Arthur B Sanders

Interests

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Courses

Scholarly Contributions

Books

• Sanders, A. B. (2015). Strategies to Improve Cardiac Arrest Survival.. The National Academies Press.

Chapters

• Sanders, A. B. (2018). Hypertensive Emergencies. In Griffith’s Five Minutes Clinical Consultant. Philadelphia: Lea and Febiger.
• Sanders, A. B. (2014). General Approach to the Geriatric Patient. In Geriatric Emergency Medicine. Cambridge University Press, Cambridge UK.
• Stolz, L. A., & Sanders, A. B. (2013). Delirium. In Rosen and Barkin's 5-Minute Emergency Medicine Clinical Consult, 5th edition. Philadelphia: Lippincott, Williams and Wilkins.

Journals/Publications

• Sanders, A. B. (2018). Point of care Head and Neck Sonography for Clinical Problem-Solving: Impact of One-day Training Sessions of Medical Student Education. Cureus, Cureus 10(12): e3740DOI 10.7759/cureus.3740.
• 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.
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  Multiple 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.
• Rhodes, S. M., Patanwala, A. E., Cremer, J. K., Marshburn, E. S., Herman, M., Shirazi, F. M., Harrison-Monroe, P., Wendel, C., Fain, M., Mohler, J., & Sanders, A. B. (2016). Predictors of Prolonged Length of Stay and Adverse Events among Older Adults with Behavioral Health-Related Emergency Department Visits: A Systematic Medical Record Review. The Journal of emergency medicine, 50(1), 143-52.
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  Behavioral health (BH)-related visits to the emergency department (ED) by older adults are increasing. This population has unique challenges to providing quality, timely care.
• Ewy, G. A., Bobrow, B. J., Chikani, V., Sanders, A. B., Otto, C. W., Spaite, D. W., & Kern, K. B. (2015). The time dependent association of adrenaline administration and survival from out-of-hospital cardiac arrest. Resuscitation, 96, 180-5.
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  Recommended for decades, the therapeutic value of adrenaline (epinephrine) in the resuscitation of patients with out-of-hospital cardiac arrest (OHCA) is controversial.
• Mhayamaguru, K. M., Means, R., Sanders, A. B., & Amini, R. (2015). Vaginal bulge. The western journal of emergency medicine, 16(3), 424-5.
• Bakhsh, H. T., Perona, S. J., Shields, W. A., Salek, S., Sanders, A. B., & Patanwala, A. E. (2014). Medication errors in psychiatric patients boarded in the emergency department. The International journal of risk & safety in medicine, 26(4), 191-8.
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  Patients boarded in the emergency department (ED) with psychiatric complaints may be at risk for medication errors. However, no studies exist to characterize the types of errors and risk factors for errors in these patients.
• Cohn, B., Keim, S. M., & Sanders, A. B. (2014). Can anticoagulated patients be discharged home safely from the emergency department after minor head injury?. The Journal of emergency medicine, 46(3), 410-7.
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  Anticoagulated patients have increased risk for bleeding, and serious outcomes could occur after head injury. Controversy exists regarding the utility of head computed tomography (CT) in allowing safe discharge dispositions for anticoagulated patients suffering minor head injury.
• Spaite, D. W., Bobrow, B. J., Stolz, U., Berg, R. A., Sanders, A. B., Kern, K. B., Chikani, V., Humble, W., Mullins, T., Stapczynski, J. S., Ewy, G. A., & , A. C. (2014). Statewide regionalization of postarrest care for out-of-hospital cardiac arrest: association with survival and neurologic outcome. Annals of emergency medicine, 64(5), 496-506.e1.
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  For out-of-hospital cardiac arrest, authoritative, evidence-based recommendations have been made for regionalization of postarrest care. However, system-wide implementation of these guidelines has not been evaluated. Our hypothesis is that statewide regionalization of postarrest interventions, combined with emergency medical services (EMS) triage bypass, is associated with improved survival and neurologic outcome.
• Rappaport, D., Chuu, A., Hullett, C., Nematollahi, S., Teeple, M., Bhuyan, N., Honkanen, I., Adamas-Rappaport, W. J., & Sanders, A. (2013). Assessment of alcohol withdrawal in native American patients utilizing the Clinical Institute Withdrawal Assessment of Alcohol Revised scale. Journal of Addiction Medicine, 7(3), 196-199.
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  PMID: 23579238;Abstract: Background: The Clinical Institute Withdrawal Assessment of Alcohol Revised (CIWA-Ar) is a commonly used scale for assessing the severity of alcohol withdrawal syndrome in the acute setting. Despite validation of this scale in the general population, the effect of ethnicity on CIWA-Ar scoring does not appear in the literature. The purpose of our study was to investigate the validity of the CIWA-Ar scale among Native American patients evaluated for acute alcohol detoxification. Methods: A case series of all patients seen for alcohol withdrawal at an Acute Drug and Alcohol Detoxification facility was conducted from June 1, 2011, until April 1, 2012. The CIWA-Ar scores were recorded by trained nursing staff on presentation to Triage Department and every 2 hours thereafter. At our institution, a score of 10 or greater indicates the need for inpatient hospital admission and treatment. Ethnicity was self-reported. Age, sex, blood alcohol concentration, blood pressure, and pulse were recorded on presentation and vital signs repeated every 2 hours. Patients were excluded from the study if other drug use was noted by history or initial urine drug screen. A multivariate logistic regression model was utilized to identify statistically significant variables associated with admission to the inpatient unit and treatment. The relationship of CIWA-Ar scores and ethnicity was compared using analysis of variance. Results: A total of 115 whites, 45 Hispanics, and 47 Native Americans were included in the analysis. Native Americans had consistently lower CIWA-Ar scores at 0, 2, 4, and 6 hours than the other 2 ethnic groups (P = 0.002). In addition, Native Americans were admitted to the hospital less often than the other 2 groups for withdrawal (P < 0.001). Conclusions: The CIWA-Ar scale may underestimate the severity of alcohol withdrawal syndrome in certain ethnic group such as Native Americans. Further prospective studies should be undertaken to determine the validity of the CIWA-Ar scale in assessing alcohol withdrawal across different ethnic populations. Copyright © 2013 American Society of Addiction Medicine.

Poster Presentations

• 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.