Hans R Bradshaw

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Courses

Scholarly Contributions

Chapters

• Bradshaw, H. R., & Martin, T. (2023). Radial Nerve Palsy. In CorePendium.
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  Martin Travis, Bradshaw Hans. Radial Nerve Palsy. In: Mattu A and Swadron S, ed. CorePendium. Burbank, CA: CorePendium, LLC. https://www.emrap.org/corependium/chapter/rec9VzEkT2dg4tLbt/Radial-Nerve-Palsy. Updated April 19, 2023. Accessed January 24, 2024.
• Bradshaw, H. R., & Retterath, L. (2017). Approach to the Red Eye. In Avoiding Common Errors in the Emergency Department. Wolters Kluwer/Lippincott Williams & Wilkins.
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  APA (7th ed.) CitationMattu, A., Chanmugam, A. S., Swadron, S. P., Woolridge, D., Winters, M. E., & Marcucci, L. (2017). Avoiding common errors in the emergency department (Second edition.). Wolters Kluwer/Lippincott Williams & Wilkins.Chicago Style (17th ed.) CitationMattu, Amal, Arjun S. Chanmugam, Stuart P. Swadron, Dale Woolridge, Michael E. Winters, and Lisa Marcucci. Avoiding Common Errors in the Emergency Department. Second edition. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins, 2017.MLA (8th ed.) CitationMattu, Amal, et al. Avoiding Common Errors in the Emergency Department. Second edition. Wolters Kluwer/Lippincott Williams & Wilkins, 2017.
• Woolridge, D. P., & Bradshaw, H. R. (2008). Emergency Department Analgesia: Sickle cell crisis. In In: Thomas SH, ed. Emergency Department Analgesia: An Evidence-Based Guide. Cambridge Pocket Clinicians.(pp 365-379). Cambridge University Press. doi:10.1017/CBO9780511544835.056
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  1. Bradshaw H, Woolridge D. Sickle cell crisis. In: Thomas SH, ed. Emergency Department Analgesia: An Evidence-Based Guide. Cambridge Pocket Clinicians. Cambridge University Press; 2008:365-379.

Journals/Publications

• Bradshaw, H. R., Robinshaw-Denton, J., Carrasco, B., & Gustafson, T. (2022). Ambulance Usage on a Collegiate Campus as a Function of Age and Gender. J Coll Emerg Med Serv, Volume 5: Issue 1, 6-8. doi:https://doi. org/10.30542/JCEMS.2022.05.02.02
• Bradshaw, H. R., Wright, B., Carrasco, B., Wise, J., Gustafson, T., & Robishaw-Denton, J. (2022). Comparing Patient Evaluations by a Municipal and a Collegiate-Based Emergency Medical Service. J Coll Emerg Med Serv, Volume 5: Issue 1, 18-22. doi:https://doi.org/10.30542/JCEMS.2022.05.01.04
• Bradshaw, H., Tolson, J., Roberts, S., Rice, A. D., Patanwala, A. E., Murugesan, A., Jado, I., Gaither, J. B., Bradshaw, H., & Beskind, D. (2021). Can Emergency Medical Services Utilization Rates Be Used to Measure the Success of An Alcohol Amnesty Policy?. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 25(3), 427-431. doi:10.1080/10903127.2020.1771488
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  Medical Amnesty/Good Samaritan (MAGS) policies, which eliminate legal charges when students call 9-1-1 for excessive drinking, have been implemented with the goal of reducing barriers to accessing Emergency Medical Services (EMS). This study investigated the impact of MAGS policy implementation on EMS calls on campus and if that EMS call volume could be used to measure policy success. The aim of this study was to compare the prevalence of alcohol-related EMS calls before and after MAGS implementation at a single large public university campus. Methods: A retrospective review of all 9-1-1 calls to on-campus locations was conducted using patient care records (PCRs) from a collegiate EMS agency responding exclusively to on-campus 9-1-1 calls. Calls were excluded if the PCR was marked "incomplete", were outside the 2015 CBEMS response zone boundaries, or if patient age was 25 years old to ensure analysis was targeting the on-campus student population. The incidence of alcohol-related 9-1-1 calls was compared between one academic year (AY) prior to (pre-MAGS, AY2015) and two years after MAGS implementation (post-MAGS, AY2016/17). An alcohol-related 9-1-1 call was defined as an EMS provider primary or secondary impression of "Alcohol, Alcohol Intoxication, or Alcohol Ingestion" or a call in which the patient explicitly admitted to alcohol use. Relative risk (RR) with 95% confidence intervals (CI) were used to describe the results. Results: Over the three-year study period, the collegiate EMS agency responded to 2440 calls of which 1283 met inclusion criteria. 58 calls were excluded for being incomplete, 227 were outside the original boundaries and 872 were outside the defined age range. Of those calls, 351 were pre-MAGS and 932 were post-MAGS. Of the total 9-1-1 calls, 127 (36.2%) were related to alcohol pre-MAGS and 327 (35.1%) were related to alcohol post-MAGS policy implementation. The relative risk of a 9-1-1 call being made for alcohol-related issues after MAGS implementation was RR = 0.97 (95% CI 0.83-1.14; P = 0.713). Conclusion: Implementation of a MAGS policy was not associated with a significant change in the number of alcohol-related EMS responses. It is unclear if these results reflect ineffective policy implementation or a general reduction in on-campus alcohol consumption. However, using EMS call volume as a marker for policy success and quality improvement offers an innovative tool through which EMS agencies can provide valuable feedback to other system stakeholders.
• Roberts, S., Murugesan, A., Tolson, J., Patanwala, A. E., Rice, A. D., Beskind, D., Bradshaw, H., Jado, I., & Gaither, J. B. (2021). Can Emergency Medical Services Utilization Rates Be Used to Measure the Success of An Alcohol Amnesty Policy?. Prehospital emergency care, 25(3), 427-431. doi:10.1080/10903127.2020.1771488
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  Medical Amnesty/Good Samaritan (MAGS) policies, which eliminate legal charges when students call 9-1-1 for excessive drinking, have been implemented with the goal of reducing barriers to accessing Emergency Medical Services (EMS). This study investigated the impact of MAGS policy implementation on EMS calls on campus and if that EMS call volume could be used to measure policy success. The aim of this study was to compare the prevalence of alcohol-related EMS calls before and after MAGS implementation at a single large public university campus. A retrospective review of all 9-1-1 calls to on-campus locations was conducted using patient care records (PCRs) from a collegiate EMS agency responding exclusively to on-campus 9-1-1 calls. Calls were excluded if the PCR was marked "incomplete", were outside the 2015 CBEMS response zone boundaries, or if patient age was 25 years old to ensure analysis was targeting the on-campus student population. The incidence of alcohol-related 9-1-1 calls was compared between one academic year (AY) prior to (pre-MAGS, AY2015) and two years after MAGS implementation (post-MAGS, AY2016/17). An alcohol-related 9-1-1 call was defined as an EMS provider primary or secondary impression of "Alcohol, Alcohol Intoxication, or Alcohol Ingestion" or a call in which the patient explicitly admitted to alcohol use. Relative risk (RR) with 95% confidence intervals (CI) were used to describe the results. Over the three-year study period, the collegiate EMS agency responded to 2440 calls of which 1283 met inclusion criteria. 58 calls were excluded for being incomplete, 227 were outside the original boundaries and 872 were outside the defined age range. Of those calls, 351 were pre-MAGS and 932 were post-MAGS. Of the total 9-1-1 calls, 127 (36.2%) were related to alcohol pre-MAGS and 327 (35.1%) were related to alcohol post-MAGS policy implementation. The relative risk of a 9-1-1 call being made for alcohol-related issues after MAGS implementation was RR = 0.97 (95% CI 0.83-1.14; P = 0.713). Implementation of a MAGS policy was not associated with a significant change in the number of alcohol-related EMS responses. It is unclear if these results reflect ineffective policy implementation or a general reduction in on-campus alcohol consumption. However, using EMS call volume as a marker for policy success and quality improvement offers an innovative tool through which EMS agencies can provide valuable feedback to other system stakeholders.Roberts S, Murugesan A, Tolson J, Patanwala AE, Rice AD, Beskind D, Bradshaw H, Jado I, Gaither JB. Can Emergency Medical Services Utilization Rates Be Used to Measure the Success of An Alcohol Amnesty Policy? Prehosp Emerg Care. 2021 May-Jun;25(3):427-431. doi: 10.1080/10903127.2020.1771488. Epub 2020 Jun 23. PMID: 32420787.
• Gaither, J. B., Berkman, M. R., Saxman, Z., Dander, S., Harris, S., & Bradshaw, H. R. (2017). Effects of a Transit Strike on EMS Transports and Emergency Department Resource Utilization. Prehospital Emergency Care.
• Arcaris, B., Pacheco, G. S., Viscusi, C., Bradshaw, H., Patanwala, A. E., Sakles, J. C., & Dicken, J. (2016). 190 The Use of Apneic Oxygenation During the Rapid Sequence Intubation of Pediatric Patients is Associated With a Reduced Incidence of Hypoxemia. Annals of Emergency Medicine, 68(4), S74-S75. doi:10.1016/j.annemergmed.2016.08.203
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  RESEARCH FORUM ABSTRACT| VOLUME 68, ISSUE 4, SUPPLEMENT , S74-S75, OCTOBER 2016 190 The Use of Apneic Oxygenation During the Rapid Sequence Intubation of Pediatric Patients is Associated With a Reduced Incidence of Hypoxemia B. ArcarisG. PachecoC. ViscusiH. BradshawA. PatanwalaJ. DickenJ.C. SaklesShow lessDOI:https://doi.org/10.1016/j.annemergmed.2016.08.203
• Bradshaw, H., Mitchell, M. J., Edwards, C. J., Stolz, U., Naser, O., Peck, A., & Patanwala, A. E. (2016). Medication Palatability Affects Physician Prescribing Preferences for Common Pediatric Conditions. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 23(11), 1243-1247. doi:10.1111/acem.13020
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  The objective of this study was to determine if physicians would alter their prescribing preferences after sampling liquid formulations of medications for common pediatric diagnoses.
• Bradshaw, H., Mitchell, M., Edwards, C., Stolz, U., Naser, O., Peck, A., & Patanwala, A. (2016). Medication Palatability Affects Physician Prescribing Preferences for Common Pediatric Conditions. Academic Emergency Medicine, 23(11). doi:10.1111/acem.13020
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  Objectives: The objective of this study was to determine if physicians would alter their prescribing preferences after sampling liquid formulations of medications for common pediatric diagnoses. Methods: This was a prospective interventional before/after study conducted at an academic medical center in the United States. The participants of interest included emergency, family medicine, and pediatric physicians. Participants initially completed a brief survey for their primary oral liquid medication of choice for the treatment of selected disease states. These included otitis media, sinusitis, cellulitis, asthma, colitis, and pneumonia. Participants were asked to choose one of the medication options for each disease and then were given all medications to sample for a taste test. The prescribing preference survey was then repeated. The primary outcome was change in prescribing. McNemar's test was used to evaluate change in proportion of medications chosen before and after taste testing. Results: There were 101 physicians who participated in the study. There were three conditions for which participants changed their prescribing preferences significantly. These were otitis media (change from amoxicillin to cefdinir, difference = 13.2%, 95% confidence interval [CI] = 5.5% to 21.0%), asthma exacerbation (change from dexamethasone or prednisone to prednisolone, 28%, 95% CI = 15.9% to 40.1%), and pneumonia (change from azithromycin to amoxicillin, 16.0%, 95% CI = 6.4% to 25.6%). There was no significant change with respect to the other scenarios. Conclusions: Physicians showed preferences for certain pediatric medications based on taste and showed significant changes in prescribing preferences for some common pediatric diagnoses after tasting different medications for these conditions.
• Dicken, J. M., Viscusi, C., Bradshaw, H., Pacheco, G. S., Patanwala, A. E., & Sakles, J. C. (2015). 17 The Effect of Age on the First Pass Success of Pediatric Intubations in the Emergency Department. Annals of Emergency Medicine, 66(4), S7. doi:10.1016/j.annemergmed.2015.07.046
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  RESEARCH FORUM ABSTRACT| VOLUME 66, ISSUE 4, SUPPLEMENT , S7, OCTOBER 201517 The Effect of Age on the First Pass Success of Pediatric Intubations in the Emergency DepartmentJ.M. Dicken, C. Viscusi, H. Bradshaw, G. Pacheco, A. Patanwala, J.C. SaklesDOI:https://doi.org/10.1016/j.annemergmed.2015.07.046
• Beskind, D. L., Hiller, K. M., Stolz, U., Bradshaw, H., Berkman, M., Stoneking, L. R., Fiorello, A., Min, A., Viscusi, C., & Grall, K. J. (2014). Does the experience of the writer affect the evaluative components on the standardized letter of recommendation in emergency medicine?. The Journal of emergency medicine, 46(4), 544-50.
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  The Standardized Letter of Recommendation (SLOR) was developed in an attempt to standardize the evaluation of applicants to an emergency medicine (EM) residency.Daniel L. Beskind, Katherine M. Hiller, Uwe Stolz, Hans Bradshaw, Matthew Berkman, Lisa R. Stoneking, Albert Fiorello, Alice Min, Chad Viscusi, Kristi J.H. Grall,Does the Experience of the Writer Affect the Evaluative Components on the Standardized Letter of Recommendation in Emergency Medicine?,The Journal of Emergency Medicine,Volume 46, Issue 4,2014,Pages 544-550,ISSN 0736-4679,https://doi.org/10.1016/j.jemermed.2013.08.025.(https://www.sciencedirect.com/science/article/pii/S0736467913009359)
• Hiller, K., Viscusi, C., Beskind, D., Bradshaw, H., Berkman, M., & Greene, S. (2014). Cost of an acting intern: clinical productivity in the academic emergency department. The Journal of emergency medicine, 47(2), 216-22.
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  A few studies suggest that an increasing clinical workload does not adversely affect quality of teaching in the Emergency Department (ED); however, the impact of clinical teaching on productivity is unknown.
• Bradshaw, H., Viscusi, C., Sakles, J. C., Patanwala, A. E., Pacheco, G. S., & Bradshaw, H. (2013). Comparison of GlideScope Video Laryngoscopy to Direct Laryngoscopy for Intubation of Pediatric Patients in the Emergency Department. Annals of Emergency Medicine, 62(4), S75-S76. doi:10.1016/j.annemergmed.2013.07.026
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  J.C. Sakles, A. Patanwala, C. Viscusi, H. Bradshaw, G. Pacheco,Comparison of GlideScope Video Laryngoscopy to Direct Laryngoscopy for Intubation of Pediatric Patients in the Emergency Department,Annals of Emergency Medicine,Volume 62, Issue 4, Supplement,2013,Pages S75-S76,ISSN 0196-0644,https://doi.org/10.1016/j.annemergmed.2013.07.026.(https://www.sciencedirect.com/science/article/pii/S0196064413007051)

Proceedings Publications

• Bradshaw, H. R., Beskind, D. L., Rice, A. M., Sid, P., Gaither, J. B., Jeffery, T., Abhijay, M., & Samantha, R. (2019, Jan). Implementation of a Medical Amnesty / Good Samaritan Policy by a Large Public University is Not Associated with an Increase in Emergency Medical Services (EMS) Alcohol Related Patient Encounters. In Annual Meeting of the National Association of EMS Physicians.
• Gaither, J. B., Bradshaw, H. R., Smith, J. J., Waters, K. E., & Spaite, D. W. (2015, January). Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. In Annual Meeting of the National Association of EMS Physicians, 19, 340.
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  Gaither JB, Bradshaw HR, Smith JJ, Waters K, Spaite DW: Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. Prehospital Emerg Care 2015;19(2):340.
• Gaither, J. B., Bradshaw, H. R., Smith, J. J., Waters, K. E., & Spaite, D. W. (2015, January). Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. In Annual Meeting of the National Association of EMS Physicians.

Presentations

• Bradshaw, H., Mitchell, M. J., Edwards, C. J., Stolz, U., Naser, O., Peck, A., & Patanwala, A. E. (2013, March). Medication Palatability Affects Physician Prescribing Preferences for Common Pediatric Conditions. Presented at the Society of Academic Emergency Medicine Western Regional Meeting, Long Beach, CA, March 23, 2013.
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  The objective of this study was to determine if physicians would alter their prescribing preferences after sampling liquid formulations of medications for common pediatric diagnoses.
• Hiller, K. M., & Bradshaw, H. R. (2015, March). Correlation of Visual Analog Scale scores for end-of-shift global assessment of clinical performance with Standardized Letter of Evaluation (SLOE) global assessment categorization. Western Regional Society for Academic Emergency Medicine Meeting. Tucson, AZ.
• Hiller, K. M., Beskind, D. L., Bradshaw, H. R., Berkman, M. R., Viscusi, C. D., Min, A. A., Grall, K., & Stoneking, L. R. (2013, June). How Much do Students Cost? Clinical Productivity in the Academic Emergency Department. Western Regional Society for Academic Emergency Medicine Annual Conference.
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  Long Beach, CA

Poster Presentations

• Amini, R., Situ-LaCasse, E. H., Bradshaw, H. R., Stea, N., Medina, T., Williams, C., Berkman, M. R., Ng, V., Min Simpkins, A. A., Plitt, J., Tolby, N., & Keim, S. M. (2023, November). Emergency Medicine Advising Program 2.0: An Innovative Approach to Medical Student Advising. Association of American Medical Colleges Learn Serve Lead. Seattle, WA: Association of American Medical Colleges.
• Gaither, J. B., Berkman, M. R., Saxman, Z., Dander, S., Harris, S., & Bradshaw, H. R. (2017, January). Effects of a Transit Strike on EMS Transports and Emergency Department Resource Utilization. National Association of EMS Physician Annual Meeting.
• Hiller, K. M., & Bradshaw, H. R. (2015, April). Correlation of Visual Analog Scale scores for end-of-shift global assessment of clinical performance with Standardized Letter of Evaluation (SLOE) global assessment categorization. Council of Residency Directors in Emergency Medicine Academic Assembly. Phoenix, AZ.
• Hiller, K. M., & Bradshaw, H. R. (2015, May). Correlation of Visual Analog Scale scores for end-of-shift global assessment of clinical performance with Standardized Letter of Evaluation (SLOE) global assessment categorization. Society for Academic Emergency Medicine National Meeting. San Diego, CA: Society for Academic Emergency Medicine.
• Sakles, J. C., Patanwala, A., Viscusi, C. D., Bradshaw, H. R., & Pacheco, G. S. (2013, November). Comparison of glidescope videolaryngoscopy to direct laryngoscopy for intubation of pediatric patients in the emergency department. American College of Emergency Physicians Conference.

Reviews

• Witt, N., Coynor, S., Edwards, C., & Bradshaw, H. (2016. A Guide to Pain Assessment and Management in the Neonate(pp 1-10).
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  Newborn infants experience acute pain with various medical procedures. Evidence demonstrates that controlling pain in the newborn period is beneficial, improving physiologic, behavioral, and hormonal outcomes. Multiple validated scoring systems exist to assess pain in a neonate; however, there is no standardized or universal approach for pain management. Healthcare facilities should establish a neonatal pain control program. The first step is to minimize the total number of painful iatrogenic events when possible. If a procedure cannot be avoided, a tiered approach to manage pain using environmental, non-pharmacologic, and pharmacologic modalities is recommended. This systematic approach should decrease acute neonatal pain, poor outcomes, and provider and parent dissatisfaction.

Others

• Gaither, J. B., Bradshaw, H. R., Smith, J. J., Waters, K. E., & Spaite, D. W. (2015, Jan). Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. Prehospital Emergency Care.
  More info

  Gaither JB, Bradshaw HR, Smith JJ, Waters K, Spaite DW: Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. Prehospital Emerg Care 2015;19(2):340.
• Gaither, J. B., Bradshaw, H. R., Smith, J. J., Waters, K. E., & Spaite, D. W. (2015, Spring). Development of a Novel Course to Integrate EMS Fellow, Emergency Medicine Resident, and Undergraduate Education in EMS Systems Organization and Deployment. Prehospital Emergency Care.
• Hiller, K. M., Beskind, D. L., Bradshaw, H. R., Berkman, M. R., Viscusi, C. D., Min, A. A., Grall, K., & Stoneking, L. R. (2013, June). How Much do Students Cost? Clinical Productivity in the Academic Emergency Department. Western Regional Society for Academic Emergency Medicine Annual Conference.
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  Long Beach, CA