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NSC & EMS Publications (2013-Present)


Azab SM, Hirshon JM, Hayes BD, El Setouhy M, Smith GS, Sakr ML, Tawfik HM, Klein-Schwatz W. Epidemiology of Acute Poisoning in Children Presenting to the Poisoning Treatment Center at Ain Shams University in Cairo, Egypt, 2009-2013. Clin Tox. Clin Toxicol (Phila). 2016 Jan;54(1):20-6

Yang S, Hu P, Anazoda A, Gao C, Chen H, Wade C, Hartsky L, Miller C, Imle PC, Fang R, Mackenzie CF Comparison of continuous noninvasive hemoglobin and laboratory blood tests in the prediction of blood transfusion. Anesth Analg 2016 ; 122(1):115-25

Dezman Z, Hu E, Hu PF, Yang S, Stansbury LG, Fang R, Miller C, Mackenzie CF. Computer Modelling Using Prehospital Vitals Predicts Transfusion and Mortality. Prehospital Emergency Care. 2016. Accepted 1/7/2016


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 ED on a regional emergency medical services system. Am J Emerg Med. 2015 Nov 18. pii: S0735-6757(15)01020-7.

Galvagno SM Jr, Sikorski R, Hirshon JM, Floccare D, Stephens C, Beecher D, Thomas S. Helicopter emergency medical services for adults with major trauma. Cochrane Database Syst Rev. 2015 Dec 15;

Hirshon JM, Galvagno SM Jr, Comer A, Millin MG, Floccare DJ, Alcorta RL, Lawner BJ, Margolis AM, Nable JV, Bass RR. Maryland's Helicopter Emergency Medical Services Experience From 2001 to 2011: System Improvements and Patients' Outcomes. Ann Emerg Med. 2015 Sep 18. [Epub ahead of print]

Anderson D, Pimentel L, Golden B, Wasil E, Hirshon JM. Drivers of ED efficiency: a statistical and cluster analysis of volume, staffing, and operations. Am J Emerg Med. 2015 Oct 3. [Epub ahead of print]

El-Shinawi M, McCunn M, Sisley AC, El-Setouhy M, Hirshon JM. Developing Sustainable Trauma Care Education in Egypt: Sequential Trauma Education Program, Steps to Success. J Surg Educ. 2015 Jul-Aug;72(4):e29-32.

Widener MJ, Ginsberg Z, Schleith D, Floccare DJ, Hirshon JM, Galvagno S. Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information. Aerosp Med Hum Perform. 2015 Jul;86(7):620-7

Elboray S, Elawdy MY, Dewedar S, Elezz NA, El-Setouhy M, Smith GS, Hirshon JM. Knowledge, Attitudes, and Practices of Family Physicians and Nurses Regarding Unintentional Injuries among Children under 15 Years in Cairo, Egypt. Int J Inj Contr Saf Promot 2015 Jul 15:1-8. [Epub ahead of print]

Dezman ZDW, Comer A, Smith GS, Narayan M, Scalea T, Hirshon JM. Failure to Clear Elevated Lactate Predicts 24-Hour Mortality in Trauma Patients. J Trauma Acute Care Surg 2015 Oct;79(4):580-5

Albrecht JS, Hirshon JM, McCunn M, Bechtold KT, Rao V, Simoni-Wastila L, Smith GS. Increased Rates of Mild Traumatic Brain Injury among Older Adults in US Emergency Departments, 2009-2010. J Head Trauma Rehabilitation. 2015 Oct 16. [Epub ahead of print]

Mackenzie CF, Pitman AN, Hodgson RE, Sussman MJ, Levien LJ, MD, Jahr JS Greenburg AG, Are hemoglobin-based oxygen carriers being withheld because of regulatory requirement for equivalence to packed red blood cells? Am J Ther 2015 Aug;22(4):e115-21 Epub ahead of print]PMID:252857

C F Mackenzie, C Gao, PF Hu, A Anazodo, H Chen, T Dinardo, PC Imle, L Hartsky, C Stephens, J Menaker, Y Fouche, K Murdock, S Galvagno, R Alcorta, S Shackelford Comparison of decision-assist and clinical judgment of experts for prediction of life saving interventions. SHOCK, 2015 43:238-243

A Anazodo, S Murthi, K Frank, PF Hu, L Hartsky, PC Imle, C Stephens, J Menaker, C Miller, J Pasley, C F Mackenzie. Assessing Trauma-Care Provider Judgment in the Prediction of Need for Life-Saving Interventions. Injury. 2015; 46(5):791-7

M Njoku , St Peter D, Mackenzie CF Haemoglobin bsed oxyegen carriers andfuture applications Br J Hosp Med 2015 76: 2-7

K. Kalpakis, S. Yang, P.F. Hu, C. F. Mackenzie, L.G. Stansbury, D.M. Stein, T.M. Scalea, Permutation entropy analysis of vital signs data for outcome prediction of patients with severe traumatic brain injury, Computers in Biology and Medicine, 2015 Jan;56:167-74. PMID: 25464358

Galvagno SM, Hu P, Yang S, Gao C, Hanna D, Shackelford S, Mackenzie CF. Accuracy of continuous noninvasive hemoglobin monitoring for the prediction of blood transfusions in trauma patients. J Clin Monit Comput 2015; 29::815-21

Shackelford S, Yang S, Hu P F-M, MillerC, Anazodo A, Galvagno S, Wang Y, Hartsky L, Fang R, Mackenzie C F. Predicting blood transfusion using automated analysis of pulse oximetry signals and lab values. J Trauma Acute Care Surg. . 2015; 79(4 Suppl 2):S175-80

Stacy Shackelford, Evan Garofalo, Kristy Pugh, Hegang Chen, Jason Pasley, Babak Sarani, Sharon Henry, Mark Bowyer, Colin Mackenzie Title: Development and validation of trauma surgical skills metrics: Preliminary assessment of performance after training Journal of Trauma Acute Care Surg 2015;79(1):105-10

Mark Bowyer, Stacy Shackelford, Evan Garofalo, Kristy Pugh, Colin Mackenzie Management of vascular trauma by senior surgical residents: Perception does not equal reality: Journal of Surgical Research 2015;;198(2):280

Mackenzie CF , Garofalo E, Shackelford S, Shalin S, Pugh K. Chen H , Puche A, Pasley J, Sarani B, Henry S, BowyerM, Using an Indivuidual Procedure Score before and after Advanced Surgical Skills Exposure for Trauma Course Training to benchmark a hemorrhage-Control performance metric. J Surg Educ 2015; 72: 1278-1289


Furuno JP, Comer AC, Johnson JK, Rosenberg JH, Moore SL, MacKenzie TD, Hall KK, Hirshon JM. Using antibiograms to improve antibiotic prescribing in skilled nursing facilities. Infect Control Hosp Epidemiol 35(suppl 3):S56-S61, October 2014.

Albrecht JS, Gruber-Baldini AL, Hirshon JM, Brown CH, Goldberg R, Rosenberg JH, Comer AC, Furuno JP. Hospital discharge instructions: comprehension and compliance among older adults. J Gen Intern Med 29(11):1491-1498, November 2014 [Epub 2014 Jul 12].

Brown KM, Hirshon JM, Alcorta R, Weik TS, Lawner B, Ho S, Wright JL. The implementation and evaluation of an evidence-based statewide prehospital pain management protocol developed using the national evidence-based guideline model process for emergency medical services. Prehosp Emerg Care 18(suppl 1):45-51, 2014.

Hirshon JM, Alson RL, Blunk D, Brosnan DP, Epstein SK, Gardner AF, Lum DL, Moskovitz JB, Richardson LD, Stankus JL, Kivela PD, Wilkerson D, Price C, Bromley M, Calaway N, Geist M, Gore L, Singh C, Wheeler G. America's emergency care environment, a state-by-state Report Card: 2014 Edition. Ann Emerg Med 63(2):97-242, February 2014.

Albrecht JS, Gruber-Baldini AL, Hirshon JM, Brown CH, Goldberg R, Rosenberg JH, Comer AC, Furuno JP. Depressive symptoms and hospital readmission in older adults. J Am Geriatr Soc 62(3):495-499, March 2014.

Hirshon JM, Comer AC, Rosenberg JH, Johnson JK, Moore SL, MacKenzie TD, Hall KK, Furuno JP. Methodological challenges associated with developing and implementing antibiograms in nursing homes in Advances in the Prevention and Control of Healthcare-Associated Infections (HAI) series by AHRQ. Available at: Accessed June 2014.

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 of medical resources at urban auto-racing events. Prehosp Disaster Med 26:1-6, September 2014 [Epub ahead of print].

Risko N, Anderson D, Golden B, Wasil E, Barrueto F, Pimentel L, Hirshon JM. The impact of electronic health record implementation on emergency physician efficiency and patient throughput. Healthc (Amst). 2014 Sep;2(3):201-4.

Hu P, Galvagno SM, Sen A, Dutton RP, Handley C, Shackelford S, Pasley JD, Mackenzie CF. Identification of dynamic prehospital changes with continuous vital signs acquisition. Air Med J. 2014 Jan-Feb;33(1):27-33. PMID: 24373474

C F Mackenzie, Y Wang, PF Hu, SY. HH Chen, G Hagegeorge, LY Stansbury, S Shackelford, ONPOINT Study Group. Automated prediction of early blood transfusion in trauma patients. J Trauma Acute Care Surg. 2014 Jun;76(6):1379-85. PMID: 24854304

Ryb G, Dischinger PC, Auman KM, Kufera JA, Cooper CC, Mackenzie CF, Kane RL.S-100β does not predict outcome after mild traumatic brain injury Brain Inj. 2014;28(11):1430-5.

Yang S, Njoku M, Mackenzie CF Big Data approaches to trauma outcome prediction and autonomous resuscitation Br J Hosp Med 2014 ; 75: 637-641


Calvello E, Reynolds T, Hirshon JM, Buckle C, Moresky R, O’Neill J, Wallis LA. Emergency care in sub-Saharan Africa: results of a consensus conference. African Journal of Emergency Medicine 3:42-48, 2013 (

Anderson D, Silberholz J, Golden M, Harrington M, Hirshon JM. An empirical analysis of the effect of residents on emergency department treatment times. IIE Transactions on Healthcare Systems Engineering 3(3):171-180, July 2013.

Reynolds JC, Abraham MK, Barrueto FF Jr, Lemkin DL, Hirshon JM. Propofol for procedural sedation and analgesia reduced dedicated emergency nursing time while maintaining safety in a community emergency department. J Emerg Nurs 39(5):502-507, September 2013 [Epub 2013 May 6].

Silberholz J, Anderson D, Golden B, Harrington, M, Hirshon JM. The impact of the residency teaching model on the efficiency of the emergency department at an academic center. Socio-Economic Planning Sciences 47(3):183-189, September 2013.

Hirshon JM, Hansoti B, Hauswald M, Sethuraman K, Kerr N, Scordino D, Biros M. Ethics in acute care research: a global perspective and research agenda. Acad Emerg Med 20(12):1251-1258, December 2013.

Hargarten S, Martin IBK, Hauswald M, Hirshon JM. Global health and emergency care: what do we need to know to address the burden of illness and injury? Acad Emerg Med 20(12):1213-1215, December 2013.

Albrecht JS, Hirshon JM, Goldberg R, Langenberg P, Day HR, Morgan DJ, Comer AC, Harris AD, Furuno JP. Serious mental illness and acute hospital readmission in diabetic patients. Am J Med Qual 27(6):503-508, November-December 2012 [Epub 2012 Apr 26].

Galvagno SM Jr, Thomas S, Stephens C, Haut ER, Hirshon JM, Floccare D, Pronovost P. Helicopter emergency medical services for adults with major trauma. Cochrane Database Syst Rev 3:CD009228, March 28, 2013.

Hirshon JM,Risko N, Calvello EJ, Stewart de Ramirez S, Narayan M, Theodosis C, O'Neill J; Acute Care Research Collaborative at the University of Maryland Global Health Initiative. Health systems and services: the role of acute care. Bull World Health Organ 91(5):386-388, May 2013. [Epub 2013 Jan 31].

Colton K, Dinardo T, Hu P, Xiong W, Hu E, Reeds G, DuBose J, Stansbury LG, Mackenzie CF, Chiu W, Miller C, Fang R, Stein D, Scalea T, ONPOINT Study Group. “Full of sound and fury, signifying nothing:” The burden of transient non-critical monitor alarms in a trauma resuscitation unit. J Trauma Nurs. 2013 Oct-Dec;20(4):184-8. PMID: 24305079

Ryb GE, Dischinger PC, Kleinberger M, McGwin G, Griffin RL. Aortic injuries in newer vehicles. Accid Anal Prev. 2013 Oct; 59:253-259.

Dischinger PC, Ryb GE, Kufera JA, Ho SM. Declining statewide trends in motor vehicle crashes and injury-related hospital admissions. Annu Proc Assoc Adv Automot Med. 2013 Oct; 57:247-56.

Ryb GE, Dischinger P, Cooper C, Kufera JA. Does helicopter transport improve outcomes independently of emergency medical system time? J Trauma Acute Care Surg. 2013 Jan;74(1):149-54.

Eko FN, Ryb GE, Drager L, Goldwater E, Wu JJ, Counihan TC. Ideal timing of surgery for acute uncomplicated appendicitis. N Am J Med Sci. 2013 Jan;5(1):22-7.

Ryb GE, Dischinger PC, Ho S. Causation and outcomes of diaphragmatic injuries in vehicular crashes. J Trauma Acute Care Surg. 2013 Mar;74(3):835-8.

Ryb GE, Dischinger PC, Kerns TJ, Burch CA, Rabin J, Ho SM. Changes in severity and injury sources of thoracic aorta injuries due to vehicular crashes. Annu Proc Assoc Adv Automot Med. 2013 Oct; 57: 167-179.