Clinical Researcher: Publications

David R. Vinson, MD, FAAFP, FAAEM
 
Director, Emergency Medical Research, North Valley Kaiser Permanente
The Permanente Medical Group, Sacramento and Roseville, California, USA
Co-chair, KP CREST Network, TPMG's Emergency Medicine Clinical Research Collaborative: CREST
Local Research Chair, Kaiser Roseville Medical Center, KPNC Central Research Committee
 
 
Our Department Supports
 
 
Published Projects (1998-2014)
 
For a sampling of recent abstracts, see here.
 
Acute Myocardial Infarction and Chest Pain
 
  • Mark DG, Vinson DR. Low-risk chest pain in the emergency department: Should we be focusing on better follow-up instead of accelerated testing? JAMA Intern Med. 2014;174(6):1009-1010.  Excerpt
  • 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;25:996-1003PubMed

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. 

 

Ambulance Diversion 

  • Patel PB, Vinson DR. The rise of regional "No Diversion" policies. Ann Emerg Med. 2012;59(2):157-158. Full-text
  • Patel PB, Vinson DR. Ambulance diversion reduction and elimination: The 3-2-1 Plan. J Emerg Med. 2012;43(5):e363-371.  PubMed
                Presented at the 2011 Society for Academic Emergency Medicine, Annual Meeting, Boston, MA
  • 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, CA
 
Atrial Fibrillation
  • Ballard DW, Reed ME, Singh N, Rauchwerger AS, Hamity CA, Chettipally UK, Mark DG, Vinson DR. Emergency department follow-up quality of life assessment of patients presenting with atrial fibrillation/flutter. Acad Emerg Med. 2014;21(4):S132  [abstract 306].
Presented at the 2014 Society for Academic Emergency Medicine, Annual Meeting, Dallas, TX
  • Singh N, Rauchwerger AS, Reed ME, Chettipally UK, Mark DG, Offerman SR, Vinson DR, Ballard DW. Adaptation of a disease-specific research instrument for quality of life assessments in ED patients with atrial fibrillation/flutter. Acad Emerg Med. 2013;20(5) Suppl:S138 (abstract 332). Link
Presented at the 2013 Society for Academic Emergency Medicine, Annual Meeting, Atlanta, GA
  • Vinson DR. The safety of cardioversion of recent-onset atrial fibrillation in emergency department patients. Ann Emerg Med. 2012;60(1):134-135. Full-text    Reply 
  • Vinson DR, Hoehn T, Graber D, Williams T. Managing emergency department patients with recent-onset atrial fibrillation. J Emerg Med. 2012;42(2):139-148. PubMed  Featured in Physician's Weekly, July 11, 2012
  • 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.

    Featured in Von Besser K, Mills AM. Is discharge to home after emergency department cardioversion safe for the treatment of recent-onset atrial fibrillation? Ann Emerg Med. 2011;58:517-20.

     

    Call Center Management of Bladder Infections 
       
    • Vinson DR. Expediting emergency throughput: Kiosk-assisted care and telephone treatment protocols. Acad Emerg Med. 2012;19:365. PubMed

       

    • 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, attached below)

     

    Cardiac Arrest
    • Mark DG, Vinson DR, Anderson E, Ballard DW. Treatment of out-of-hospital cardiac arrest patients with electrocardiographic ST segment elevation myocardial infarction: differences in rates of emergent cardiac catheterization between receiving hospitals with and without on-site cardiac catheterization capacity. Crit Care Med. 2012;43(12 Suppl.):295 [abstract]. Link

      Presented at the Society of Critical Care Medicine's 42nd Critical Care Congress in San Juan, Puerto Rico, January 2013.

       

    • Anderson E, Ballard DW, Vinson DR, Mark DG. Does the annual volume of patients admitted following out-of-hospital cardiac arrest predict use of therapeutic hypothermia? Crit Care Med. 2012;43(12 Suppl.):555 [abstract].

       
      Presented at the Society of Critical Care Medicine's 42nd Critical Care Congress in San Juan, Puerto Rico, January 2013.

       

    • Mark DG, Vinson DR, Ballard DW. Letter by Mark et al Regarding Article "Implementation of the fifth link of the chain of survival concept for out-of-hospital cardiac arrest. Circulation. 2013;127:e566. Extract 

    Central Venous Catheterization
    • * Vinson DR, Ballard DW, Hance LG, Hung YY, Rauchwerger AS, Reed ME, Kene MV, Chettipally UK, Elms AR, Mark DG, for the Kaiser Permanente CREST Network Investigators. Bleeding complications of central venous catheterization in septic patients with abnormal hemostasis. Amer J Emerg Med. 2014;32(7):737-42. Abstract
    Presented at the 2013 Research Forum, American College of Emergency Physicians, Seattle, WA. iPoster 
    • Ballard DW, Reed ME, Rauchwerger AS, Chettipally UK, Offerman SR, Vinson DR. Emergency physician perspectives on central venous catheterization in septic patients: a survey-based study. Acad Emerg Med. 2014; in press
    • Vinson DR, Ballard DW, Stevenson MD, Mark DG, Reed ME, Rauchwerger AS, Chettipally UK, Offerman SR, for the Kaiser Permanente CREST Network Investigators. Predictors of unattempted central venous catheterization in septic patients eligible for early goal-directed therapy. West J Emerg Med. 2014;15(1):67-75.   Full-text
    Presented at the 2011 Research Forum, American College of Emergency Physicians, San Francisco, CA. Abstract

    Deep Vein Thrombosis and Pulmonary Embolism

     

    • Vinson DR, Ballard DW, Mark DG, Huang J, Rauchwerger AS, Reed ME, for the CREST Network Investigators. Short length-of-stay is associated with expedited follow-up for patients with acute pulmonary embolism. Ann Emerg Med. 2014; in press [abstract]
    To be presented at the 2014 Research Forum, American College of Emergency Physicians Scientific Assembly, Chicago, IL
    • Drenten C, Huang J, Morley JE, Anderson M, Liu V, Nishijima DK, Reed ME, Vinson DR. Performance of an augmented Pulmonary Embolism Severity Index in identifying ED patients at risk for 5-day inpatient adverse events. Acad Emerg Med, 2014; 21(4):S273 [abstract 660].
    Presented at the 2014 Society for Academic Emergency Medicine annual meeting, Dallas, TX.
    • Vinson DR, Zehtabchi S, Yealy DM. Can selected patients with newly diagnosed pulmonary embolism be safely treated without hospitalization? A systematic review. Ann Emerg Med. 2012;60(5):651-662.e4.  Full-text   
    • *Vinson DR, Patel JP, Irving CS. Pretest probability estimation in the evaluation of patients with possible deep vein thrombosis. Amer J Emerg Med. 2011;29:594-600. PubMed 
    • *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 DA. Outpatient treatment of deep venous thrombosis: a clinical care pathway managed by the emergency department. Ann Emerg Med. 2001;37(3):251-258.  Full-text

    Reviewed by Journal Watch Emergency Medicine 2001 May 2.

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

     

    Elbow Injuries
    • 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
     
    Emergency Department Efficiency

     

    • Patel PB, Vinson DR, Combs MA. Reduction of admit wait times: The effect of a leadership-based program. Acad Emerg Med. 2014;21(3):266-273. PubMed 

       

    • Vinson DR. Expediting emergency management: Kiosk-assisted care and telephone treatment protocols. Acad Emerg Med. 2012;19(3):365. PubMed 

    • 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

     

    Head Injury (Adult)
    • Nishijima DK, Offerman SR, Ballard DW, Vinson DR, Chettipally UK, Rauchwerger AS, Reed ME, Holmes JF, for the Clinical Research in Emergency Services and Treatment (CREST) Network. Risk of traumatic intracranial hemorrhage in patients with head injury and pre-injury warfarin or clopidogrel use. Acad Emerg Med. 2013;20(2):140-5.  PubMed
    • Nishijima DK, Offerman SR, Ballard DW, Vinson DR, Chettipally UK, Rauchwerger AS, Reed ME, Holmes JF, for the Clinical Research in Emergency Services and Treatment (CREST) Network. Immediate and delayed traumatic intracranial hemorrhage in patients with head trauma and pre-injury warfarin or clopidogrel use. Ann Emerg Med. 2012;59(6):460-468.e7. PubMed
    • Nishijima DK, Holmes JF,  Offerman SR, Ballard DW, Vinson DR, Chettipally UK, Rauchwerger AS, Reed ME. In reply (response to Rasler F, Delayed intracranial hemorrhage from mild head injury and warfarin use). Ann Emerg Med. 2013;61:126-127. Full text   
    Head Injury (Pediatrics)
    • Sheehan B, Nigrovic LE, Dayan PS, Kuppermann N, Ballard DW, Alessandrini E, Bajaj L, Goldberg H, Hoffman J, Offerman SR, Mark DG, Swietlik M, Tham E, Tzimenatos L, Vinson DR, Jones GS, Bakken S; for the Pediatric Emergency Care Applied Research Network (PECARN).Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: A sociotechnical analysis. J Biomed Inform. 2013;46(5):905-13. PubMed
    Presented at the 2011 American Medical Informatics Association’s Annual Symposium, Washington, DC
    • Ballard DM, Rauchwerger AS, Reed ME, Vinson DR, Mark DG, Offerman SR, Chettipally UK, Graetz I, Dayan P, Kuppermann N, for the Clinical Research in Emergency Services and Treatment (CREST) Network. Emergency physicians’ knowledge and attitudes of clinical decision support in the electronic health record: a survey-based study. Acad Emerg Med. 2013;20(4):352-360. Abstract  
    Headache
    • Friedman BW, West J, Vinson DR, Minen MT, Restivo A, Gallagher EJ. Current management of migraine in U.S. emergency departments: an analysis of NHAMCS. Cephalalgia. 2014 June 19 [Epub ahead of print]  PubMed
    • 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. 

     
    Neuroleptic-induced 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  

     
    Patient Safety and Quality of Care
    • Patel PB, Keenly LD, Anderson HE, Vinson DR. Informed consent for lumbar puncture in the Emergency Department. West J Emerg Med. 2014;21:266-73. Full-text
    • 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.
    Patient Satisfaction
    • Patel PB, Vinson DR. Physician email and telephone follow-up after emergency department visit improves patient satisfaction: A cross-over trial. Ann Emerg Med. 2013;61(6):631-7.   PubMed  Full-text

    Presented at the 2011 Research Forum, American College of Emergency Physicians, San Francisco.

    Featured in PR Newswire   Featured in ED Management   

     

    Procedural Sedation 
     

    • Vinson DR, Hoehn C. Sedation-assisted orthopedic reduction in emergency medicine: the safety and success of a one physician/one nurse model. West J Emerg Med. 2013;14(1):47-54. Full-text
                            Featured in Journal Watch
                            
                            Letter to the editor exchange: Full-text

     

    • 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.

     

    Research Methods
    • 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. Acad Emerg Med. 2013;20(4):403-407.  Abstract
        Presented at the 2010 Society for Academic Emergency Medicine, Annual Meeting, Las Vegas, NV.
    • Offerman SR, Rauchwerger AS, Nishijima DK, Ballard DW, Chettipally UK, Vinson DR, Reed ME, Holmes JF Jr. Use of an electronic medical record ‘‘dotphrase’’ data template for a prospective head injury study. West J Emerg Med. 2013;14(2):109-113. Full-text

                        Presented at the 2012 Society for Academic Emergency Medicine, Annual Meeting, Chicago, IL

     
    Sepsis
    • Mark DG, Morehouse JW, Hung YY, Kene MV, Elms AR, Liu V, Ballard DW, Vinson DR, for the KP CREST Network Investigators. In-hospital mortality following treatment with red blood cell transfusion or inotropic therapy during early goal-directed therapy for septic shock: a retrospective propensity-adjusted analysis. Crit Care. 2015; in press.
    • Mark D, Morehouse J, Kene M, Elms A, Ballard D, Vinson D. Unbundling early goal-directed therapy: correction of low central venous oxygen saturation. Crit Care Med. 2013; 41(S12), A269 [abstract 1068]. Abstract
    • Mark D, Hung Y-Y, Morehouse J, Kene M, Elms A, Vinson D, Ballard D, for the KP CREST Network Investigators. Predictors of dobutamine and red blood cell administration among patients treated with EGDT in the ED. Ann Emerg Med. 2013;62(4S):S134  [abstract 375]. iPoster  
    • Chettipally UK, Reed ME, Huang J, Rauchwerger AS, Ballard DW, Offerman SR, Vinson DR, for the CREST Network. Life After Sepsis Therapy: A one-year follow-up study of Early Goal Directed Therapy. Ann Emerg Med. 2013;62(4S):S132-S133  [abstract 372].   iPoster
     

    Subarachnoid Hemorrhage

    • Mark DG, Hung YY, Offerman SR, Rauchwerger AS, Reed ME, Chettipally UK, Vinson DR, Ballard DW, for the Kaiser Permanente CREST Network Investigators. Non-traumatic subarachnoid hemorrhage in the setting of negative cranial computed tomography: External validation of a clinical and imaging prediction rule. Ann Emerg Med. 2013;62(1):1-10.e1    PubMed
    Presented at the 2012 Society of Academic Emergency Medicine Annual Meeting, Chicago, IL. 
    • Mark DG, Vinson DR, Ballard DW; Kaiser Permanente CREST Network investigators. Reply to Perry JJ, “Pragmatic interpretation of the study of nontraumatic subarachnoid hemorrhage in the setting of negative cranial computed tomography results: External validation of a clinical and imaging prediction rule.” Ann Emerg Med. 2013;62(4):436-437.
    • Mark DG, Sonne DC, Vinson DR, Ballard DW; Kaiser Permanente CREST Network investigators. Reply to Schwartz DT, “Sensitivity of computed tomography for subarachnoid hemorrhage.” Ann Emerg Med. 2013;62(4):438-439.
    • Mark DG, Vinson DR, Ballard DW. Reply to Verrgouwen MD, et al, “Clinical suspicion of subarachnoid hemorrhage and negative head CT scan performed within 6 hours of headache onset - no need for lumbar puncture.” Ann Emerg Med. 2013;61(4):504-5.
     
    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.

     

    Č
    Ċ
    David R Vinson,
    Jul 3, 2008, 10:20 PM
    Ċ
    David R Vinson,
    Jan 2, 2014, 5:37 PM

    Welcome!