Christiana Care Health System

Research

Abstracts

Sierzenski PR, Poole CK, Powell JT, Mink JT, Cook D, Reef JF, Nomura JT. Defining the Six ACGME Core Competencies Appropriate for Emergency Ultrasonography Training: An Emergency Ultrasonography Directors Survey. Ann Emerg Med. 2012:60;S150

Sierzenski PR, Cook D, Mink J, Kochert E, Nomura JT, Nichols WL, Reed J. Time to Identify Needle Tip Location is Independent of Ultrasound Transducer Orientation and Physician Level of Training. J Ultrasound Med;2010;29:S93.

Sierzenski, P., Kochert, E., Mink, J., Cook, D., Nichols, W., Reed, J. III, Nomura, J. Time to Identify Needle Tip Location is Independent of Ultrasound Transducer Orientation and Physician Level of Training. Ann Emergency Med 2009;54:S68.

R. Hong, P. Sierzenski, R. O’Connor, M. Bollinger, C. Durie. Does the Simple Triage and Rapid Treatment Method Appropriately Triage Patients Based On Trauma Injury Severity Score? Annals of Emergency Medicine, Volume 50, Issue 3, Pages S13-S13 2007

RM Sugg, A Barreto, P Sierzenski, MD Malkoff, JC. A Pilot Randomized Clinical Safety Study of Thrombolysis Augmentation with Ultrasound-Activated Microbubbles. Stroke, 2007

Sierzenski, S. Fletcher, R. O’Connor. Emergency Physicians Who Use Ultrasound Demonstrate Higher Performance Parameters Compared To Colleagues Who Are Rare Users, Independent of the Clinical Hours or Shift Type Worked. Annals of Emergency Medicine, Volume 50, Issue 3, Pages S87-S87 P.

M. Giordano, M. Breyer, B. Tinjum, L. Getto, A. Davitt, J. Michalke, N. Rhodes, P. Sierzenski, R. Geria, J. Reed. Emergency Gallbladder Ultrasonography: Does Fasting
Matter?. Annals of Emergency Medicine, Volume 50, Issue 3, Pages S67-S67

Leech SJ, Nomura JT, Sierzenski PR, Geria R,
Alexandrov AV. Emergency Physicians Accurately Interpret Thrombolysis in Brain Ischemia (TIBI)-graded Transcranial Doppler Waveforms with High Interrater Reliability in Acute Ischemic Stroke. Acad. Emerg. Med.
2006 13: S193-a-194S

Sierzenski PR, Geria R, and O'Connor RE. Emergency Physicians Who Use Emergency Ultrasound Demonstrate Higher Patient Charges, Patients Seen, and Relative Value Units per Hour When Compared with Colleagues Who Are Rare or Non-users of Emergency
Ultrasound. Acad. Emerg. Med. 2006 13: S199-a

Geria RN, Sierzenski PR, and O'Connor RE. Emergency Physicians Who Use Emergency Ultrasound on a Daily Basis Demonstrate Similar or Higher Performance Parameters When Compared with Colleagues Who Frequently or Occasionally Use Emergency Ultrasound.
Acad. Emerg. Med. 2006 13: S199-b-200S -b

Leech SJ, Sierzenski PR, Gukhool JA, O'Connor RE. Replacing a Cart-Based Ultrasound System with a Compact System Increases Emergency Bedside Ultrasound Use and User Confidence. Ann. Emerg Med. - September 2005. Vol. 46, Issue 3

Sierzenski PR, Gaspari RJ, Tayal VS, Dickman E, Gukhool JA, Leech S, O'Connor RE. Institution of a Combined Rotation in Anesthesia and Emergency Ultrasound in Emergency Medicine Residency Programs: A Pathway for Early Dedicated Ultrasound Experience
Without Compromising Intubation Experience for PGY-1 Emergency Medicine Residents .

Ann. Emerg Med. - September 2005. Vol. 46, Issue 3
Sierzenski PR and O'Connor RE. Emergency Physician Echocardiography Reduces Cost of Hospitalization for Patients with Pericardial Effusion. Acad Emerg Med 2005 12: 77-b

Leech SJ, Morton KM, Preston LM, Sierzenski PR, O'Connor RE, Gukhool JA, Bollinger M, Humphrey M. Emergency Ultrasound and Urinalysis in Combination Facilitates Clinical Decision Making in Patients with Suspected Renal Colic. Acad Emerg Med 2005

Nomura JT, Leech SJ, Shenbagamurthi S, Sierzenski PR, O'Connor RE, Bollinger M, Humphrey M, Gukhool JA. The Use of Ultrasound Reduces the Number of Failed Lumbar Punctures and Improves Ease of Performance of Lumbar Puncture in Obese Patients. Acad Emerg Med 2005 12: 36

SJ Leech, KH Morton, LM Preston, PR Sierzenski, RE O’Connor. Emergency Ultrasound and Urinalysis in Combination Facilitates Clinical Decision Making in Patients. Academic Emergency Medicine, 2005

Sierzenski PR, Blaivas M, Dickman E, Brannam L, Leech SJ. Spectral Doppler Ultrasound Accurately Identifies the Presence, Absence, or Diminished Antegrade Flow in a
Ventriculo-peritoneal Shunt Model. Acad Emerg Med 2004 11: 446-a

Leech SJ, Gukhool JA, Dickman E, Sierzenski PR Emergency Physician-performed Ultrasound Accurately Identifies Upper Extremity Deep Venous Thrombosis. Acad Emerg Med 2004 11: 585-b. 10

Sierzenski PR, Dickman E, Leech SJ, Gukhool JA, Bollinger ME. Emergency Physician Ultrasound Decreases Physician Times to Diagnosis, Beta-blocker Therapy, and Operative Repair in Patients with Acute Aortic Dissection. Acad Emerg Med 2004 11: 580b-581b.

Sierzenski PR, Leech SJ, Dickman E, Leibrandt PN, Gukhool JA, Bollinger ME. Emergency Physician Ultrasound Decreases Time to Diagnosis, Time to CT Scan, and Time to Operative Repair in Patients with Ruptured Abdominal Aortic Aneurysm. Acad
Emerg Med 2004 11: 580

Sierzenski PR, DickmanE, Leech SJ, Tayal V, Blaivas M Defining the Position of the Emergency Ultrasound Director: A National Survey of Academic Ultrasound Directors from Emergency Medicine Residency Programs. Acad Emerg Med 2004 11: 497-b-498-b

Sierzenski PR, Blaivas M, Leech SJ, Theodoro D Emergency Medicine Ultrasound Fellowships: A Description of Format, Fellowship Requirements and Goals. Ann Emerge Med 2003 Oct

Blaivas M, Theodoro D, and Sierzenski PR Elevated Intracranial Pressure Detected by Bedside Emergency Ultrasonography of the Optic Nerve Sheath. Acad Emerg Med 2003 10: 376-381.

Sierzenski PR, Leech SJ, Gukhool J, Blaivas M, O'Connor RE Emergency Physician Echocardiography Decreases Time to Diagnosis of Pericardial Effusions. Acad Emerg Med 2003 10: 561-a

Siegel J, DePetro M, Fontanilla L, Sierzenski PR,McGraw P, O'Connor RE Doppler Ultrasound as a Non-invasive Means to Determine Stroke Volume and Cardiac Output
Acad Emerg Med 2003 10: 427

Sierzenski PR, Leech SJ, Blaivas M, Gukhool J, Theodoro D Water-bath vs Direct Contact Ultrasound: A Randomized, Controlled, Blinded Image Review Acad Emerg Med 2003 10: 573-b-574-b.

Sierzenski PR, Leech SJ, Gukhool J, Blaivas M. ED Ultrasound Evaluation of the Index Flexor Tendon: A Comparison of Water-bath Evaluation Technique (WET) versus Direct Contact Ultrasound. Acad Emerg Med 2003 10: 573-a

Blaivas M and Sierzenski PR. Dissection of the Proximal Thoracic Aorta: A New Ultrasonographic Sign in the Subxiphoid View. Acad Emerg Med 2002 9: 542-a

Salen PN, Shih R, Sierzenski P, Reed J. How Do Physostigmine and Gastric Lavage Affect ICU Utilization and Length of Stay in the Hospital in a Datura stramonium-Induced Anticholinergic Poisoning Epidemic? Acad Emerg Med 2002 9: 536

Sierzenski PR, Vickers S, Kotch S, Blaivas M. Endovaginal Ultrasound: Prevalence and Method of Transducer Disinfection in Emergency Medicine Residency Programs. Acad Emerg Med 2002 9: 463-a

Blaivas M, Theodoro DL, Sierzenski PR. A Study of Bedside Ocular Ultrasonography in the Emergency Department. Acad Emerg Med 2002 9: 462-b-463-b.

Sierzenski PR and O'Connor RE: Reduction in Resident Documentation Deficiencies, Lost Revenue, and Coding Levels Following a One-week Rotation with a Private Billing and Coding Firm. Acad Emerg Med 2002 9: 507

Blaivas M, Theodoro DL, Sierzenski PR. Elevated Intracranial Pressure Detected by Bedside Emergency Ultrasonography of the Optic Nerve Sheath. Acad Emerg Med 2002 9:501

Sierzenski PR, Blaivas M, Laesch PS, Keng G, Lambert MJ. Does the Presence of Hydronephrosis on Emergency Department Renal Ultrasounds Predict the Presence of Renal Calculi? Acad Emerg Med 2001 8: 445

Blaivas M, Sierzenski PR, Phelan M, DeBehnke D . Tissue Harmonics Imaging Improves Organ Visualization in Trauma Ultrasound When Compared to Standard Mode. Acad Emerg Med 2001 8: 566-567

Burgess B, Connaughton K, Pastore G, O'Connor RE, Sierzenski PR, Willis A, Reinhardt M. Ultrasound Comparison: Subcostal vs. Parasternal Long-axis Views Identifying the Pericardium. Acad Emerg Med 2001 8: 567

Sierzenski PR, Blaivas M, Belden M, Nielsen T, Wood JP, Lambert MJ. Digital Compression of the Spermatic Cord to Simulate Testicular Torsion on Ultrasound: A
Teaching Model for Emergency Physicians. Acad Emerg Med 2000 7: 493

Blaivas M, Sierzenski PR, Plecque D, Lambert MJ. Do Emergency Physicians Save Time When Locating a Live Intrauterine Pregnancy with Bedside Ultrasonography. Acad Emerg Med, Sept 2000;7(9).

Sierzenski PR, Morrison D, Robitaile M, Baram M, Jasani N, O’Connor RE. Ibutilide Fumarate for the Chemical Conversion of Paroxysmal Atrial Fibrillation and
Flutter in the Emergency Department. Journal of Emergency Medicine, April 2000.

Presentations

Manuscripts

Powell JT, Mink JT, Nomura JT, Levine BJ, Jasani N, Nichols WL, Reed J, Sierzenski PR. Ultrasound Can Reduce Adverse Events During Femoral Central Venous Cannulation. J Emerg Med. 2014;46:519-524. PMID 24462032

Nomura JT and Sierzenski, PR. Ultrasound diagnosis of penile fracture. Journal of Emergency Medicine, Available online 4 October 2008, IN PRESS

Breyer MJ, Giordano M, Tinjum B, Getto L, Rhodes N, Bollinger M, Sierzenski P, O'Connor RE. Emergency Medicine Resident Performed Bedside Ultrasonography of the Gallbladder in Non-fasted Healthy Volunteers, Journal of Emergency Medicine, In Press, Corrected Proof, Available online 26 January 2009, IN PRESS

Molina CA, Barreto AD, Tsivgoulis GT, Paul Sierzenski et al. Transcranial ultrasound in clinical sonothrombolysis (TUCSON) trial. Annals of Neurology April 2009 66: 28-38

Barreto AD, Sharma VK, Lao AY, Schellinger PD, Amarenco P, Sierzenski P, Alexandrov AV, Molina CA. Safety and dose-escalation study design of Transcranial Ultrasound in Clinical SONolysis for acute ischemic stroke: the TUCSON Trial (p 42-48). International Journal of Stroke, Volume 4, Feb 10 2009, Pages 42-48

Nomura JT, Sierzenski PR, Nace JE, Bollinger M Cross sectional survey of ultrasound use for central venous catheter insertion among resident physicians. Del Med J. 2008 Jul;80(7):255-9.

LaRocco BG, Zlupko G, Sierzenski P. Ultrasound Diagnosis of Quadriceps Tendon Rupture. Journal of Emergency Medicine 35, 3, October 2008, Pages 293-295

Bahner D, Blaivas M, Cohen HL, Fox JC, Hoffenberg S, Kendall J, Langer J, McGahan JP, Sierzenski P, Tayal VS; American Institute of Ultrasound in Medicine. AIUM practice guideline for the performance of the focused assessment with sonography for trauma (FAST) examination. J Ultrasound Med. 2008 Feb;27(2):313-8.

Nomura JT, Leech SJ, Shenbagamurthi S, Sierzenski PR, O'Connor RE, Bollinger M, Humphrey M, Gukhool JA. A randomized controlled trial of ultrasound-assisted lumbar puncture. J Ultrasound Med. 2007 Oct;26(10):1341-8.

Price AS, Leech SJ, Sierzenski PR. Impending cardiac tamponade: a case report highlighting the value of bedside echocardiography. J Emerg Med. 2006 May;30(4):415-9.

Blaivas M, Lyon M, Brannam L, Duggal S, Sierzenski P. Water bath evaluation technique for emergency ultrasound of painful superficial structures. Am J Emerg Med. 2004 Nov;22(7):589-93.

Blaivas M, Theodoro D, Sierzenski PR Elevated Intracranial Pressure Detected by Bedside Emergency Ultrasonography of the Optic Nerve Sheath. Acad Emerg Med 2003 10: 376-381.

Salen P, Shih R, Sierzenski P, Reed J. Effect of physostigmine and gastric lavage in a Datura stramonium-induced anticholinergic poisoning epidemic. Am J Emerg Med. 2003 Jul;21(4):316-7.

Blaivas M, Theodoro D, Sierzenski PR. A Study of Bedside Ocular Ultrasonography in the Emergency Department. Acad Emerg Med 2002 9: 791-799.

Blaivas M, Theodoro D, Sierzenski PR. Proliferation of Ultrasound Fellowships in Emergency Medicine: How Do We Ensure Future Experts Are Expertly Trained? Acad Emerg Med 2002 9: 863-864.

Blaivas M, Sierzenski P. Dissection of the Proximal Thoracic Aorta; A New Ultrasonographic Sign in the Subxiphoid View. American Journal of Emergency Medicine. 2002; 20

Blaivas M, DeBenke D, Sierzenski PR, Phelan MB. Tissue Harmonic Imaging Improves Organ Visualization in Trauma Ultrasound when Compared with Standard Ultrasound. Acad Emerg Med 2002 9 (1)

Blaivas M, Sierzenski P, Theodoro D. Significant hemoperitoneum in blunt trauma victims with normal vital signs and clinical examination. Am J Emerg Med. 2002 May; 20(3): 218-21.

Blaivas M, Theodoro D. Sierzenski P. A Study of Bedside Ocular Ultrasonography in the Emergency Department. Academic Emergency Medicine. Acad Emerg Med. 2002; 8

Blaivas M, Sierzenski PR. Emergency Ultrasonography in the Evaluation of the Acute Scrotum. Acad Emerg Med 2001 8: 85-89

Salen P, O’Connor RE, Sierzenski PR, Passarello BP, Pancu D, Melanson S, Arcona S, Reed J, Heller M. Can Cardiac Sonography and Capnography Be Used Independently and in Combination to Predict resuscitation Outcomes? Acad Emerg Med 2001 8 (6)

Blaivas M, Sierzenski PR, Lambert MJ. Emergency Evaluation of Patients Presenting with Acute Scrotum Using Bedside Ultrasonography. Acad Emerg Med 2001 8: 90-93

Blaivas M, Sierzenski PR, Plecque D, Lambert MJ. Do Emergency Physicians Save Time When Locating a Live Intrauterine Pregnancy with Bedside Ultrasonography? Acad Emerg Med 2000 7: 988-993

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