85 results match your criteria: "University Medical Center of Southern Nevada[Affiliation]"
Clin Pract Cases Emerg Med
November 2024
University of Nevada, Las Vegas, Kirk Kerkorian School of Medicine, Las Vegas, Nevada.
Case Presentation: A 32-year-old male with a history of left eye keratoconus presented to the emergency department with left eye pain and blurry vision for two days. Out of concern for corneal hydrops, ophthalmology was consulted, and the diagnosis was confirmed. Per ophthalmology recommendations, the patient was started on hypertonic saline and prednisolone eye drops and referred to a corneal specialist.
View Article and Find Full Text PDFCureus
September 2024
Emergency Medicine, University Medical Center of Southern Nevada, Las Vegas, USA.
Dis Colon Rectum
September 2024
Department of Surgery, Division of Colon and Rectal Surgery, Harbor-UCLA Medical Center, Torrance, California.
J Pediatr Surg
November 2024
Department of Surgery, Kirk Kerkorian School of Medicine at UNLV, 1701 W. Charleston Blvd, Suite 490, Las Vegas, NV 89102, USA.
Background: We implemented a pediatric Brain Injury Guideline (pBIG) to stratify traumatic brain injuries (TBI) and allow management of less severe cases without repeat CT imaging or neurosurgical consultation. Injuries were classified as mild (pBIG1), moderate (pBIG2), severe (pBIG3) or isolated skull fracture (ISF) based on neurologic status, size and number of bleeds. We hypothesize that pediatric TBIs can be safely managed with this guideline.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
November 2023
Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.
Mass casualty events particularly those requiring multiple simultaneous operating rooms are of increasing concern. Existing literature predominantly focuses on mass casualty care in the emergency department. Hospital disaster plans should include a component focused on preparing for multiple simultaneous operations.
View Article and Find Full Text PDFClin Pract Cases Emerg Med
August 2023
University of Nevada Las Vegas School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada.
Introduction: While the typical treatment for trigeminal neuralgia is carbamazepine, the dose must be gradually titrated over time to achieve pain control, which makes the drug a less than ideal candidate for treatment for acute exacerbation of pain due to trigeminal neuralgia in the emergency department (ED) setting. The literature for other effective treatments for acute exacerbations of trigeminal neuralgia is currently lacking. We discuss a case where intravenous (IV) fosphenytoin was used for treatment of acute pain due to trigeminal neuralgia in the ED.
View Article and Find Full Text PDFOncotarget
July 2023
Comprehensive Cancer Centers of Nevada, Las Vegas, NV 89148, USA.
Background: Treatment for locally advanced cutaneous squamous cell cancers (laCSCC) remains poorly defined. Most laCSCC tumors express high levels of epidermal growth factor receptors (EGFR). Cetuximab has activity in other EGFR expressing cancers and enhances the effectiveness of radiotherapy.
View Article and Find Full Text PDFTranspl Immunol
August 2023
University of Cincinnati, Cincinnati, OH, United States of America.
Objectives: Belatacept may provide benefit in delayed graft function, but its association with infectious complications is understudied. We aim to assess the incidence of CMV and BK viremia in patients treated with sirolimus or belatacept as part of a three-drug immunosuppression regimen after kidney transplantation.
Materials And Methods: Kidney transplant recipients from 01/01/2015 to 10/01/2021 were retrospectively reviewed.
Vasc Health Risk Manag
April 2023
Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, Las Vegas, NV, USA.
MMWR Morb Mortal Wkly Rep
November 2022
Circ Cardiovasc Qual Outcomes
October 2022
Division of Cardiology, Department of Medicine (A.V., E.A., T.C., M.P., P.O., K.P., P.B., I.K., E.M., K.E., S.S.H.), University of Michigan, Ann Arbor.
IDCases
September 2022
University Medical Center of Southern Nevada, Las Vegas, NV, United States.
A 38 year old woman presented with burns totaling 45 % total body surface area, following an explosion resulting from manufacturing cannabis wax. Initial debridement, was delayed to hospital day 7 due to hemodynamic instability. Over the course of her, hospitalization, she required multiple debridements and grafting to her lower, extremities; grafted tissue never survived longer than 72 h.
View Article and Find Full Text PDFCureus
July 2022
Infectious Diseases, University Medical Center of Southern Nevada, Las Vegas, USA.
Collet-Sicard syndrome is a unilateral palsy of the lower cranial nerves IX, X, XI, and XII, resulting from lesions at the skull base that affect the jugular foramen and hypoglossal canal. Common causes of the lesions include basilar skull fractures, carotid artery dissections, and malignancy. Infectious and inflammatory etiologies have also been reported.
View Article and Find Full Text PDFJ Pediatr Surg
March 2023
Department of Surgery, Kirk Kerkorian School of Medicine at UNLV, 1701 West Charleston Blvd, Suite 490, Las Vegas, NV 89102, USA.
Background: Brain Injury Guidelines (BIG) were developed to stratify traumatic brain injuries (TBIs) by severity to decrease unnecessary CT imaging and neurosurgical consultation in low-risk cases. This study evaluated the potential effect of a modified pediatric BIG (pBIG) algorithm would have on resource utilization.
Methods: Isolated TBIs (<18 years) were queried from our Pediatric Trauma Registry from 2017 to 2020.
Eur Spine J
September 2022
IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Background And Purpose: Anterior lumbar approaches are recommended for clinical conditions that require interbody stability, spinal deformity corrections or a large fusion area. Anterior lumbar interbody fusion in lateral decubitus position (LatALIF) has gained progressive interest in the last years. The study aims to describe the current habit, the perception of safety and the perceptions of need of vascular surgeons according to experienced spine surgeons by comparing LatALIF to the standard L5-S1 supine ALIF (SupALIF).
View Article and Find Full Text PDFJ Trauma Acute Care Surg
August 2022
From the University of Nevada Las Vegas Kirk Kerkorian School of Medicine (J.P.K., S.S., M.G., D.R.F., J.F.), Las Vegas, Nevada; Headquarters Air Force (J.J.D.), Arlington, Virginia; and University Medical Center of Southern Nevada (A.A.), Las Vegas, Nevada.
Military-civilian partnerships (MCPs) in urban American trauma centers have existed for more than 60 years to assist in the development and maintenance of wartime skills of military medical professionals. In the last 5 years, MCPs have gained congressional support, and their number and variety have grown substantially. The historical impact of these flagship trauma MCPs is well documented, with bidirectional benefit in the advancement of trauma care during the wars in Iraq and Afghanistan both deployed and stateside, and the future aim of MCPs lies primarily in mitigating the "peacetime effect.
View Article and Find Full Text PDFClin Pract Cases Emerg Med
February 2022
Nellis Air Force Base, Mike O'Callaghan Military Medical Center, Department of Emergency Medicine, Las Vegas, Nevada.
Case Presentation: A four-year-old female patient presented to the emergency department with an epinephrine auto-injector that had unintentionally discharged into her mandible. There was difficulty removing the auto-injector at bedside. Images we acquired noted needle curvature not present in an off-the-shelf model.
View Article and Find Full Text PDFJ Public Health Manag Pract
November 2021
Division of Occupational Medicine (Drs Green-McKenzie, Vearrier, and Emmett) and Department of Emergency Medicine (Drs Green-McKenzie, Emmett, and Shofer), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; Occupational Health at Lima Memorial Health System, Lima, Ohio (Dr Savanoor); University Medical Center of Southern Nevada, Las Vegas, Nevada (Dr Duran); Gadsden County Urgent Care, LLC, Quincy, Florida (Dr Jones); Florida State Hospital, Chattahoochee, Florida (Dr Jones); Department of Emergency Medicine, The University of Mississippi Medical Center, Jackson, Mississippi (Dr Vearrier); and General Occupational Medicine, Mercy Hospital, St Louis, Missouri (Dr Malak).
Context: There is a long-standing shortage of formally trained Occupational & Environmental Medicine (OEM) physicians despite OEM practitioners experiencing high satisfaction and low burnout.
Objective: To explore the root causes of this shortage and suggest potential remedies.
Methods: Cross-sectional surveys were administered to medical students queried regarding OEM training, practicing OEM physicians queried regarding timing of specialty choice, and OEM Train-in-Place (TIP) program graduates queried regarding satisfaction with training.
Crit Care Med
May 2021
Division of Renal Medicine, Brigham and Women's Hospital, Boston, MA.
Ann Intern Med
May 2021
Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (S.G., D.E.L.).
Background: Hypercoagulability may be a key mechanism of death in patients with coronavirus disease 2019 (COVID-19).
Objective: To evaluate the incidence of venous thromboembolism (VTE) and major bleeding in critically ill patients with COVID-19 and examine the observational effect of early therapeutic anticoagulation on survival.
Design: In a multicenter cohort study of 3239 critically ill adults with COVID-19, the incidence of VTE and major bleeding within 14 days after intensive care unit (ICU) admission was evaluated.
Int J Environ Res Public Health
December 2020
Department of Environmental and Occupational Health, University of Nevada, Las Vegas, NV 89119, USA.
Neonatal abstinence syndrome (NAS) is a postnatal withdrawal syndrome among neonates born to mothers with drug dependence disorders. NAS poses a significant public health challenge nationally, with a six-fold increase in incidence (1.2 to 6.
View Article and Find Full Text PDFAm J Emerg Med
February 2021
Department of Surgery, Kendall Regional Medical Center, 11750, Bird Rd Miami, FL 33175, United States of America.
Objective: Advanced Trauma Life Support guidelines recommend only 1 L of intravenous (IV) crystalloid before transitioning to blood products. We sought to determine if receiving >1 L of IV crystalloid during the initial resuscitation is associated with worse outcomes. We also sought to determine if receiving no crystalloids is associated with better outcomes.
View Article and Find Full Text PDF