has provided educators a novel way to deliver medical education in the 21st century. The field continues to expand in scope and practice and is being incorporated into medical school clerkship education, and specifically in emergency medicine (EM).

Prospective randomized crossover study of simulation vs. didactics for teaching medical students the assessment and management of critically ill patients.

Background: Simulation (SIM) allows medical students to manage high-risk/low-frequency cases in an environment without patient risk. However, evidence for the efficacy of SIM-based training remains limited.

Objective: To compare SIM-based training to traditional didactic lecture (LEC) for teaching medical students to assess and manage critically ill patients with myocardial infarction (MI) and anaphylaxis.