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Artikel ; Online: Crisis Intervention in a Local Community Emergency Department Inspires Growth of Peer Support Services.

Moschella, Phillip / Gormley, Mirinda / Fabiano, Sarah / Carey, Christopher / Lommel, Karen / Hobbs, Jess / Jones, Rich / Litwin, Alain H

The western journal of emergency medicine

2024 Band 25, Heft 1, Seite(n) 1–2

Mesh-Begriff(e)	Humans ; Crisis Intervention ; Counseling
Sprache	Englisch
Erscheinungsdatum	2024-01-11
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2375700-0
ISSN	1936-9018 ; 1936-9018
ISSN (online)	1936-9018
ISSN	1936-9018
DOI	10.5811/westjem.60600
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Missed opportunities for diagnosis of HIV in the emergency department using non-risk-based testing strategy.

Guess, Sarah / Gormley, Mirinda Ann / Moschella, Phillip / Roth, Prerana / Litwin, Alain H

Journal of the American College of Emergency Physicians open

2023 Band 4, Heft 1, Seite(n) e12898

Abstract: Objectives: The objective of this study was to identify the number of missed opportunities (MO) for human immunodeficiency virus (HIV) diagnoses within our emergency departments (EDs) and assess any significant associated patient characteristics. ... ...

Abstract	Objectives: The objective of this study was to identify the number of missed opportunities (MO) for human immunodeficiency virus (HIV) diagnoses within our emergency departments (EDs) and assess any significant associated patient characteristics. Following current Centers for Disease Control guidelines, an opt-out HIV screening program was implemented in 2 of 7 EDs within a large Southern healthcare system. This study sought to differentiate the risk of MO in opt-out compared to clinician-initiated, risk-based ED screening protocols. Methods: A retrospective analysis was conducted from August 2019 to March 2022 of adult patients (≥18 years old) screened for HIV, comparing the ED screening method and characterization of all MOs. MO was defined as any ED visit, before HIV seropositivity, that included sexually transmitted infection screening and/or treatment with no HIV screening. Two EDs implemented generalized opt-out screening for all adult patients (>18 years old); whereas, the remaining 5 sites relied on clinician-initiated screening. Patient characteristics associated with an MO were evaluated by χ Results: In total, 19,423 patients were screened for HIV, 142 of who tested positive. Of the 142 HIV-positive individuals, 12 (8.5%) had 1 MO and 3 of 12 (25%) had 2. The proportion of patients with a MO was significantly higher at clinician-initiated EDs as compared opt-out EDs (41.7% vs 13.9%, Conclusion: This novel study highlights the success and overall high positivity (0.7%) of an ED-based opt-out screening program. Taken together, the implementation of generalized opt-out screening within a large Southern healthcare system can rapidly increase overall screening, uncover a surprisingly high positivity rate, and decrease MOs for HIV diagnosis.
Sprache	Englisch
Erscheinungsdatum	2023-02-15
Erscheinungsland	United States
Dokumenttyp	Journal Article
ISSN	2688-1152
ISSN (online)	2688-1152
DOI	10.1002/emp2.12898
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Prehospital Blood Administration in Pediatric Patients: A Case Report.

Dix, Aaron / Jones, Blake / Gormley, Mirinda Ann / Schwerin, Daniel L / Gates, Robert / Beltran, Gerald Wook

Prehospital emergency care

2023 Band 27, Heft 5, Seite(n) 618–622

Abstract: Prehospital blood administration programs have demonstrated success both on the battlefield and throughout civilian emergency medical services programs. While previous research often discusses the use of prehospital blood administration for adult trauma ... ...

Abstract	Prehospital blood administration programs have demonstrated success both on the battlefield and throughout civilian emergency medical services programs. While previous research often discusses the use of prehospital blood administration for adult trauma and medical patients, few studies have reported the benefits of prehospital blood administration for pediatric patients. This case report describes treatment received by a 7-year-old female gunshot victim who was successfully treated by a prehospital blood administration program in the southern United States.
Mesh-Begriff(e)	Adult ; Female ; Humans ; Child ; United States ; Emergency Medical Services ; Pain Management ; Wounds, Gunshot/therapy ; Retrospective Studies
Sprache	Englisch
Erscheinungsdatum	2023-04-19
Erscheinungsland	England
Dokumenttyp	Case Reports ; Journal Article
ZDB-ID	1461751-1
ISSN	1545-0066 ; 1090-3127
ISSN (online)	1545-0066
ISSN	1090-3127
DOI	10.1080/10903127.2023.2193980
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Identifying factors associated with acute hospital discharge dispositions in patients with moderate-to-severe traumatic brain injury.

Lu, Juan / Gormley, Mirinda / Donaldson, Alexis / Agyemang, Amma / Karmarkar, Amol / Seel, Ronald T

Brain injury

2022 Band 36, Heft 3, Seite(n) 383–392

Abstract: Objective: Identify sociodemographic, injury, and hospital-level factors associated with acute hospital discharge dispositions following acute hospitalization for moderate-to-severe traumatic brain injury (TBI) in the United States.: Methods: The ... ...

Abstract	Objective: Identify sociodemographic, injury, and hospital-level factors associated with acute hospital discharge dispositions following acute hospitalization for moderate-to-severe traumatic brain injury (TBI) in the United States. Methods: The 2011-2014 National Trauma Data Bank data was used, including 466 acute care hospitals and 114,736 patients ≥16 years old who survived moderate-to-severe TBI. Outcome was acute hospital discharge dispositions: home with/without care (HC), skilled nursing home/other care facility (SNF/ICF) and inpatient rehabilitation/long-term care facility (IRF). Independent variables were patients' sociodemographic, injury, and hospital-level factors. Multilevel modeling was used to assess associations and compare likelihood of discharges. Results: Of all patients, 74.5%, 14.6% ,and 10.9% were discharged to HC, SNF/ICF ,and IRF, respectively. Intraclass correlation coefficients indicated that hospitals explained 14.3% and 14.8% of variations in probabilities of institution dispositions. Sociodemographic factors including older age, females, Non-Hispanic Whites, recipients of commercial insurance, and Medicare/Medicaid were significantly associated with higher institution discharges. Hospital-related factors including bed size, teaching status, trauma accreditations, and hospital locations were significantly associated with discharge dispositions. Conclusion: Identifying factors associated with discharge dispositions after acute hospitalization of TBI is pertinent to ensure quality of care and optimal patient outcomes. Further research into hospital-related variations in acute care discharge dispositions is recommended.
Mesh-Begriff(e)	Adolescent ; Adult ; Aged ; Brain Injuries, Traumatic/therapy ; Female ; Hospitals/statistics & numerical data ; Humans ; Male ; Patient Discharge ; Severity of Illness Index ; Sociodemographic Factors ; United States
Sprache	Englisch
Erscheinungsdatum	2022-02-25
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639115-1
ISSN	1362-301X ; 0269-9052
ISSN (online)	1362-301X
ISSN	0269-9052
DOI	10.1080/02699052.2022.2034180
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Differences in Motivating Factors for SARS-CoV-2 Vaccination and Perceptions of Infection Risk among Healthcare and EMS Personnel in South Carolina.

Gormley, Mirinda Ann / Nolan, Melissa S / Heo, Moonseong / Litwin, Alain H / Alier, Arnold / Daguise, Virginie

Southern medical journal

2022 Band 115, Heft 6, Seite(n) 381–387

Abstract: Objectives: Although medical workers were prioritized to receive the coronavirus disease 2019 (COVID-19) vaccination, many have declined. Even though studies have investigated differences in COVID-19-related attitudes and vaccination for workers in ... ...

Abstract	Objectives: Although medical workers were prioritized to receive the coronavirus disease 2019 (COVID-19) vaccination, many have declined. Even though studies have investigated differences in COVID-19-related attitudes and vaccination for workers in hospitals and long-term care facilities, none have included emergency medical services (EMS) personnel. We investigated the association between type of medical worker (EMS vs healthcare worker [HCW]) and COVID-19 vaccination, vaccine beliefs, vaccine motivators, personal protection behaviors, and risk perceptions. Methods: The data for self-identified HCWs came from surveys distributed to randomly selected residents of South Carolina and EMS personnel recruited at a targeted surveillance testing event during the South Carolina EMS Symposium. Pearson χ Results: Of the 126 respondents 57.9% were EMS, 42.1% were HCWs, and 73.6% of the cohort were self-reported frontline medical workers. Approximately two-thirds of respondents received a vaccine for COVID-19, with no significant differences between EMS and HCWs; however, EMS workers were significantly less likely to receive the vaccination out of concern about exposures at work/school (adjusted odds ratio [aOR] 0.22, 95% confidence interval [CI] 0.08-0.57), concern about exposures within the community (aOR 0.18, 95% CI 0.07-0.48), or to do their part to control the pandemic (aOR 0.20, 95% CI 0.06-0.69). EMS workers also were significantly less likely to wear a mask all/most of the time when outside the home (aOR 0.04, 95% CI 0.0-0.21) and less concerned about the spread of COVID-19 in their community as compared with HCWs (aOR 0.19, 95% CI 0.06-0.56). Conclusions: EMS personnel were significantly less concerned about the spread of COVID-19 in their community and significantly less likely to wear a mask all/most of the time while outside the home as compared with HCWs. Differences in the COVID-19-related attitudes and personal protection behaviors of EMS personnel should be used to develop targeted interventions to increase vaccine motivation and adherence to personal protection protocols.
Mesh-Begriff(e)	Attitude of Health Personnel ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19 Vaccines ; Cross-Sectional Studies ; Emergency Medical Services ; Humans ; Influenza Vaccines ; Influenza, Human/prevention & control ; SARS-CoV-2 ; South Carolina/epidemiology ; Vaccination
Chemische Substanzen	COVID-19 Vaccines ; Influenza Vaccines
Sprache	Englisch
Erscheinungsdatum	2022-05-27
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	185329-6
ISSN	1541-8243 ; 0038-4348
ISSN (online)	1541-8243
ISSN	0038-4348
DOI	10.14423/SMJ.0000000000001406
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: HIV Pre-Exposure Prophylaxis in the Emergency Department: A Systematic Review.

Gormley, Mirinda Ann / Nagy, Tibor R / Moschella, Phillip / Lu, Zhexi / Rodriguez, Julia / Roth, Prerana

Annals of emergency medicine

2022 Band 81, Heft 4, Seite(n) 468–481

Abstract: Study objective: Many emergency departments (EDs) have identified the importance of HIV prevention and have implemented steps to screen and offer preexposure prophylaxis (PrEP). The objective of this study was to systematically review existing ... ...

Abstract	Study objective: Many emergency departments (EDs) have identified the importance of HIV prevention and have implemented steps to screen and offer preexposure prophylaxis (PrEP). The objective of this study was to systematically review existing literature that identifies PrEP eligibility in the ED and summarize outcomes along the PrEP cascade of care (awareness, interest, linkage to treatment, initiation, and retention) for patients in ED. Methods: Four databases captured all PrEP-related studies in EDs from January 1, 2013 to January 27, 2022. Data were extracted on study characteristics and outcomes, and study quality was assessed using a modified quality assessment tool by the Effective Public Health Practice Project. Results: Of the 218 articles, 16 were subjected to full-text review, and 7 met inclusion criteria. Although most studies identified patients who were PrEP eligible using criteria adapted from the 2017 Centers for Disease Control and Prevention PrEP guidelines, the number and time frame for each criterion varied. Six studies reported outcomes on the PrEP cascade of care, showing a relatively high prevalence of awareness and interest but a very low prevalence of linkage and uptake. No studies documented retention in PrEP treatment. Conclusion: Although up to a third of patients in ED assessed in the current study were PrEP eligible, less than half of PrEP-eligible participants had prior knowledge of PrEP, and very few who expressed interest in the ED were ultimately linked to PrEP treatment or initiated PrEP. Future research is necessary to identify strategies to increase PrEP education, interest, and linkage to care from the ED.
Mesh-Begriff(e)	Humans ; HIV Infections/prevention & control ; Pre-Exposure Prophylaxis ; Anti-HIV Agents/therapeutic use ; Emergency Service, Hospital
Chemische Substanzen	Anti-HIV Agents
Sprache	Englisch
Erscheinungsdatum	2022-09-15
Erscheinungsland	United States
Dokumenttyp	Systematic Review ; Journal Article
ZDB-ID	603080-4
ISSN	1097-6760 ; 0196-0644
ISSN (online)	1097-6760
ISSN	0196-0644
DOI	10.1016/j.annemergmed.2022.07.015
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Using Community Paramedicine to Treat Hepatitis C Virus in Upstate South Carolina.

Cordero Romero, Susan Maria / Gormley, Mirinda Ann / Siddle, Jennica / Wampler, Wesley R / Roth, Prerana / Moschella, Phillip

Southern medical journal

2023 Band 116, Heft 3, Seite(n) 321–325

Abstract: Objectives: Hepatitis C virus (HCV) is an infection of the liver that can lead to significant liver damage and hepatocellular carcinoma. Individuals born between 1945 and 1965 and individuals with intravenous drug use represent the largest HCV ... ...

Abstract	Objectives: Hepatitis C virus (HCV) is an infection of the liver that can lead to significant liver damage and hepatocellular carcinoma. Individuals born between 1945 and 1965 and individuals with intravenous drug use represent the largest HCV demographics and often experience barriers to treatment. In this case series, we discuss a novel partnership between community paramedics (CPs), HCV care coordinators, and an infectious disease physician to provide HCV treatment to individuals with barriers accessing care. Methods: Three patients tested positive for HCV within a large hospital system in the upstate region of South Carolina. All of the patients were contacted to discuss their results and scheduled for treatment by the hospital's HCV care coordination team. Patients who expressed barriers to attending in-person appointments or were lost to follow-up were offered a telehealth appointment facilitated by CPs performing a home visit with the added ability to draw blood and perform a physical assessment guided by the infectious disease physician. All of the patients were eligible for and prescribed treatment. The CPs assisted with follow-up visits, blood draws, and other patient needs. Results: Two of the three patients connected to care had an undetectable HCV viral load following 4 weeks of treatment, whereas the third was undetectable after 8 weeks. Only one patient reported a mild headache that was potentially linked to the medication, whereas the others did not report any adverse effects. Conclusions: This case series highlights the barriers experienced by some HCV-positive patients and a distinctive plan to address impediments to access for HCV treatment.
Mesh-Begriff(e)	Humans ; Hepacivirus ; Paramedicine ; South Carolina ; Hepatitis C/drug therapy ; Paramedics
Sprache	Englisch
Erscheinungsdatum	2023-02-26
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	185329-6
ISSN	1541-8243 ; 0038-4348
ISSN (online)	1541-8243
ISSN	0038-4348
DOI	10.14423/SMJ.0000000000001521
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: No Patient Left Behind: A Novel Paradigm to Fulfill Hepatitis C Virus Treatment for Rural Patients.

Gormley, Mirinda Ann / Moschella, Phillip / Cordero-Romero, Susan / Wampler, Wesley R / Allison, Marie / Kitzmiller, Katiey / Estes, Luke / Heo, Moonseong / Litwin, Alain H / Roth, Prerana

Open forum infectious diseases

2024 Band 11, Heft 5, Seite(n) ofae206

Abstract: Background: This study evaluates a novel multidisciplinary program providing expanded access to hepatitis C virus (HCV) treatment for rural Appalachian patients in South Carolina. This program identified patients via an opt-out emergency department ... ...

Abstract	Background: This study evaluates a novel multidisciplinary program providing expanded access to hepatitis C virus (HCV) treatment for rural Appalachian patients in South Carolina. This program identified patients via an opt-out emergency department screening program, and it aimed to achieve HCV cure by using community paramedics (CPs) to link and monitor patients from treatment initiation through 12-week sustained virologic response (SVR). Methods: Patients aged ≥18 years who were HCV RNA positive were eligible for enrollment if they failed to appear for a scheduled HCV appointment or reported barriers to accessing office-based treatment. CPs provided home visits (initial and 4, 12, and 24 weeks) using a mobile Wi-Fi hotspot to support telemedicine appointments (compliant with the Health Insurance Portability and Accountability Act) and perform focused physical assessments, venipuncture, and coordinated home delivery of medications. Statistics described participant characteristics, prevalence of SVR, and patient satisfaction results at 12 weeks posttreatment. Results: Thirty-four patients were eligible for SVR laboratory tests by 31 August 2023; the majority were male (61.7%) and White (64.7%) with an average age of 56 years (SD, 11.7). Twenty-eight (82.4%) completed treatment and achieved 12-week SVR. Six (17.6%) were lost to follow-up. Two-thirds strongly agreed that they were satisfied with the overall care that they received, and half strongly agreed that their overall health had improved. Conclusions: This CP-augmented treatment program demonstrated success curing HCV for rural patients who lacked access to office-based treatment. Other health care systems may consider this novel delivery model to treat hard-to-reach individuals who are HCV positive.
Sprache	Englisch
Erscheinungsdatum	2024-04-26
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2757767-3
ISSN	2328-8957
ISSN	2328-8957
DOI	10.1093/ofid/ofae206
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Equine-assisted services for individuals with substance use disorders: a scoping review.

Diaz, Liam / Gormley, Mirinda Ann / Coleman, Ashley / Sepanski, Abby / Corley, Heather / Perez, Angelica / Litwin, Alain H

Substance abuse treatment, prevention, and policy

2022 Band 17, Heft 1, Seite(n) 81

Abstract: The implementation of equine-assisted services (EAS) during treatment for psychological disorders has been frequently documented; however, little is known about the effect of EAS on outcomes for populations with substance use disorder (SUD). The purpose ... ...

Abstract	The implementation of equine-assisted services (EAS) during treatment for psychological disorders has been frequently documented; however, little is known about the effect of EAS on outcomes for populations with substance use disorder (SUD). The purpose of this scoping review was to synthesize existing literature reporting the effects of EAS when incorporated into SUD treatment. This review followed guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist for scoping reviews. A search of four databases (MEDLINE/PubMed, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Academic OneFile) identified studies reporting quantitative and/or qualitative data for an EAS intervention that was implemented among a population receiving treatment for and/or diagnosed with SUD. Of 188 titles, 71 underwent full-text assessment and six met inclusion criteria. Three additional articles were identified through other sources. Quantitative data suggested a potential positive effect of EAS on SUD treatment retention and completion as well as participants' mental health; however, studies were limited by small sample sizes. Qualitative data indicated that in addition to participants developing bonds with the horses and perceiving EAS as welcomed breaks from traditional treatment, they experienced increased self-efficacy, positive emotional affect, and SUD treatment motivation. Due to methodological limitations and an overall dearth of available studies, the effectiveness of EAS as adjuncts to SUD treatment is inconclusive. Additional research is necessary before supporting broad implementation of EAS as adjuncts to SUD treatment.
Mesh-Begriff(e)	Horses ; Animals ; Humans ; Substance-Related Disorders/therapy ; Mental Health ; Emotions
Sprache	Englisch
Erscheinungsdatum	2022-12-14
Erscheinungsland	England
Dokumenttyp	Systematic Review ; Journal Article ; Review
ZDB-ID	2222956-5
ISSN	1747-597X ; 1747-597X
ISSN (online)	1747-597X
ISSN	1747-597X
DOI	10.1186/s13011-022-00506-x
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Pre- and in-hospital mortality for moderate-to-severe traumatic brain injuries: an analysis of the National Trauma Data Bank (2008-2014).

Graves, Whitney C / Oyesanya, Tolu O / Gormley, Mirinda / Røe, Cecilie / Andelic, Nada / Seel, Ronald T / Lu, Juan

Brain injury

2021 Band 35, Heft 3, Seite(n) 265–274

Abstract: ... ...

Abstract	Objectives
Mesh-Begriff(e)	Brain Injuries, Traumatic ; Databases, Factual ; Hospital Mortality ; Humans ; Injury Severity Score ; Odds Ratio ; Retrospective Studies ; Wounds, Penetrating
Sprache	Englisch
Erscheinungsdatum	2021-02-02
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	639115-1
ISSN	1362-301X ; 0269-9052
ISSN (online)	1362-301X
ISSN	0269-9052
DOI	10.1080/02699052.2021.1873419
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