
Affiliated with a Castle Connolly Top Hospital
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For detailed information, please contact Dr. Spain's office.
All Other Third Party
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Central California Alliance for Health
CVS Health (formerly Aetna)
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Medicaid
Medicare
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State of California
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Variability in California triage from 2005 to 2009
jourl of trauma and acute care surgery, 2014
Cost-effectiveness of helicopter versus ground emergency medical services for trauma scene
Anls of emergency medicine, 2013
Cost-effectiveness of preoperative imaging for appendicitis after indetermite ultrasonography in
Obstetrics and gynecology, 2013
Triage of elderly trauma patients: a population-based perspective.
Jourl of the American College of Surgeons, 2013
Logistics of transfusion support for patients with massive hemorrhage
CURRENT OPINION IN ANESTHESIOLOGY, 2013
Predictors of emergency department death
JOURL OF VASCULAR SURGERY, 2012
Payer status is associated with the use of prophylactic inferior ve cava filter in high
SURGERY, 2012
Outcomes of Complex Abdomil Herniorrhaphy Experience With 106 Cases
ANLS OF PLASTIC SURGERY, 2012
Abdomil wall reconstruction with dual layer cross-linked porcine dermal xenograft
JOURL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2012
The forgotten trauma patient
JOURL OF TRAUMA AND ACUTE CARE SURGERY, 2012
Statins for Everyone Are We There Yet?
ARCHIVES OF SURGERY, 2012
Characteristics of Pediatric Trauma Transfers to a Level I Trauma Center
ACADEMIC EMERGENCY MEDICINE, 2010
Early outcomes of deliberate nonoperative magement for blunt thoracic aortic injury in trauma
JOURL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010
Demographic and Fincial Alysis of EMTALA Hand Patient Transfers.
Hand (New York, N.Y.), 2010
Emergency Innovation: Implications for the Trauma Surgeon
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2009
Massive Transfusion Protocols
JOURL OF THE AMERICAN COLLEGE OF SURGEONS, 2009
Commitment to COT Verification Improves Patient Outcomes and Fincial Performance
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2009
The impact of hypopituitarism on function
BRAIN INJURY, 2009
Validation of a Prehospital Trauma Triage Tool: A 10-Year Perspective
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2008
Insulin increases the release of proinflammatory mediators
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2008
CT angiography effectively evaluates extremity vascular trauma
AMERICAN SURGEON, 2008
Pediatric blunt abdomil injury: Age is irrelevant and delayed operation is not detrimental
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007
Venous air embolism and pressure infusion devices
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007
Recruitment strategies for a fall prevention program: If we build it, will they really come?
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007
Requests for 692 transfers to an academic Level I trauma center
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007
Early enteral nutrition after abdomil trauma: effects on septic morbidity and practicality.
Nutrition in clinical practice, 2006
Dramatic shift in the primary magement of traumatic thoracic aortic rupture
ARCHIVES OF SURGERY, 2006
Endovascular magement of a gunshot wound to the thoracic aorta
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006
Are temporary inferior ve cava filters really temporary?
AMERICAN JOURL OF SURGERY, 2005
Spontaneous splenic rupture: The masquerade of minor trauma
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2005
Education and training of the future trauma surgeon in acute care surgery: trauma, critical care
AMERICAN JOURL OF SURGERY, 2005
Potential targets to encourage a surgical career
JOURL OF THE AMERICAN COLLEGE OF SURGEONS, 2005
Poor validity of residual volumes as a marker for risk of aspiration in critically ill patients
CRITICAL CARE MEDICINE, 2005
Interleukin-6 infusion blunts proinflarnmatory cytokine production without causing systematic
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2004
Magement of acute complete tracheal transection caused by nonpenetrating trauma
JOURL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2004
Perioperative risk assessment in elderly and high-risk patients
JOURL OF THE AMERICAN COLLEGE OF SURGEONS, 2004
Impairment of endothelium
SHOCK, 2004
The continuing challenge of intra-abdomil infection.
American jourl of surgery, 2003
Society of University Surgeons position statement on the volume
SURGERY, 2003
Intraperitoneal resuscitation improves intestil blood flow following hemorrhagic shock
ANLS OF SURGERY, 2003
Immune-enhancing enteral diet increases blood flow and proinflammatory cytokines in the rat ileum
JOURL OF SURGICAL RESEARCH, 2003
Achievement of steady state optimizes results when performing indirect calorimetry
JOURL OF PARENTERAL AND ENTERAL NUTRITION, 2003
Resuscitation regimens for hemorrhagic shock must contain blood
SHOCK, 2002
When is the seriously ill patient ready to be fed?
JPEN. Jourl of parenteral and enteral nutrition, 2002
Risk factors for delirium tremens in trauma patients
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002
Examition of the role of abdomil computed tomography
SURGERY, 2002
Generalized dilation of the visceral microvasculature by peritoneal dialysis solutions
PERITONEAL DIALYSIS INTERTIOL, 2002
Immune-enhancing enteral diet selectively augments ileal blood flow in the rat
JOURL OF SURGICAL RESEARCH, 2002
Abdomil seat belt marks in the era of focused abdomil Sonography for trauma
ARCHIVES OF SURGERY, 2002
Do facial fractures protect the brain or are they a marker for severe head injury?
AMERICAN SURGEON, 2002
Ventilator-associated pneumonia and surgical patients
CHEST, 2002
A comparison of alcohol-positive and alcohol-negative trauma patients
JOURL OF STUDIES ON ALCOHOL, 2002
Femoral vessel injuries
SURGICAL CLINICS OF NORTH AMERICA, 2002
Handsewn versus stapled astomosis in penetrating colon injuries requiring resection
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002
Development and implementation of a clinical pathway for severe traumatic brain injury
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001
Thermal injury in the elderly: When is comfort care the right choice?
AMERICAN SURGEON, 2001
Progressive decrease in constrictor reactivity of the non-absorbing intestine during chronic sepsis
Zhao, H. L., Spain, D. A., Matheson, P. J., Harris, P. D., Garrison, R, 2001
Development and implementation of a clinical pathway for spil cord injuries
Vitaz, T. W., McIlvoy, L., Raque, G. H., Spain, D. A., Shields, C. B., 2001
Impact of recent trends of noninvasive trauma evaluation
Lukan, J. K., Carrillo, E. H., Franklin, G. A., Spain, D. A., Miller, , 2001
Penetrating colon injuries requiring resection
Demetriades, D., Murray, J. A., Chan, L., Ordonez, C., Bowley, D., gy,, 2001
Successful incorporation of the Severe Head Injury Guidelines into a phased
jourl of neuroscience nursing, 2001
A multicenter evaluation of whether gender dimorphism affects survival after trauma
AMERICAN JOURL OF SURGERY, 2001
Incidental pericardial effusion during surgeon
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001
Delayed laparoscopy facilitates the magement of biliary peritonitis
SURGICAL ENDOSCOPY AND OTHER INTERVENTIOL TECHNIQUES, 2001
Sepsis increases NOS-2 activity
Beach, P. K., Spain, D. A., Kawabe, T., Harris, P. D., Garrison, R. N., 2001
Does cell-saver blood administration and free hemoglobin load cause rel dysfunction?
AMERICAN SURGEON, 2001
Sustained infection induces 2 distinct microvascular mechanisms in the splanchnic circulation
Zhao, H. L., Spain, D. A., Matheson, P. J., Vaughn, C., Harris, P. D.,, 2000
Lazaroid and pentoxifylline suppress sepsis
Krysztopik, R. J., Matheson, P. J., Spain, D. A., Garrison, R. N., Wil, 2000
Evolution in the magement of hepatic trauma: A 25-year perspective
Richardson, J. D., Franklin, G. A., Lukan, J. K., Carrillo, E. H., Spa, 2000
Prehospital hypotension as a valid indicator of trauma team activation
Franklin, G. A., Boaz, P. W., Spain, D. A., Lukan, J. K., Carrillo, E., 2000
Blunt hemopericardium detected by surgeon-performed sonography
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000
Practice magement guidelines tor prophylactic antibiotic use
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000
Should trauma surgeons do general surgery?
Spain, D. A., Richardson, J. D., Carrillo, E. H., Miller, F. B., Wilso, 2000
Routine intragastric feeding following traumatic brain injury is safe and well tolerated
Klodell, C. T., Carroll, M., Carrillo, E. H., Spain, D. A., 2000
Empyema and restrictive pleural processes after blunt trauma
AMERICAN SURGEON, 2000
Discussion
American jourl of surgery, 2000
The continuing challenge of Fournier's gangrene in the 1990s
Olsofka, J. N., Carrillo, E. H., Spain, D. A., Polk, H. C., 1999
Infusion protocol improves delivery of enteral tube feeding in the critical care unit
Spain, D. A., McClave, S. A., Sexton, L. K., Adams, J. L., Blanford, B, 1999
Enteral tube feeding in the intensive care unit: Factors impeding adequate delivery
CRITICAL CARE MEDICINE, 1999
Decreased alpha-adrenergic response in the intestil microcirculation after two
Spain, D. A., Kawabe, T., Keelan, P. C., Wilson, M. A., Harris, P. D.,, 1999
Blunt carotid artery injuries: Difficulties with the diagnosis prior to neurologic event
Carrillo, E. H., Osborne, D. L., Spain, D. A., Miller, F. B., Senler, , 1999
Glucose and glutamine gavage increase portal vein nitric oxide metabolite levels via adenosine A2b
JOURL OF SURGICAL RESEARCH, 1999
Common and exterl iliac artery injuries associated with pelvic fractures
Carrillo, E. H., Wohltmann, C. D., Spain, D. A., Schmieg, R. E., Mille, 1999
Subacute sepsis impairs vascular smooth muscle contractile machinery and alters vasoconstrictor
Price, S. A., Spain, D. A., Wilson, M. A., Harris, P. D., Garrison, R., 1999
Preoperative issues in clinical nutrition
CHEST, 1999
Interventiol techniques are useful adjuncts in nonoperative magement of hepatic injuries
Carrillo, E. H., Spain, D. A., Wohltmann, C. D., Schmieg, R. E., Boaz,, 1999
Complement activation mediates intestil injury after resuscitation from hemorrhagic shock
Spain, D. A., Fruchterman, T. M., Matheson, P. J., Wilson, M. A., Mart, 1999
Altered vasoconstrictor and dilator responses after a two
JOURL OF SURGICAL RESEARCH, 1999
Selective microvascular endothelial cell dysfunction
SHOCK, 1998
Small intestil production of nitric oxide is decreased following resuscitated hemorrhage
JOURL OF SURGICAL RESEARCH, 1998
Complement inhibition prevents gut ischemia and endothelial cell dysfunction after hemorrhage
SURGERY, 1998
Effect of a clinical pathway for severe traumatic brain injury on resource utilization
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998
Nutritiol magement in acute and chronic pancreatitis
GASTROENTEROLOGY CLINICS OF NORTH AMERICA, 1998
Microvascular changes explain the two-hit theory of multiple organ failure
ANLS OF SURGERY, 1998
Comparison of sequential compression devices
AMERICAN SURGEON, 1998
Thoracoscopy in the magement of posttraumatic persistent pneumothorax
JOURL OF THE AMERICAN COLLEGE OF SURGEONS, 1998
Altertives in the magement of penetrating injuries to the iliac vessels
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998
Impact of trauma attending surgeon case volume on outcome: Is more better?
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998
Quality assessment of intraoperative blood salvage and autotransfusion
Spain, D. A., Miller, F. B., Bergamini, T. M., Montgomery, R. C., Rich, 1997
Lazaroid improves intestil blood flow in the rat during hyperdymic bacteraemia
BRITISH JOURL OF SURGERY, 1997
Twelfth rib resection - Preferred therapy for subphrenic abscess in selected surgical patients
Spain, D. A., Martin, R. C., Carrillo, E. H., Polk, H. C., 1997
Percutaneous dilatiol tracheostomy for airway control
Carrillo, E. H., Spain, D. A., Bumpous, J. M., Schmieg, R. E., Miller,, 1997
Bedside percutaneous endoscopic gastrostomy
Carrillo, E. H., Heniford, B. T., Osborne, D. L., Spain, D. A., Miller, 1997
Glucose-induced intestil hyperemia is mediated by nitric oxide
Matheson, P. J., Wilson, M. A., Spain, D. A., Harris, P. D., Anderson,, 1997
Risk-taking behaviors among adolescent trauma patients
Spain, D. A., Boaz, P. W., Davidson, D. J., Miller, F. B., Carrillo, E, 1997
Heme oxygese-dependent carbon monoxide production is a hepatic adaptive response to sepsis
JOURL OF SURGICAL RESEARCH, 1997
Intrahepatic vascular clamping in complex hepatic vein injuries
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1997
Lazaroids prevent acute cyclosporine-induced rel vasoconstriction
Krysztopik, R. J., Bentley, F. R., Spain, D. A., Wilson, M. A., Garris, 1997
The role of thoracoscopy in the magement of retained thoracic collections after trauma
Heniford, B. T., Carrillo, E. H., Spain, D. A., Sosa, J. L., Fulton, R, 1997
Blunt popliteal artery trauma: A challenging injury
Harrell, D. J., Spain, D. A., Bergamini, T. M., Miller, F. B., Richard, 1997
Venous thromboembolism in the high-risk trauma patient
Spain, D. A., Richardson, J. D., Polk, H. C., Bergamini, T. M., Wilson, 1997
Differential intestil microvascular dysfunction occurs during bacteremia
Spain, D. A., Wilson, M. A., Krysztopik, R. J., Matheson, P. J., Garri, 1997
Heparan preserves intestil perfusion after hemorrhage and resuscitation
Watkins, J. M., Spain, D. A., Krysztopik, R. J., Dowrd, P. J., Wilson,, 1996
Operative strategies for magement of abdomil aortic gunshot wounds
Richardson, J. D., Bergamini, T. M., Spain, D. A., Wilson, M. A., Carr, 1996
Free radical scavenging by lazaroids improves rel blood flow during sepsis
Krysztopik, R. J., Bentley, F. R., Spain, D. A., Wilson, M. A., Garris, 1996
Fluid resuscitation attenuates early cytokine mR expression after peritonitis
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996
Complex thoracic injuries
SURGICAL CLINICS OF NORTH AMERICA, 1996
Vasomotor response to pentoxifylline mediates improved rel blood flow to bacteremia.
jourl of surgical research, 1996
Predicting the need to pack early for severe intra-abdomil hemorrhage
Garrison, J. R., Richardson, J. D., HILAKOS, A. S., Spain, D. A., Mill, 1996
Preoperative saline loading improves outcome after elective, noncardiac surgical procedures
Garrison, R. N., Wilson, M. A., Matheson, P. J., Spain, D. A., 1996
ENDOTHELIN-1 EXPRESSION IN THE SMALL-INTESTINE DURING CHRONIC PERITONITIS
SHOCK, 1995
Transpyloric passage of feeding tubes
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995
HAEMOPHILUS PNEUMONIA IS A COMMON-CAUSE OF EARLY PULMORY DYSFUNCTION FOLLOWING TRAUMA
Spain, D. A., Wilson, M. A., Boaz, P. W., Bartan, M. F., Garrison, R. , 1995
IS THE TIMING OF FRACTURE FIXATION IMPORTANT FOR THE PATIENT WITH MULTIPLE TRAUMA
REYNOLDS, M. A., Richardson, J. D., Spain, D. A., Seligson, D., Wilson, 1995
ALPHA-ADRENERGIC RECEPTOR ANTAGONISM PREVENTS INTESTIL VASOCONSTRICTION BUT NOT HYPOPERFUSION
JOURL OF SURGICAL RESEARCH, 1995
NITRIC-OXIDE MEDIATES REDISTRIBUTION OF INTRAREL BLOOD-FLOW DURING BACTEREMIA
Garrison, R. N., Wilson, M. A., Matheson, P. J., Spain, D. A., 1995
AN EXPERIMENTAL-STUDY OF ALTERED NITRIC
BRITISH JOURL OF SURGERY, 1995
PLATELET-ACTIVATING-FACTOR AND SEPSIS-INDUCED SMALL-INTESTIL MICROVASCULAR HYPOPERFUSION
Bartan, M. F., Wilson, M. A., Spain, D. A., Garrison, R. N., 1995
The delirious ICU patient: often misdiagnosed and undertreated.
jourl of the Kentucky Medical Association, 1995
DIFFERENTIAL MICROVASCULAR RESPONSE TO CYCLOOXYGESE BLOCKADE IN THE RAT SMALL
SHOCK, 1994
ANTIBIOTIC OVERKILL OF TRAUMA VICTIMS
AMERICAN JOURL OF SURGERY, 1994
NITRIC-OXIDE SYNTHASE INHIBITION EXACERBATES SEPSIS-INDUCED REL HYPOPERFUSION
Spain, D. A., Wilson, M. A., Garrison, R. N., 1994
ROLE OF NITRIC-OXIDE IN THE SMALL-INTESTIL MICROCIRCULATION DURING BACTEREMIA
SHOCK, 1994
REL MICROVASCULAR RESPONSES TO SEPSIS ARE DEPENDENT ON NITRIC-OXIDE
Spain, D. A., Wilson, M. A., BLOOM, I. T., Garrison, R. N., 1994
NITRIC-OXIDE SYNTHASE INHIBITION AGGRAVATES INTESTIL MICROVASCULAR VASOCONSTRICTION AND
JOURL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994
TRACHEOSTOMY AND PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN THE MAGEMENT OF THE HEAD
DAMELIO, L. F., Hammond, J