Todd L Slesinger | Florida International University (original) (raw)

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Papers by Todd L Slesinger

Research paper thumbnail of Administration of intravenous magnesium sulfate may result in a modest reduction in hospital admissions among adult ED patients with acute asthma who have not responded to standard therapies

TUDY SELECTION andomized controlled trials omparing any dose of intravenous agnesium sulfate with... more TUDY SELECTION andomized controlled trials omparing any dose of intravenous agnesium sulfate with placebo mong adult patients in the mergency department (ED) and ith acute asthma exacerbations ere reviewed by 3 authors, with a ourth author adjudicating isagreements. A Preferred eporting Items for Systematic eviews and Meta-Analyses PRISMA) flow diagram was reated to document the study election process.

Research paper thumbnail of Radiation Exposure In Pregnancy

Choosing the most appropriate imaging modality for pregnancy patients is a common clinical questi... more Choosing the most appropriate imaging modality for pregnancy patients is a common clinical question encountered daily. The general principle for imaging during pregnancy is similar to imaging for the general population, with the goal of radiation exposure being as low as reasonably achievable (ALARA). What is unique during pregnancy is that fetus radiation exposure is an essential factor in deciding optimal imaging studies. Understanding of consequences of radiation exposure on a fetus, degrees of fetal radiation exposure by each imaging modality, and techniques on reducing fetal radiation exposure is vital in choosing the best diagnostic imaging modality. While it is crucial to minimize fetal radiation exposure as much as possible, it is essential to remember that diagnostic studies should not be avoided for fear of radiation exposure, especially when these studies can dramatically change patient management. This activity will discuss the consequences of radiation exposure on a fet...

Research paper thumbnail of 51 Which Vital Signs from the Initial Assessment are Associated With Development of Severe Sepsis or Septic Shock in the Emergency Department?

Annals of Emergency Medicine, 2014

Research paper thumbnail of The use of the national incident management system (NIMS) for mass carbon monoxide poisoning

Journal of toxicology. Clinical toxicology

Research paper thumbnail of An Update on Clinical Sepsis Research: Impact on ED Management

Emergency medicine reports

Research paper thumbnail of Cardiogenic Shock

Emergency Medicine Clinics of North America, 2015

Research paper thumbnail of Does Intravenous Magnesium Reduce the Need for Hospital Admission Among Adult Patients With Acute Asthma Exacerbations?

Annals of emergency medicine, Jan 13, 2014

Research paper thumbnail of 51 Which Vital Signs from the Initial Assessment are Associated With Development of Severe Sepsis or Septic Shock in the Emergency Department?

Annals of Emergency Medicine, 2014

Research paper thumbnail of Lacerations of the Left Ventricle from Rib Fractures after Blunt Trauma

The Journal of Trauma: Injury, Infection, and Critical Care, 2000

Research paper thumbnail of Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning Strike

The Journal of Trauma: Injury, Infection, and Critical Care, 2010

... Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning ... more ... Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning Strike. Slesinger, Todd L. MD; Bank, Matthew MD; Drumheller, Byron C. BA; Peress, Danielle A. BS; Ward, Mary F. RN; Sama, Andrew E. MD; Falkowitz, Jamie S. DO. ... Zane RD. ...

Research paper thumbnail of Recombinant activated factor VII use in the emergency department

Emergency Medicine Journal, 2008

Recombinant activated factor VII (rFVIIa) has recently gained wide attention as a potent prohaemo... more Recombinant activated factor VII (rFVIIa) has recently gained wide attention as a potent prohaemostatic agent for patients with excessive or life-threatening blood loss. Originally licensed for the treatment of patients with bleeding haemophilia with antibodies to factor VIII or IX, rFVIIa is now being used on an off-label basis to thwart blood loss in a variety of other clinical situations. Despite concerns over the drug's cost, risk profile and the lack of large-scale clinical trials validating its use, more and more patients are being treated with rFVIIa in the emergency department. With few clinical trials available to guide its administration, emergency physicians must weigh the existing evidence when considering whether to use rFVIIa for their patients with bleeding. This paper reviews the current literature regarding rFVIIa as it pertains to the practice of emergency medicine.

Research paper thumbnail of 60: Emergency Department Sepsis Risk Factors Predictive of Clinical Decompensation and Intensive Care Unit Transfer Within 72 Hours of Hospital Admission

Annals of Emergency Medicine, 2007

Research paper thumbnail of Low Tidal Volume Should Not Routinely be Used for Emergency Department Patients Requiring Mechanical Ventilation

Annals of Emergency Medicine, 2012

Research paper thumbnail of The Role of Cranial Computed Tomography in Evaluation of Syncope in the Emergency Department

Academic Emergency Medicine, 2002

Research paper thumbnail of Is Triage Time a Valid Measure of “Time Zero” for Severe Sepsis and Septic Shock Patients in the Emergency Department?

Annals of Emergency Medicine, 2013

Research paper thumbnail of Can Bedside Sonography Replace Conventional Radiography for Confirmation of Above-the-Diaphragm Central Venous Catheter Placement?

Annals of Emergency Medicine, 2013

ABSTRACT Resuscitations in the emergency department often require rapid access with central venou... more ABSTRACT Resuscitations in the emergency department often require rapid access with central venous catheters (CVC). Chest x-ray is the gold standard to confirm proper placement of the CVC and exclude pneumothorax after placement. However, radiographs are often untimely and expose patients to ionizing radiation. Studies have shown that visualization of the saline flush through a central line to the right side of the heart can be used to confirm appropriate central line placement.

Research paper thumbnail of Can the Modified Early Warning Score Be Utilized as a Screening Tool to Predict Development of Sepsis-Induced Tissue Hypoperfusion in the Emergency Department?

Annals of Emergency Medicine, 2013

Research paper thumbnail of 117

Annals of Emergency Medicine, 2006

Research paper thumbnail of 95: RAPIDD MEDS Study: Risks Associated With and Predictive in Identifying Delayed Decompensation and Mortality in Emergency Department Sepsis

Annals of Emergency Medicine, 2008

Research paper thumbnail of Adenosine-Sensitive Wide-Complex Tachycardia: An Uncommon Variant of Idiopathic Fascicular Ventricular Tachycardia: A Case Report

Angiology, 2003

Most wide-complex tachycardias encountered in the emergency department (ED) are ventricular in or... more Most wide-complex tachycardias encountered in the emergency department (ED) are ventricular in origin, most commonly associated with structural heart disease. Ventricular tachyarrhythmias range in severity from life-threatening rhythms (eg, ventricular fibrillation and hemodynamically compromising ventricular tachycardia [VT]) to idiopathic forms of VT, which have a benign clinical course and a more favorable prognosis. The authors present the case of a 34-year-old woman who presented to the ED, with a wide-complex tachycardia with a right-bundle-branch block (RBBB) morphology and a right inferior axis, which was terminated with adenosine. The patient was previously misdiagnosed as suffering from a paroxysmal supraventricular tachycardia (SVT), which was unresponsive to beta-blocker therapy. Although the tachycardia responded to adenosine, suggestive of an SVT, the patient was referred to the arrhythmia service, where further work-up revealed an uncommon form of an idiopathic VT, originating from the left anterior fascicle. The authors discuss the unique electrocardiographic and electrophysiologic properties and useful diagnostic maneuvers required to properly identify this form of VT.

Research paper thumbnail of Administration of intravenous magnesium sulfate may result in a modest reduction in hospital admissions among adult ED patients with acute asthma who have not responded to standard therapies

TUDY SELECTION andomized controlled trials omparing any dose of intravenous agnesium sulfate with... more TUDY SELECTION andomized controlled trials omparing any dose of intravenous agnesium sulfate with placebo mong adult patients in the mergency department (ED) and ith acute asthma exacerbations ere reviewed by 3 authors, with a ourth author adjudicating isagreements. A Preferred eporting Items for Systematic eviews and Meta-Analyses PRISMA) flow diagram was reated to document the study election process.

Research paper thumbnail of Radiation Exposure In Pregnancy

Choosing the most appropriate imaging modality for pregnancy patients is a common clinical questi... more Choosing the most appropriate imaging modality for pregnancy patients is a common clinical question encountered daily. The general principle for imaging during pregnancy is similar to imaging for the general population, with the goal of radiation exposure being as low as reasonably achievable (ALARA). What is unique during pregnancy is that fetus radiation exposure is an essential factor in deciding optimal imaging studies. Understanding of consequences of radiation exposure on a fetus, degrees of fetal radiation exposure by each imaging modality, and techniques on reducing fetal radiation exposure is vital in choosing the best diagnostic imaging modality. While it is crucial to minimize fetal radiation exposure as much as possible, it is essential to remember that diagnostic studies should not be avoided for fear of radiation exposure, especially when these studies can dramatically change patient management. This activity will discuss the consequences of radiation exposure on a fet...

Research paper thumbnail of 51 Which Vital Signs from the Initial Assessment are Associated With Development of Severe Sepsis or Septic Shock in the Emergency Department?

Annals of Emergency Medicine, 2014

Research paper thumbnail of The use of the national incident management system (NIMS) for mass carbon monoxide poisoning

Journal of toxicology. Clinical toxicology

Research paper thumbnail of An Update on Clinical Sepsis Research: Impact on ED Management

Emergency medicine reports

Research paper thumbnail of Cardiogenic Shock

Emergency Medicine Clinics of North America, 2015

Research paper thumbnail of Does Intravenous Magnesium Reduce the Need for Hospital Admission Among Adult Patients With Acute Asthma Exacerbations?

Annals of emergency medicine, Jan 13, 2014

Research paper thumbnail of 51 Which Vital Signs from the Initial Assessment are Associated With Development of Severe Sepsis or Septic Shock in the Emergency Department?

Annals of Emergency Medicine, 2014

Research paper thumbnail of Lacerations of the Left Ventricle from Rib Fractures after Blunt Trauma

The Journal of Trauma: Injury, Infection, and Critical Care, 2000

Research paper thumbnail of Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning Strike

The Journal of Trauma: Injury, Infection, and Critical Care, 2010

... Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning ... more ... Immediate Cardiac Arrest and Subsequent Development of Cardiogenic Shock Caused by Lightning Strike. Slesinger, Todd L. MD; Bank, Matthew MD; Drumheller, Byron C. BA; Peress, Danielle A. BS; Ward, Mary F. RN; Sama, Andrew E. MD; Falkowitz, Jamie S. DO. ... Zane RD. ...

Research paper thumbnail of Recombinant activated factor VII use in the emergency department

Emergency Medicine Journal, 2008

Recombinant activated factor VII (rFVIIa) has recently gained wide attention as a potent prohaemo... more Recombinant activated factor VII (rFVIIa) has recently gained wide attention as a potent prohaemostatic agent for patients with excessive or life-threatening blood loss. Originally licensed for the treatment of patients with bleeding haemophilia with antibodies to factor VIII or IX, rFVIIa is now being used on an off-label basis to thwart blood loss in a variety of other clinical situations. Despite concerns over the drug's cost, risk profile and the lack of large-scale clinical trials validating its use, more and more patients are being treated with rFVIIa in the emergency department. With few clinical trials available to guide its administration, emergency physicians must weigh the existing evidence when considering whether to use rFVIIa for their patients with bleeding. This paper reviews the current literature regarding rFVIIa as it pertains to the practice of emergency medicine.

Research paper thumbnail of 60: Emergency Department Sepsis Risk Factors Predictive of Clinical Decompensation and Intensive Care Unit Transfer Within 72 Hours of Hospital Admission

Annals of Emergency Medicine, 2007

Research paper thumbnail of Low Tidal Volume Should Not Routinely be Used for Emergency Department Patients Requiring Mechanical Ventilation

Annals of Emergency Medicine, 2012

Research paper thumbnail of The Role of Cranial Computed Tomography in Evaluation of Syncope in the Emergency Department

Academic Emergency Medicine, 2002

Research paper thumbnail of Is Triage Time a Valid Measure of “Time Zero” for Severe Sepsis and Septic Shock Patients in the Emergency Department?

Annals of Emergency Medicine, 2013

Research paper thumbnail of Can Bedside Sonography Replace Conventional Radiography for Confirmation of Above-the-Diaphragm Central Venous Catheter Placement?

Annals of Emergency Medicine, 2013

ABSTRACT Resuscitations in the emergency department often require rapid access with central venou... more ABSTRACT Resuscitations in the emergency department often require rapid access with central venous catheters (CVC). Chest x-ray is the gold standard to confirm proper placement of the CVC and exclude pneumothorax after placement. However, radiographs are often untimely and expose patients to ionizing radiation. Studies have shown that visualization of the saline flush through a central line to the right side of the heart can be used to confirm appropriate central line placement.

Research paper thumbnail of Can the Modified Early Warning Score Be Utilized as a Screening Tool to Predict Development of Sepsis-Induced Tissue Hypoperfusion in the Emergency Department?

Annals of Emergency Medicine, 2013

Research paper thumbnail of 117

Annals of Emergency Medicine, 2006

Research paper thumbnail of 95: RAPIDD MEDS Study: Risks Associated With and Predictive in Identifying Delayed Decompensation and Mortality in Emergency Department Sepsis

Annals of Emergency Medicine, 2008

Research paper thumbnail of Adenosine-Sensitive Wide-Complex Tachycardia: An Uncommon Variant of Idiopathic Fascicular Ventricular Tachycardia: A Case Report

Angiology, 2003

Most wide-complex tachycardias encountered in the emergency department (ED) are ventricular in or... more Most wide-complex tachycardias encountered in the emergency department (ED) are ventricular in origin, most commonly associated with structural heart disease. Ventricular tachyarrhythmias range in severity from life-threatening rhythms (eg, ventricular fibrillation and hemodynamically compromising ventricular tachycardia [VT]) to idiopathic forms of VT, which have a benign clinical course and a more favorable prognosis. The authors present the case of a 34-year-old woman who presented to the ED, with a wide-complex tachycardia with a right-bundle-branch block (RBBB) morphology and a right inferior axis, which was terminated with adenosine. The patient was previously misdiagnosed as suffering from a paroxysmal supraventricular tachycardia (SVT), which was unresponsive to beta-blocker therapy. Although the tachycardia responded to adenosine, suggestive of an SVT, the patient was referred to the arrhythmia service, where further work-up revealed an uncommon form of an idiopathic VT, originating from the left anterior fascicle. The authors discuss the unique electrocardiographic and electrophysiologic properties and useful diagnostic maneuvers required to properly identify this form of VT.