David A Guttman

Interests

Teaching

Emergency Medicine; Emergency Bedside Ultrasonography; Toxicology

Research

Emergency Medicine; Toxicology; Career Advising

Courses

No activities entered.

Scholarly Contributions

Chapters

• Guttman, D. A., & Meislin, H. W. (2006). Soft Tissue Infections. In Emergency Medicine Secrets, 4th ed..

Journals/Publications

• Guttman, D. A. (2005). Medical Student's perspective: selecting the best emergency medicine residency program.. Journal Emergency Medicine, 28(1), 105-106.

Presentations

• VanSonnenberg, E., McCartan, S. A., Guttman, D. A., Shah-Patel, L. R., Kirk, A. D., & Batchelor, E. (2023). Centralized Data Keeping for Career and Professional Advising. AAMC GSA-CiM-OSR National meeting. Honolulu, HI.
• Guttman, D. A. (2022). Educational Campaign Regarding the Association Between COVID-19 Virus Infection and the Development of Pulmonary Embolism. University of Arizona, MPH Internship Conference.
• VanSonnenberg, E., McCartan, S. A., Guttman, D. A., Shah-Patel, L. R., Kirk, A. D., & Batchelor, E. (2022). Virtual Match Preparation Programming for MS4s . AAMC GSA-CiM-OSR National Meeting. Denver, CO.

Poster Presentations

• Guttman, D. A., & Howarth, K. (2020, March). Retrospective Internal Validation of the HEART Score as an Objective Predictor of a Major Adverse Cardiac Event. Scholarly Project Research Symposium. University of Arizona, College of Medicine - Phoenix.
  More info

  Every year, millions of people present to U.S. emergency departments with the common chief complaint of chest pain. Significant difficulty lies in determining the severity of the complaint, estimating the cardiovascular risk, and deciding if a patient can be safely discharged. The HEART score is a scoring system originally developed by co-authors Barbara Backus, MD, PhD and Jacob Six, MD in 2008 to help ED physicians in the Netherlands risk-stratify chest pain patients. It predicts the 6-week risk of a Major Adverse Cardiac Event (MACE) based on five categories: History, EKG, Age, Risk Factors, and initial Troponin. A score of 0,1, or 2 is allocated to each category and the categories are summed for a total score. Patients are deemed “low risk” if they have a HEART score of 0-3 and have a 0.9 - 1.7% risk of a MACE occurring. Based on the HEART score criteria, these patients are discharged. The original literature is largely European in base. Therefore, the rational for ascertaining an internal validation of the HEART score in the Scottsdale, Arizona region is to provide these emergency physicians with a superior risk stratification tool in the assessment of the acute chest pain patient.
• Guttman, D. A., Chan, L., & Reilly, K. (2005, April). Bedside Ultrasonography to Detect Pericardial Tamponade. Frontiers in Medicine Research Symposium. University of Arizona, College of Medicine - Tucson.
• Guttman, D. A., & Stone, H. (2003, April). Focused Abdominal Sonography for Trauma. Phoenix Integrated Surgical Residency.

Reviews

• Guttman, D., & Howarth, K. (2016. Retrospective Interval Validation of the HEART Score as an Objective Predictor of a Major Adverse Cardiac Event.
  More info

  This is a prospective internal validation study to help emergency department physicians at three Scottsdale, Arizona HonorHealth hospitals risk-stratify patients presenting with acute chest pain. We hypothesize that through utilization of the HEART score our emergency physicians can reliably predict the six week risk of a Major Adverse Cardiac Event (MACE). With education and the support of internal validation this risk assessment tool can be utilized by the evaluating emergency physician as a reliable predictor of outcome to facilitate a safe disposition for their patient.