David H Beyda

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Scholarly Contributions

Journals/Publications

• Baquero, A., Beyda, D. H., Gilcrease, G., Gutierrez, J. E., Lavee, J., Matas, D., Paul, N. W., Richards, B., Robertson, M. P., Rogers, W. A., Scalettar, R., Shapiro, M. E., Sharif, A., Singh, M. F., Toledo, A. H., & Trey, T. (2020).

  Comment on "Lung Transplantation for Elderly Patients With End-stage COVID-19 Pneumonia".

  . Annals of surgery, Publish Ahead of Print(1), e65-e66. doi:10.1097/sla.0000000000004413
• Beyda, D. H., Cheshire, W. P., Cranston, R. E., Dunlop, J. T., Francis, J. E., Hoehner, P., Hook, C. C., Mitchell, C. B., Onarecker, C., Riley, D. J., Roberts, A. H., Sullivan, D. M., Toevs, C. C., & Yates, F. D. (2020).

  Triage and resource allocation during crisis medical surge conditions (pandemics and mass casualty situations): A position statement of the Christian Medical and Dental Associations special task force

  . Christian Journal for Global Health, 7(1), 45-55. doi:10.15566/cjgh.v7i1.387
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  The Christian Medical and Dental Associations (CMDA) was founded in 1931 and is made up of the Christian Medical Association (CMA) and the Christian Dental Association (CDA) CMDA has a current membership of over 19,000 physicians, dentists, and other allied health professionals During and in direct response to the pressing urgencies of the COVID-19 universal pandemic of 2020 the President of CMDA commissioned a special task force to provide current and future Christian reflection and guidance on triage and resource allocation policies during pandemics and other forms of crisis surge medical conditions (e g , mass casualty situations) This is a condensed version of the CMDA special task force position statement © 2020 Center for Health in Mission All rights reserved
• Bulut, Y., Sapru, A., Banks, R., Bauerfeld, C., Berg, R. A., Beyda, D. H., Burd, R. S., Carcillo, J. A., Dean, J. M., Gradidge, E., Hall, M. W., Holubkov, R., Mcquillen, P. S., Meert, K. L., Mourani, P. M., Newth, C. J., Notterman, D. A., Pollack, M. M., Priestley, M. A., , Siems, A., et al. (2020).

  Structured Chart Review: Assessment of a Structured Chart Review Methodology.

  . Hospital pediatrics, 10(1), 61-69. doi:10.1542/hpeds.2019-0225
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  Chart reviews are frequently used for research, care assessments, and quality improvement activities despite an absence of data on reliability and validity. We aim to describe a structured chart review methodology and to establish its validity and reliability..A generalizable structured chart review methodology was designed to evaluate causes of morbidity or mortality and to identify potential therapeutic advances. The review process consisted of a 2-tiered approach with a primary review completed by a site physician and a short secondary review completed by a central physician. A total of 327 randomly selected cases of known mortality or new morbidities were reviewed. Validity was assessed by using postreview surveys with a Likert scale. Reliability was assessed by percent agreement and interrater reliability..The primary reviewers agreed or strongly agreed in 94.9% of reviews that the information to form a conclusion about pathophysiological processes and therapeutic advances could be adequately found. They agreed or strongly agreed in 93.2% of the reviews that conclusions were easy to make, and confidence in the process was 94.2%. Secondary reviewers made modifications to 36.6% of cases. Duplicate reviews (n = 41) revealed excellent percent agreement for the causes (80.5%-100%) and therapeutic advances (68.3%-100%). κ statistics were strong for the pathophysiological categories but weaker for the therapeutic categories..A structured chart review by knowledgeable primary reviewers, followed by a brief secondary review, can be valid and reliable.
• Muñoz, M. G., & Beyda, D. H. (2017). An Ethical Justification for Termination of Resuscitation Protocols for Pediatric Patients. Pediatric Emergency Care, 33(7), 505-515.
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  The aim of this article was to compare specific characteristics and outcomes among adult and pediatric out-of-hospital cardiac arrest (OHCA) patients to show that the existing literature warrants the design and implementation of pediatric studies that would specifically evaluate termination of resuscitation protocols. We also address the emotional and practical concerns associated with ceasing resuscitation efforts on scene when treating pediatric patients.
• Aristizabal, P., Fuller, S., Rivera, R., Ribeiro, R. C., Roberts, W., & Beyda, D. H. (2015).

  Improving Pediatric Cancer Care Disparities Across the United States-Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana.

  . Frontiers in public health, 3, 159. doi:10.3389/fpubh.2015.00159
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  In 2007, the 5-year survival rate for children with acute leukemia in Baja California, Mexico was estimated at 10% (vs. 88% in the United States). In response, stakeholders at St. Jude Children's Research Hospital, Rady Children's Hospital San Diego, and the Hospital General de Tijuana (HGT) implemented a transcultural partnership to establish a pediatric oncology program. The aim was to improve clinical outcomes and overall survival for children in Baja California. An initial needs assessment evaluation was performed and a culturally sensitive, comprehensive, 5-year plan was designed and implemented. After six years, healthcare system accomplishments include the establishment of a fully functional pediatric oncology unit with 60 new healthcare providers (vs. five in 2007). Patient outcome improvements include a rise in 5-year survival for leukemia from 10 to 43%, a rise in new cases diagnosed per year from 21 to 70, a reduction in the treatment abandonment rate from 10% to 2%, and a 45% decrease in the infection rate. More than 600 patients have benefited from this program. Knowledge sharing has taken place between teams at the HGT and Rady Children's Hospital San Diego. Further, one of the most significant outcomes is that the HGT has transitioned into a regional referral center and now mentors other hospitals in Mexico. Our results show that collaborative initiatives that implement long-term partnerships along the United States-Mexico border can effectively build local capacity and reduce the survival gap between children with cancer in the two nations. Long-term collaborative partnerships should be encouraged across other disciplines in medicine to further reduce health disparities across the United States-Mexico border.
• Berg, R. A., Beyda, D. H., Liu, P. H., Milander, M. M., Sanders, A. B., & Tellez, D. (1994).

  Efficacy of audio-prompted rate guidance in improving resuscitator performance of cardiopulmonary resuscitation on children.

  . Academic Emergency Medicine, 1(1), 35-40. doi:10.1111/j.1553-2712.1994.tb00003.x
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  OBJECTIVE To evaluate the effect of audio-prompted rate guidance during chest compressions on the performance of cardiopulmonary resuscitation (CPR) on children. METHODS This 24-month prospective study occurred in the pediatric intensive care units of a university hospital and a children's hospital. Intubated children with nontraumatic cardiac arrest were eligible. After placement of an infrared capnometer between the endotracheal tube and resuscitation bag, an audiotape instructed the resuscitator to perform chest compressions at 100 per minute or 140 per minute for one minute, followed by another minute at the other rate. End-tidal carbon dioxide partial pressure (PETCO2) was recorded prior to audiotape instruction and after one minute of CPR at each rate. RESULTS Six patients, two boys and four girls, with a mean age of 15 +/- 13 months (range 2-36 months) were studied. All had asystole or pulseless electrical activity. CPR was provided for 14 +/- 9 minutes prior to institution of the study protocol. PETCO2 at 140/min was higher than at baseline (12 +/- 7 torr verus 4 +/- 3 torr, p < 0.05). There was a trend towards higher PETCO2s at 100/min compared with baseline (11 +/- 12 torr versus 4 +/- 3 torr, p = 0.08). PETCO2s did not differ at 100/min compared with 140/min. CONCLUSIONS In support of prior adult and animal investigations suggesting that basic CPRR is often performed poorly and at inappropriately slow rates, audio- prompted rate guidance during CPR in children resulted in higher PETCO2, suggesting improved CPR performance.
• Beyda, D. H. (1991).

  Pathophysiology of near-drowning and treatment of the child with a submersion incident.

  . Critical Care Nursing Clinics of North America, 3(2), 273-280. doi:10.1016/s0899-5885(18)30737-8
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  The overall prognosis for children who have had a submersion incident is directly related to several variables including length of submersion, initial neurologic evaluation, time to first breath, initial pH, and others. Resuscitation after near drowning is unsuccessful in terms of death and neurologic deficit in 30% of those children who present to our institution. Despite the fact that we have been able to present variables that are somewhat predictive of outcome, it is almost impossible to identify 100% of the time which particular comatose child will be part of the group that will survive neurologically intact. Therefore, skilled attempts at resuscitation and management are mandatory. The understanding of the sequence of events that occur during the drowning process and the pathophysiologic consequence make it possible for health care personnel to provide aggressive therapeutic interventions that will enhance the likelihood of a normal recovery.
• Beyda, D. H. (1991).

  Prehospital care of the child with a submersion incident.

  . Critical Care Nursing Clinics of North America, 3(2), 281-285. doi:10.1016/s0899-5885(18)30738-x
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  The prehospital care of the near-drowning child centers on the early institution of respiration and appropriate resuscitation. Transport of these children to a pediatric referral center where age-appropriate intensive support is available offers the best hope for a good outcome.
• Beyda, D. H., Tellez, D. W., Liu, P. H., & Bakerman, P. R. (1990).

  CAUSALITY OF PEDIATRIC SUBMERSION INJURIES

  . Critical Care Medicine, 18(Supplement), S237. doi:10.1097/00003246-199012001-00118

Presentations

• Beyda, D. (2017, Spring). Integration of Bioethics, Narrative, Arts and Health Humanities. Humanities in Medicine Symposium. Rochester, MN: Mayo Clinic.
• Beyda, D. (2017, Spring). The 'Who' or the 'What': Caring for the Person or the disease. Humanities in Medicine Symposium. Rochester, MN: Mayo Clinic.
• Beyda, D., Standley, C. A., & Hartmark-Hill, J. (2017, Spring). Approaches to Promote Humanistic Competency in Medical Students: The Potential of a Four­-Year Certificate of Distinction at the UA College of Medicine-Phoenix. Humanities in Medicine Symposium. Rochester, MN: Mayo Clinic.