Troy E. Madsen,
MD, FACEP
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Languages Spoken: English, Spanish
Troy E. Madsen, MD, is a tenured Associate Professor in the Department of Surgery, Division of Emergency Medicine. He practices at the University Hospital Emergency Department, where he specializes in the treatment of emergent conditions and teaches residents, medical students, and pre-medical students. He also cares for patients at the Hyperbaric Medicine and Wound Treatment Center of Utah.
Specialties
Board Certification and Academic Information
| Academic Departments | Surgery
-
Associate Professor |
| Academic Divisions | Emergency Medicine |
| Board Certification | American Board of Emergency Medicine (Emergency Medicine) |
Troy E. Madsen, MD, is a tenured Associate Professor in the Department of Surgery, Division of Emergency Medicine. He practices at the University Hospital Emergency Department, where he specializes in the treatment of emergent conditions and teaches residents, medical students, and pre-medical students. He also cares for patients at the Hyperbaric Medicine and Wound Treatment Center of Utah.
Academic Locations
School of Medicine
801-581-2292
Research Statement
Troy E. Madsen, MD, is an emergency medicine researcher with multiple publications in cardiovascular disease, pulmonary embolism, and emergency department operations. His current studies involve the diagnosis and treatment of pulmonary embolism and efforts to reduce opioid abuse among emergency department patients. He has served as the principal investigator or co-invesitgator for several federal, foundation, and industry grants, including funding for an emergency department program of screening, brief intervention, and referral for treatment (SBIRT) for opioid abuse as well as outpatient treatment of pulmonary embolism. He values the mentorship opportunities offered through research; the residents and medical students who work with him regularly present at national emergency medicine meetings and publish in peer-reviewed journals.
Board Certification and Academic Information
| Academic Departments | Surgery
-
Associate Professor |
| Academic Divisions | Emergency Medicine |
| Board Certification | American Board of Emergency Medicine (Emergency Medicine) |
Research Interests
- Cardiovascular Diseases
- Pulmonary Embolism
- Substance Abuse
- Operations Research
Education History
| American College of Emergency Physicians FACEP |
|
| Fellowship | American College of Emergency Physicians Research Methodology Fellow |
| Residency | Ohio State University Emergency Medicine Resident |
| Internship | Ohio State University Emergency Medicine Intern |
| Professional Medical | Johns Hopkins University Medicine M.D. |
| Undergraduate | Brigham Young University History B.A. |
Selected Publications - Journal Articles
Journal Article
- Coyne CJ, Reyes-Gibby CC, Durham DD, Abar B, Adler D, Bastani A, Bernstein SL, Baugh CW, Bischof JJ, Grudzen CR, Henning DJ, Hudson MF, Klotz A, Lyman GH, Madsen TE, Pallin DJ, Rico JF, Ryan RJ, Shapiro NI, Swor R, Thomas CR Jr, Venkat A, Wilson J, Yeung SJ, Caterino JM (2021). Cancer pain management in the emergency department: a multicenter prospective observational trial of the Comprehensive Oncologic Emergencies Research Network (CONCERN). Support Care Cancer, 29(8), 4543-4553.
- Kline JA, Adler DH, Alanis N, Bledsoe JR, Courtney DM, dEtienne JP, Diercks DB, Garrett JS, Jones AE, Mackenzie DC, Madsen T, Matuskowitz AJ, Mumma BE, Nordenholz KE, Pagenhardt J, Runyon MS, Stubblefield WB, Willoughby CB (2021). Monotherapy Anticoagulation to Expedite Home Treatment of Patients Diagnosed With Venous Thromboembolism in the Emergency Department: A Pragmatic Effectiveness Trial. Circ Cardiovasc Qual Outcomes, CIRCOUTCOMES120007600.
- Steenblik J, Smith A, Bossart CS, Hamilton DS Sr, Rayner T, Fuller M, Carlson M, Madsen T (2020). Gender Disparities in Cardiac Catheterization Rates Among Emergency Department Patients With Chest Pain. Crit Pathw Cardiol, 20(2), 67-70.
- Allen BR, Christenson RH, Cohen SA, Nowak R, Wilkerson RG, Mumma B, Madsen T, McCord J, Huis Int Veld M, Massoomi M, Stopyra JP, Montero C, Weaver MT, Yang K, Mahler SA (2021). Diagnostic Performance of High-Sensitivity Cardiac Troponin T Strategies and Clinical Variables in a Multisite US Cohort. Circulation, 143(17), 1659-1672.
- Kline JA, Camargo CA Jr, Courtney DM, Kabrhel C, Nordenholz KE, Aufderheide T, Baugh JJ, Beiser DG, Bennett CL, Bledsoe J, Castillo E, Chisolm-Straker M, Goldberg EM, House H, House S, Jang T, Lim SC, Madsen TE, McCarthy DM, Meltzer A, Moore S, Newgard C, Pagenhardt J, Pettit KL, Pulia MS, Puskarich MA, Southerland LT, Sparks S, Turner-Lawrence D, Vrablik M, Wang A, Weekes AJ, Westafer L, Wilburn J (2021). Clinical prediction rule for SARS-CoV-2 infection from 116 U.S. emergency departments 2-22-2021. PLoS ONE, 16(3), e0248438.
- Bledsoe JR, Woller SC, Stevens SM, Aston V, Patten R, Allen T, Horne BD, Dong L, Lloyd J, Snow G, Madsen T, Fink P, Elliott CG (2020). Cost-effectiveness of managing low-risk pulmonary embolism patients without hospitalization. The low-risk pulmonary embolism prospective management study. Am J Emerg Med, 41, 80-83.
- Godwin HT, Fix ML, Baker O, Madsen T, Walls RM, Brown CA 3rd (2020). Emergency Department Airway Management for Status Asthmaticus With Respiratory Failure. Respir Care, 65(12), 1904-1907.
- Pugh A, Ford T, Madsen T, Carlson C, Doyle G, Stephen R, Stroud S, Fix M (2020). Impact of a financial incentive on the completion of educational metrics. Int J Emerg Med, 13(1), 60.
- Kline J, Adler D, Alanis N, Bledsoe J, Courtney D, DEtienne J, B Diercks D, Garrett J, Jones AE, MacKenzie D, Madsen T, Matuskowitz A, Mumma B, Nordenholz K, Pagenhardt J, Runyon M, Stubblefield W, Willoughby C (2020). Study protocol for a multicentre implementation trial of monotherapy anticoagulation to expedite home treatment of patients diagnosed with venous thromboembolism in the emergency department. BMJ Open, 10(10), e038078.
- Pugh A, Roper K, Magel J, Fritz J, Colon N, Robinson S, Cooper C, Peterson J, Kareem A, Madsen T (2020). Dedicated emergency department physical therapy is associated with reduced imaging, opioid administration, and length of stay: A prospective observational study. PLoS ONE, 15(4), e0231476.
- Ford T, Fix M, Madsen T, Stroud S (2020). The Eyes Have It: A Low-Cost Model for Corneal Foreign Body Removal Training. Journal of Education and Teaching in Emergency Medicine, 5(1), 10-14.
- Carlberg M, Lum M, Ojcius J, Perkins R, Carlson M, Steenblik J, Madsen T (2019). Prevalence and Significance of Renal Dysfunction Among Emergency Department Observation Patients With Chest Pain. Crit Pathw Cardiol, 18(4), 185-188.
- Stoecklein HH, Kelly C, Kaji AH, Fantegrossi A, Carlson M, Fix ML, Madsen T, Walls RM, Brown CA 3rd, NEAR Investigators (2019). Multicenter Comparison of Nonsupine Versus Supine Positioning During Intubation in the Emergency Department: A National Emergency Airway Registry (NEAR) Study. Acad Emerg Med, 26(10), 1144-1151.
- Adler D, Abar B, Durham DD, Bastani A, Bernstein SL, Baugh CW, Bischof JJ, Coyne CJ, Grudzen CR, Henning DJ, Hudson MF, Klotz A, Lyman GH, Madsen TE, Pallin DJ, Reyes-Gibby CC, Rico JF, Ryan RJ, Shapiro NI, Swor R, Thomas CR Jr, Venkat A, Wilson J, Yeung SJ, Caterino JM (2019). Validation of the Emergency Severity Index (Version 4) for the Triage of Adult Emergency Department Patients With Active Cancer. J Emerg Med, 57(3), 354-361.
- Badeau A, Carman C, Newman M, Steenblik J, Carlson M, Madsen T (2019). Emergency department visits for electric scooter-related injuries after introduction of an urban rental program. Am J Emerg Med, 37(8), 1531-1533.
- Madsen T, Jedick R, Teeples T, Carlson M, Steenblik J (2019). Impact of altitude-adjusted hypoxia on the Pulmonary Embolism Rule-out Criteria. Am J Emerg Med, 37(2), 281-285.
- Kelly C, Agy C, Carlson M, Steenblik J, Bledsoe J, Hartsell S, Madsen T (2018). Family history of venous thromboembolism predicts the diagnosis of acute pulmonary embolism in the emergency department. Am J Emerg Med, 36(9), 1550-1554.
- Bledsoe JR, Woller SC, Stevens SM, Aston V, Patten R, Allen T, Horne BD, Dong L, Lloyd J, Snow G, Madsen T, Elliott CG (2018). Management of Low-Risk Pulmonary Embolism Patients Without Hospitalization: The Low-Risk Pulmonary Embolism Prospective Management Study. Chest, 154(2), 249-256.
- Frizell A, Fogel N, Steenblik J, Carlson M, Bledsoe J, Madsen T (2018). Prevalence of pulmonary embolism in patients presenting to the emergency department with syncope. Am J Emerg Med, 36(2), 253-256.
- Buchanan I, Teeples T, Carlson M, Steenblik J, Bledsoe J, Madsen T (2017). Pulmonary Embolism Testing Among Emergency Department Patients Who Are Pulmonary Embolism Rule-out Criteria Negative. Acad Emerg Med, 24(11), 1369-1376.
- Madsen T, Smyres C, Wood T, Moores T, Fuller M, Davis V, Bernhisel K (2017). Cardiology consultation reduces provocative testing rates in an ED observation unit. Am J Emerg Med, 35(1), 25-28.
- Youngquist ST, Hood CH, Hales NM, Barton CC, Madsen TE, Pope CA (2016). Association between EMS calls and fine particulate air pollution in Utah. Air Qual Atmos Health, 9(8), 887-97.
- Lingenfelter E, Drapkin Z, Fritz K, Youngquist S, Madsen T, Fix M (2016). ED pharmacist monitoring of provider antibiotic selection aids appropriate treatment for outpatient UTI. Am J Emerg Med, 34(8), 1600-3.
- Madsen TE, Fuller M, Hartsell S, Hamilton D, Bledsoe J (2016). Prospective evaluation of outcomes among geriatric chest pain patients in an ED observation unit. Am J Emerg Med, 34(2), 207-11.
- Madsen TE, Stewart M, Smyres C, Beal A, Hamilton D, Vlasic K, Oates A (2015). Significance of an Indeterminate Troponin I in Patients Evaluated for Chest Pain in an Emergency Department Observation Unit. Crit Pathw Cardiol, 14(4), 146-9.
- Broadwater-Hollifield C, Madsen TE, Porucznik CA, Sundwall DN, Youngquist ST, Vlasic K, Gren LH (2015). Predictors of patient adherence to follow-up recommendations after an ED visit. Am J Emerg Med, 33(10), 1368-73.
- Stewart M, Bledsoe J, Madsen T, Sturges Z, McGuire T, Rayner T, Hamilton D, Barton E (2015). Utilization and Safety of a Pulmonary Embolism Treatment Protocol in an Emergency Department Observation Unit. Crit Pathw Cardiol, 14(3), 87-9.
- Craven P, Cinar O, Fosnocht D, Carey J, Carey A, Rogers L, Vlasic K, Madsen T (2014). Prospective, 10-year evaluation of the impact of Hispanic ethnicity on pain management practices in the ED. Am J Emerg Med, 32(9), 1055-9.
- Hartsell S, Dorais J, Preston R, Hamilton D, Fuller M, Mallin M, Barton E, Madsen T (2014). False-positive rates of provocative cardiac testing in chest pain patients admitted to an emergency department observation unit. Crit Pathw Cardiol, 13(3), 104-8.
- Broadwater-Hollifield C, Gren LH, Porucznik CA, Youngquist ST, Sundwall DN, Madsen TE (2014). Emergency physician knowledge of reimbursement rates associated with emergency medical care. Am J Emerg Med, 32(6), 498-506.
- Broadwater-Hollifield C, Fair J, Podolsky S, Carey J, Vlasic K, Stephen R, Madsen T, Mallin M (2014). Web-based emergency department patient satisfaction surveys may introduce potential for bias. J Emerg Med, 46(3), 404-9.
- Cinar O, Jay L, Fosnocht D, Carey J, Rogers L, Carey A, Horne B, Madsen T (2013). Longitudinal trends in the treatment of abdominal pain in an academic emergency department. J Emerg Med, 45(3), 324-31.
- Fuller M, Hamilton D, Holly J, Mallin M, Rayner T, Eshenroder N, Barton E, Madsen T (2013). Prospective evaluation of a simplified risk stratification tool for patients with chest pain in an emergency department observation unit. Crit Pathw Cardiol, 12(3), 132-6.
- Fix ML, Enslow MS, Blankenship JF, Horne BD, Stroud SK, Madsen TE, Barton ED, Davis V (2013). Emergency Medicine resident anesthesia training in a private vs. academic setting. J Emerg Med, 44(3), 676-81.
- Craven P, Cinar O, Madsen T (2013). Patient anxiety may influence the efficacy of ED pain management. Am J Emerg Med, 31(2), 313-8.
- Holly J, Fuller M, Hamilton D, Mallin M, Black K, Robbins R, Davis V, Madsen T (2013). Prospective evaluation of the use of the thrombolysis in myocardial infarction score as a risk stratification tool for chest pain patients admitted to an ED observation unit. Am J Emerg Med, 31(1), 185-9.
- Ozkurt B, Cinar O, Cevik E, Acar AY, Arslan D, Eyi EY, Jay L, Yamanel L, Madsen T (2012). Efficacy of high-flow oxygen therapy in all types of headache: a prospective, randomized, placebo-controlled trial. Am J Emerg Med, 30(9), 1760-4.
- Steenblik J, Goodman M, Davis V, Gee C, Hopkins CL, Stephen R, Madsen T (2012). Intranasal sufentanil for the treatment of acute pain in a winter resort clinic. Am J Emerg Med, 30(9), 1817-21.
- Cinar O, Cevik E, Acar A, Kaya C, Ardic S, Comert B, Yokusoglu M, Bilgi C, Meisner M, Madsen T (2012). Evaluation of mid-regional pro-atrial natriuretic peptide, procalcitonin, and mid-regional pro-adrenomedullin for the diagnosis and risk stratification of dyspneic ED patients. Am J Emerg Med, 30(9), 1915-20.
- Hopkins CL, Madsen T, Foy Z, Reina M, Barton E (2012). Does limiting oral contrast decrease emergency department length of stay? West J Emerg Med, 13(5), 383-7.
- Blankenship JF, Rogers L, White J, Carey A, Fosnocht D, Hopkins C, Madsen T (2012). Prospective evaluation of the treatment of pain in the ED using computerized physician order entry. Am J Emerg Med, 30(8), 1613-6.
- Holly J, Bledsoe J, Black K, Robbins R, Davis V, Bossart P, Barton E, Madsen T (2012). Prospective evaluation of an ED observation unit protocol for trauma activation patients. Am J Emerg Med, 30(8), 1402-6.
- Cinar O, Ernst R, Fosnocht D, Carey J, Rogers L, Carey A, Horne B, Madsen T (2012). Geriatric patients may not experience increased risk of oligoanalgesia in the emergency department. Ann Emerg Med, 60(2), 207-11.
- Gee C, Dawson M, Bledsoe J, Ledyard H, Phanthavady T, Youngquist S, McGuire T, Madsen T (2012). Sensitivity of newer-generation computed tomography scanners for subarachnoid hemorrhage: a Bayesian analysis. J Emerg Med, 43(1), 13-8.
- Stephen R, Lingenfelter E, Broadwater-Hollifield C, Madsen T (2012). Intranasal sufentanil provides adequate analgesia for emergency department patients with extremity injuries. J Opioid Manag, 8(4), 237-41.
- Walraven CJ, Lingenfelter E, Rollo J, Madsen T, Alexander DP (2012). Diagnostic and therapeutic evaluation of community-acquired methicillin-resistant Staphylococcus Aureus (MRSA) skin and soft tissue infections in the emergency department. J Emerg Med, 42(4), 392-9.
- Mallin M, Dawson M, Schroeder E, Hatch B, Jackson I, Ahern M, Bossart C, Madsen T (2012). Prospective outcomes of pregnant ED patients with documented fetal cardiac activity on ultrasound. Am J Emerg Med, 30(3), 472-5.
- Holly J, Hamilton D, Bledsoe J, Black K, Robbins R, Davis V, Barton E, Madsen T (2012). Prospective evaluation of the treatment of intermediate-risk chest pain patients in an emergency department observation unit. Crit Pathw Cardiol, 11(1), 10-3.
- Madsen T, Sturges Z, Dawson M, Knapp S, Groke S, Stroud S, Hartsell S, Davis V, Bledsoe J, Barton E (2011). Characteristics of the first two years of applicants to a new emergency medicine residency program. J Emerg Med, 41(5), 539-45.
- Davis V, Wallace M, Sherwood K, Dawson M, Sugerman S, Ahern M, Battaglia D, Mallin M, Youngquist S, Madsen T (2011). Mid-Level Providers demonstrate proficiency in FAST after directed training. Crit Ultrasound J, 3(2), 111-13.
- Sherwood K, Sugerman S, Bossart P, Bledsoe J, Barton E, Bernhisel K, Bess E, Madsen T (2011). EDOU staffing by PAs: what are the effects on patient outcomes? JAAPA, 24(8), 31-4, 37.
- Steenblik J, Schroeder E, Hatch B, Groke S, Broadwater-Hollifield C, Mallin M, Ahern M, Madsen T (2011). Folic acid use in pregnant patients presenting to the emergency department. Int J Emerg Med, 4, 38.
- Hopkins CL, Youngquist ST, Johnson E, Madsen T (2011). Outcome of elderly patients injured at winter resorts. Am J Emerg Med, 29(5), 528-33.
- Bledsoe J, Hamilton D, Bess E, Holly J, Sturges Z, Madsen T (2010). Treatment of low-risk pulmonary embolism patients in a chest pain unit. Crit Pathw Cardiol, 9(4), 212-5.
- Mallin M, Louis H, Madsen T (2010). A novel technique for ultrasound-guided supraclavicular subclavian cannulation. Am J Emerg Med, 28(8), 966-9.
- Ahern M, Mallin MP, Weitzel S, Madsen T, Hunt P (2010). Variability in Ultrasound Education among Emergency Medicine Residencies. West J Emerg Med, 11(4), 314-8.
- Dawson M, Youngquist S, Bledsoe J, Madsen T, Bossart P, Davis V, Barton E (2010). Low-risk young adult patients with chest pain may not benefit from routine cardiac stress testing: a Bayesian analysis. Crit Pathw Cardiol, 9(3), 170-3.
- Groke SF, Madsen TE, Strate L, Knapp S, Dawson M, Stroud S, Hartsell S, Davis V (2010). Evaluating applicants to a new emergency medicine residency program: subjective assessment of applicant characteristics. Int J Emerg Med, 3(4), 265-9.
- Groke S, Knapp S, Bledsoe J, Bennett A, Zink A, Hopkins C, Madsen T (2010). Risk factors for return emergency department visits among patients presenting with psychiatric complaints. Internet J Emerg Med, 6(2).
- Madsen T, Dawson M, Bledsoe J, Bossart P (2010). Serial hematocrit testing does not identify major injuries in trauma patients in an observation unit. Am J Emerg Med, 28(4), 472-6.
- Crouch AK, Dawson M, Long D, Allred D, Madsen T (2010). Perceived confidence in the FAST exam before and after an educational intervention in a developing country. Int J Emerg Med, 3(1), 49-52.
- Madsen T, Bossart P, Bledsoe J, Bernhisel K, Cheng M, Mataoa T, Bartlett J, McKellar A, Rivas W, Quick N (2010). Patients with coronary disease fail observation status at higher rates than patients without coronary disease. Am J Emerg Med, 28(1), 19-22.
- Madsen TE, Pearson RR, Muhlestein JB, Lappe DL, Bair TL, Horne BD, Anderson JL (2009). Risk of nephropathy is not increased by the administration of larger volume of contrast during coronary angiography. Crit Pathw Cardiol, 8(4), 167-71.
- Madsen TE, Bennett A, Groke S, Zink A, McCowan C, Hernandez A, Knapp S, Byreddy D, Mattsson S, Quick N (2008). Emergency department patients with psychiatric complaints return at higher rates than controls. West J Emerg Med, 10(4), 268-72.
- Madsen T, Mallin M, Bledsoe J, Bossart P, Davis V, Gee C, Barton E (2009). Utility of the emergency department observation unit in ensuring stress testing in low-risk chest pain patients. Crit Pathw Cardiol, 8(3), 122-4.
- Madsen TE, Bledsoe JR, Bossart PJ (2009). Observation unit admission as an alternative to inpatient admission for trauma activation patients. Emerg Med J, 26(6), 421-3.
- Madsen T, Bledsoe J, Bossart P (2009). Physician documentation of nonspecific EKG changes predicts hospital admission among observation unit chest pain patients. Crit Pathw Cardiol, 8(1), 34-7.
- Madsen TE, Bledsoe J, Bossart P (2008). Appropriately screened geriatric chest pain patients in an observation unit are not admitted at a higher rate than nongeriatric patients. Crit Pathw Cardiol, 7(4), 245-7.
- Horne BD, Muhlestein JB, Carlquist JF, Bair TL, Madsen TE, Hart NI, Anderson JL (2000). Statin therapy, lipid levels, C-reactive protein and the survival of patients with angiographically severe coronary artery disease. J Am Coll Cardiol, 36(6), 1774-80.
- Madsen T (2007). The company doctor: promoting stability in Eastern Utah mining towns. Utah Hist Q, 68(2), 139-56.
Book Chapter
- Madsen TE, Hartsell SC (2008). Non-snake reptile bites. In Adams JG, Barton ED, Collings J, DeBlieux PM, Gisondi MA, Nadel ES (Eds.), Emergency Medicine (1, pp. 1705-10). Philadelphia, PA: Saunders.
Letter
- Madsen T, Levin N, Niehus K, Law K, Mayer J, Chapman M, Johnson A, Hartsell S (2020). Prevalence of IgG antibodies to SARS-CoV-2 among emergency department employees. [Letter to the editor]. Am J Emerg Med, 38(12), 2752.
- Madsen TE (2010). PERC bleeding risk calculation and resultant test threshold may be inappropriate. [Letter to the editor]. Ann Emerg Med, 56(5), 585-6; author reply 586-7.
- Madsen T (2002). Resident burnout. [Letter to the editor]. Ann Intern Med, 137(8), 698-700; author reply 698-700.
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