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PROJECTS BY RESEARCHER
Cameron
Crandall:
IMPAACT Trial
(Improving the Use of appropriate Antibiotic Use: Clinical Trail), Site
Investigator,
University of California, San Francisco.
Multi-Source Data Linking to
Characterize Epidemiology of Alcohol-Related problems.
Assessment of UNM ED Pt Database
and Trauma Registry to Capture Falls Among Adults.
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Lawrence
Brown:
Evaluating System Status Management
for Emergency Medical Services.
Although system status management is common among EMS systems, it
has never undergone rigorous scientific evaluation. Through a sequence
of studies, this multi-site collaborative effort is evaluating system
status management practices.
The IMMEDIATE Trial.
UNM is currently working to join this NIH funded, nationwide trial of
prehospital glucose, insulin and potassium (GIK) therapy for cardiac
patients. Dr. M. Richards, Dr. C. Crandall, and Mr. R. Elgie are also
part of the UNM team for this trial, which will also involve
collaborations with Albuquerque Ambulance, Sandoval County EMS, and
Sante Fe Fire Department/EMS as well as all of the receiving hospital
facilities in the Albuquerque/Sante Fe area.
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Rob Elgie:
The Virtual School Nurse and Emergency
Medical Services Project (VSNEMS).
VSNEMS is an online school nurse
educational research project funded by Emergency Medical Services for
Children 2004-2007. The aim of VSNEMS is to provide school nurses with
comprehensive instruction in school emergency preparedness; research
objectives of this project include development, implementation and
evaluation of effectiveness. Preliminary evaluation instruments support
the use of online teaching strategies for all learning domains including
psychomotor learning evaluated with scenario-based skills testing. The
VSNEMS Home Page address is:
http://hsc.unm.edu/emermed/PED/school_rn/school_rn.shtml
A Multi-Systems Approach to Pediatric
Trauma.
This project is an advanced
continuation of teaching strategies developed by VSNEMS research. The
target audience for the Multi-Systems Approach to Pediatric Trauma is
all healthcare providers; funding by the Bioterrorism Hospital
Preparedness Project--New Mexico Center for Disaster Medicine. Home Page
address is:
http://hsc.unm.edu/emermed/PED/education/PedsTrauma/pedsTrauma.shtml
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Lynne
Fullerton-Gleason:
Clinical indicators of
suicide risk: following patients after hospital discharge.
The goals of this study
are to: identify characteristics of individuals who are hospitalized for
suicidal behavior who subsequently die from suicide or other injury;
distinguish patients hospitalized for suicidal behavior who are at
greatest risk of a later suicide attempt or fatality; and, use the
identified characteristics to enable clinicians to identify patients at
greatest risk of mortality.
Data concerning patients
in New Mexico who are hospitalized for suicidal behavior will be linked
to mortality files to identify suicidal patients who later die from
suicide, assault, or unintentional injuries for the years 1995 to 2005.
Hospital data will also be used to identify patients who have more than
one suicide attempt during the study period. Individuals who die from
suicide will be compared to individuals who are still alive at the
conclusion of 2003 to identify differences in these two groups, i.e., to
identify characteristics of hospital patients at greatest risk of a
repeat suicide attempt.
Currently, the project is
in the data collection phase. Mortality data have been collected, and
hospitalization data will be downloaded in January 2008. Data will be
cleaned and probabilistically linked to permit following patients over
time.
If our study identifies a
group of characteristics that predict later suicide deaths, this
information can be shared with emergency department and other clinicians
to help identify those most in need of intensive follow-up care. Even
more importantly, we hope to identify characteristics of individuals who
DO NOT go on to re-attempt, so that we may identify protective factors
that can be shared with suicidal patients and their families.
The following are two
projects related to ED patients who present for acute and chronic
intoxication:
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The Effect of Alcohol Treatment Services on Emergency
Department Recidivism and Ambulance Transports.
The first study, whose
student investigator is Dr. Sarah Morgan Edwards, will link data
from the Metropolitan Assessment and Treatment Services (MATS), the
UNM ED, Albuquerque Ambulance Service (AAS), and the New Mexico
Office of the Medical Investigator (OMI) to determine the influence
of an intervention on repeat ambulance and ED use for
alcohol-related problems.
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Non-traumatic alcohol related emergency department
visits: a characterization and cost analysis.
The second study, whose
student investigator is Dr. Amber Shields, will look at patients
transported by ambulance to the UNM ED for alcohol related-problems
and who do not have co-occurring injuries. This study will look at
the following two questions: 1) Of these patients, what percentage
need ED-level care? and 2) What is the economic impact of treating
these patients in the ED (versus an alternative destination such as
MATS)?
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Robert Lee:
Building Capacity to Inform Health Technology Policy and Decision
Processes in Alberta.
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