Publications by authors named "J Pamplin"

Future military conflicts are likely to involve peer or near-peer adversaries in large-scale combat operations, leading to casualty rates not seen since World War II. Casualty volume, combined with anticipated disruptions in medical evacuation, will create resource-limited environments that challenge medical responders to make complex, repetitive triage decisions. Similarly, pandemics, mass casualty incidents, and natural disasters strain civilian health care providers, increasing their risk for exhaustion, burnout, and moral injury.

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The COVID-19 pandemic exposed significant frailties of the U.S. healthcare system, especially inequities facing rural areas during surges when critical access and small community hospitals could not transfer patients to referral centers that were already overcapacity.

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Purpose Of Review: Our review critically examines research on trends in mental health among US adults following the COVID-19 pandemic's onset and makes recommendations for research on the topic.

Recent Findings: Studies comparing pre-pandemic nationally representative government surveys ("benchmark surveys") with pandemic-era non-benchmark surveys generally estimated 3-4-fold increases in the prevalence of adverse mental-health outcomes following the pandemic's onset. However, studies analyzing trends in repeated waves of a single survey, which may carry a lower risk of bias, generally estimated much smaller increases in adverse outcomes.

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Article Synopsis
  • The Telecritical Care Collaborative Network aimed to establish best practice recommendations for delivering critical care through telehealth technologies, addressing the variability and lack of evidence in the field.
  • Using a modified Delphi methodology, an oversight panel developed and refined 79 practice statements based on expert feedback across three voting rounds, achieving consensus on 78 statements.
  • The recommendations cover ten core domains, including care delivery models and staffing, emphasizing that effective telecritical care is best provided by specialized care teams and well-structured programs.
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