Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • M.D., Duke University School of Medicine 1981
• 

  Previous Appointments & Affiliations

  • Associate Clinical Professor of Surgery, Emergency Medicine, Clinical Science Departments 2001 - 2004
  • Assistant Professor in Medicine, Medicine, Clinical Science Departments 1998 - 2004
  • Associate Professor of Surgery, Emergency Medicine, Clinical Science Departments 2001
  • Assistant Professor of Surgery, Emergency Medicine, Clinical Science Departments 1996 - 2000
  • Assistant Professor in Medicine, Medicine, General Internal Medicine, Medicine 1996 - 1998
  • Assistant Professor of Medicine, Medicine, Clinical Science Departments 1991 - 1996
• 

  Leadership & Clinical Positions at Duke

  • Duke Collaborative Cardiovascular Society and Research Network ( DUCCS) - Board of Directors
• Recognition
• 

  In the News

  • AUG 3, 2022

    Duke Medium Page

    Harry Severance: US Health Care System is a House of Cards; Could it Collapse?

  • MAY 21, 2021

    WDEF - Channel 12, Chattanooga, TN.

    Hamilton County COVID-19 Vaccine Update
• Expertise
• 

  Subject Headings

  • Emerging infectious diseases
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Muhlestein, Joseph Brent, Joseph Boone Muhlestein, Jeffrey L. Anderson, Charles F. Bethea, Harry W. Severance, Robert J. Mentz, Gregory W. Barsness, et al. “Smartphone 12-lead ECG-Exciting but must be handled with care.” Am Heart J 226 (August 2020): 269. https://doi.org/10.1016/j.ahj.2020.03.004.
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    • Muhlestein, Joseph Boone, Jeffrey L. Anderson, Charles F. Bethea, Harry W. Severance, Robert J. Mentz, Gregory W. Barsness, Alejandro Barbagelata, et al. “Feasibility of combining serial smartphone single-lead electrocardiograms for the diagnosis of ST-elevation myocardial infarction.” Am Heart J 221 (March 2020): 125–35. https://doi.org/10.1016/j.ahj.2019.12.016.
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    • Barbagelata, Alejandro, Charles F. Bethea, Harry W. Severance, Robert J. Mentz, David Albert, Gregory W. Barsness, Viet T. Le, et al. “Smartphone ECG for evaluation of ST-segment elevation myocardial infarction (STEMI): Design of the ST LEUIS International Multicenter Study.” J Electrocardiol 51, no. 2 (2018): 260–64. https://doi.org/10.1016/j.jelectrocard.2017.10.011.
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    • Ladapo, Joseph A., Udo Hoffmann, Kerry L. Lee, Adrian Coles, Megan Huang, Daniel B. Mark, Rowena J. Dolor, et al. “Changes in Medical Therapy and Lifestyle After Anatomical or Functional Testing for Coronary Artery Disease.” J Am Heart Assoc 5, no. 10 (October 12, 2016). https://doi.org/10.1161/JAHA.116.003807.
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    • Mark, Daniel B., Jerome J. Federspiel, Patricia A. Cowper, Kevin J. Anstrom, Udo Hoffmann, Manesh R. Patel, Linda Davidson-Ray, et al. “Economic Outcomes With Anatomical Versus Functional Diagnostic Testing for Coronary Artery Disease.” Ann Intern Med 165, no. 2 (July 19, 2016): 94–102. https://doi.org/10.7326/M15-2639.
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    • Severance, H. W., and K. M. Spiegel. “The Prtotocol-Provided Clinical Research Model as an Evolving Research Opportunity for Community-Based Hospitals and Health Care Facilities.” Technology and Innovation 17, no. 4 (2016): 211–17. https://doi.org/10.3727/194982416X14520374943185.
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    • Severance, Harry W. “The Research RVU (rRVU): In Search of a Methodology to Incentivize and Compensate Clinicians for Participation in Clinical Research Activities.” Acad Med 91, no. 1 (January 2016): 10–19. https://doi.org/10.1097/ACM.0000000000000997.
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    • Severance, Harry W. “The Research RVU (rRVU): In Search of a Methodology to Incentivize and Compensate Clinicians for Participation in Clinical Research Activities.” Academic Medicine 91, no. 1 (January 1, 2016): 9–10.
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    • Ambrosy, Andrew P., Robert J. Mentz, Arun Krishnamoorthy, Stephen J. Greene, and Harry W. Severance. “Identifying Barriers and Practical Solutions to Conducting Site-Based Research in North America: Exploring Acute Heart Failure Trials As a Case Study.” Heart Fail Clin 11, no. 4 (October 2015): 581–89. https://doi.org/10.1016/j.hfc.2015.07.002.
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    • Muhlestein, Joseph Boone, Viet Le, David Albert, Fidela Ll Moreno, Jeffrey L. Anderson, Frank Yanowitz, Robert B. Vranian, et al. “Smartphone ECG for evaluation of STEMI: results of the ST LEUIS Pilot Study.” J Electrocardiol 48, no. 2 (2015): 249–59. https://doi.org/10.1016/j.jelectrocard.2014.11.005.
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    • Severance, H. W. “Developing New Pathways for Clinical Research Through the Changing enviornment of 21st Century HealthCare.” Technology and Innovation 16, no. 2 (October 23, 2014): 167–70. https://doi.org/10.3727/194982414X14096821477063.
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    • Temple, Alton D., Francis M. Fesmire, David C. Seaberg, and Harry W. Severance. “Cardiac injury due to accidental discharge of nail gun.” J Emerg Med 44, no. 2 (February 2013): e161–63. https://doi.org/10.1016/j.jemermed.2012.01.054.
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    • Fesmire, Francis M., Ron C. Buchheit, Yu Cao, Harry W. Severance, Yi Jang, and Gregory W. Heath. “Risk stratification in chest pain patients undergoing nuclear stress testing: the Erlanger Stress Score.” Critical Pathways in Cardiology 11, no. 4 (December 2012): 171–76. https://doi.org/10.1097/hpc.0b013e31826f367f.
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    • Limaye, Milind R., and Harry Severance. “Pandora's boxes: questions unleashed in airport scanner debate.” J Am Osteopath Assoc 111, no. 2 (February 2011): 87–119.
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    • Bledsoe, Bryan E., Kevin Nowicki, James H. Creel, Dale Carrison, and Harry W. Severance. “Use of pulse co-oximetry as a screening and monitoring tool in mass carbon monoxide poisoning.” Prehosp Emerg Care 14, no. 1 (2010): 131–33. https://doi.org/10.3109/10903120903349853.
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    • Tempel, R., and H. W. Severance. “Proposing short-term observation units for the management of decompression illness.” Undersea Hyperb Med 33, no. 2 (2006): 89–94.
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    • Ghim, Michael, and Harry W. Severance. “Ice storm-related carbon monoxide poisonings in North Carolina: a reminder.” South Med J 97, no. 11 (November 2004): 1060–65. https://doi.org/10.1097/01.SMJ.0000144614.38668.60.
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    • Severance, Harry W. “Mass-casualty victim "surge" management. Preparing for bombings and blast-related injuries with possibility of hazardous materials exposure.” N C Med J 63, no. 5 (2002): 242–46.
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    • Wilkinson, K., and H. Severance. “Identification of chest pain patients appropriate for an emergency department observation unit.” Emerg Med Clin North Am 19, no. 1 (February 2001): 35–66. https://doi.org/10.1016/s0733-8627(05)70167-x.
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    • Bell, S. J., P. N. Leibrandt, J. C. Greenfield, R. H. Selvester, J. Clifton, S. Zhou, C. Maynard, et al. “Comparison of an automated thrombolytic predictive instrument to both diagnostic software and an expert cardiologist for diagnosis of an ST elevation acute myocardial infarction.” Journal of Electrocardiology 33 Suppl (January 2000): 259–62. https://doi.org/10.1054/jelc.2000.20300.
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    • Severance, Harry. “Ballistic Wounding.” Critical Decisions in Emergency Medicine 13, no. 7 (March 1, 1999): 1–10.
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    • Graff, L. G., J. Dallara, M. A. Ross, A. J. Joseph, J. Itzcovitz, R. P. Andelman, C. Emerman, S. Turbiner, J. A. Espinosa, and H. Severance. “Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study.” The American Journal of Cardiology 80, no. 5 (September 1997): 563–68. https://doi.org/10.1016/s0002-9149(97)00422-0.
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    • Dallara, J., H. W. Severance, B. Davis, and G. Schulz. “Differences between chest pain observation service patients and admitted "rule-out myocardial infarction" patients.” Acad Emerg Med 4, no. 7 (July 1997): 693–98. https://doi.org/10.1111/j.1553-2712.1997.tb03762.x.
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    • Graff, L., T. Joseph, R. Andelman, R. Bahr, D. DeHart, J. Espinosa, B. Gibler, J. Hoekstra, L. Mathers-Dunbar, and J. P. Ornato. “American College of Emergency Physicians information paper: chest pain units in emergency departments--a report from the Short-Term Observation Services Section.” The American Journal of Cardiology 76, no. 14 (November 1995): 1036–39. https://doi.org/10.1016/s0002-9149(99)80291-4.
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    • Brillman, J., L. Mathers-Dunbar, L. Graff, T. Joseph, J. B. Leikin, C. Schultz, H. W. Severance, and C. Werne. “Management of observation units. American College of Emergency Physicians.” Annals of Emergency Medicine 25, no. 6 (June 1995): 823–30. https://doi.org/10.1016/s0196-0644(95)70215-6.
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    • Graff, L. G., L. Dunbar, W. B. Gibler, L. Goldfrank, J. Leikin, C. Schultz, H. Severance, R. Watkins, D. M. Yealy, and L. S. Zun. “Observation medicine curriculum. Observation Medicine Committee, Society for Academic Emergency Medicine.” Annals of Emergency Medicine 21, no. 8 (August 1992): 963–66. https://doi.org/10.1016/s0196-0644(05)82936-1.
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    • Sanders, D. Y., H. W. Severance, and C. V. Pollack. “Sickle cell vaso-occlusive pain crisis in adults: alternative strategies for management in the emergency department.” South Med J 85, no. 8 (August 1992): 808–11. https://doi.org/10.1097/00007611-199208000-00005.
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    • Graff, L., L. Dunbar, W. B. Gibler, L. Goldfrank, J. Leikin, H. Severance, C. Schultz, D. Yealy, R. Watkins, and L. Zun. “Observation medicine: an annotated bibliography.” The American Journal of Emergency Medicine 10, no. 1 (January 1992): 84–93. https://doi.org/10.1016/0735-6757(92)90134-j.
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    • Ward, G., R. C. Jorden, and H. W. Severance. “Treatment of pyelonephritis in an observation unit.” Ann Emerg Med 20, no. 3 (March 1991): 258–61. https://doi.org/10.1016/s0196-0644(05)80935-7.
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    • Pollack, C. V., D. Y. Sanders, and H. W. Severance. “Emergency department analgesia without narcotics for adults with acute sickle cell pain crisis: case reports and review of crisis management.” J Emerg Med 9, no. 6 (1991): 445–52. https://doi.org/10.1016/0736-4679(91)90216-3.
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    • Severance, H. W. “Assault rifles; definitions, evolutionary history and medical consequences.” J Miss State Med Assoc 31, no. 12 (December 1990): 403–7.
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    • Pollack, C. V., and H. W. Severance. “Sialolithiasis: case studies and review.” J Emerg Med 8, no. 5 (1990): 561–65. https://doi.org/10.1016/0736-4679(90)90450-a.
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    • Severance, H. W., J. C. Kolb, F. B. Carlton, and R. C. Jorden. “Acute carbon monoxide poisoning: emergency management and hyperbaric oxygen therapy.” Journal of the Mississippi State Medical Association 30, no. 10 (October 1989): 321–25.
    • “MANAGEMENT OF OBSERVATION UNITS.” Annals of Emergency Medicine 17, no. 12 (December 1, 1988): 1348–52.
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    • Pressley, J. C., H. W. Severance, M. P. Raney, R. A. McKinnis, M. W. Smith, M. C. Hindman, B. H. Wilson, and G. S. Wagner. “A comparison of paramedic versus basic emergency medical care of patients at high and low risk during acute myocardial infarction.” J Am Coll Cardiol 12, no. 6 (December 1988): 1555–61. https://doi.org/10.1016/s0735-1097(88)80025-1.
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    • Severance, H. W., T. Holt, N. A. Patrone, and L. Chapman. “Profound muscle weakness and hypokalemia due to clay ingestion.” South Med J 81, no. 2 (February 1988): 272–74. https://doi.org/10.1097/00007611-198802000-00033.
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    • Pressley, J. C., B. H. Wilson, H. W. Severance, M. P. Raney, R. A. McKinnis, M. W. Smith, M. C. Hindman, and G. S. Wagner. “Basic emergency medical care of patients with acute myocardial infarction: initial prehospital characteristics and in-hospital complications.” J Am Coll Cardiol 4, no. 3 (September 1984): 487–92. https://doi.org/10.1016/s0735-1097(84)80091-1.
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    • Crimm, A., H. W. Severance, K. Coffey, R. McKinnis, G. S. Wagner, and R. M. Califf. “Prognostic significance of isolated sinus tachycardia during first three days of acute myocardial infarction.” Am J Med 76, no. 6 (June 1984): 983–88. https://doi.org/10.1016/0002-9343(84)90846-5.
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    • Pressley, J. C., M. P. Raney, B. H. Wilson, H. W. Severance, and G. S. Wagner. “Assessment of out-of-hospital resuscitation.” Am J Emerg Med 2, no. 3 (May 1984): 215–16. https://doi.org/10.1016/0735-6757(84)90006-8.
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    • Wilson, B. H., H. W. Severance, M. P. Raney, J. C. Pressley, R. A. McKinnis, M. C. Hindman, M. Smith, and G. S. Wagner. “Out-of-hospital management of cardiac arrest by basic emergency medical technicians.” Am J Cardiol 53, no. 1 (January 1, 1984): 68–70. https://doi.org/10.1016/0002-9149(84)90685-4.
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    • Severance, H. W., and F. H. Bassett. “Rupture of the plantaris--does it exist?” J Bone Joint Surg Am 64, no. 9 (December 1982): 1387–88.
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    • Severance, H. W., K. G. Morris, and G. S. Wagner. “Criteria for early discharge after acute myocardial infarction: validation in a community hospital.” Arch Intern Med 142, no. 1 (January 1982): 39–41.
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  • Other Articles

    • Severance, Harry. “US Healthcare System is a House of Cards; Could it Collapse?” Duke Medium. Duke Medium, August 2, 2022.
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    • Severance, Harry. “Should You Stay or Should You Go? Strategies for stabilizing your curent job or migrating to a new career if it's time to leave.” Emergency Physicians Monthly, June 21, 2022.
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    • Severance, Harry. “The COVID-19 Vaccine and Reopening the World: What might it look like?” Chattanooga Trend. online: Chattanooga Chamber of Commerce, April 13, 2021.
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    • Severance, Harry. “How the COVID-19 mRNA Vaccines Work, andSome Current Concerns.” Acep Now, February 19, 2021.
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    • Severance, Harry. “COVID-19 can offer some Silver Linings: Finding the positives during a worldwide pandemic.” Emergency Physicians Monthly. EP Monthly, February 2, 2021.
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    • Sullivan, William, Andrew Kalnow, and Harry Severance. “Spanish Influenza – Looking at a Pandemic From 100 Years ago - Comments.” Emergency Physicians Monthly. Emergency Physicians Monthly, May 1, 2020.
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    • Sullivan, William, Andrew Kalnow, and Harry Severance. “Spanish Influenza – Looking at a Pandemic From 100 Years ago - Comments.” Emergency Physicians Monthly. Emergency Physicians Monthly, May 1, 2020.
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    • Severance, Harry. “Opinion: Caution Required with COVID-19 Antibody/Immune Testing.” Acep Now. Wiley, n.d.
    • Severance, Harry. “A Christmas Story - Septic Tank Aspiration & Drowning.” Case Studies in Emergency Medicine. Aspen Publications, n.d.
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    • Severance, Harry. “Should You Stay or Should You Go? Strategies for stabilizing your current job or migrating to a new career if it’s time to leave.” Emergency Physicians Monthly. EP Monthly, n.d.
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  • Conference Papers

    • Muhlestein, Joseph B., Charles F. Bethea, Harry W. Severance, Alejandro Barbagelata, Robert J. Mentz, David Albert, Gregory W. Barsness, et al. “Determination of the Diagnostic Accuracy of a Mobile Smartphone ECG Device Compared to a Standard 12-Lead ECG for Evaluation of ST-Segment Elevation Myocardial Infarction (STEMI). Primary Results of the ST LEUIS International Multicenter Study.” In Circulation, Vol. 138, 2018.
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    • Clinkscales, Jeffrey D., Francis M. Fesmire, Jacob R. Hennings, Harry W. Severance, David C. Seaberg, and Nirav Patil. “The Effect of Emergency Medicine Residents on Clinical Efficiency and Staffing Requirements.” In Acad Emerg Med, 23:78–82, 2016. https://doi.org/10.1111/acem.12834.
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    • Ladapo, J. A., U. Hoffman, K. L. Lee, A. L. Coles, M. Huang, D. B. Mark, R. L. Dolor, et al. “Changes in Medical Therapy and Lifestyle After Anatomical Versus Functional Testing for Coronary Artery Disease: The PROMISE Trial (PROspective Multicenter Imaging Study for Evaluation of Chest Pain),” Vol. 132, 2015.
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    • Buchheit, R. C., F. M. Fesmire, Y. Cao, H. W. Severance, and G. W. Heath. “95 Nuclear Stress Testing in Emergency Department Chest Pain Patients With Suspected Acute Coronary Syndrome: Who Should We Stress?” In Annals of Emergency Medicine, 58:S209–S209. Elsevier BV, 2011. https://doi.org/10.1016/j.annemergmed.2011.06.121.
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    • Morello, C. A., C. Carrubba, and H. Severance. “Can Paramedics appropriately downgrade ALS to BLS transport based on a given set of protocols?” In Annals of Emergency Medicine, 46:S31–S31. MOSBY, INC, 2005.
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• Scholarly, Clinical, & Service Activities
• 

  Presentations & Appearances

  • COVID has made it harder to be a healthcare worker: . CNBC News. CNBC News. May 30, 2021 - May 30, 2021  2021
  • Unvaccinated Americans are less worried about traveling than vaccinated Americans are, study says. CNBC News. May 21, 2021 - May 21, 2021  2021
  • Acute, Emerging Viral Threats: Post-Acute COVID-19 Syndrome. TAPA Spring Fling. Tennessee Academy of Physicians Assistants. April 16, 2021 - April 16, 2021  2021
  • Tahiti’s sudden tourism restrictions provide a lesson to people who can’t wait to travel. CNBC News - CNBC Global Traveler. February 8, 2021 - February 8, 2021  2021
  • Expanding Your Options, Satisfaction & Longevity in Clinical Practice. Obs. Section Meeting. American College of Emergency Physicians. October 28, 2019 - October 28, 2019  2019
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  Service to the Profession

  • Board of Directors. Duke University Collaborative Cardiovascular Society. 2016  2016
  • member. NIH's Critical Illness/Injury Trials Group. 2010  2010

Some information on this profile has been compiled automatically from Duke databases and external sources. (Our About page explains how this works.) If you see a problem with the information, please write to Scholars@Duke and let us know. We will reply promptly.