Scholars@Duke
John David Purakal

John David Purakal

Assistant Professor of Emergency Medicine
Emergency Medicine

Selected Publications

Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program.

Journal Article N C Med J · March 2024 INTRODUCTION: Efforts to improve population health by being responsive to patients' social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as t ... Full text Link to item Cite

Leveraging Student Volunteers to Connect Patients with Social Risk to Resources On a Coordinated Care Platform: A Case Study with Two Endocrinology Clinics.

Journal Article Int J Integr Care · 2024 INTRODUCTION: Although unmet social needs can impact health outcomes, health systems often lack the capacity to fully address these needs. Our study describes a model that organized student volunteers as a community-based organisation (CBO) to serve as a s ... Full text Link to item Cite

ParallelED-A novel screening and referral intervention using emergency department wait times to identify and address unmet social needs.

Journal Article J Am Coll Emerg Physicians Open · December 2023 BACKGROUND: People arriving at the emergency department (ED) often have unmet health-related social needs (HRSN). We implemented an intervention that used undergraduate student volunteers to screen patients in the ED waiting room (WR) for unmet social driv ... Full text Link to item Cite

EMRA Fellowship Guide: Opportunities for Emergency Physicians, 3rd ed.

Internet Publication · October 1, 2023 If you're interested in pursuing advanced training in a subspecialty, this new edition is a must-read. Find out about the wide world of fellowships open to emergency physicians, including an overview of available opportunities. Get tips on how to make you ... Cite

Assessment of Emergency Department Health Care Providers' Readiness for Managing Intimate Partner Violence and Correlation With Perceived Cultural Competence.

Journal Article J Emerg Nurs · September 2023 INTRODUCTION: Intimate partner violence is a public health problem, and emergency departments are often a victim's only contact with health care providers. Despite this, recognition of intimate partner violence within emergency departments remains low owin ... Full text Link to item Cite

The Effect of Body Mass Index and Weight-Adjusted Fluid Dosing on Mortality in Sepsis.

Journal Article J Intensive Care Med · January 2022 PURPOSE: The Surviving Sepsis Campaign guidelines recommend 30 mL/kg of fluids within 3 hours (30by3) of sepsis-induced hypoperfusion, but a national mandate released an allowance for dosing based on ideal instead of actual body weight (IBW/ABW) for obese ... Full text Link to item Cite

Experiences of COVID-19 infection in North Carolina: A qualitative analysis.

Journal Article PLoS One · 2022 BACKGROUND AND AIM: It has been demonstrated that marginalized populations across the U.S. have suffered a disproportionate burden of the coronavirus disease 2019 (COVID-19) pandemic, illustrating the role that social determinants of health play in health ... Full text Open Access Link to item Cite

Effect of IV Push Antibiotic Administration on Antibiotic Therapy Delays in Sepsis.

Journal Article Crit Care Med · August 2020 OBJECTIVES: Timeliness of antibiotic administration is recognized as an important factor in reducing mortality associated with sepsis. According to guidelines, antibiotics should be administered within 1 hour of sepsis presentation and the Centers for Medi ... Full text Link to item Cite

Effect of IV Push Antibiotic Administration on Antibiotic Therapy Delays in Sepsis.

Journal Article Crit Care Med · June 11, 2020 OBJECTIVES: Timeliness of antibiotic administration is recognized as an important factor in reducing mortality associated with sepsis. According to guidelines, antibiotics should be administered within 1 hour of sepsis presentation and the Centers for Medi ... Full text Link to item Cite

Young Male With Seizure and Hypoxia.

Journal Article Ann Emerg Med · November 2019 Full text Link to item Cite

Young Woman With Unilateral Vision Loss.

Journal Article Ann Emerg Med · February 2019 Full text Link to item Cite

Use of nitroglycerin by bolus prevents intensive care unit admission in patients with acute hypertensive heart failure.

Journal Article Am J Emerg Med · January 2017 OBJECTIVES: The purpose of this study was to compare health care resource utilization among patients who were given intravenous nitroglycerin for acute heart failure (AHF) in the emergency department (ED) by intermittent bolus, continuous infusion, or a co ... Full text Link to item Cite

Blood pressure treatment and outcomes in hypertensive patients without acute target organ damage: a retrospective cohort.

Journal Article Am J Emerg Med · September 2015 OBJECTIVES: The objective is of the study to evaluate the effect of antihypertensive therapy in emergency department (ED) patients with markedly elevated blood pressure (BP) but no signs/symptoms of acute target organ damage (TOD). METHODS: This is a retro ... Full text Link to item Cite

Noise versus signal: the clinical implications of an increasingly sensitive troponin assay for patients with suspected acute coronary syndrome.

Journal Article Crit Pathw Cardiol · September 2014 OBJECTIVES: To evaluate the clinical impact of a troponin assay switch in suspected acute coronary syndromes (ACS). METHODS: Retrospective analysis of ACS cases in the 3 months before and after changing to a contemporary, higher sensitivity troponin assay. ... Full text Link to item Cite

Differences and similarities in explanatory models of hypertension in the United States of america, Tanzania and Jamaica.

Journal Article West Indian Med J · June 2014 BACKGROUND: Misperceptions detract from effective disease management in a number of conditions but the nature of underlying illness beliefs and their relative consistency in patients with chronic hypertension (cHTN) who present to the Emergency Department ... Full text Link to item Cite