Oregon Emergency Care Research - Multidisciplinary Training Program (OECR-MTP)

Oregon Health & Science University offers scholars a multi-year training program, designed to develop independent investigators in Emergency Care Research. Each scholar may receive up to 3 years of funding, with 75% protected time for research (NIH grant #5K12HL133115).  This program concluded on 6/30/2022.

Program Co-Directors: Craig Newgard, M.D., M.P.H. and Cynthia Morris, Ph.D., M.P.H.      Learn more about this program.

News and Events

Outcomes of the National Heart, Lung, and Blood Institute K12 program in emergency care research: 7-year follow-up

https://pubmed.ncbi.nlm.nih.gov/35848052/

Morris CD, Cook JNB, Lin A, Scott JD, Kuppermann N, Callaway CW, Yealy DM, Lowe RA, Richardson LD, Kimmel S, Holmes JF, Collins S, Becker LB, Storrow AB, Newgard HJ, Baren J, Newgard CD. Outcomes of the National Heart, Lung, and Blood Institute K12 program in emergency care research: 7-year follow-up. Acad Emerg Med. 2022 Jul 18. doi: 10.1111/acem.14563. Epub ahead of print. PMID: 35848052.

6/24/2021 - It was announced that Dr. David Sheridan was promoted to an Associate Professor in the Department of Emergency Medicine.  Congratulations to Dr. Sheridan for his hard work, and for his outstanding research.  

3/12/21

Dr. Piantino recently published research study findings on the role of sleep in healing traumatic brain injuries (TBI's) in the Journal of Neurotrauma.  See the OHSU News Story

September 2020 - Dr. David Sheridan has been working with the OHSU Technology Transfer and Business Development office and OHSU filed the patent on his K12 project technology!  

Dr. Sheridan writes, “This is a technology platform for outpatient monitoring of stress dysregulation in suicidal adolescents. The team has developed algorithms and wearable technology that is able to accurately filter and calculate heart rate variability at the wrist using photoplethysmography. It is able to address the high amount of artifact created by wrist movement and monitor specific metrics related to the autonomic nervous system. Our trial has found initial significant differences in these metrics to identify patients with higher suicidal severity as well as identify patients with improving suicide severity over time. The technology and studies are focused on suicidal adolescents but the patented platform can be used for a broad range of heart rate variability applications.”

7/1/2020

Congratulations to Dr. Kelly Vranas who completed her 3-year tenure on the K12 program and transitioned onto a VA-CDA2 award:

Grant Title "Optimizing Critical Care for Patients with Acute Respiratory Failure: A Mixed-Methods Study."

Dr. Vranas writes, "Critical care is one of the most resource-intensive and costly components of hospital care. Substantial variability exists across VA hospitals in the use of critical care for patients with acute respiratory failure, suggesting a knowledge gap about when and how to best use the intensive care unit  (ICU) for patients who do not require life support. Furthermore, overuse of the ICU for patients who do not necessarily need critical care may cause harm and contribute to rising costs. This study will identify modifiable organizational characteristics and care processes associated with efficient, high-quality critical care. It will also lead to the development and testing of triage strategies for patients with acute respiratory failure that are sensitive to hospital-specific environments and tailored to different risk groups. Overall, this research will inform efforts to improve the value of care across the VHA, reducing unnecessary ICU use while simultaneously enabling better access to ICU care for those who will benefit most from it."

We are incredibly honored to have worked with Dr. Vranas for the past 3 years, and to assist her in realizing her goal of becoming an independently funded clinician-scientist.  

The April 9, 2020 American Thoracic Society podcast, "Out of the Blue" featured K12 Scholar Dr. Kelly Vranas and her colleagues Dr. Angela Rogers and Renee Stapleton to discuss their manuscript "Gender Differences in Authorship of Critical Care Literature".  https://outoftheblue.transistor.fm/episodes/gender-differences-in-authorship-of-critical-care-literature 

Juan Piantino receives K23 award

3/13/2020 - Dr. Juan Piantino was awarded a K23 from NHLBI today for his project titled: "A link between sleep-wake disturbances and enlarged perivascular spaces in youth with traumatic brain injury" (1K23HL150217).  Congratulations to Dr. Piantino for this outstanding achievement!

Recent Publications (current & prior scholars)

  • Morris CD, Cook JNB, Lin A, Scott JD, Kuppermann N, Callaway CW, Yealy DM, Lowe RA, Richardson LD, Kimmel S, Holmes JF, Collins S, Becker LB, Storrow AB, Newgard HJ, Baren J, Newgard CD. Outcomes of the National Heart, Lung, and Blood Institute K12 program in emergency care research: 7-year follow-up. Acad Emerg Med. 2022 Jul 18. doi: 10.1111/acem.14563. Epub ahead of print. PMID: 35848052.

  • Piantino JA, Lin A, Luther M, Centeno LD, Williams CN, Newgard CD. Simultaneous Heart Rate Variability and Electroencephalographic Monitoring in Children in the Emergency Department. J Child Adolesc Trauma. 2020 Jun 10;14(2):165-175. doi: 10.1007/s40653-020-00313-1. PMID: 33986903; PMCID: PMC8099962.

  • Bradbury KR, Williams C, Leonard S, Holding E, Turner E, Wagner AE, Piantino J, Luther M, Hall TA. Emotional Aspects of Pediatric Post-Intensive Care Syndrome Following Traumatic Brain Injury. J Child Adolesc Trauma. 2021 Apr 6;14(2):177-187. doi: 10.1007/s40653-020-00332-y. PMID: 33986904; PMCID: PMC8099982.

  • Rehder K, Lusk J, Chen JI. Deaths of Despair: Conceptual and Clinical Implications. Cogn Behav Pract. 2021 Feb;28(1):40-52. doi: 10.1016/j.cbpra.2019.10.002. Epub 2019 Dec 27. PMID: 34168422; PMCID: PMC8221228.

  • Critical Factors in Planning a Pediatric Prehospital Airway Trial. Hansen M, Bosson N, Gausche-Hill M, Shah MI, VanBuren JM, Wendelberger B, Wang H. Prehosp Emerg Care. 2021 Apr 22:1-13. doi: 10.1080/10903127.2021.1918808. Online ahead of print. PMID: 33886422

  • Kea B, Johnson A, Lin A, Lapidus J, Cook JN, Choi C, Chang BP, Probst MA, Park J, Atzema C, Coll-Vinent B, Constantino G, Pozhidayeva D, Wilson A, Zell A, Hansen M. An international survey of healthcare workers use of personal protective equipment during the early stages of the COVID-19 pandemic. J Am Coll Emerg Physicians Open. 2021 Mar 26;2(2):e12392. doi: 10.1002/emp2.12392. PMID: 33817687; PMCID: PMC8002904.
  • Dr. Juan Piantino, Mr. Daniel L Schwartz, Mrs. Madison Luther, Dr. Craig D Newgard, Dr. Lisa Silbert, Murray Raskind, Dr. Kathleen Pagulayan, Dr. Natalia Kleinhans, Dr. Jeffrey Iliff, and Dr. Elaine Peskind.Journal of Neurotrauma. ahead of printhttp://doi.org/10.1089/neu.2020.7447
  • Newgard CD, Lin A, Caughey AB, Eckstrom E, Bulger EM, Staudenmayer K, Maughan B, Malveau S, Griffiths D, McConnell KJ. The Cost of a Fall Among Older Adults Requiring Emergency Services. J Am Geriatr Soc. 2021 Feb;69(2):389-398. doi: 10.1111/jgs.16863. Epub 2020 Oct 12. PMID: 33047305.
  • Hansen M, White L, Whitmore G, Lin A, Walker R. Vital sign monitoring during out-of-hospital pediatric advanced airway management. J Am Coll Emerg Physicians Open. 2020 Oct 2;1(6):1571-1577. doi: 10.1002/emp2.12273. PMID: 33392565; PMCID: PMC7771744.
  • Sheridan DC, Pettersson D, Newgard CD, Selden NR, Jafri MA, Lin A, Rowell S, Hansen ML. Can QuickBrain MRI replace CT as first-line imaging for select pediatric head trauma? J Am Coll Emerg Physicians Open. 2020 Jun 4;1(5):965-973. doi: 10.1002/emp2.12113. PMID: 33145547; PMCID: PMC7593443.
  • Hartman ME, Williams CN, Hall TA, Bosworth CC, Piantino JA. Post-Intensive-Care Syndrome for the Pediatric Neurologist. Pediatr Neurol. 2020 Jul;108:47-53. doi: 10.1016/j.pediatrneurol.2020.02.003. Epub 2020 Feb 20. PMID: 32299742; PMCID: PMC7306429.
  • Marsh, B. J., Fryer, A. D., Jacoby, D. B., & Drake, M. G. TRPA1 causes rapid bronchodilation via non-epithelial PGE2. American Journal of Physiology-Lung Cellular and Molecular Physiology, 0(0), null. doi:10.1152/ajplung.00277.2019
  • Vranas, K. C., Ouyang, D., Lin, A. L., Slatore, C. G., Sullivan, D. R., Kerlin, M. P., . . . Rogers, A. J. (2020). Gender Differences in Authorship of Critical Care Literature. Am J Respir Crit Care Med, 201(7), 840-847. doi:10.1164/rccm.201910-1957OC
  • McConnell, B., Duffield, T., Hall, T., Piantino, J., Seitz, D., Soden, D., & Williams, C. (2020). Post-traumatic Headache After Pediatric Traumatic Brain Injury: Prevalence, Risk Factors, and Association With Neurocognitive Outcomes. J Child Neurol, 35(1), 63-70. doi:10.1177/0883073819876473
  • Lee, R. Y., Brumback, L. C., Sathitratanacheewin, S., Lober, W. B., Modes, M. E., Lynch, Y. T., . . . (Vranas) Kross, E. K. (2020). Association of Physician Orders for Life-Sustaining Treatment With ICU Admission Among Patients Hospitalized Near the End of Life. Jama. doi:10.1001/jama.2019.22523
  • Williams, C. N., Hartman, M. E., McEvoy, C. T., Hall, T. A., Lim, M. M., Shea, S. A., . . . Piantino, J. A. (2019). Sleep-Wake Disturbances After Acquired Brain Injury in Children Surviving Critical Care. Pediatr Neurol. doi:10.1016/j.pediatrneurol.2019.08.010
  • Williams, C. N., Hartman, M. E., Guilliams, K. P., Guerriero, R. M., Piantino, J. A., Bosworth, C. C., . . . Hall, T. A. (2019). Postintensive Care Syndrome in Pediatric Critical Care Survivors: Therapeutic Options to Improve Outcomes After Acquired Brain Injury. Curr Treat Options Neurol, 21(10), 49. doi:10.1007/s11940-019-0586-x
  • Williams, C. N., Eriksson, C. O., Kirby, A., Piantino, J. A., Hall, T. A., Luther, M., & McEvoy, C. T. (2019). Hospital Mortality and Functional Outcomes in Pediatric Neurocritical Care. Hosp Pediatr, 9(12), 958-966. doi:10.1542/hpeds.2019-0173
  • Poppert Cordts, K. M., Hall, T. A., Hartman, M. E., Luther, M., Wagner, A., Piantino, J., . . . Williams, C. N. (2019). Sleep Measure Validation in a Pediatric Neurocritical Care Acquired Brain Injury Population. Neurocrit Care. doi:10.1007/s12028-019-00883-5
  • Piantino, J., Lim, M. M., Newgard, C. D., & Iliff, J. (2019). Linking Traumatic Brain Injury, Sleep Disruption and Post-Traumatic Headache: a Potential Role for Glymphatic Pathway Dysfunction. Curr Pain Headache Rep, 23(9), 62. doi:10.1007/s11916-019-0799-4
  • Peterson, A. L., Chen, J. I., Karver, M. S., & Labouliere, C. D. (2019). Frustration with feeling: Latent classes of non-suicidal self-injury and emotion regulation difficulties. Psychiatry Res, 275, 61-70. doi:10.1016/j.psychres.2019.03.014
  • Chen, J. I., Mastarone, G. L., & Denneson, L. M. (2019). It's Not Easy - Impacts of Suicide Prevention Research on Study Staff. Crisis, 40(3), 151-156. doi:10.1027/0227-5910/a000595
  • Vranas, K. C., Lin, A. L., Zive, D., Tolle, S. W., Halpern, S. D., Slatore, C. G., . . . Sullivan, D. R. (2019). The Association of Physician Orders for Life-Sustaining Treatment With Intensity of Treatment Among Patients Presenting to the Emergency Department. Ann Emerg Med. doi: https://doi.org/10.1016/j.annemergmed.2019.05.008
  • Nugent, S. M., Slatore, C. G., Ganzini, L., Golden, S. E., Zive, D., Vranas, K. C., & Sullivan, D. R. (2019). POLST Registration and Associated Outcomes Among Veterans With Advanced-Stage Lung Cancer. American Journal of Hospice and Palliative Medicine®. https://doi.org/10.1177/1049909118824543
  • Piantino, J. A., Lin, A., Crowder, D., Williams, C. N., Perez-Alday, E., Tereshchenko, L. G., & Newgard, C. D. (2019). Early Heart Rate Variability and Electroencephalographic Abnormalities in Acutely Brain-Injured Children Who Progress to Brain Death*. Pediatric Critical Care Medicine, 20(1), 38-46. doi:10.1097/pcc.0000000000001759
  • Meckler, G. D., Sheridan, D. C., Charlesworth, C. J., Lupulescu-Mann, N., Kim, H., & Sun, B. C. (2019). Opioid Prescribing Practices for Pediatric Headache. J Pediatr, 204, 240-244.e242. doi:10.1016/j.jpeds.2018.08.078
  • Peterson, A. , Chen, J. and Karver, M. (2019), “It's Not Serious”: A threat‐based model to help‐seeking for depression. J Psychiatr Ment Health Nurs. doi:10.1111/jpm.12512
  •  Newgard CD, Morris CD, Smith L, Cook JNB, Yealy DM, Collins S, Holmes JF, Kuppermann N, Richardson LD, Kimmel S, Becker LB, Scott JD, Lowe RA, Callaway CW, Gowen LK, Baren J, Storrow AB, Vasilevsky N, White M, Zell A. The First National Institutes of Health Institutional Training Program in Emergency Care Research: Productivity and Outcomes. Ann Emerg Med. 2018 Aug 2. pii: S0196-0644(18)30549-3. doi: 10.1016/j.annemergmed.2018.06.018. [Epub ahead of print] PubMed PMID: 30078658.      View full text