Kevin M Reilly

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Scholarly Contributions

Journals/Publications

• Simmons, A., McCarthy, J., Koszalinski, R., Hedrick, M., Reilly, K., & Hamby, E. (2019). Knowledge and experiences with augmentative and alternative communication by paediatric nurses: a pilot study. Disability and rehabilitation. Assistive technology, 1-13.
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  The current mixed methods research study was designed to describe the experience and opinions of paediatric acute care nurses at a single paediatric medical centre regarding augmentative and alternative communication (AAC). This research serves as the beginning of a line of research to determine needs that can be met through later education and training on AAC with paediatric acute care nurses. Mixed methods were used to gather survey and interview data from nurses at a single paediatric hospital to investigate their knowledge of AAC, perceived relevance of AAC for their patient populations, and preferences for training programmes. Quantitative survey and qualitative interview data indicated a need for AAC education for these paediatric nurses. Nurses demonstrated limited knowledge and experience with AAC but communicated both a desire and perceived need to know more to effectively care for their patients. Nurses reported limited AAC knowledge but expressed a desire for support to use AAC with their patients. AAC education and cross-sector collaboration with healthcare workers such as speech-language pathologists (SLPs) and acute care paediatric nurses are indicated to support effective communication when interacting with patients with complex communication needs (CCN).Implications for rehabilitationImproved background knowledge to develop and implement future nurse education on AAC.Foundation for cross-sector collaboration (e.g., nurses and SLPs) on AAC implementation in paediatric acute care settings.
• Amini, R., Stolz, L. A., Gross, A., O'Brien, K., Panchal, A. R., Reilly, K., Chan, L., Drummond, B. S., Sanders, A., & Adhikari, S. (2015). Theme-based teaching of point-of-care ultrasound in undergraduate medical education. Internal and emergency medicine, 10(5), 613-8.
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  A handful of medical schools have developed formal curricula to teach medical students point-of-care ultrasound; however, no ideal method has been proposed. The purpose of this study was to assess an innovative theme-based ultrasound educational model for undergraduate medical education. This was a single-center cross-sectional study conducted at an academic medical center. The study participants were 95 medical students with minimal or no ultrasound experience during their third year of training. The educational theme for the ultrasound session was "The evaluation of patients involved in motor vehicle collisions." This educational theme was carried out during all components of the 1-day event called SonoCamp: asynchronous learning, the didactic lecture, the skills stations, the team case challenge and the individual challenge stations. Assessment consisted of a questionnaire, team case challenge, and individual challenges. A total of 89 of 95 (94 %) students who participated in SonoCamp responded, and 92 % (87 of 95) completed the entire questionnaire before and after the completion of SonoCamp. Ninety-nine percent (95 % CI, 97-100 %) agreed that training at skill stations helped solidify understanding of point-of-care ultrasound. Ninety-two percent (95 % CI, 86-98 %) agreed that theme-based learning is an engaging learning style for point-of-care ultrasound. All students agreed that having a team exercise is an engaging way to learn point-of-care ultrasound; and of the 16 groups, the average score on the case-based questions was 82 % (SD + 28). The 1-day, theme-based ultrasound educational event was an engaging learning technique at our institution which lacks undergraduate medical education ultrasound curriculum.
• Ori, M., Robertson, K., Hallett, D., Javedani, P., Goldberg, L., Grall, K., Reilly, K. M., & Ng, V. (2015). Impact Of An Electronic Dashboard On Simulated Cardiac Arrest Resuscitation. Michael Ori, Kristen Robertson, Danielle Hallett, Parisa Javedani.. Academic Emergency Medicine, 22(5), S157-8.
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  Abstract
• Chan, L., Reilly, K. M., & Telfer, J. (2006). Odds of critical injuries in unrestrained pediatric victims of motor vehicle collision. Pediatric emergency care, 22(9), 626-9.
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  To compare morbidity and mortality between pediatric victims of motor vehicle collisions (MVC) who were unrestrained to those restrained and to describe compliance with child restraint usage in our population.
• Chan, L., & Reilly, K. M. (2002). Integration of digital imaging into emergency medicine education. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 9(1), 93-5.
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  Medical education has adopted the use of digital photography and other computer technology, which has changed the face of the classroom. Today's presentations couple a computer and digital projection system to create powerful teaching tools. Integration of quality medical images enhances presentations in a way never before possible and at a much lower cost. Changes to presentations can occur rapidly, at a fraction of the cost of slides. However, obtaining quality digital images for presentations is problematic. Services are available on the Internet that offer images for sale, but the cost to obtain images is high. Many institutions of higher learning provide images on the Internet for free, but the quality, number of available images, server capacity, and issues of consent limit the availability of these images. The authors describe their experience in collecting more than 20,000 clinical photographs, and provide examples of their use in emergency medicine education.
• Chan, L., Bartfield, J. M., & Reilly, K. M. (1997). The significance of out-of-hospital hypotension in blunt trauma patients. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 4(8), 785-8.
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  To determine the significance of a low out-of-hospital systolic blood pressure (SBP) reading in blunt trauma patients who have a normal SBP upon ED arrival.
• Chan, L., Reilly, K. M., Henderson, C., Kahn, F., & Salluzzo, R. F. (1997). Complication rates of tube thoracostomy. The American journal of emergency medicine, 15(4), 368-70.
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  This study compared the complication rates of tube thoracostomy performed in the emergency department (ED) versus the operating room (OR) and the inpatient ward (IW). A retrospective case series of all patients at an urban, university-based level 1 trauma center hospital who received tube thoracostomy for any indication between 1/1/93 and 12/31/93 was conducted. Complications were defined as empyema, unresolved pneumothorax (persistent air leak or residual pneumothorax), persistent effusion, or incorrect placement. The data for age and duration of tube placement were weighted for analysis of variance (ANOVA). A total of 352 tube thoracostomies was placed in 239 patients. Twenty-three patients had three or more chest tubes placed, 65 had two placed, and the remaining 181 had a single tube. Ninety-nine tubes were placed in the ED, 87 in the OR, and 166 on IW. The mean age of patients in the ED was 37 years, and differed significantly (P < .015) from those in the OR (48 years) and the IW (44 years). The duration of tube placement was similar for all groups (mean = 6.5 days). The overall complication rates related to tube insertion were: ED, 14.0%; OR, 9.2%; IW, 25.3%. Significance was achieved when comparing complication rates between the ED and IW, with less complications in the ED (P = .0436). When comparing complication rates between the ED and OR, there was no significant difference (P = .3643). A power calculation indicated too small of a sample size to truly determine an insignificant difference between complication rates between the ED and OR. Placement of emergent thoracostomy tubes in the ED does not result in an increased complication rate as compared to placement in the IW.
• Reilly, K. M., Chan, L., Mehta, N. J., & Salluzzo, R. F. (1996). Systemic toxicity from ocular homatropine. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 3(9), 868-71.
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  Toxidromes are well known to emergency physicians. An unclear or incomplete history and subtle findings on physical examination make the diagnosis of poisonings challenging. This article reports a patient who had an acute onset of visual hallucinations, pressured speech, and mania. Although she denied taking any medications, she was ultimately diagnosed as having anticholinergic toxicity. On further questioning of family members, it was discovered that she was being treated for anterior uveitis with 5% homatropine. This case illustrates the potential role of ocular medications in systemic toxicity. Patients often do not consider eyedrops to be medications, and their use may be overlooked in the medical history. It also is important to educate patients and medical staff in methods to minimize systemic toxicity when using ocular medication.
• Bono, J. V., Rella, J. G., Zink, B. J., & Reilly, K. M. (1993). Methohexital for orthopaedic procedures in the emergency department. Orthopaedic review, 22(7), 833-8.
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  The past two decades have seen more and more orthopaedic procedures performed in the emergency department. Methohexital would seem to be a useful adjunct drug for the performance of these procedures because of its well-known attributes (eg, rapid induction and recovery, brief duration, and minimal hemodynamic changes). A search of the literature revealed no previous studies on the use of methohexital in the emergency department. Therefore, the authors undertook a 1-year prospective study of all patients in their emergency department who received methohexital for orthopaedic procedures. The study's hypothesis was that methohexital is a safe drug for use in orthopaedic procedures in the emergency department. Additionally, the authors sought to determine the drug's indications for use, patterns of usage, and effects on the respiratory and cardiovascular systems. The data presented here are a subset of data previously presented and published.
• Salluzzo, R., & Reilly, K. (1991). The rational ordering of blood cultures in the emergency department. Quality assurance and utilization review : official journal of the American College of Utilization Review Physicians, 6(1), 28-31.
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  A large number of patients with febrile illness are evaluated in emergency departments. Blood cultures are often obtained on such patients without reference to established guidelines. As a result of such practice, unnecessary blood cultures are being ordered with negative financial impact on both hospitals and patients. Generally speaking, as the number of blood cultures obtained increases so does the number of false positive results. Follow-up on these results directly impacts on patient care as these patients are often subjected to call backs, additional work up, and admission to the hospital. This study reviews the manner in which blood cultures were ordered before and after the introduction of general guidelines for their use. It outlines a process whereby excessive ordering of blood cultures can be eliminated and suggests that this approach may be effective in limiting inappropriate use of other laboratory and diagnostic studies.
• Fisher, W. T., Reilly, K., Salluzzo, R. F., Phelps, C. T., Rosen, J. M., Freed, H. A., Cooper, J. A., & Weiss, E. (1990). Atypical presentation of pulmonary embolism. Annals of emergency medicine, 19(12), 1429-35.
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  Today we have discussed an interesting patient with an atypical presentation of pulmonary embolism. We have outlined a suggested algorithm to aid in the diagnosis and management of this disease. References 8 through 24 in the reference section are suggested readings that offer further insight into the diagnosis and management of this entity.

Presentations

• Ori, M., Robertson, K., Hallett, D., Javedani, P., Goldberg, L., Grall, K., Reilly, K. M., & Ng, V. (2015, March). Impact Of An Electronic Dashboard On Simulated Cardiac Arrest Resuscitation. Western Regional Society for Academic Emergency Medicine Annual Meeting. Tucson, AZ: Society for Academic Emergency Medicine.

Poster Presentations

• Ori, M., Robertson, K., Hallett, D., Javedani, P., Goldberg, L., Grall, K., Reilly, K. M., & Ng, V. (2015, May). Impact Of An Electronic Dashboard On Simulated Cardiac Arrest Resuscitation. Society for Academic Emergency Medicine Annual Meeting. San Diego, CA: Society for Academic Emergency Medicine.

Creative Productions

• Reilly, K. M. (2015. Emergency and Urgent CareAmerican Academy of Family Physicians.
• Reilly, K. M. (2015. Western Society of Academic Emergency Medicine 18th annual regional meeting, Tucson, AZ March 2015. Photographer. Tucson, AZ: Western Society of Academic Emergency Medicine.

Other Teaching Materials

• Reilly, K. M. (2016. EKG Stimulus for Critical Care Board Examination. American Board of Critical Care Medicine.
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  Review, edit and anonymize 18 EKGs for use in the Critical Care Board examination.