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Joseph E. Tonna, MD, MS

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Languages Spoken: English, Spanish

Dr. Joseph Tonna, MD, MS, FCCM, FACEP, FAAEM, is an Assistant Professor at the University of Utah with appointments in the Divisions of Cardiothoracic Surgery and Emergency Medicine. He is the Medical Director of the Cardiovascular ICU/Cardiothoracic Critical Care, the Associate Director of Extracorporeal Membrane Oxygenation (ECMO) Services, and the Section Head of Cardiothoracic Critical Care. He works as an Attending Physician in the Cardiothoracic Intensive Care Units and in the Emergency Department. He is funded by the National Heart Lung and Blood Institute (NHLBI) of the National Institutes of Health (NIH). His clinical and research interests include extracorporeal membrane oxygenation (ECMO), extracorporeal cardiopulmonary resuscitation (ECPR), delirium prevention, and enhancing sleep and mobility.

Clinical Locations

University Hospital
Emergency Medicine

801-581-4314

50 N Medical Dr
Salt Lake City, UT  84132
Map

Specialties

  • Emergency Medicine
  • Cardiac Mechanical Support
  • Heart Failure
  • Heart Transplant
  • Critical Care

Board Certification and Academic Information

Academic Departments Surgery - Assistant Professor
Academic Divisions Cardiothoracic Surgery
Board Certification American Board of Anesthesiology (Sub: Critical Care Medicine)
American Board of Emergency Medicine (Emergency Medicine)

Dr. Joseph Tonna, MD, MS, FCCM, FACEP, FAAEM, is an Assistant Professor at the University of Utah with appointments in the Divisions of Cardiothoracic Surgery and Emergency Medicine. He is the Medical Director of the Cardiovascular ICU/Cardiothoracic Critical Care, the Associate Director of Extracorporeal Membrane Oxygenation (ECMO) Services, and the Section Head of Cardiothoracic Critical Care. He works as an Attending Physician in the Cardiothoracic Intensive Care Units and in the Emergency Department. He is funded by the National Heart Lung and Blood Institute (NHLBI) of the National Institutes of Health (NIH). His clinical and research interests include extracorporeal membrane oxygenation (ECMO), extracorporeal cardiopulmonary resuscitation (ECPR), delirium prevention, and enhancing sleep and mobility.

Academic Locations

School of Medicine

801-587-9373

30 N 1900 E
3C127
Salt Lake City, UT  84132

Research Statement

My research projects include:

--Selection and management of cardiac arrest patients treated with extracorporeal cardiopulmonary resuscitation (eCPR)

--Project Sleep (A clinical and research to improve the sleep of patients during critical illness)

--Ventilatory managment during extracorporeal membrane oxygenation for respiratory failure

--Agressive early mobility during critical illness

--ICU readmission reduction

--Optimization of patient and family communication

Board Certification and Academic Information

Academic Departments Surgery - Assistant Professor
Academic Divisions Cardiothoracic Surgery
Board Certification American Board of Anesthesiology (Sub: Critical Care Medicine)
American Board of Emergency Medicine (Emergency Medicine)

Research Interests

  • Extracorporeal Membrane Oxygenation
  • Extracorporeal support technologies and therapies
  • Cardiac Mechanical Support
  • Delirium in the ICU setting
  • Sleep in ICU
  • Alarm Systems for Patient Monitoring
  • Quality Improvement

Education History

Graduate Training University of Utah
Biostatistics/Clinical Research
M.S.
Fellowship University of Washington
Critical Care
Fellow
Residency Stanford University
Emergency Medicine
Resident
Internship Stanford University
Emergency Medicine
Intern
Professional Medical University of California, San Francisco
Medicine
M.D.
Undergraduate University of Chicago
Biological Sciences with General Honors
B.A.

Selected Publications - Journal Articles

Journal Article

  1. Youngquist ST, Tonna JL, Bartos JA, Johnson MA, Hoareau GL, Hutin A, Lamhaut L (2020). Current Work in Extracorporeal Cardiopulmonary Resuscitation. Crit Care Clin, 36(4), 723-735.
  2. Cho SM, Canner J, Chiarini G, Calligy K, Caturegli G, Rycus P, Barbaro RP, Tonna J, Lorusso R, Kilic A, Choi CW, Ziai W, Geocadin R, Whitman G (2020). Modifiable Risk Factors and Mortality From Ischemic and Hemorrhagic Strokes in Patients Receiving Venoarterial Extracorporeal Membrane Oxygenation: Results From the Extracorporeal Life Support Organization Registry. Crit Care Med, 48(10), e897-e905.
  3. Reese TJ, Segall N, Del Fiol G, Tonna JE, Kawamoto K, Weir C, Wright MC (2020). Iterative heuristic design of temporal graphic displays with clinical domain experts. (Epub ahead of print) J Clin Monit Comput.
  4. Tonna JE (2020). Negative Studies Should Inform Our Research and Care: Engaging Family Members in the Care of the Critically Ill. Crit Care Med, 48(7), 1077-1079.
  5. Tonna JE (2020). Postresuscitation Management and Survival After Cardiac Arrest-The Whole Package. JAMA Netw Open, 3(7), e2010921.
  6. Reese TJ, Del Fiol G, Tonna JE, Kawamoto K, Segall N, Weir C, Macpherson BC, Kukhareva P, Wright MC (2020). Impact of integrated graphical display on expert and novice diagnostic performance in critical care. J Am Med Inform Assoc.
  7. Bento HA, Dummer D, Lohse BD, Noren C, Tonna JE (2020). Walking While Dialyzing: A Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal Replacement Therapy. Crit Care Explor, 2(6), e0131.
  8. Teran F, Perman SM, Mitchell OJL, Sawyer KN, Blewer AL, Rittenberger JC, Del Rios Rivera M, Horowitz JM, Tonna JE, Hsu CH, Kotini-Shah P, McGovern SK, Abella BS (2020). Highlights From the American Heart Association's 2019 Resuscitation Science Symposium. J Am Heart Assoc, 9(10), e016153.
  9. Tonna JE, Selzman CH, Girotra S, Presson AP, Thiagarajan RR, Becker LB, Zhang C, Keenan HT, American Heart Associations Get With the GuidelinesResuscitation Investigators (2020). Patient and Institutional Characteristics Influence the Decision to Use Extracorporeal Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest. J Am Heart Assoc, 9(9), e015522.
  10. Tonna JE, McKellar SH, Selzman CH, Drakos S, Koliopoulou AG, Taleb I, Stoddard GJ, Stehlik J, Welt FGP, Fair JF 3rd, Stoddard K, Youngquist ST (2020). Exploratory analysis of myocardial function after extracorporeal cardiopulmonary resuscitation vs conventional cardiopulmonary resuscitation. BMC Res Notes, 13(1), 137.
  11. Griffee MJ, Zimmerman JM, McKellar SH, Tonna JE (2019). Echocardiography-Guided Dual-Lumen Venovenous Extracorporeal Membrane Oxygenation Cannula Placement in the ICU-A Retrospective Review. J Cardiothorac Vasc Anesth, 34(3), 698-705.
  12. Nichol G, Bartos J, Tonna JE, Ferrari M (2020). Intraoperative Temperature Management. Ther Hypothermia Temp Manag, 10(1), 6-10.
  13. Levin N, Horton D, Sanford M, Horne B, Saseendran M, Graves K, White M, Tonna JE (2019). Failure of vital sign normalization is more strongly associated than single measures with mortality and outcomes. (Epub ahead of print) Am J Emerg Med.
  14. Fuller BM, Roberts BW, Mohr NM, Knight WA 4th, Adeoye O, Pappal RD, Marshall S, Alunday R, Dettmer M, Goyal M, Gibson C, Levine BJ, Gardner-Gray JM, Mosier J, Dargin J, Mackay F, Johnson NJ, Lokhandwala S, Hough CL, Tonna JE, Tsolinas R, Lin F, Qasim ZA, Harvey CE, Bassin B, Stephens RJ, Yan Y, Carpenter CR, Kollef MH, Avidan MS (2020). The ED-SED Study: A Multicenter, Prospective Cohort Study of Practice Patterns and Clinical Outcomes Associated With Emergency Department SEDation for Mechanically Ventilated Patients. Crit Care Med, 47(11), 1539-1548.
  15. Tonna JE, Johnson J, Presson A, Zhang C, Noren C, Lohse B, Bento H, Barton RG, Nirula R, Mone M, Marcus R (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the Cardiovascular and Surgical ICU. Crit Care Explor, 1(10), e0055.
  16. Nasr VG, Raman L, Barbaro RP, Guner Y, Tonna J, Ramanathan K, Pappalardo F, Thiagarajan RR, Alexander PMA, ELSO Registry Scientific Oversight Committee (2018). Highlights from the Extracorporeal Life Support Organization Registry: 2006-2017. ASAIO J, 65(6), 537-544.
  17. Fair J 3rd, Mallin MP, Adler A, Ockerse P, Steenblik J, Tonna J, Youngquist ST (2019). Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography. Ann Emerg Med, 73(6), 610-616.
  18. Metcalf RA, Calvaresi E, Tonna JE, Blaylock R, Pearson L (2018). Severe intravascular hemolysis following extracorporeal right ventricular assist device placement. Transfusion, 59(4), 1178-1179.
  19. Terry K, Lonardo N, Tonna JE (2019). Anticoagulation Levels and Bleeding After Emergency Department Extracorporeal Cardiopulmonary Resuscitation (DOI: 10.1007/s40138-019-00176-3). Current Emergency and Hospital Medicine Reports, (7), 1-5.
  20. Glotzbach JP, Sharma V, Tonna JE, Pettit JC, McKellar SH, Eckhauser AW, Varghese TK Jr, Selzman CH (2018). Value-driven cardiac surgery: Achieving "perfect care" after coronary artery bypass grafting. J Thorac Cardiovasc Surg, 156(4), 1436-1448.e2.
  21. Wall V, Fleming KI, Tonna JE, Nunez J, Lonardo N, Shipley RW, Nirula R, Pannucci CJ (2018). Anti-Factor Xa measurements in acute care surgery patients to examine enoxaparin dose. Am J Surg, 216(2), 222-229.
  22. Reese T, Segall N, Nesbitt P, Del Fiol G, Waller R, Macpherson BC, Tonna JE, Wright MC (2018). Patient information organization in the intensive care setting: expert knowledge elicitation with card sorting methods. J Am Med Inform Assoc, 25(8), 1026-1035.
  23. Tonna JE, Kawamoto K, Presson AP, Zhang C, Mone MC, Glasgow RE, Barton RG, Hoidal JR, Anzai Y (2018). Single intervention for a reduction in portable chest radiography (pCXR) in cardiovascular and surgical/trauma ICUs and associated outcomes. J Crit Care, 44, 18-23.
  24. Kang TS, Ko BS, Drakos SG, Stehlik J, Bott SI, Koliopoulou A, Tonna JE, Bowen ME, Stoddard K, Selzman CH, McKellar SH (2018). Safety of long-distance transfers of patients on acute mechanical circulatory support. J Surg Res, 224, 18-22.
  25. Griffee MJ, Tonna JE, McKellar SH, Zimmerman JM (2018). Echocardiographic Guidance and Troubleshooting for Venovenous Extracorporeal Membrane Oxygenation Using the Dual-Lumen Bicaval Cannula. J Cardiothorac Vasc Anesth, 32(1), 370-378.
  26. Slack S, Stocklein H, Tonna JE, Younquist ST (12/2/2017). ECMO & ECPR: The new load & go destination for cardiac arrest? JEMS.
  27. Tonna JE, Selzman CH, Mallin MP, Smith BR, Youngquist ST, Koliopoulou A, Welt F, Stoddard KD, Nirula R, Barton R, Fair JF 3rd, Fang JC, McKellar S (2017). Development and Implementation of a Comprehensive, Multidisciplinary Emergency Department Extracorporeal Membrane Oxygenation Program. Ann Emerg Med, 70(1), 32-40.
  28. Reese TJ, Kawamoto K, Del Fiol G, Weir C, Tonna J, Segall N, Nesbitt P, Waller R, Borbolla D, Moretti E and Wright MC (06/21/17). Approaching the Design of an Information Display to Support Critical Care. IEEE Int Conf Healthc Inform.
  29. Tonna JE, DeBlieux PM (2017). Awake Laryngoscopy in the Emergency Department. J Emerg Med, 52(3), 324-331.
  30. Tonna JE, Johnson NJ, Greenwood J, Gaieski DF, Shinar Z, Bellezo JM, Becker L, Shah AP, Youngquist ST, Mallin MP, Fair JF 3rd, Gunnerson KJ, Weng C, McKellar S, Extracorporeal REsuscitation ConsorTium ERECT Research Group (2016). Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United States: The current state of the art of Emergency Department extracorporeal membrane oxygenation (ED ECMO). Resuscitation, 107, 38-46.
  31. Fair J, Tonna J, Ockerse P, Galovic B, Youngquist S, McKellar SH, Mallin M (2016). Emergency physician-performed transesophageal echocardiography for extracorporeal life support vascular cannula placement. Am J Emerg Med, 34(8), 1637-9.
  32. Tonna JE, Lewin MR, Mensh B (2010). A case and review of noma. PLoS Negl Trop Dis, 4(12), e869.
  33. Tonna JE, Balanoff AM, Lewin MR, Saandari N, Wintermark M (2010). Potentially low cost solution to extend use of early generation computed tomography. West J Emerg Med, 11(5), 463-9.
  34. Tonna J, Palefsky JM, Rabban J, Campos GM, Theodore P, Ladabaum U (2010). Esophageal verrucous carcinoma arising from hyperkeratotic plaques associated with human papilloma virus type 51. Dis Esophagus, 23(5), E17-20.
  35. Tonna JE, Lewin MR, Hahn IH, Platts-Mills TF, Norell MA (2009). A prospective, multi-year analysis of illness and injury during summer travel to arid environments. Wilderness Environ Med, 20(2), 107-12.

Book Chapter

  1. Tonna JE (2013). TTP, HUS and DIC. In Shah K, Lee J, Medlej K and Weingart SD (Eds.), Practical Emergency Resuscitation and Critical Care. Cambridge University Press.
  2. Tonna JE, Bohn HH, Lewin MR (2012). Methylene Blue Joint Injection. In Reichman EF (Ed.), Emergency Medicine Procedures (2nd Ed., pp. 517-22). New York, NY.

Editorial

  1. Tonna JE, Gattinoni L, Keenan HT (2019). Beyond Tidal Volume in Acute Respiratory Distress Syndrome: Semiautomated Screening and Novel Ventilator Concepts. Ann Am Thorac Soc, 16(10), 1238-1240.

Letter

  1. Acharya D, Torabi M, Borgstrom M, Rajapreyar I, Lee K, Kern K, Rycus P, Tonna JE, Alexander P, Lotun K (2020). Extracorporeal Membrane Oxygenation in Myocardial Infarction Complicated by Cardiogenic Shock: Analysis of the ELSO Registry. [Letter to the editor]. J Am Coll Cardiol, 76(8), 1001-1002.
  2. Tonna JE, Peltan I, Brown SM, Herrick JS, Keenan HT, University of Utah Mechanical Power Study Group (2020). Mechanical power and driving pressure as predictors of mortality among patients with ARDS. [Letter to the editor]. Intensive Care Med.
  3. Taleb I, Koliopoulou AG, Tandar A, McKellar SH, Tonna JE, Nativi-Nicolau J, Alvarez Villela M, Welt F, Stehlik J, Gilbert EM, Wever-Pinzon O, Morshedzadeh JH, Dranow E, Selzman CH, Fang JC, Drakos SG (2019). Shock Team Approach in Refractory Cardiogenic Shock Requiring Short-Term Mechanical Circulatory Support: A Proof of Concept. [Letter to the editor]. Circulation, 140(1), 98-100.

Abstract

  1. Deepak Acharya, Mohammad Torabi, Mark Borgstrom, Kwan Lee, Karl B Kern, Ranjith Shetty, Indranee Rajapreyar, Peter Rycus, Joseph Tonna, Peta Alexander and Kapildeo Lotun (2020). CLINICAL CHARACTERISTICS AND OUTCOMES OF PATIENTS WITH MYOCARDIAL INFARCTION AND CARDIOGENIC SHOCK RECEIVING EXTRACORPOREAL LIFE SUPPORT [Abstract]. 75(11).
  2. Qadir N, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Management of US Patients with ARDS Requiring ECMO: Results of the Severe ARDS Generating Evidence (SAGE) Study. ; 2018;197:A5116
 [Abstract]. Am J Respir Crit Care Med, 197, A5116.
  3. Qadir N, Park PK, Bartz RR, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Use of Adjunctive Therapy in ARDS: Results from the Severe ARDS Generating Evidence (SAGE) Study [Abstract]. Am J Respir Crit Care Med, 197, A5071.
  4. Bartz RR, et al including Tonna JE, for the SAGE Investigators (06/01/2018). Differences Between ARDS Patients Transferred to Tertiary Care Centers Compared to Direct Admissions: Results from the Severe ARDS Generating Evidence (SAGE) Study [Abstract]. Am J Respir Crit Care Med, 197, A1119.
  5. Taleb I, Koliopoulou A, Tandar A, McKellar S, Nativi-Nicolau J, Wever-Pinzon O, Gilbert E, Fang J, Stehlik J, Tonna JE, Morshedzadeh J, Ko B, Owan T, Ibrahim H, Selzman C, Welt F, Drakos S (3/30/2018). Feasibility and Effectiveness of a Shock Team Approach in Refractory Cardiogenic Shock: Preliminary Results [Abstract]. The Journal of Heart and Lung Transplantation, 37(4S), S316.
  6. Fair J, Adler A, Mallin M, Ockerse P, Tonna J, Youngquist ST (11/14/2017). The Association Between Transthoracic Echocardiography, Transesophageal Echocardiography, and No Ultrasound Use on the Duration of Pulse Checks During Cardiopulmonary Resuscitation [Abstract]. Circulation, 136(Suppl 1), A21244-A21244.
  7. Lohse B, Johnson J, Yolken H, Noren C, Marcus R, Tonna JE (2017). Early Mobility for Critically Ill Patients in the Cardiovascular Intensive Care Unit Decreases Acute Length of Staydoi: 10.1097/CPT.0000000000000052 [Abstract]. Cardiopulonary Physical Therapy Journal, 28(1), 22-32.
  8. Terry K, Tonna J (2016). Anticoagulation Levels and Bleeding After Emergency Extracorporeal Cardiopulmonary Resuscitation DOI: 10.1097/01.ccm.0000508931.37235.df [Abstract]. Critical Care Medicine, 44(12), 140.
  9. Tonna J, Johnson J, Noren C, Cannon M, Marcus R, Presson A, Nirula R (2016). Ceiling Effect From Aggressive Early Mobility In Critically Ill Surgical PatientsDOI: 10.1097/01.ccm.0000509861.15936.e4 [Abstract]. Critical Care Medicine, 44(12), 372.
  10. Ito, Noritoshi, Gaieski, David F, Hirose, Hitoshi, Tonna, Joseph, Nishiyama, Kei, Kitamura, Nobuya, Sakamoto, Tetsuya, Nonogi, Hiroshi, Nagao, Ken (2016). Abstract 19037: Current Status of Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest Patients in Japan - The Results of Nationwide Questionaire [Abstract]. Circulation, 134(S1).
  11. Martin LA, Tonna JE, Brooke BS (2016). Predicting ICU Readmission Among Surgical Patients: Development and Validation of a Predictive Nomogram [Abstract]. American College of Surgeons Clinical Congress 2016, 223(4), S43.
  12. Tonna JE, Kawamoto K, Presson A, Zhang C, Mone M, Glasgow R, Barton RG, Hoidal J, Anzai Y (2016). Pragmatic Single Intervention for A Sustained Reduction in Portable Chest Radiography (pCXR) in Cardiovascular and Surgical/Trauma Intensive Care Units and Associated Outcomes [Abstract]. CHEST Journal, 150(4_S).
  13. Katherine Reigstad, Ragheed Al-Dulaimi, Mary Mone, Joseph Tonna, Richard Barton, Larry S Kraiss, Benjamin S Brooke (2016). Predicting ICU Readmission Among Vascular Surgery Patients: Development of A Predictive Nomogram [Abstract]. Annals of Vascular Surgery, 34, 29-30.
  14. Kang T, Ko B, Drakos SG, Stehlik J, Gilbert EM, Nativi-Nicolau J, Wever-Pinzon O, Fang JC, Koliopoulou A, Bott SI, Tonna JE, Selzman CH, McKellar SH (2016). Clinical Experience with Long-Distance Transportation of Patients on Acute Mechanical Circulatory Support Devices. [Abstract]. The Journal of Heart and Lung Transplantation, 35(4), S392-S393.
  15. Tonna JE, Clark CR, Fogg BR, Youngquist S (2015). End-tidal Carbon Dioxide During Resuscitation is Associated With CPR Depth and Ventilatory Rate [Abstract]. American Heart Association Circulation, 132(2015), A17380.

Other

  1. Tonna JE, Hanson HA, Cohan JN, McCrum ML, Horns JJ, Brooke BS, Das R, Kelly BC, Campbell AJ, Hotaling J (2020). Balancing revenue generation with capacity generation: Case distribution, financial impact and hospital capacity changes from cancelling or resuming elective surgeries in the US during COVID-19. United States.
  2. Reigstad K, Al-Dulaimi R, Mone M, Tonna JE, Barton RG, Kraiss LS, Brooke BS (02/07/2016). Predicting ICU Readmission Among Vascular Surgery Patient: Development of A Predictive Nomogram. (2016). Park City: Vascular Endovascular Surgical Society Winter Meeting.
  3. Tonna JE, Rapoport L, Swaminathan A (2014). Intubating the Hemodynamically Unstable Patient. EM Resident Magazine.

Video/Film/CD/Web/Podcast

  1. EMA (05/01/2017). Interview. Joseph Tonna. Emergency Medicine: Reviews and Perspectives (EM:RAP) Emergency Medical Abstracts (EMA). "Practice Characteristics Of Emergency Department Extracorporeal Cardiopulmonary Resuscitation (eCPR) Programs In The United States: The Current Sate Of The Art Of Emergency Department Extracorporeal Membrane Oxygenation (ED ECMO). [Podcast]. EM:RAP. Available: www.emrap.org.
  2. Tonna, JE (09/12/2016). Extracorporeal Cardiopulmonary Resuscitation in the Emergency Department [Web]. American College of Emergency Physicians, Critical Care Section Newsletter. Available: https://www.acep.org/_Critical-Care-Section-MicroSite/Extracorporeal-Cardiopulmonary-Resuscitation-in-the-Emergency-Department/.
  3. Tonna J, Youngquist S, McKellar S, Shinar Z (06/09/2016). The University of Utah EDECMO Experience and the ERECT Collaborative [Podcast]. ED ECMO Podcast. Available: http://edecmo.org/edecmo-28-utah/.

Patent

  1. Joseph Tonna (2019). Systems and methods for managing patient devices. U.S. Patent No. Application #: 15354724. Washington, D.C.:U.S. Patent and Trademark Office.

Global Impact

Selected Provider Publications

Abstract

  1. Ito, Noritoshi, Gaieski, David F, Hirose, Hitoshi, Tonna, Joseph, Nishiyama, Kei, Kitamura, Nobuya, Sakamoto, Tetsuya, Nonogi, Hiroshi, Nagao, Ken (2016). Abstract 19037: Current Status of Extracorporeal Cardiopulmonary Resuscitation for Cardiac Arrest Patients in Japan - The Results of Nationwide Questionaire [Abstract]. Circulation, 134(S1).
    Global Impact: Japan, Japan, Japan.

Service

09/12/2019 Chair Extracorporeal Life Support Organization, ELSO Scientific Oversight Committee Americas
10/17/2017 Committee Member Registry Scholarly Oversight Committee (SOC) Global

Family Satisfaction of Care in ICU

Description: Recruiting Keywords: survey, retrospective, data collection Principal Investigator: Joseph Tonna

ICECAP

Description: Not yet recruiting Keywords: Cardiac arrest, Hypothermia Principal Investigator: Joseph Tonna

Videos

Surgery MED Talks- Sleep in the ICU

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