- Associate Professor, Emergency Medicine - (Clinical Scholar Track)
- Assistant Dean, Student Affairs
- RDMS Ultrasound
- Loyola University Stritch School of Medicine, Maywood, Illinois, United States
- Associate Professor, Department of Emergency Medicine, University of Arizona, Tucson, Arizona (2016 - Ongoing)
- Assistant Dean of Student Affairs, University of Arizona College of Medicine, Tucson, Arizona (2015 - Ongoing)
- Director of Evidence-Based Medicine, University of Arizona College of Medicine, Tucson, Arizona (2013 - Ongoing)
- Director of Ultrasound, Department of EM- South Campus, University of Arizona College of Medicine, Tucson, Arizona (2013 - Ongoing)
- Assistant Professor, Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, Arizona (2011 - 2016)
- Chief Resident, University of Arizona Department of Emergency Medicine (2010 - 2011)
- Attending of the Month
- University of Arizona Emergency Medicine Residency Program, Winter 2017
- Vernon and Virginia Furrow Excellence in Basic Science Teaching Award
- University of Arizona College of Medicine, Fall 2017
- Medical Student Teacher of the Year Award
- University of Arizona College of Medicine, Summer 2015
- Senior Resident Research Award
- University of Arizona College of Medicine, Summer 2011
- Chief Resident of Emergency Medicine
- University of Arizona College of Medicine, Spring 2011
Licensure & Certification
- Diplomate, American Board of Emergency Medicine (2012)
- Arizona State Medical License, Arizona Medical Board (2010)
Evidence Based Medicine Assessment in Undergraduate Medical EducationOptic Nerve Sheath MeasurementsPoint of Care UltrasoundUltrasound Education in Undergraduate Medical EducationUltrasound Milestones Education and Assessment
Evidence Based MedicinePatient EducationPoint of Care Ultrasound
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- Fisher, J., Viscusi, R., Ratesic, A., Johnstone, C., Kelley, R., Tegethoff, A. M., Bates, J., Situ-Lacasse, E. H., Adamas-Rappaport, W. J., & Amini, R. (2018). Clinical skills temporal degradation assessment in undergraduate medical education. Journal of advances in medical education & professionalism, 6(1), 1-5.More infoMedical students' ability to learn clinical procedures and competently apply these skills is an essential component of medical education. Complex skills with limited opportunity for practice have been shown to degrade without continued refresher training. To our knowledge there is no evidence that objectively evaluates temporal degradation of clinical skills in undergraduate medical education. The purpose of this study was to evaluate temporal retention of clinical skills among third year medical students.
- Ahmad, F. A., White, A. J., Hiller, K. M., Amini, R., & Jeffe, D. B. (2017). An assessment of residents' and fellows' personal finance literacy: an unmet medical education need. International journal of medical education, 8, 192-204.More infoThis study aimed to assess residents' and fellows' knowledge of finance principles that may affect their personal financial health.
- Amini, R., Patanwala, A. E., & Adhikari, S. (2017). The Risks and Benefits of Treating Isolated Calf Deep Vein Thrombosis: Terms To Discuss With Your Patient. JAMA surgery, 152(6), 605-606.
- Amini, R., Stolz, L., Patanwala, A., & Adhikari, S. (2017). Reply. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 36(5), 1073-1074.
- Amini, R., Wyman, M. T., Hernandez, N. C., Guisto, J. A., & Adhikari, S. (2017). Use of Emergency Ultrasound in Arizona Community Emergency Departments. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.More infoDespite the increased educational exposure to point-of-care ultrasound (US) at all levels of medical training, there are utilization gaps between academic and nonacademic emergency department (ED) settings. The purpose of this study was to assess the current practices and potential barriers to the use of point-of-care US in nonacademic EDs throughout the state of Arizona.
- Amukele, T. K., Hernandez, J., Snozek, C. L., Wyatt, R. G., Douglas, M., Amini, R., & Street, J. (2017). Drone Transport of Chemistry and Hematology Samples Over Long Distances. American journal of clinical pathology, 148(5), 427-435.More infoWe addressed the stability of biological samples in prolonged drone flights by obtaining paired chemistry and hematology samples from 21 adult volunteers in a single phlebotomy event-84 samples total.
- Baker, N., Amini, R., Situ-LaCasse, E. H., Acuña, J., Nuño, T., Stolz, U., & Adhikari, S. (2017). Can emergency physicians accurately distinguish retinal detachment from posterior vitreous detachment with point-of-care ocular ultrasound?. The American journal of emergency medicine.More infoThere is significant overlap between the symptoms of patients presenting with retinal detachment (RD) and posterior vitreous detachment (PVD). Urgency to obtain consultation and treatment are dependent on the ability to accurately distinguish these two conditions. The objective of this study was to determine the ability of emergency physicians to differentiate RDs from PVDs using point-of-care (POC) ocular ultrasound.
- Ellis, M. S., Nelson, J. T., Kartchner, J. Z., Yousef, K. A., Adamas-Rappaport, W. J., & Amini, R. (2017). Cadaver-based abscess model for medical training. Advances in medical education and practice, 8, 85-88.More infoUltrasound imaging is a rapid and noninvasive tool ideal for the imaging of soft tissue infections and is associated with a change of clinician management plans in 50% of cases. We developed a realistic skin abscess diagnostic and therapeutic training model using fresh frozen cadavers and common, affordable materials. Details for construction of the model and suggested variations are presented. This cadaver-based abscess model produces high-quality sonographic images with internal echogenicity similar to a true clinical abscess, and is ideal for teaching sonographic diagnostic skills in addition to the technical skills of incision and drainage or needle aspiration.
- Khan, S. J., Desmarais, A. M., Joseph, B., & Amini, R. (2017). A Rare Case of Adult Onset Intussusception Complicated By Narcotic Dependence. Cureus, 9(1), e964.More infoThis report describes a rare case of adult intussusception in a patient with a history of a Roux-en-Y gastric bypass procedure; complicated by a history of narcotic abuse, methadone dependence, and methamphetamine abuse. Adult patients who have undergone a Roux-en-Y gastric bypass procedure may be at an increased risk of developing intussusception, and clinicians involved in their care should be aware of this potential complication.
- Milligan, R., Houmes, S., Goldberg, L. C., Nagdev, A., & Amini, R. (2017). Ultrasound-guided forearm nerve blocks in managing hand and finger injuries. Internal and emergency medicine, 12(3), 381-385.
- Minckler, M. R., Conser, E., Figueroa, J. J., Scott, A. J., Gaither, J., & Amini, R. (2017). The Semantics of Priapism and the First Sign of Chronic Myeloid Leukemia. Case reports in emergency medicine, 2017, 2656203.More infoPriapism is defined as an erection that persists beyond four hours, lasting beyond or unrelated to sexual stimulation (Salonia et al., 2014). Because the risk of ischemic damage and impotence is high with priapism (35%), management guidelines are directed towards rapid treatment of this condition (Salonia et al., 2014). This report describes the rare case of an 18-year-old male who presented to the Emergency Department (ED) three times with recurrent and worsening episodes of sustained penile erections. On the patient's third visit, he presented with priapism of greater than six-hour duration that was found to be the result of chronic myeloid leukemia. Clinician awareness of the diagnostic semantics and differential diagnosis surrounding priapism is pivotal in its urgent management.
- Minckler, M. R., Fisher, J., Bowers, R., & Amini, R. (2017). Unusual etiology of gastrointestinal symptoms: the case of jojoba butter. Open access emergency medicine : OAEM, 9, 27-29.More infoJojoba butter is cyanogenic and has gained attention among herbal supplement consumers due to claims that it may aid in weight loss. Jojoba butter is extracted from the seeds of jojoba shrubs found in the Sonoran Desert. The seeds have long been recognized as inedible, however clinical symptoms following ingestion are not well documented.
- Mohty, K. M., Cravens, M. G., Adamas-Rappaport, W. J., Amini-Shervin, B., Irving, S. C., Stea, N., Adhikari, S., & Amini, R. (2017). Cadaver-based Necrotizing Fasciitis Model for Medical Training. Cureus, 9(4), e1168.More infoNecrotizing fasciitis is a devastating infectious disease process that is characterized by extensive soft tissue necrosis along deep fascial planes, systemic toxicity, and high mortality. Ultrasound imaging is a rapid and non-invasive tool that can be used to help make the diagnosis of necrotizing fasciitis by identifying several distinctive sonographic findings. The purpose of this study is to describe the construction of a realistic diagnostic training model for necrotizing fasciitis using fresh frozen cadavers and common, affordable materials. Presently, fresh non-embalmed cadavers have been used at medical institutions for various educational sessions including cadaver-based ultrasound training sessions. Details for the preparation and construction of a necrotizing fasciitis cadaver model are presented here. This paper shows that the images obtained from the cadaver model closely imitate the ultrasound appearance of fluid and gas seen in actual clinical cases of necrotizing fasciitis. Therefore, it can be concluded that this cadaver-based model produces high-quality sonographic images that simulate those found in true cases of necrotizing fasciitis and is ideal for demonstrating the sonographic findings of necrotizing fasciitis.
- Stolz, L. A., Amini, R., Situ-LaCasse, E. H., Shareef, F., Reed, H. A., & Adhikari, S. (2017). Cervical Funneling: Potential Pitfall of Point-of-Care Pelvic Ultrasound. Cureus, 9(9), e1649.More infoThough point-of-care ultrasound applications continue to expand, there are findings that are not within the scope of emergency ultrasound. It is important for emergency physicians to be aware of incidental findings that can be identified on comprehensive ultrasounds performed by other imaging departments in order to fully understand the limitations of bedside ultrasound. In this case, a gravid patient presented to the emergency department with pelvic cramping and vaginal bleeding. Point-of-care transabdominal pelvic ultrasound examination was performed and demonstrated cervical funneling. In the appropriate patient, cervical insufficiency due to cervical funneling may be an indication for cerclage in a pregnant patient.
- Yee, A. M., Christensen, D. N., Waterbrook, A. L., & Amini, R. (2017). Parapharyngeal abscess with tracheal deviation. Internal and emergency medicine, 12(7), 1077-1078.
- Yee, A. M., Etebari, C. V., Adhikari, S., & Amini, R. (2017). Point of Care Ultrasound Diagnosis of a Massive Thoracoabdominal Aortic Aneurysm. Cureus, 9(8), e1611.More infoThis report highlights an atypical presentation of extensive thoracoabdominal aortic aneurysm with intramural hematoma and transient paralysis of the lower extremities. Clinical suspicion for aortic pathology prompted a point of care ultrasound of the heart and aorta, which demonstrated a thoracic and abdominal aortic aneurysm with intraluminal pathology. Consultation and transfer to a tertiary care facility was based solely on the emergency physician's ultrasound. Subsequent computed tomography (CT) imaging confirmed the ultrasound findings and discovered a left common iliac artery thrombosis consistent with the patient's presentation. Point of care ultrasound can help clinicians diagnose aortic pathology and direct patient care efficiently and effectively.
- Amini, R., Amini, A., Hollinger, P., Rhodes, S. M., & Schmier, C. (2016). Emergency department diagnosis of a concealed pleurocutaneous fistula in a 78-year-old man using point-of-care ultrasound. World journal of emergency medicine, 7(4), 307-309.
- Amini, R., Patricia Javedani, P., Amini, A., & Adhikari, S. (2016). Ultrasound-Guided Forearm Nerve Blocks: A Novel Application for Pain Control in Adult Patients with Digit Injuries. Case reports in emergency medicine, 2016, 2518596.More infoPhalanx fractures and interphalangeal joint dislocations commonly present to the emergency department. Although these orthopedic injuries are not complex, the four-point digital block used for anesthesia during the reduction can be painful. Additionally, cases requiring prolonged manipulation or consultation for adequate reduction may require repeat blockade. This case series reports four patients presenting after mechanical injuries resulting in phalanx fracture or interphalangeal joint dislocations. These patients received an ultrasound-guided peripheral nerve block of the forearm with successful subsequent reduction. To our knowledge, use of ultrasound-guided peripheral nerve blocks of the forearm for anesthesia in reduction of upper extremity digit injuries in adult patients in the emergency department setting has not been described before.
- Amini, R., Stolz, L. A., Breshears, E., Patanwala, A. E., Stea, N., Hawbaker, N., Thompson, M., Sanders, A. B., & Adhikari, S. (2016). Assessment of ultrasound-guided procedures in preclinical years. Internal and emergency medicine.More infoMedical graduates entering residency often lack confidence and competence in procedural skills. Implementation of ultrasound (US)-guided procedures into undergraduate medical education is a logical step to addressing medical student procedural competency. The objective of our study was to determine the impact of an US teaching workshop geared toward training medical students in how to perform three distinct US-guided procedures. Cross-sectional study at an urban academic medical center. Following a 1-h didactic session, a sample of 11 students out of 105 (10.5 %) were asked to perform three procedures each (total 33 procedures) to establish a baseline of procedural proficiency. Following a 1-h didactic session, students were asked to perform 33 procedures using needle guidance with ultrasound to establish a baseline of student proficiency. Also, a baseline survey regarding student opinions, self-assessment of skills, and US procedure knowledge was administered before and after the educational intervention. After the educational workshop, students' procedural competency was assessed by trained ultrasound clinicians. One-hundred-and-five third-year medical students participated in this study. The average score for the knowledge-based test improved from 46 % (SD 16 %) to 74 % (SD 14 %) (p
- Amini, R., Stolz, L. A., Hernandez, N. C., Gaskin, K., Baker, N., Sanders, A. B., & Adhikari, S. (2016). Sonography and hypotension: a change to critical problem solving in undergraduate medical education. Advances in medical education and practice, 7, 7-13.More infoMultiple curricula have been designed to teach medical students the basics of ultrasound; however, few focus on critical problem-solving. The objective of this study is to determine whether a theme-based ultrasound teaching session, dedicated to the use of ultrasound in the management of the hypotensive patient, can impact medical students' ultrasound education and provide critical problem-solving exercises.
- Amini, R., Stolz, L. A., Javedani, P. P., Gaskin, K., Baker, N., Ng, V., & Adhikari, S. (2016). Point-of-care echocardiography in simulation-based education and assessment. Advances in medical education and practice, 7, 325-8.More infoEmergency medicine milestones released by the Accreditation Council for Graduate Medical Education require residents to demonstrate competency in bedside ultrasound (US). The acquisition of these skills necessitates a combination of exposure to clinical pathology, hands-on US training, and feedback.
- Amini, R., Stolz, L. A., Javedani, P. P., Gaskin, K., Baker, N., Ng, V., & Adhikari, S. R. (2016). Point-of-Care Echocardiography in Simulation Education and Assessment. Advances in Medical Education and Practice, 7, 325-8.
- Amini, R., Stolz, L. A., Kartchner, J. Z., Thompson, M., Stea, N., Hawbaker, N., Joshi, R., & Adhikari, S. (2016). Bedside echo for chest pain: an algorithm for education and assessment. Advances in medical education and practice, 7, 293-300.More infoGoal-directed ultrasound protocols have been developed to facilitate efficiency, throughput, and patient care. Hands-on instruction and training workshops have been shown to positively impact ultrasound training.
- Dandorf, S. J., Bradley, J. J., Gaither, J. B., & Amini, R. (2016). Edematous face. Internal and emergency medicine.
- Hoyer, R., Adhikari, S., & Amini, R. (2016). Ultrasound transducer disinfection in emergency medicine practice. Antimicrobial resistance and infection control, 5, 12.More infoExternal ultrasound transducer disinfection is common practice in medicine. Unfortunately, clinically significant organisms, such as methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, and Klebsiella pneumonia spread throughout healthcare facilities via direct contact despite disinfection protocols. Ultrasound transducers and coupling gel provide potential vectors for pathogen transmission, especially in immunocompromised and high-risk patient populations. Our objective was to conduct a survey to investigate the variety of cleaning solutions or sanitary wipes used and evaluate current standard practice for transducer disinfection across emergency medicine training programs in the United States.
- Kay, R. D., Manoharan, A., Nematollahi, S., Nelson, J., Cummings, S. H., Rappaport, W. J., & Amini, R. (2016). A novel fresh cadaver model for education and assessment of joint aspiration. Journal of orthopaedics, 13(4), 419-24.More infoThe objective of this study was to describe a novel cadaver model and to determine the utility of this model for teaching and assessing students in performing knee, elbow, and wrist arthrocentesis.
- Mhayamaguru, M., Bruno, E. H., Rhodes, S. M., & Amini, R. (2016). Large ovarian cyst with torsion. Internal and emergency medicine.
- Miller, R., Ho, H., Ng, V., Tran, M., Rappaport, D., Rappaport, W. J., Dandorf, S. J., Dunleavy, J., Viscusi, R., & Amini, R. (2016). Introducing a Fresh Cadaver Model for Ultrasound-guided Central Venous Access Training in Undergraduate Medical Education. The western journal of emergency medicine, 17(3), 362-6.More infoOver the past decade, medical students have witnessed a decline in the opportunities to perform technical skills during their clinical years. Ultrasound-guided central venous access (USG-CVA) is a critical procedure commonly performed by emergency medicine, anesthesia, and general surgery residents, often during their first month of residency. However, the acquisition of skills required to safely perform this procedure is often deficient upon graduation from medical school. To ameliorate this lack of technical proficiency, ultrasound simulation models have been introduced into undergraduate medical education to train venous access skills. Criticisms of simulation models are the innate lack of realistic tactile qualities, as well as the lack of anatomical variances when compared to living patients. The purpose of our investigation was to design and evaluate a life-like and reproducible training model for USG-CVA using a fresh cadaver.
- Stolz, L. A., Cappa, A. R., Minckler, M. R., Stolz, U., Wyatt, R. G., Binger, C. W., Amini, R., & Adhikari, S. (2016). Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement. The journal of vascular access, 17(4), 366-70.More infoIt is unclear how many ultrasound-guided peripheral intravenous catheters (USG PIVC) one must place to become proficient at the procedure. The objective of this study was to determine the learning curve associated with PIVC placement and determine how many attempts are required for non-physician learners to reach proficiency.
- Yousef, K. A., Goshinska, A. J., Bailowitz, Z. P., & Amini, R. (2016). Cactus thorn detection using bedside ultrasound. Internal and emergency medicine.
- Amini, R., Hernandez, N. C., Keim, S. M., & Gordon, P. R. (2015). Using standardized patients to evaluate medical students' evidence-based medicine skills. Journal of evidence-based medicine.More infoTo analyze the effectiveness of an Evidence Based Medicine Objective Structured Clinical Examination (EBM OSCE) with standardized patients for end of third year medical students at our institution.
- Amini, R., Kartchner, J. Z., Nagdev, A., & Adhikari, S. (2016). Ultrasound-Guided Nerve Blocks in Emergency Medicine Practice. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.More infoThe purpose of this study was to investigate the current practice of ultrasound (US)-guided regional anesthesia at academic emergency departments, including education, protocols, policies, and quality assessment.
- Amini, R., Kartchner, J. Z., Stolz, L. A., Biffar, D., Hamilton, A. J., & Adhikari, S. (2015). A novel and inexpensive ballistic gel phantom for ultrasound training. World journal of emergency medicine, 6(3), 225-8.More infoUltrasonography use is increasing in emergency departments, and ultrasound education is now recommended in resident training. Ultrasound phantoms are used in many institutions for training purposes. The purpose of this study is to describe an inexpensive and simple method to create ultrasound-imaging models for the purpose of education and practice using clear ballistic gel.
- Amini, R., Panchal, A. R., Bahner, D., & Adhikari, S. (2015). Half-dose alteplase for sub-massive pulmonary embolism directed by emergency department point-of-care ultrasound. The western journal of emergency medicine, 16(1), 181-3.More infoThis report describes a patient with sub-massive pulmonary embolism (PE) who was successfully treated with half-dose thrombolytics guided by the use of point-of-care (POC) ultrasound. In this case, POC ultrasound was the only possible imaging since computed tomography was contraindicated. POC ultrasound demonstrated a deep vein thrombosis and evidence of cardiac strain. In situations or locations where definitive imaging is unobtainable, POC ultrasound can help diagnose submassive PE and direct the use of half-dose tissue plasminogen activator.
- 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.More infoA 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.
- Amini, R., Stolz, L. A., Patanwala, A. E., & Adhikari, S. (2015). Coronal Axis Measurement of the Optic Nerve Sheath Diameter Using a Linear Transducer. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 34(9), 1607-12.More infoThe true optic nerve sheath diameter cutoff value for detecting elevated intracranial pressure is variable. The variability may stem from the technique used to acquire sonographic measurements of the optic nerve sheath diameter as well as sonographic artifacts inherent to the technique. The purpose of this study was to compare the traditional visual axis technique to an infraorbital coronal axis technique for assessing the optic nerve sheath diameter using a high-frequency linear array transducer.
- Hoyer, R., Means, R., Robertson, J., Rappaport, D., Schmier, C., Jones, T., Stolz, L. A., Kaplan, S. J., Adamas-Rappaport, W. J., & Amini, R. (2015). Ultrasound-guided procedures in medical education: a fresh look at cadavers. Internal and emergency medicine.More infoDemand for bedside ultrasound in medicine has created a need for earlier exposure to ultrasound education during the clinical years of undergraduate medical education. Although bedside ultrasound is often used for invasive medical procedures, there is no standardized educational model for procedural skills that can provide the learner a real-life simulated experience. The objective of our study was to describe a unique fresh cadaver preparation model, and to determine the impact of a procedure-focused ultrasound training session. This study was a cross-sectional study at an urban academic medical center. A sixteen-item questionnaire was administered at the beginning and end of the session. Fifty-five third year medical students participated in this 1-day event during their surgical clerkship. Students were trained to perform the following ultrasound-guided procedures: internal jugular vein cannulation, femoral vein cannulation femoral artery cannulation and pericardiocentesis. Preparation of the fresh cadaver is easily replicated and requires minor manipulation of cadaver vessels and pericardial space. Fifty-five medical students in their third year participated in this study. All of the medical students agreed that US could help increase their confidence in performing procedures in the future. Eighty percent (95 % CI 70-91 %) of students felt that there was a benefit of learning ultrasound-based anatomy in addition to traditional methods. Student confidence was self-rated on a five-point Likert scale. Student confidence increased with statistical significance in all of the skills taught. The most dramatic increase was noted in central venous line placement, which improved from 1.95 (SD = 0.11) to 4.2 (SD = 0.09) (p
- Mhayamaguru, K. M., Means, R., Sanders, A. B., & Amini, R. (2015). Vaginal bulge. The western journal of emergency medicine, 16(3), 424-5.
- Miller, R., Ho, H., Ng, V., Yeaton, J., Adamas-Rappaport, W., Jack, H., Rappaport, D., Brandis, D., Nematollahi, S., Viscusi, R. K., Alvarado, J., & Amini, R. (2014). Introduction of a fresh cadaver model for ultrasound-guided central venous access training: Maximizing use of the willed-body for educational training. Journal of Emergency Medicine.More infoApproximately 2.5 hours spent on project for 2015
- O'Brien, K. M., Stolz, L. A., Amini, R., Gross, A., Stolz, U., & Adhikari, S. (2015). Focused Assessment With Sonography for Trauma Examination: Reexamining the Importance of the Left Upper Quadrant View. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 34(8), 1429-34.More infoThe purpose of this study was to determine the frequency and predominant location of isolated free fluid in the left upper quadrant (LUQ) on focused assessment with sonography for trauma (FAST) examinations of adult patients with trauma presenting to the emergency department.
- Adhikari, S. R., Amini, R., Stolz, L. A., & Blaivas, M. (2014). Impact of point-of-care ultrasound on quality of care in clinical practice.. Reports in Medical Imaging, 7, 81-93.
- Adhikari, S., Amini, R., Stolz, L., O'Brien, K., Gross, A., Jones, T., Fiorello, A., & Keim, S. M. (2014). Implementation of a novel point-of-care ultrasound billing and reimbursement program: fiscal impact. The American journal of emergency medicine, 32(6), 592-5.More infoThe aim of this study was to determine the fiscal impact of implementation of a novel emergency department (ED) point-of-care (POC) ultrasound billing and reimbursement program.
- Adhikari, S., Fiorello, A., Stolz, L., Jones, T., Amini, R., Gross, A., O'Brien, K., Mosier, J., & Blaivas, M. (2014). Ability of emergency physicians with advanced echocardiographic experience at a single center to identify complex echocardiographic abnormalities. The American journal of emergency medicine, 32(4), 363-6.More infoTo determine the ability of emergency physicians to detect complex abnormalities on point-of-care (POC) echocardiograms.
- Amini, R., Adhikari, S., & Fiorello, A. (2014). Ultrasound competency assessment in emergency medicine residency programs. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 21(7), 799-801.More infoIn the Model of the Clinical Practice of Emergency Medicine (EM), bedside ultrasound (US) is listed as one of the essential procedural skills. EM milestones released by Accreditation Council for Graduate Medical Education and American Board of Emergency Medicine require residents to demonstrate competency in bedside US. The purpose of this study was to assess the current methods used by EM residency training programs to evaluate resident competency in bedside US.
- Amini, A., Faucett, E. A., Watt, J. M., Amini, R., Sakles, J. C., Rhee, P., Erstad, B. L., & Patanwala, A. E. (2013). Effect of a pharmacist on timing of postintubation sedative and analgesic use in trauma resuscitations. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 70(17), 1513-7.More infoPharmacists' impact in reducing the time interval from intubation to sedative and analgesic use during trauma patient resuscitations is investigated.
- Watt, J. M., Amini, A., Traylor, B. R., Amini, R., Sakles, J. C., & Patanwala, A. E. (2013). Effect of paralytic type on time to post-intubation sedative use in the emergency department. Emergency medicine journal : EMJ, 30(11), 893-5.More infoTo determine the difference between rocuronium and succinylcholine with regard to post-intubation sedative initiation in the emergency department.
- Wenderoth, B. R., Kaneda, E. T., Amini, A., Amini, R., & Patanwala, A. E. (2013). Morphine versus fentanyl for pain due to traumatic injury in the emergency department. Journal of trauma nursing : the official journal of the Society of Trauma Nurses, 20(1), 10-5.More infoThe analgesic response and safety of intravenous morphine versus fentanyl for adult trauma patients who presented to the emergency department (ED) were evaluated. Median pain reduction on the numeric rating scale (0-10; 0 = no pain and 10 = worst possible pain) after opioid administration was similar between the groups (2 vs 2; P = .67). The lowest postdose pain score was recorded sooner in the fentanyl group than in the morphine group (22 vs 47 minutes, respectively; P < .001). There were no significant differences in drug-induced adverse effects between groups. Fentanyl produced a similar but more rapid analgesic response compared with morphine in trauma patients.
- Patanwala, A. E., Edwards, C. J., Stolz, L. A., Amini, R., Desai, A., & Stolz, U. (2013). Should morphine dosing be weight based for analgesia in the emergency department?. Journal of opioid management, 8(1), 51-5.More infoTo determine if patient weight is predictive of the degree of analgesic response to morphine in opioid naïve patients in the emergency department (ED).
- Patanwala, A. E., Amini, R., Hays, D. P., & Rosen, P. (2010). Antiemetic therapy for nausea and vomiting in the emergency department. The Journal of emergency medicine, 39(3), 330-6.More infoAntiemetic agents are among the most frequently prescribed medications in the emergency department (ED). Nevertheless, there are no widely accepted evidence-based guidelines to optimize the use of these medications for nausea or vomiting in this setting.
- Amini, R., Adamas-Rappaport, W., Situ-LaCasse, E., Bates, J., Kelley, R., Johnsone, C., Ratesic, A., Viscusi, R. K., & Fisher, J. (2017, February). Clinical Skills Temporal Degradation Assessment in Undergraduate Medical Education. Western Group on Educational Affairs. Salt Lake City, Utah.
- Amini, R., Amini, R., Adamas-Rappaport, W., Adamas-Rappaport, W., Situ-LaCasse, E., Situ-LaCasse, E., Bates, J., Bates, J., Kelley, R., Kelley, R., Johnsone, C., Johnsone, C., Ratesic, A., Ratesic, A., Viscusi, R. K., Viscusi, R. K., Fisher, J., & Fisher, J. (2017, March). Clinical Skills Temporal Degradation Assessment in Undergraduate Medical Education. American Institute of Ultrasound in Medicine Annual Meeting. Orlando, Florida.
- Adhikari, S. R., Stolz, L. A., Amini, R., & Fiorello, A. B. (2015, April). Point-of-care ultrasound in the evaluation of intravenous drug users with soft tissue infection.. American Institute of Ultrasound in Medicine Annual Convention. Las Vegas, NV: American Institute of Ultrasound in Medicine.
- Amini, R., Stolz, L. A., Thompson, M., Stea, N., Hawbaker, N., Kartchner, J. Z., Joshi, R., Fiorello, A. B., & Adhikari, S. R. (2015, May). Ultrasound-Based Algorithm as an Educational and Competency Assessment Tool for Emergency Medicine Residents. Society of Academic Emergency Medicine Annual Meeting.
- Cappa, A. R., Minckler, M. R., Wyatt, R. G., Binger, C. W., Stolz, U., Amini, R., Adhikari, S. R., & Stolz, L. A. (2015, October). Effect of Ultrasound-Guided Peripheral Intravenous Catheter Placement by Nurses and Paramedics on Central Line Placement in the Emergency Department. Research Forum of the American College of Emergency Physicians. Boston, MA: American College of Emergency Physicians.
- Amini, R., Breshears, E., Stolz, L. A., Stea, N., Hawbaker, N., Thompson, M., Sanders, A. B., & Adhikari, S. R. (2015, October). SNAPPY Teaching and Assessing Medical Students: Sonographic Assistance for Procedures in Preclinical Years. Research Forum of the American College of Emergency Physicians. Boston, MA: American College of Emergency Physicians.
- Amini, R., Javedani, P., Stolz, L. A., Baker, N., Gaskin, K., Ng, V., & Adhikari, S. R. (2015, March). Point-of-Care Echocardiography in Simulations Education. Western Regional Society for Academic Emergency Medicine Annual Meeting. Tucson, AZ: Society for Academic Emergency Medicine.
- Minckler, M. R., Cappa, A. R., Stolz, L. A., Stolz, U., Wyatt, R., Amini, R., & Adhikari, S. R. (2015, May). What is the Learning Curve for Long-axis (In-plane) Ultrasound-guided Peripheral Intravenous Catheter Placement?. Society of Academic Emergency Medicine Annual Meeting. San Diego, California: Society of Academic Emergency Medicine.