Clinical Researcher

David R. Vinson, MD, FAAFP, FAAEM
 
Director, Emergency Medical Research, North Valley Kaiser Permanente
The Permanente Medical Group, Sacramento and Roseville, California, USA
Steering Committee, TPMG's Emergency Medicine Clinical Research Network: CREST
Local Research Chair, Kaiser Roseville Medical Center, KPNC Central Research Committee
 
 
Our Department Supports
 
 
Published Projects (2000-2013)
 
For a sampling of recent abstracts, see here.
 

Ambulance Diversion in Sacramento

 

  • 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
 

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.pdf)

 

Cardiology
  • 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).


    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

 

  • 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

 

  • 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.

 

  • 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.

 

Central Venous Catheterization in Septic ED Patients
  • Vinson DR, Ballard DW, Stevenson MD, Rauchwerger AD, Reed ME, Offerman SR, Chettipally UK. Skipping Lines: Predicting unattempted thoracic central venous catheterization in septic patients eligible for Early Goal-directed Therapy. Ann Emerg Med. 2011; 58:S179-S180 (abstract 7). Online  Manuscript in process. 
                    Presented at the Research Forum, American College of Emergency Physicians, San Francisco 2011.
 
Clinical Decision Rules
  • 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

  • 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. 2012 September 28 [Epub ahead of print]   PubMed

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

Exchange of letters: Mark DG, Vinson DR, Ballard DW. Reply to letter “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; in press.

     
  • 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
  • Sheehan B, Nigrivoc L, Dayan PS, Kuppermann N, with the PECARN and CREST Networks: Analysis of Triage Workflow in the Pediatric Emergency Department: Implications for Development of a Clinical Decision Support system.
                    Presented at the 2011 American Medical Informatics Association’s Annual Symposium, Washington, DC
 

Deep Vein Thrombosis and Pulmonary Embolism

 

 

  • *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 DO. 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.

 

Emergency Department Efficiency

 

  • 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
  • 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  
 
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. 

 
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.

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 February 27 [Epub ahead of print]   PubMed  Full-text

                        Presented at the 2011 Research Forum, American College of Emergency Physicians, San Francisco.
                        Featured in PR Newswire   

 

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

 

  • 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

 
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 (2013-2014)
 
  • Vinson DR, with the KP CREST Network. The management of ED patients with atrial fibrillation and flutter: a multi-center prospective outcomes study. Enrollment at 9 centers completed October 2012. Goal: 2,700 patient visits. Analysis is underway
  • Vinson DR, with the KP CREST Network. Optimizing site-of-treatment for patients with acute pulmonary embolism using electronic clinical decision support: A pragmatic cluster-controlled trial. In design 

  • Vinson DR, Drenton C, Nishijima DK, Liu V. Performance of an augmented pulmonary embolism stratification index in identifying emergency department patients at risk for short-term adverse events. Data collection tool is being built

  • Vinson DR, with the KP CREST Network. Acute pulmonary embolism in the emergency department: A descriptive analysis. Data collection tool under development
  • Kann G, 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
  • Patel PB, Vinson DR. Does the reduction of admit wait time for emergency patients improve departmental throughput and patient satisfaction? A retrospective comparative study of two sister emergency departments. Manuscript to be submitted in the Spring of 2013.

  • Patel PB, Vinson DR. Informed consent for lumbar puncture in the emergency department. Manuscript in process

  • Vinson DR, with CREST team. Predictors of unattempted central venous catheterization in septic patients eligible for early goal-directed therapy. Manuscript submitted  
  • Vinson DR, with CREST team. Bleeding complications of central venous catheterization in septic patients with abnormal hemostasis. Data collection underway
  • Mark DG, Ballard DW, Vinson DR, Escobar G, Reed ME, and the KP CREST Network. Outcome and practice variability in the treatment of successfully resuscitated out-of-hospital sudden cardiac arrest. Data collection began in 2012.

  • Chettipally U, with CREST team. Life After Sepsis Therapy: A 1 year follow-up study of Early Goal-Directed Therapy. Data analysis underway 
  • Vinson DR, with CREST Network. Bleeding complications from central venous catheterization in septic patients with abnormal hemostasis.  Data collection underway. Manuscript should be complete in the Summer of 2013
  • Sidney S, Vinson DR. Epidemiology and outcomes of young patients with chest pain in the emergency department. In design
  • Kene M, Kim A, Ballard DW, Vinson DR, and the KP CREST Network. The utility of clinical prediction rules for diagnosis posterior stroke: a physician survey. In design
  • Ballard DW, with the KP CREST Network and PECARN. Development of a computerized decision support tool for the care of children in the emergency department with minor blunt head trauma. Undergoing data collection
  • Delgado MK, Escobar GJ, Vinson DR, et al. Mortality associated with ED crowding: An analysis of disease- and hospital-specific variation in an integrated health care system. Undergoing data collection
  • Elms A, Morehouse J, Mark DG, and the CREST Network. Identifying patients with severe sepsis who require central venous saturation guided interventions during early goal directed therapy. Data collection underway
  • Kene M, Mark DG, Offerman S, and the CREST Network. Intermediate hyperlactatemia and mortality in septic Emergency Department patients. In design
  • Fullerton HJ, Sidney S, et al, including Vinson DR. Predictors of stroke in trauma. Data collection began in 2012. Funded by the AHA.
  • Patel PB, Vinson DR, Falck TM, Escobar G. Can a telephone call after an emergency department visit increase utilization of a 24/7 call center and reduce subsequent low acuity emergency department visits? A pilot feasibility study is underway

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