Emergency Physicians' Medical

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Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons

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14 Years

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(702) 385-0890Call Visit WebsiteVisit Website Map & DirectionsDirections901 Rancho Ln Ste 135Las Vegas, NV 89106 Write a ReviewWrite Review

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Mon - Fri:	9:00 am - 5:00 pm
Sat - Sun	Closed

Places Near Las Vegas with Physicians & Surgeons, Emergency Medicine

The Lakes (4 miles)
North Las Vegas (6 miles)
Spring Valley (9 miles)
Summerlin (12 miles)

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Phone: (330) 451-4035

Phone: (702) 383-1958

Phone: (702) 383-2085

Fax: (702) 383-8235

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all major credit cards, discover, mastercard, debit, insurance, amex, visa, check

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AKA

Emergency Medicine Physicians

Bracey Jefferson D DO

Emergency Medicine Physicians of Clark UMC McCourt PLLC

Other Links

http://www.lasvegasemr.com

http://usacs.com

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Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons

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Details

Phone: (702) 385-0890

Address: 901 Rancho Ln Ste 135, Las Vegas, NV 89106

Website: http://www.lasvegasemr.com

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Emergency Physicians' Medical

General Practitioners

Arthritis
Pediatric Care
Fisher JD, Newton C, Kuhls D, Gausche-Hill M, McCarthy DC. Evaluating the MCI Preparedness of U.S. Pediatric Emergency Departments. Presented at: American Academy of Pediatrics National Conference. Philadelphia, PA. October 2021. Published in...
Primary Care
Hernias with loss of domain are often a consequence of poor access to surgical care and require extensive planning and management. Emergency medicine and general surgery communities should collaborate on what constitutes a need for urgent surgical intervention or the need for surgical coordination without primary care acting as an additional step/obstacle.
Family Practice
Children's Hospital of Nevada is the main pediatric teaching facility for residents from the UNLV School of Medicine, including programs in emergency medicine, pediatrics, and family medicine.
Emergency Care
The UNLV Department of Emergency Medicine is offering a 4-week elective focusing on social emergency medicine. This 4-week elective will be offered once each spring for 4th year medical students (July-September) applying to emergency medicine, with preference given to students from groups that are underrepresented in medicine. The elective will consist of shifts in the emergency department, dedicated didactics focusing on social issues in emergency medicine, shadowing of department social workers, participation in community service event, and completion of either a lecture or project addressing these issues.
Erectile Dysfunction
Electrocardiogram
Acute ST-elevation myocardial infarction is a “must-not-miss” in the world of medicine. Time is myocardium. Along with that adage is the importance of early detection and prevention of myocardial injury and potential infarction. Electrocardiograms (ECGs) are not highly sensitive in detecting early signs of potential ischemia. Also, ECG reading and interpretation is physician dependent and based on experience and education. These two factors make it difficult to reliably detect potential signs of early myocardial damage without infarction or ischemia.
Pneumonia

Ophthalmologists

Ophthalmology
UMC's trauma catchment area is among the largest in the contiguous U.S., and includes the entire state of Nevada, as well as parts of Utah, Arizona and California – over 14,800 patients were evaluated in the Trauma Resuscitation Center last year. We offer specialist coverage in trauma surgery, interventional radiology, pediatric surgery, cardiothoracic and vascular surgery, hand surgery, burn care, neurosurgery, spine surgery, orthopedics, plastic surgery, replant surgery, otolaryngology, ophthalmology, oral-maxillofacial surgery, obstetrics & gynecology, dentistry, and urology.
Cataracts
74-year-old male presented to University Medical Center Trauma Resuscitation ED as a transfer for higher level of care for unknown etiology of vision loss. He had a mechanical fall at home 3-4 hours prior to evaluation. He fell forward causing his face to hit the ground and now, is only able to see “blurry shapes” through his right eye. He denies change in vision to left eye. He uses corrective lenses for reading only. He has history of multiple corneal transplant and cataract surgeries to both of his eyes years ago. He is on warfarin for atrial fibrillation. CT head and C-spine are negative from the outside facility.

Gynecology
, and spend 25 weeks in the Emergency Department. Other areas of focus include 4 weeks of trauma surgery (spent at the only Level 1 trauma center in the state), as well as 8 weeks on critical care services. The year also includes 2 weeks each of Neurosurgery and OB-Gyn, 1 week each of Orthopedics, ENT, and Anesthesiology, and 1 week of ED ultrasound. Our PGY-1 residents receive a very well-rounded experience, and many complete the year having logged enough procedures to fulfill multiple graduation requirements. PGY-1's have 17 shifts (12 hours) per EM block.
Obstetrics
HIV medicine, gastroenterology, nephrology and transplant nephrology, hematology/oncology, interventional radiology, general surgery, pediatric surgery, trauma surgery, orthopedics, ophthalmology, otolaryngology, urology, obstetrics & gynecology, pediatrics, psychiatry, neurosurgery, and a wide breadth of surgical specialties.
Pregnancy
Labor and Delivery
For decades in the U.S. and around the world, maternal mortality rates decreased, due to medical advancements in conjunction with public health efforts. Women gained increasingly healthier living conditions, improved maternity services, greater access to surgical procedures and antibiotics. Then, about 30 years ago, the US maternal mortality ratio began to rise. Between 1990 and 2016, the U.S. was the only high-income country in which material death increased, more than doubling over that time span. In 1987 the rate was 7 per 100k live births. Today it is an astounding 24 per 100k. Not only is the U.S. a stark outlier among our peers but giving birth in the U.S. is paradoxically becoming more dangerous as maternal health is improving around the rest of the world. Pregnancy related mortality and morbidity rates are unacceptably high in this highly developed country. Most of these deaths and health sequela related to childbirth, most disturbingly, are preventable.

Internal Medicine
Gastroenterology
Urology
Before choosing to aspirate be sure the patient is a candidate and would benefit. If the priapism has been present longer than 48 hours there is rare benefit and there is a high risk of impotence even with treatment. If your patient is an appropriate candidate then it is safe to proceed. Be sure to obtain informed consent and then prep the penis with chlorhexidine and drape appropriately. If a penile nerve block had not been previously performed, you could choose to do one now or inject local anesthetic at aspiration site. Similar to aspiration you will insert an 18g needle into the shaft at the 2/3 o’clock and 9/10 o’clock positions and aspirate about 20-30cc of blood from each side. If choosing to proceed to injection or irrigation, you can leave the needle in place at this step. For irrigation you will irrigate each side of the cavernosum with 20-30mL of cold saline. If detumescence has still not been achieved than you can proceed with medication injection. In adult patients the drug of choice is phenylephrine and epinephrine has been shown to be more effective in the pediatric population. You will first need to dilute 1mL of the phenylephrine 1mg/mL in a 9mL normal saline flush for a final concentration of 100mcg/mL. This is the same process as making a push-dose epinephrine. At a phenylephrine concentration of 100mcg/mL you will inject 100-200mcg (1-2mL) every 3-5 minutes with a maximum dosage of 1000mcg (10mL) until detumescence has been achieved or one hour has elapsed. Before injecting phenylephrine make sure the patient is on the cardiac monitor and watch for reflex bradycardia, use caution in patients with cardiovascular disease. Unlike aspiration you only need to inject one side as the channel between the cavernosa is sufficient to treat both sides.
Nephrology

Neurology

Mental Health
The maternal mortality ratio is defined as a death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management, notably not from accidental or incidental causes. This is the number used by the WHO, a rate of deaths per 100k live births, and the number most cited as an index to examine historical trends. This is a very conservative estimate of what’s really happening, since at least 24% of maternal deaths occur in the postpartum period after 42 days. Pregnancy-related mortality encompasses up to one year postpartum. During pregnancy, hemorrhage and cardiovascular conditions are the leading causes of death. At birth, infection is the leading cause. And in the postpartum period, typically after the traditional 6–8-week post pregnancy visit, cardiomyopathy, and mental health conditions, including substance use and suicide, are identified as leading causes.
Psychiatry
During my psychiatry rotation as an MS3, l sat in on the psychotherapy session of a Vietnam War veteran suffering from PTSD, during which he broke down in his own

Endocrinologist

Diabetes Care

Ultrasound
Point of care ultrasound has become an integral part of patient care in the field of emergency medicine. We understand the importance of ensuring that our residents become competent in all of the core bedside ultrasound applications and have a comprehension of advancements in the ultrasound field.
Radiology
Disposition depends on the underlying cause and success of treatment. If the priapism is high-flow the disposition will depend on the management of the underlying cause but will usually be admission for the inciting trauma. If the low-flow priapism was successfully treated in the emergency department and detumescence was achieved, then the patient can be safely discharged with outpatient urology follow-up. Be sure to give counseling on avoidance of using ED medications or illicit substances if this was found to be the cause. If all the above methods of management failed and the patient still has a priapism, then an emergent consult to urology is necessary for likely urology or interventional radiology intervention.
X-Rays
Computed Tomography
McGrew PR, Chestovich PJ, Fisher JD, Kuhls DA, et al. Implementation of a CT scan practice guideline for pediatric trauma patients reduces unnecessary scans without impacting outcomes.
Interventional Radiology

General Surgery
A Multidisciplinary Curriculum to Standardize Chest Procedures Training for Trainees in General Surgery, Emergency Medicine, and Critical Care. Presented at: Southwest Regional Emergency Medicine Conference. Las Vegas, NV. January 27, 2023.
Orthopedics
Management of high-pressure injection-injuries can involve plain film x-rays of the effected limb. The radiographs may be useful to detect spread of radio-opaque dyes or paints as well as tissue dissection plains caused by the foreign material. The affected area may be splinted in a neutral position and elevated to prevent further spread of injected material. Orthopedics or hand surgery must be emergently consulted. Nonoperative therapy may be an option for air and water injection. Operative therapy is required in the majority of patients, however. Immediate debridement is associated with improved outcomes 5. A delay of 10 hours from time of injection is associated with higher rates of amputation.
Hand Surgery
Orthopedic Surgery
Neurosurgery
Vascular Surgery
Hysterectomy
Severe maternal morbidity is defined as the unexpected outcomes of the process of labor and delivery that result in short- or long-term consequences to a woman's health, most common indicators in the U.S. being blood transfusion, DIC, hysterectomy, acute renal failure, and ARDS. ACOG and the CDC recommend the following two criteria to screen for severe maternal morbidity: transfusion of four or more units of blood, and admission of a pregnant or postpartum woman to an ICU. Akin to the cases of maternal mortality, the outcomes that are encompassed by maternal morbidity could have largely been avoided with timely and appropriate care.
Otolaryngology

Plastic Surgeons

Plastic Surgery

Burns

Physical Therapists

Sports Medicine
Sports medicine opportunities are available for those residents who are interested. We team up with the team physicians for UNLV athletics. Residents will arrive at the stadium 30 minutes to an hour prior to the start of the game and assist the team physicians and athletic trainers in the locker room prior to the start of the game. Residents are then on the sidelines with the players, athletic trainers, coaches, and team physicians to provide sports medicine and emergent medical care to injured athletes to include concussion evaluation, dislocations, and fractures.
Back Pain
Manual Therapy
Hip and Knee Pain Disorders: An evidence-informed and clinical-based approach integrating manual therapy and exercise. Handspring Publishing, London, UK. 2022.

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