Scholars@Duke
Brent Jason Theiling

Brent Jason Theiling

Associate Professor of Emergency Medicine
Emergency Medicine
jason.theiling@duke.edu
Department of Emergency Medici, Box 3096, Durham, NC 27710
Department of Emergency Medici, Box 3096, Durham, NC 27710

Selected Publications

Development and Validation of a Natural Language Processing Model to Identify Low-Risk Pulmonary Embolism in Real Time to Facilitate Safe Outpatient Management.

Journal Article Ann Emerg Med · August 2024 STUDY OBJECTIVE: This study aimed to (1) develop and validate a natural language processing model to identify the presence of pulmonary embolism (PE) based on real-time radiology reports and (2) identify low-risk PE patients based on previously validated r ... Full text Link to item Cite

Association of Geographic Distance and Hospital Characteristics With Use of Interhospital Transfer by Air: A Multicenter Retrospective Study.

Journal Article Air Med J · 2024 OBJECTIVE: Interhospital transfer by air (IHTA) represents the majority of helicopter air ambulance transports in the United States, but the evaluation of what factors are associated with utilization has been limited. We aimed to assess the association of ... Full text Link to item Cite

Causal Association of Physician-in-Triage with Improved Pediatric Sepsis Care: A Single-Center, Emergency Department Experience.

Journal Article Pediatr Qual Saf · 2023 UNLABELLED: Approximately 75,000 children are hospitalized for sepsis yearly in the United States, with 5%-20% mortality estimates. Outcomes are closely related to the timeliness of sepsis recognition and antibiotic administration. METHODS: A multidiscipli ... Full text Link to item Cite

Creating a win-win for the health system and health Profession's education: a direct observation clinical experience with feedback iN real-time (DOCENT) for low acuity patients in the emergency department.

Journal Article BMC Med Educ · January 27, 2022 BACKGROUND: Clinical education across the professions is challenged by a lack of recognition for faculty and pressure for patient throughput and revenue generation. These pressures may reduce direct observation of patient care provided by students, a requi ... Full text Open Access Link to item Cite

Development and Validation of Machine Learning Models to Predict Admission From Emergency Department to Inpatient and Intensive Care Units.

Journal Article Ann Emerg Med · August 2021 STUDY OBJECTIVE: This study aimed to develop and validate 2 machine learning models that use historical and current-visit patient data from electronic health records to predict the probability of patient admission to either an inpatient unit or ICU at each ... Full text Link to item Cite

Point-of-Care Laboratory Data Collection During Critical Care Transport.

Journal Article Air Med J · 2021 OBJECTIVE: Critical care transport involves a high level of intensive clinical care in a resource-limited environment. These patients require multiple assessments guiding specialty treatments, including blood product administration, intravenous electrolyte ... Full text Open Access Link to item Cite

Critical Care Transport of the Temporary Portable Ventricular Support Device.

Journal Article Air Med J · 2021 OBJECTIVE: Cardiogenic shock is a critical emergency for which ventricular support devices (VSDs), such as the Impella (AbioMed Inc, Danvers, MA), are placed. Many referring facilities cannot provide cardiac intensive care. This requires a regional approac ... Full text Link to item Cite

A Method for Grouping Emergency Department Visits by Severity and Complexity.

Journal Article West J Emerg Med · August 21, 2020 INTRODUCTION: Triage functions to quickly prioritize care and sort patients by anticipated resource needs. Despite widespread use of the Emergency Severity Index (ESI), there is still no universal standard for emergency department (ED) triage. Thus, it can ... Full text Open Access Link to item Cite

Hirschsprung's Disease: A Rare Adult Diagnosis.

Journal Article Clin Pract Cases Emerg Med · August 2020 CASE PRESENTATION: Approximately 94% of patients with Hirschsprung's disease (HD) are diagnosed before the age of five. In our case, a young adult with years of constipation presented to the emergency department with significant abdominal distention. He wa ... Full text Link to item Cite

Real-World Integration of a Sepsis Deep Learning Technology Into Routine Clinical Care: Implementation Study.

Journal Article JMIR Med Inform · July 15, 2020 BACKGROUND: Successful integrations of machine learning into routine clinical care are exceedingly rare, and barriers to its adoption are poorly characterized in the literature. OBJECTIVE: This study aims to report a quality improvement effort to integrate ... Full text Link to item Cite

NHAMCS Validation of Emergency Severity Index as an Indicator of Emergency Department Resource Utilization.

Journal Article West J Emerg Med · September 2018 INTRODUCTION: Triage systems play a vital role in emergency department (ED) operations and can determine how well a given ED serves its local population. We sought to describe ED utilization patterns for different triage levels using the National Hospital ... Full text Link to item Cite

Heimlich valve orientation error leading to radiographic tension pneumothorax: analysis of an error and a call for education, device redesign and regulatory action.

Journal Article Emerg Med J · April 2016 Medical errors are commonly multifactorial, with adverse clinical consequences often requiring the simultaneous failure of a series of protective layers, termed the Swiss Cheese model. Remedying and preventing future medical errors requires a series of ste ... Full text Link to item Cite

Validation of the modified Sgarbossa criteria for acute coronary occlusion in the setting of left bundle branch block: A retrospective case-control study.

Journal Article Am Heart J · December 2015 BACKGROUND: The modified Sgarbossa criteria were proposed in a derivation study to be superior to the original criteria for diagnosing acute coronary occlusion (ACO) in left bundle branch block (LBBB). The new rule replaces the third criterion (5 mm of exc ... Full text Open Access Link to item Cite

Common Marine Envenomations

Journal Article Critical Decisions in Emergency Medicine · 2008 Cite