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Clinical Researcher

David R. Vinson, MD, FAAFP, FAAEM
 
Director, Division of Clinical Research, Department of Emergency Medicine
The Permanente Medical Center, Sacramento and Roseville, California, USA
 
Local Research Chair, Kaiser Roseville
 
 
Our Department Supports
 
  • An Active Research Division (see current and past projects below)
  • An Undergraduate Research Internship (projects denoted below with an asterisk)
  • A Newly Developing Clinical Research Network within Kaiser Permanente: CREST 
 
Published Projects (2000-2009)
 
For a sampling of recent abstracts, see: http://lib.bioinfo.pl/auth:Vinson,DR
 

Ambulance Diversion in Sacramento

 

  • Patel PB, Derlet RW, Vinson DR, Williams M, Wills J. Ambulance diversion reduction: the Sacramento solution. Am J Emerg Med. 2006;24:206-13.  PubMed
Presented at the 2004 American College of Emergency Physicians’ Research Forum, San Francisco
 

Call Center Outcomes in the Management of Bladder Infections

 

  • Vinson DR, Quesenberry CP Jr. Telephone management of presumed cystitis in women: Factors associated with recurrence. J Clin Outcomes Manage. 2007;14:41-46.  Abstract

Winner of the 2008 Morris F. Collen Research Award for best paper by a clinician in Kaiser Northern California

 

Study summary       Award Intro Video (3 min)    Our Project Video (3 min)

 

  • Vinson DR, Quesenberry CP Jr. The safety of telephone management of presumed cystitis in women. Arch Intern Med. 2004;164:1026-9.  Extract

Presented at the 2003 Interscience Conference on Antimicrobial Agents and Chemotherapy, Chicago, IL

Presented at the 2002 International Meeting on the Therapies of Infections, Florence, IT.

Media coverage: Newsweek, Sept 22, 2003; Chicago Sun-Times, Good Housekeeping, Shape, First for Women, Health, Urology Times--Oct 9, 2003; Family Practice News 2003;33:41, Cosmopolitan (Cosmo. Ring Up UTI Relief.pdf)

 

Cardiology

 

  • Tricomi AJ, Magid DJ, Rumsfeld JS, Vinson DR, et al. Missed opportunities for reperfusion therapy for ST-segment elevation myocardial infarction:  results of the Emergency Department Quality in Myocardial Infarction (EDQMI) Study.  Amer Heart J. 2008;155:471-477.    PubMed

Presented at the American Heart Association Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke, Washington, DC, May 2007

 

  • Vinson DR, Magid DJ, Brand DW, et al. Patient sex and quality of emergency department care for patients with acute myocardial infarction. Amer J Emerg Med. 2007;25:996-1003.  PubMed

Presented at the 2004 American College of Emergency Physicians’ Research Forum, San Francisco, CA

  • Masoudi FA, Magid DJ, Vinson DR, et al. Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction. Results of the ED Quality in Myocardial Infarction (EDQMI) Study. Circulation. 2006;114:1565-1571.  Full-text
    •  

Presented at the 2005 Amer College of Cardiology Scientific Sessions, Orlando, FL

Featured on HeartWire, WebMD, Oct 6, 2006

 

  • Magid DJ, Masoudi FA, Vinson DR, et al. Older emergency department patients with acute myocardial infarction receive lower quality of care than younger patients. Ann Emerg Med. 2005;46:14-21.  PubMed

Presented at the 2004 American College of Emergency Physicians’ Research Forum, San Francisco, CA.

 

  • Burton JH, Vinson DR, Drummond K, Strout TD, Thode HC, McInturff JJ. Electrical cardioversion of emergency department patients with atrial fibrillation. Ann Emerg Med. 2004;44:20-30.  PubMed

Presented at the 2003 Society of Academic Emergency Medicine, Annual Meeting, Boston, MA.

 

Clinical Decision Rules

  • Darracq MA, Vinson DR, Panacek EA. Preservation of active range of motion following acute elbow trauma predicts absence of elbow fracture. Amer J  Emerg Med. 2008;26:779-782. PubMed

 

Deep Venous Thrombosis

 

  • *Vinson DR, Berman DA, Patel PB, Hickey DO. Outpatient management of deep venous thrombosis: Two models of integrated care. Amer J Manag Care. 2006;12:405-410.  Full-text

 

  • Vinson DR. Eligibility criteria for home treatment of DVT vary. BMJ. 2001;323:866.  PubMed

 

  • Vinson DR. Outpatient treatment of deep venous thrombosis: effective management by emergency physicians. Thrombosis in Oncology. 2001;4:2-7.

 

  • Vinson DR, Berman DO. Outpatient treatment of deep venous thrombosis: a clinical care pathway managed by the emergency department. Ann Emerg Med. 2001;37(3):251-258.  PubMed

Reviewed by Journal Watch Emergency Medicine 2001 May 2.

Presented at the 2000 American College of Emergency Physicians’ Research Forum, Philadelphia, PA.

 

Emergency Department Efficiency

 

  • Vinson DR, Patel PB. Facilitating follow-up after emergency care using an appointment assignment system. J Healthcare Quality. 2009; 31:18-24. Abstract

 

  • Patel PB, Vinson DR. Team Assignment System: Expediting emergency department care. Ann Emerg Med. 2005;46:499-506.  PubMed

Presented at the 2004 American College of Emergency Physicians’ Research Forum, San Francisco, CA

Reviewed by Emergency Medical Abstracts, October, 2006

 

Neurology: Akathisia

 

  • Vinson DR. Development of a simplified instrument for the diagnosis and grading of akathisia in a cohort of patients receiving prochlorperazine. J Emerg Med. 2006;31:139-145.  PubMed 

Featured in “You can’t assume headaches are benign”  ED Nursing. 2008;11:65-66.

 

  • Vinson DR. Diphenhydramine in the treatment of akathisia induced by prochlorperazine. J Emerg Med. 2005;28:348-349 [letter]. In response to Baden EY et al. Diphenhydramine in the treatment of akathesia [sic] induced by prochlorperazine. J Emerg Med. 2005;28:347-348.

 

  • Vinson DR. Diphenhydramine in the treatment of akathisia induced by prochlorperazine. J Emerg Med.  2004;26:265-270.  Full-text

Presented at the 2002 American College of Emergency Physicians’ Research Forum, Seattle, WA.

 

  • Gupta R, Vinson DR. Akathisia can be reduced by lowering the dose of D2 receptor antagonists. Ann Emerg Med. 2003;41:280.

 

  • Vinson DR. Akathisia: Problematic but preventable. Ann Emerg Med. 2002; 39:575-576.

 

  • Vinson DR. Drug-induced akathisia: In Need of Detection and Prevention. Rapid Response to “Akathisia: overlooked at a cost.” BMJ. 2002; 324: 1506-1507.  BMJ Online

 

  • Vinson DR. Frequency of adverse reactions to prochlorperazine in the ED: a response. Amer J Emerg Med. 2001; 19:175.

 

  • Vinson DR, Drotts DL. Diphenhydramine for the prevention of akathisia induced by prochlorperazine: a randomized, controlled trial. Ann Emerg Med. 2001:37:125-131.  Full-text

Discussed in Side Effects of Drugs—Annual 26, ed. Aronson JK (Boston/London: Elsevier, 2003), 66.

Presented at the 1999 Society for Academic Emergency Medicine, Annual Meeting, Boston, MA.

 

  • Vinson DR, Migala AF, Quesenberry CP, Jr. Slow infusion for the reduction of akathisia induced by prochlorperazine: a randomized controlled trial. J Emerg Med. 2001;20:113-119.  PubMed 

Discussed in Side Effects of Drugs—Annual 26, ed. Aronson JK (Boston/London: Elsevier, 2003), 66.

Presented at the 2000 Society for Academic Emergency Medicine, Annual Meeting, San Francisco, CA.

 

  • Vinson DR, Drotts DL: Akathisia and prochlorperazine. Ann Emerg Med. 2000;36:170-1.

 

  • Drotts DL, Vinson DR. Prochlorperazine induces akathisia in emergency patients. Ann Emerg Med. 1999;34:469-475.  PubMed

Reviewed by Journal Watch Emergency Medicine, 1999 Dec 1.

Presented at the 1998 Society for Academic Emergency Medicine, Annual Meeting, Chicago, IL

 

Neurology: Headache

 

  • Hurtado T, Vinson DR, Vandenberg JT. ED treatment of migraine headache: factors influencing pharmacotherapeutic choices. Headache. 2007;47:1134-1143.  PubMed

 

  • Vinson DR. Reply to Gupta R, Gernsheimer J. Treating headache in the emergency department: Avoiding the migraine-meperidine trap. Ann Emerg Med. 2003;42:161-2.

 

  • Vinson DR, Hurtado TR, Banwert L, Vandenberg JT: Variations among emergency departments in the treatment of benign headache. Ann Emerg Med. 2003;41:90-97.  PubMed

Reported in The Year Book of Emergency Medicine 2004, WP Burdick, ed. (St. Louis: Mosby, 2004), 121-122.

Presented at the 2002 American College of Emergency Physicians’ Research Forum, Seattle, WA.

 

  • Vinson DR. Emergency department treatment of migraine headaches. Arch Intern Med. 2002; 162:845-846.

 

  • Vinson DR. Treatment patterns of isolated benign headache in US emergency departments. Ann Emerg Med. 2002;39:215-22.  PubMed 

Reviewed by Journal Watch Emergency Medicine 2002 May 15, and AnalgesiaFile.

 

Procedural Sedation

 

  • Vinson DR, Bradbury DR. Etomidate for procedural sedation in emergency medicine. Ann Emerg Med. 2002;39:592-598.   PubMed

Reviewed by Journal Watch Emergency Medicine 2002 August 28.

 

Patient Safety and Quality of Care

 

  • We at Kaiser Sacramento served as one of eighty-plus study sites who abstracted medical records for the following studies:

    • Sullivan AF, Camargo CA Jr, Cleary PD, et al. The National Emergency Department Safety Study: study rationale and design. Acad Emerg Med. 2007;14:1182-9.

    • Magid DJ, Sullivan AF, Cleary PD, et al. The safety of emergency care systems: Results of a survey of clinicians in 65 US emergency departments. Ann Emerg Med. 2009;53:715-23.e1.

    • Tsai CL, Sullivan AF, Gordon JA, et al. Quality of care for acute asthma in 63 US emergency departments. J Allergy Clin Immunol. 2009;123:354-61.

    • Kansagra SM, Rao SR, Sullivan AF, et al. A survey of workplace violence across 65 U.S. emergency departments. Acad Emerg Med. 2008;15:1268-74.
Miscellany

 

  • Vinson DR. NEXUS Cervical Spine Criteria. Ann Emerg Med. 2001;37:237-238.

Discussed by Fatovich DM. Recent developments: Emergency medicine. BMJ. 2002; 324:958-962.

 

  • Vinson DR. Tetanus not 100% preventable. J Emerg Med. 2000;19:74-5.

 

  • Vinson DR: Immunisation does not rule out tetanus. BMJ. 2000; 320:383.  Full-text

 

  • Vandenberg JT, Lutz RH, Vinson DR. Large-diameter suction system reduces oropharyngeal evacuation time. J Emerg Med. 1999;17:941-944.  PubMed

 

  • Vinson DR, Burke TF, Sung HM. Rapid reversal of life-threatening diltiazem-induced tetany with calcium chloride. Ann Emerg Med. 1999;34:676-678.  PubMed

 

  • Vandenberg JT, Vinson DR. The inadequacies of contemporary oropharyngeal suction. Am J Emerg Med. 1999;17:611-613.  PubMed

 

  • Vinson DR: Epiploic appendagitis. a new diagnosis for the emergency physician. Two cases and a review. J Emerg Med. 1999;17:827-832.  PubMed

 

  • Vinson DR. The Ellis fracture: An anachronistic eponym in dentistry. Ann Emerg Med. 1999; 33:599-600.

 

  • Roth BA, Vinson DR, Kim S. Carisoprodol-induced myoclonic encephalopathy. J Toxicol Clin Toxicol. 1998;36:609-612.  PubMed

 

  • Vinson DR. Superstitions in medicine: bad luck or bad logic? Ann Emerg Med. 1998;31:650-652.
 
Current Projects (2010-2011)
 
  • Vinson DR, Hoehn T, Graber D, Williams T. A multi-faceted approach to emergency department patients with recent-onset atrial fibrillation. Accepted for publication (J Emerg Med). Undergoing editorial review.
  • Vinson DR, Patel JP, Irving CS. Pretest probability estimation in the evaluation of patients with possible deep vein thrombosis. Accepted for publication (Amer J Emerg Med). Pending revisions
  • Patel PB, Vinson DR. Reducing ambulance diversion: The Sacramento Solution gets even better. Manuscript in composition

  • Offerman SR, Nishijima D, Ballard D, Chettipally U, Vinson DR, Holmes JF. The use of delayed telephone informed consent for observational emergency medicine research is ethical and effective. Abstract submitted to SEAM.

  • Nishijima D, Offerman S, Ballard D, Chettipally U, Vinson DR, Holmes JF. Prevalence of immediate and delayed intra-cranial hemorrhage after head trauma associated with pre-injury anticoagulant use. Multi-center study with UC Davis in the middle of patient enrollment. Funded by the Garfield Memorial National Research Fund
  • Darracq MA, Vinson DR, Panacek EA. Preservation of active range of motion following acute elbow trauma predicts absence of elbow fracture: A validation study. Multi-center study with UC Davis in the middle of patient enrollment
  • Vinson DR, Hoehn C. Emergency physician performance of orthopedic reductions with procedural sedation: Practice patterns and outcomes in a community setting. Undergoing data analysis
  • Vinson DR, with CREST team. Central venous catheterization in emergency medicine: physician comfort levels, policy compliance, and patient safety. In design. To begin 2010
  • Chettipally U, with CREST team. Life After Sepsis Therapy: A 1 year follow-up study of Early Goal-Directed Therapy. In design. To begin 2010
  • Fullerton HJ, Sidney S, et al, including Vinson DR. Predictors of stroke in trauma. Application for NIH grant submitted.
  • Vinson DR, Durston W. Droperidol and the FDA’s Black Box Warning. Is it Justified?
 
 

 

  

 

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