Publications by authors named "Michael Mesisca"

Article Synopsis
  • Supraventricular tachycardia (SVT) is a common heart rhythm issue in children, with vagal maneuvers being effective less than 50% of the time, so adenosine is used as the first-line treatment despite minor side effects.
  • A study reviewed the use of adenosine in kids under 18 at two emergency departments over a span of 20 years to understand the incidence of serious side effects.
  • The results showed that while 17 patients had brief ventricular beats post-administration, no serious complications like syncope occurred, and one patient experienced temporary hypotension that resolved on its own.
View Article and Find Full Text PDF

Introduction Sub-dissociative ketamine has been used increasingly for the treatment of acute pain in a wide variety of settings. While there are studies evaluating its use in the geriatric population, no studies have described its safety in the pre-hospital geriatric trauma patient. The objective of this study was to define the incidence of dissociation with low-dose pre-hospital ketamine in geriatric trauma patients.

View Article and Find Full Text PDF

At the start of the COVID-19 pandemic, there was conflicting information about the spread of the virus. Despite this, early and aggressive protective measures were implemented by a multidisciplinary team within the Riverside County Department of Corrections to mitigate the potential impact of the pandemic on its five county jails. We believe this helped result in a low incidence of severe COVID-19 infections, low rate of spread, and low mortality in these jails, even while local community spread was much higher.

View Article and Find Full Text PDF

On January 29, 2020, a total of 195 US citizens were evacuated from the coronavirus disease 2019 (COVID-19) epidemic in Wuhan, China, to March Air Reserve Base in Riverside, California, and entered the first federally mandated quarantine in over 50 years. With less than 1-d notice, a multi-disciplinary team from Riverside County and Riverside University Health System in conjunction with local and federal agencies established on-site 24-h medical care and behavioral health support. This report details the coordinated efforts by multiple teams that took place to provide care for the passengers and to support the surrounding community.

View Article and Find Full Text PDF