Publications by authors named "R Reif"
Introduction: Patients admitted after traumatic injuries are at high risk for developing venous thromboembolism (VTE). Low-molecular-weight heparin (LMWH) is commonly used to prevent VTE in this patient population; however, the optimal dosing strategy has yet to be determined. To address this question, a fixed-dosing strategy of LMWH was compared to a weight-based dosing strategy of LMWH for VTE prophylaxis.
View Article and Find Full Text PDFBackground: Intensive care unit (ICU) organization is a critical factor in optimizing patient outcomes. ICU organization can be divided into "OPEN" (O) and "CLOSED" (C) models, where the specialist or intensivist, respectively, assumes the role of primary physician. Recent studies support improved outcomes in closed ICUs, however, most of the available data is centered on ICUs generally or on subspecialty surgical patients in the setting of a subspecialized surgical intensive care unit (SICU).
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- Wastewater-based epidemiology, specifically the COVIDBENS program in A Coruña, Spain, tracked COVID-19 from June 2020 to March 2022 to provide early warnings for public health decisions.
- Using RT-qPCR and Illumina sequencing, the program monitored viral loads and detected SARS-CoV-2 mutations, significantly improving surveillance by estimating real infection rates and variant frequencies.
- The analysis identified six waves of viral load and successfully anticipated community outbreaks 8-36 days before clinical reports, enabling faster responses from local authorities and adaptation by industrial companies.
Introduction: Venous thromboembolism (VTE) is a substantial cause of morbidity and mortality in trauma patients. VTE prophylaxis (VTEP) initiation is often delayed in certain patients due to the perceived risk of bleeding complications. Our VTEP guideline was changed from fixed-dosing to a weight-based dosing strategy using enoxaparin in June 2019.
View Article and Find Full Text PDFBackground: Historically, chest radiographs (CXR) have been used to quickly diagnose pneumothorax (PTX) and hemothorax in trauma patients. Over the last 2 decades, chest ultrasound (CUS) as part of Extended Focused Assessment with Sonography in Trauma (eFAST) has also become accepted as a modality for the early diagnosis of PTX in trauma patients.
Methods: We queried our institution's trauma databases for all trauma team activations from 2021 for patients with eFAST results.