Department of Emergency Medicine

EMS Research

 
 
Research in Prehospital Medicine and Critical Care Transport
 
 
Faculty at the Department of Emergency Medicine have the opportunity to collaborate with leading researchers in the fields of emergency medicine, trauma, prehospital care, and public health. The National Student Center for Trauma and Emergency Medical Systems (NSC) is housed on the University of Maryland, Baltimore's Campus. Dr. Jon Mark Hirshon, Professor of Emergency Medicine, founded the Maryland Emergency Medical Services Systems Research Interest Group (MEMSS-RIG). The group brings together researches from institutions such as Johns Hopkins School of Medicine, the Univerity of Maryland School of Medicine, and the Maryland Institute for Emergency Medical Services Systems (MIEMSS). MEMSS-RIG faculty are committed to advancing the practice of prehospital medicine through ongoing research. Members have contributed to  a number of peer-reviewed articles and have worked on the development of evidence based guidelines for EMS triage, pain management, and aeromedica transport. Examples of ongoing research projects include:

1. A cost effetive analysis of fire-department based community CPR programs
2. The impact of a local freestanding ED upon surronding emergency medical services jurisdiction
3. Review of aeromedical transport and utilization within Maryland
4. Cochrane-style review of post-arrest percutaneous coronary intervention
 
The Section of Prehospital and Disaster Medicine actively collaborates with clinicians from the R Adams Cowley Shock Trauma Center and affiliated institutions to collect and analyze data related to transport medicine. 
 
 
 
 
 

 

 

Areas of Ongoing Research and Clinical Interest

 

1. Clinical interventions performed enroute to definitive care: Study of care "density" provided by critical care transport clinicians. Lead investigator: Quincy Tran 
2. Improvement in respiratory therapy parameters following implementation of Hamilton T1 ventilator: Examination of patient focused parameters related to improved respiratory care in transport. Lead investigator: Quincy Tran, Ben Lawner

 


Selected Peer Reviewed Faculty Publications

 

 

 
 
  1. Alves DA, Lawner B. Should RSI be performed in the prehospital setting? Practical Summaries in Acute Care 1(6):45-52, June 2006.
  2. Mattu A, Lawner B. Prehospital management of congestive heart failure. Heart Failure Clinics of North America 5(1);19-24, January 2009.
  3. Lawner BJ, Jump A, Coates ML. Propofol-based procedural sedation and analgesia: beyond current controversies. Practical Summaries in Acute Care 4(10):65-71, September 2009.
  4. Witting MD, Schenkel SM, Lawner BJ, Euerle BD. Effects of vein width and depth on ultrasound-guided peripheral IV success rates. Journal of Emergency Medicine 39(1):70–75, July 2010.
  5. Lawner BJ, Nable JV, Brady WJ. 2010: The EMS Literature in Review. American Journal of Emergency Medicine, May 2011;30(6):966-971.
  6. Cooney DR, Millin MG, Carter A, Lawner BJ, Nable JV, Wallus HJ. Ambulance Diversion and Emergency Department Offload Delay: Resource Document for the National Association of EMS Physicians Position Statement. Prehospital Emergency Care, July 2011;15(4):555-61.
  7. Nable JV, Lawner BJ, Stephens CS. “Airway management in cardiac arrest” Emergency Medicine Clinics of North America, September 2011;30(1):77-90.
  8. Burkhammer M, Lawner B, Berge Z. “Utilizing technology based learning for disaster preparedness” International Journal of Information and Communication Technology Education, November 2011;8(1):26-34.
  9. Reynolds JC, Lawner BJ. Management of the post cardiac arrest syndrome. J Emerg Med. January 2012;42(4):440-9. 
  10. Lawner BJ, Nable JV, Mattu A. Novel patterns of ischemia and STEMI equivalents. Cardiology Clinics of North America. November 2012;30:591-99.
  11. Lawner BJ, Nable JV. Pump, Blow, Where to Go: 21st Century Management of Cardiac Arrest. Emedhome CME Featured Article, September 2013.
  12. Brown KM, Hirshon JM, Alcorta R, Weik TS, Lawner B.The Implementation and Evaluation of an Evidence-based Statewide Prehospital Pain Management Protocol Developed using the National Prehospital Evidence-based Guideline Model Process for Emergency Medical Services. Prehospital Emergency Care, 2014; 18 Suppl 1:45-51.
  13. Gausche-Hill M, Brown KM, Oliver ZJ, Sasson C, Dayan PS, Eschmann NM, Weik TS, Lawner BJ, Sahni R, Falck-Ytter Y, Wright JL, Todd K, Lang ES. An evidence based guideline for prehospital analgesia in trauma. Prehospital Emergency Care. 2014;18 suppl 1:25-34
  14. Thomas SH, Brown KM, Oliver ZJ, Spaite DW, Lawner BJ, Sahni R, Weik TS, Falck-Ytter Y, Wright JL, Lang ES. An evidence based guideline for the air medical transportation of prehospital trauma patients. Prehospital Emergency Care. 2014;18 Suppl 1:35-44
  15. Lawner B, and Farzad A. Sedation of the Mechanically Ventilated Patient in the Emergency Department. EM Critical Care. March 2014;4(2):2-16
  16. Nable JV, Margolis AM, Lawner BJ, Hirshon JM, Perricone AJ, Galvagno SM, Lee D, Millin MG, Bissell RA, Alcorta RL. Comparison of prediction models for use at urban auto racing events. Prehosp Disaster Med. 2014. Sep 26:1-6
  17. Bouland AJ, Risko N, Lawner BJ, Seaman KG, Godar CM, Levy MJ. The price of a helping hand: modeling the outcomes and costs of bystander CPR. Prehosp Emerg Care. 2015, epub ahead of print.
  18. Nable JV, Lawner BJ. Chameleons: Electrocardiogram imitators of ST-segment elevation myocardial infarction. Emerg Med Clin North Am. 2015 Aug;33(3):529-37
  19. Hirshon JM, Galvagno SM, Comer A, Millin MG, Floccare DG, Alcorta RA, Lawner BJ, Nable JV, Bass RR. Maryland’s Helicopter Emergency Medical Services Experience From 2001 to 2011: System Improvements and Patient Outcomes. Ann Emerg Med. 2015 Sep 18.
  20. Lawner BJ, Hirshon JM, Comer AC, Nable JV, Kelly J, Alcorta RL, Pimentel L, Tupe CL, Vanhoy MA, Browne BJ. The Impact of a Freestanding Emergency Department on a Regional Emergency Medical Services System. Am J Emerg Med. 2015 Nov 18
  21. Knowlton AR, Weir B, Fields J, Cochran G, McWilliams J, Wissow L, Lawner BJ. Pediatric use of emergency medical services: The role of chronic illnesses and behavioral health problems. Prehosp Emerg Care. 2016 May-Jun;20(3):362-8
  22. Lawner BJ, Parker BM. The initial evaluation and clearance of spinal injuries in emergency medical practice. Trauma Reports. 2016 Jul-Aug;17(7):1-11
  23. Millin MG, Comer AC, Nable JV, Johnston PV, Lawner BJ, et al. Patients without ST elevation after return of spontaneous circulation may benefit from emergent percutaneous intervention: A systematic review and meta analysis. Resuscitation. 2016;108:54-60
  24. Halliday MH, Bouland AJ, Lawner BJ, Comer AC, Ramos DC, Fletcher M. The Medical Duty Officer: An attempt to mitigate the ambulance at hospital interval. West J Emerg Med. 2016 Sep;17(5):662-668
  25. Nable JV, Lawner BJ, Brady WJ. 2016: Emergency medical services annotated literature review. Am J Emerg Med. 2016;34(11):2193-2199
  26. Jones J, Lawner BJ. Prehospital sepsis care. Emerg Med Clin N Am. 2017 Feb;35(1):175-8327. Bouland AJ, Halliday MH, Comer AC, Levy MJ, Seaman KG, Lawner BJ. Evaluating barriers to bystander CPR among laypersons before and after compression only CPR training. Prehosp Emerg Care. 2017;21(5):563-567
  27. Fitzgibbon KM, Nable JV, Ayd B, Lawner BJ, Comer AC, Lichenstein R, Levy MJ, Seaman KG, Bussey I. Mass gathering medical care in electronic dance music festivals. Prehosp Disaster Med. 2017. Oct;32(5):563-567

  28. Lawner BJ, Pedersen F, Shukis M. Trauma mythology: Looking beyond the ABCD and ATLS. Trauma Reports. 2018.

  29.  Fratta JA, Bouland AJ, Lawner BJ, Comer AC, et al. Barriers to bystander CPR: Evaluating socio-economic and cultural factors influencing students attending community CPR training. Am J Emerg Med. 2019;37(1):159-161

  30. Nawrocki PS, Poremba M, Lawner BJ. Push dose epinephrine use in the management of hypotension during critical
    care transport. Prehosp Emerg Care. 2019 Feb 26:1-8 Epub ahead of print

  31. Lawner BJ, Mbah N, Bailey S, Erickson H, Poremba M. Interfacility critical care transport of an elderly patient with  confirmed tricyclic antidepressant toxicity and hemodynamic collapse. Air Med J. 2019;38(5):377-381

  32. Lawner BJ, Szabo K, Daly J, Foster F, et al. Challenges related to the implementation of an EMS administered, large
          vessel occlusion stroke score. West J. Emerg Med. 2019;21(2):441-448

  33. Fratta KA, Bouland AJ, Vesselinov R, Levy MJ, Seaman KG, Lawner BJ, Hirshon JM. Evaluating barriers to  community CPR education. Am J Emerg Med. 2020;38(3):603-609.

 

 
 
 
 
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