Deborah A. Kuhls, M.D., F.A.C.S.
Chief, Section of Critical Care

University of Nevada School of Medicine
2040 W. Charleston Boulevard, Suite 302
Las Vegas, NV 89102
Office: (702) 671-2201
Fax: (702) 385-9399
Email: dkuhls@med.unr.edu

Education

1979-1982 BA Villanova University, Villanova, PA
Magna cum Laude. Phi Beta Phi Honorary Society.

1987-1989 University of Pennsylvania, Philadelphia, PA
Post Baccalaureate Premedical Program.

1989-1993 MD Medical College of Pennsylvania, Philadelphia, PA
Doctor of Medicine.

Training

1993 – 1995 Resident in General Surgery, PGY 1-2
Medical College of Pennsylvania,
Philadelphia, PA

1995 – 1996 Clinical Fellow in Surgical Critical Care
Hahnemann University,
Philadelphia, PA

1996 – 1999 Resident in General Surgery
Albert Einstein College of Medicine,
Montefiore Medical Center
Bronx, NY

1999 – 2000 Fellow in Critical Care and Trauma,
University of Maryland,
R Adams Cowley Shock Trauma Center,
Baltimore, MD

Academic Appointments

2002 to present Medical Student Clerkship Director
3rd and 4th year clerkships

2000 to present University of Nevada at Las Vegas
Assistant Professor of Surgery
Chief, Section of Critical Care

Hospital Appointments

2004 to present: Attending, Health South Rehabilitation Center at three locations in Las Vegas, Nevada

2003 to present Attending Surgeon, Critical Care, Health South Rehabililtation Hospital

2000 to present Attending Surgeon, General Surgery, Trauma Surgery and Critical Care, University Medical Center, Las Vegas, NV

2000 to present Medical Director, Trauma Intensive Care Unit (14-bed ICU), University Medical Center, Las Vegas, NV

Licensure and Certification

2005 - present ATLS Course Director
2003 Fellow, American College of Surgeons
2002 Board Certified in General Surgery (#47327)
2002 Board Certified in Surgical Critical Care (#056359)
1995 Diplomat, National Board of Medical Examiners
2000 Nevada State Medical License #9489
1993 – present ATLS Provider Certification
2003 – present ATLS Instructor
1993 – present ACLS Provider Certification

Honors and Awards

1982 Phi Beta Phi Honorary Society
Villanova University

1989 – 1993 Student Government Association
Medical College of Pennsylvania

1990 Honor Court Representative
Medical College of Pennsylvania

1991 – 1992 Student Delegate to AAMC Annual Conference

1991 – 1993 Class President
Medical College of Pennsylvania

1992 Selected by Surgery Clerkship Director to attend the American College of Surgeons Annual Meeting, New Orleans

1993 Eva Fernandez Fox Award for personal integrity, stability, Responsibility and loyalty to the Medical College of Pennsylvania

1993 Elizabeth D. Labovitz Award for Excellence in Renal Physiology, Medical College of Pennsylvania

2000 Administrative Fellow, University of Maryland

2000 Certificate of Appreciation, U.S. Army Special Operations Command

2000 2nd Place Award, Resident Trauma Paper Competition, Region IX American College of Surgeons, Committee on Trauma. Kuhls DA, Malone DA, Napolitano LM. Predictors of mortality in adult trauma patients: The physiologic trauma score (PTS, a model including SIRS Score, GCS and age) is equivalent to TRISS.

2004 Recipient Nevada Regent’s Academic Advisory Award

2004 Clinical Teacher of the Year Award, Graduating Class of 2004

2004 Recipient, Faculty Research Grant, Department of Surgery

2005 Outstanding full-time Clinical Teacher – Las Vegas Award, Graduating Class of 2005

Professional Society Memberships

1994 - American College of Surgeons
1993 - American Medical Association
1993 - Association of Women Surgeons
2000 - Society of Critical Care Medicine
2000 - Southwest Surgical Association
2001 - Nevada Committee on Trauma
2002- Nevada State Medical Association
2002- Clark County Medical Society
2003 - American College of Chest Physicians
2004 - Eastern Association for the Surgery of Trauma
2005- present The Association for Surgical Education
2006 Application in progress, American Association for the Surgery of Trauma

Academic Committee Appointments

1989 University of Pennsylvania, Philadelphia, PA
Admissions Committee, College of General Studies

1991 – 1993 Medical College of Pennsylvania, Philadelphia, PA
Medical Education Task Force
Curriculum Evaluation Committee
Patient Satisfaction Committee
Family Medicine Department Chair Search Committee

2002 to present Curriculum Committee, Years 3 & 4, University of Nevada School of Medicine

2002 LCME Review, University of Nevada School of Medicine

2002 to Present Compliance Committee, University of Nevada School of Medicine

2003 to 2004 Dean Search Committee, University of Nevada School of Medicine

2003 to present Nevadan into Medicine Program, University of Nevada School of Medicine
Featured speaker, mentor

2003 to present Advance Program for Pemedical Students, University of Nevada School of Medicine

2004 to 2005 Faculty Council, University of Nevada School of Medicine

2004 to present Admissions Committee, University of Nevada School of Medicine

2004 to 2005 University of Nevada School of Medicine, Internal Medicine Chair Search Committee

2004 Anatomy Course Review Committee, University of Nevada School of Medicine

2004 Nutrition Course Review Committee, University of Nevada School of Medicine

2004 to present Surgery Interest Group Faculty Leader, University of Nevada School of Medicine

2004 to 2005 Faculty Council, University of Nevada School of Medicine

2004 to 2005 Internal Medicine Chair Search Committee, University of Nevada School of Medicine

2004 Anatomy Course Review Committee, University of Nevada School of Medicine

2004 Nutrition Course Review Committee, University of Nevada School of Medicine

2005 to present Clinical Mentor Program, University of Nevada School of Medicine

2005 to present Women in Medicine Program at University of Nevada School of Medicine

2006 to present Obstetrics & Gynecology Chair Search Committee, University of Nevada School of Medicine

Hospital Committee Appointments

2001 to present University Medical Center, Performance Improvement Committee

2002 to 2003 University Medical Center, Special Care Committee

2002 to present University Medical Center, Chair, Nutrition Sub-Committee, Pharmacy & Therapeutics Committee

2002 to present University Medical Center, Infection Control Committee

2002 to present University Medical Center, Patient Safety Committee

2003 to present University Medical Center, Respiratory Council

2004 to present University Medical Center, Pharmacy & Therapeutics Committee

2004 to present University Medical Center, Nominating Committee

2006 to present University Medical Center, Sepsis Committee

Regional and National Committee Memberships and Offices

2000 to 2003 American College of Surgeons, Council of Representatives of the Candidate and Associate Society. Elected Member at Large.

2001 to present Eastern Association for the Surgery of Trauma
Multi-Institutional Trials Committee
Injury Prevention Committee

2001 to present National Healthcare Standards Leadership Committee, Family Violence Prevention Fund

2001 to present Nevada Network Against Domestic Violence Healthcare Standards Leadership Team

2002 to present National Advisory Committee, Suicide Prevention Research Center

2002 to present American College of Surgeons, Certified Faculty Ultrasound Instructor

2002 to present Vice Chair, State of Nevada Committee on Trauma

2002 to present Trauma Advisory Board, Ortho Biotech, Division of Johnson & Johnson

2002 to present Critical Care Advisory Board, Ortho Biotech, Division of Johnson & Johnson

2003 to present Committee on Trauma, American College of Surgeons
Injury Prevention Committee participation
Outcomes Committee participation

2003 to present American College of Surgeons Committee on Applicants, Nevada District #1

2004 to present The Southwestern Surgical Congress, Nevada State Councilor

2006 to present Society of Critical Care Medicine Surgery Committee

Volunteer/Community Service

2001 to present Southern Nevada Domestic Violence Task Force

2001 to present Mentoring of undergraduate and other students interested in becoming a physician.

2003 to present Nevadans Into Medicine Program. Features speaker, mentor.

2003 to 2004 Rancho High School Mentor for Pre-Professional Program.

2001 to present Nevada Network against Domestic Violence

2001 to present Mentoring of undergraduate and other students interested in becoming a physician.

2002 to present UNSOM Physician Shadowing Program. One day or longer shadowing experience

2003 to present UNSOM Advance Program for accepted medical students. Presented overview of clinical education at UNSOM.

2004 and 2005 UNSOM Nevadans into Medicine Program. Featured speaker: Trauma surgery.

2003 to present UNSOM Surgery Interest Group: Faculty founder and faculty advisor

2005 to present University of Nevada Clinical Mentoring Program

Research Experience

1988 University of Pennsylvania, Philadelphia, PA
One semester project studying the reproductive cycle of Strongyloides stercoralis.

1989 Medical College of Pennsylvania, Philadelphia, PA
Summer Research Fellowship, marital satisfaction in Long-married couples.

1997 – 1999 Jacobi Medical Center, The Albert Einstein School of Medicine.
Clinical Research on gastric tonometry and trans-pulmonary lactate measurements in SICU patients with PA catheters.

1998 – 1999 Jacobi Medical Center, The Albert Einstein School of Medicine
Clinical research on negative trauma laparotomies and the role of laparoscopy in penetrating trauma (peer-reviewed paper)

1999 – 2000 University of Maryland, Baltimore, MD
SIRS Score as a predictor of ICU resource utilization, resuscitation requirements and outcome in trauma patients (multiple peer-reviewed papers)

1999 – 2000 University of Maryland, Baltimore, MD
Impact of blood transfusion on outcome in critically ill trauma patients (presentation)

2000 – Present University of Nevada School of Medicine, Las Vegas, NV
Clinical Research projects include ARDS and the role of Peep, immune-enhanced enteral feeding in severely injured trauma patients, the impact of antibiotic rotation on resistant bacterial infections, anemia and the role of recombinant erythropoietin in severely injured trauma patients (presentations, published abstracts, peer-review articles, multi-institutional trials)

2001 – 2004 Suicide Prevention Research Center, Trauma Institute
University of Nevada School of Medicine, Las Vegas, NV
Collaborator on a grant from the Center for Disease Control and Prevention Focus on data-driven suicide epidemiology and prevention.

2003 to present Nutrition in Critically Injured Trauma Patients (funded research, data analysis in progress

2004 to present Beta blockade in resuscitated trauma patients: impact on metabolic parameters

Presentations

1. Kuhls DA. Marital satisfaction in long-married couples: the role of social networks. Paper Presentation at Student Research Forum, Medical College of Pennsylvania, February, 1991.
2. Kuhls DA. Focused ultrasonography in adult trauma. Grand Rounds presentation, Montefiore Medical Center, January 1999.
3. Kuhls DA, Simon RJ. Negative laparotomy rates: Are we getting better? Poster Presentation at the Annual Meeting of the American Association for the Surgery of Trauma, Boston, MA, September 1999.
4. Kuhls DA, Simon RJ. Negative laparotomies for trauma: Is there a role for laparoscopy? Paper presentation, American College of Surgeons Committee on Trauma Resident Paper Competition, Baltimore, MD, October 1999.
5. Malone DL, Kuhls DA, Napolitano L et al. Back to basics: Validation of the admission Systemic Inflammatory Response Syndrome (SIRS) Score in predicting outcome in trauma. Winner, Regional Military Trauma Center Paper Competition, September 2000.
6. Browder TD, Kuhls DA, Fildes JJ. Nonoperative management of hepatic and splenic injuries with severe closed head injury. American College of Surgeons Committee on Trauma Region IX Resident Paper Competition, December 2000.
7. Kuhls DA, Malone DL, Napolitano LM et al. Predictors of mortality in trauma patients: The Physiologic Trauma Score (A model including systemic inflammatory response syndrome, Revised Trauma Score and Age) is equivalent to TRISS. American College of Surgeons Surgical Forum, October 2000.
8. Kuhls, DA, Landry, VA, Rabeau, JA Snavely, E, Fildes JJ: Hispanic ethnicity, male gender and age are determinants of restraint use and hospital resource utilization in Nevada pediatric trauma patients. Poster presentation at the Eastern Association for the Surgery of Trauma, 2002.
9. Browder LK, Kuhls DA, Frisch D, Martinez J, Fildes JJ: The effect of antibiotic rotation on multi-drug resistant pneumonia in a trauma intensive care unit. American College of Surgeons Committee on Trauma Region IX Resident Paper Competition, December 2002.
10. Kuhls DA, Domestic Violence: What is the Physician’s Role? Nevada Academy of Family Physicians annual meeting, September 2002.
11. Kuhls DA, Fullerton L, Fildes JJ, Shires GT: East response to suicide as a public health problem. Injury Prevention Committee, Eastern Association for the Surgery of Trauma, 2003.
12. Shapiro AM, Kuhls DA, Coates JE, MacIntyre D, Fildes JJ: Development of rare post-traumatic post-embolization splenic pseudocyst: etiology and management. Case Presentation at the 55th Annual Meeting of the Southwestern Surgical Congress, April 2003.
13. MacIntyre D, Spinale R, Coates JE, Kuhls DA, Fildes JJ: Evacuation of venous congestion from traumatic hand-injured patients on warfarin with the use of hirudo medicinalis. Poster Presentation at the 55th Annual Meeting of the Southwestern Surgical Congress, April 2003. Included on Top Ten Resident Posters.
14. Browder LK, Kuhls DA, Larson, JL, Frisch D, Martinez J, Fildes JJ: The effect of antibiotic rotation on multi-drug resistant pneumonia in a trauma intensive care unit. George C. Bierkamper Student Research Convocation, University of Nevada, 2003.
15. Browder LK, Kuhls, DA, Frisch D, Martinez J, Fildes, JJ: Antibiotic Rotation and De-escalation Decreases Multi-drug Resistant (MDR) Pneumonia in Trauma Critical Care Patients, American College of Chest Physician’s Annual Meeting, October 2003.
16. MacIntyre, AD, Kuhls, DA. Kinematics, Blunt Neck and Chest Trauma Lectures. Cadaver Laboratory demonstrating mechanism of injury and pre-hospital identification of possible injuries. Las Vegas, NV, 2003.
17. Kuhls DA, Sisley A: Suicide: A Public Health Crisis. Plenary Session at the Seventeenth Annual Meeting of the Eastern Association for the Surgery of Trauma, 2004.
18. Steljes TPV, Fullerton-Gleason L, Kuhls D, Shires GT, Fildes J: Epidemiology of Suicide and the Impact in Western Trauma Centers. Western Trauma Annual Meeting, February 2004.
19. Persons B, Kuhls DA, MacIntyre AD, Scalea TM, Coates JE, Fildes JJ: Abdominal Wall Hernias Following Blunt Trauma. Presented at the 56th Annual Meeting of the Southwestern Surgical Congress, April 2004.
20. Kuhls DA: Respiratory Challenges in Trauma Patients. 19th Annual Respiratory Health Conference, American Lung Association, Las Vegas NV, May 10-11, 2004.
21. Kuhls DA: From Banking to Trauma Surgery….Not a Gamble. Deans Assistants Group Annual Meeting, Las Vegas NV, March 2004.
22. Kuhls DA: Invited Pre-Congress Faculty Speaker on Trauma Systems. 32nd Phramongkutklao Annual Scientific Meeting, Bangkok, Thailand, 2004.
23. Browder, T, Kuhls DA, Fildes JJ: Computed tomography is Safe and Cost Effective for Asymptomatic Penetrating thoracic injuries. Region IX American College of Surgeons Committee on Trauma Resident Paper Competition, 2004.
24. Tsuda S, Kuhls DA, Caplan J, Dunn K, Fildes J: Cecal Bascule: A Case Report and Review of the Literature. Submitted to the 57th Annual Meeting of the Southwestern Surgical Congress, 2005, pending notification.
25. Davis AK, Kuhls DA, Wulff R, Fildes J, MacIntyre A, Coates J, Zamboni WA: Heterotopic Ossification Following Blunt Abdominal Trauma. Accepted for presentation at the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
26. Browder TD, Sara J, Kuhls DA, Fildes JJ: Bilateral atrial ruptures following blunt thoracic trauma. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
27. Johnson M, Kuhls DA, Frisch D, Fildes J. Protocol driven electrolyte replacement in the Trauma ICU: Resident impact. Oral presentation, Region IX American College of Surgeons Committee on Trauma Resident Paper Competition, 2005.
28. Fisher O, Browder TD, Kuhls DA, Fildes JJ: Blunt traumatic occlusion of the left anterior descending artery: two case reports. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
29. Kuhls DA, Rathmacher JA, MacIntyre AD, Coates JE, Fildes JJ: B-hydroxy-B-methylbutyrate improves nitrogen balance in critically injured adult trauma patients. Oral presentation, American Association for the Surgery of Trauma, September 2005.
30. Kuhls DA. Led a team of four healthcare professionals from UNSOM and UMC to participate in a two day program on Trauma Care Systems at Phramongkutklao Hospital and College of Medicine, Thailand, 2005.
31. Kuhls DA. Led a team of four healthcare professionals from UNSOM and UMC to participate in a one day program on Trauma Care from injury to definitive care at Chiamgmai University, Thailand, 2005.
32. Kuhls DA. Responding to Domestic Violence: Screening and Clinical Management. Interdisciplinary Grand Rounds, UNSOM, 2005.
33. Smith J, Kuhls DA, Browder L, Larson J, Frisch D et al. Six years of antibiotic rotation and de-escalation for pneumonia in trauma intensive care unit: Lessons learned and implications. Poster presentation society of Critical Care Medicine, 2006.
34. Smith J, Kuhls DA, Browder L, Frisch D, Leslie V, Fildes J. Six years of antibiotic rotation and de-escalation for pneumonia in trauma intensive care unit: Lessons learned and implication. Bierkamper Research Convocation, 2006.
35. Kuhls, DA, Traumatic and Blast Lung Injuries: Challenges and Opportunities, 21st Annual Respiratory Health Conference, American Lung Association, Las Vegas Nevada, 2006.
36. Kuhls, DA, Trauma Surgery: The Good, the Bad and the Ugly. Association of Surgical Technologists, Las Vegas, Nevada, 2006.
37. Browder TD, Kuhls DA, Fildes JJ: Computed Tomography is Safe and Cost Effective for Asymptomatic Penetrating Thoracic Injuries. Poster Presentation, American Association for the Surgery of Trauma, 2006.
38. Kuhls DA, Chino M, Angeles AC, Holland S, Fildes JJ. Who are the self pay trauma patients? Financial implications for trauma centers. Submitted to Western Trauma Meeting, January 2007.

Published Abstracts

1. Kuhls DA, Simon RJ. Negative Laparotomy Rates: Are We Getting Better? Proceedings of the 59th Annual Meeting of the American Association for the Surgery of Trauma, September 1999.
2. Kuhls DA, Malone DL, Napolitano LM et al. Predictors of mortality in trauma patients: The Physiologic Trauma Score (A model including systemic inflammatory response syndrome, Revised Trauma Score and Age) is equivalent to TRISS. Owen H. Wangensteen Surgical Forum, Volume LI, October 2000.
3. Browder T, Kuhls, DA, Fildes, JJ: Severe head injury and nonoperative management for blunt liver and spleen trauma. Proceedings of the Sixty-First Annual Meeting of the American Association for the Surgery of Trauma, 2001.
4. Rabin J, Kuhls DA, Simon RJ: The impact of increased utilization of laparoscopy on negative laparotomy rates after penetrating trauma. Proceedings of the Sixty-first Annual Meeting of the American Association for the Surgery of Trauma, 2001.
5. Malone DL Kuhls DA, Napolitano LM et al. Back to Basics: Validation of the admission systemic inflammatory response syndrome (SIRS) score in predicting outcome in trauma. Proceedings of the 14th Scientific Assembly of the Eastern Association for the Surgery of Trauma, January 2001.
6. Malone DL, Kuhls DA, Napolitano LM et al. Blood Transfusion in the first 24 hours is associated with systemic inflammatory response syndrome (SIRS) and worse outcome in trauma. Proceedings of the Society for Critical Care Medicine Annual Meeting, February 2002.
7. Rendon LR, Coates JE, Kuhls DA, Fildes JJ: The usefulness of MR Imaging of the cervical spine in patients with negative plain radiographs and/or CT Imaging. Proceedings of the 31st Annual Meeting of Western Trauma Association, 2002.
8. Kuhls, DA, Landry, VA, Rabeau, JA Snavely, E, Fildes JJ: Hispanic ethnicity, male gender and age are determinants of restraint use and hospital resource utilization in Nevada pediatric trauma patients. Proceedings of the Fifteenth Scientific Assembly of the Eastern Association for the Surgery of Trauma, 2002.
9. Shapiro AM, Kuhls DA, Coates J, MacIntyre D, Fildes JJ: Development of rare post-traumatic post-embolization splenic pseudocyst: etiology and management. Proceedings of the 55th Annual Meeting of The Southwestern Surgical Congress, 2003.
10. Browder LK, Kuhls DA, Frisch D, Martinez JG, Fildes JJ: Antibiotic Rotation and d-escalation decreases multi-drug resistant (MDR) pneumonia in trauma critical care patients. Chest, October 2003, 124(4S):91S.
11. Casey MJ, Kuhls DA, Coates JE, MacIntyre AD, Fildes JJ: Continuous rotation of trauma patients with adult respiratory distress syndrome (ARDS): Results of a case series. Critical Care Medicine, December 2003, 31(12):A97.
12. Malone DL, Kuhls DA, Napolitano LM et al. Blood Transfusion in the first 24 hours is associated with systemic inflammatory response syndrome (SIRS) and worse outcome in trauma. Proceedings of the Society for Critical Care Medicine Annual Meeting, February 2002. J Trauma 54(5):898-07, May 2003.
13. Persons B, Kuhls DA, MacIntyre AD, Scalea TM, Coates JE, Fildes JJ: Abdominal Wall Hernias Following Blunt Trauma. Proceedings of the 56th Annual Meeting of the Southwestern Surgical Congress, April 2004.
14. Steljes TPV, Fullerton-Gleason L, Kuhls D, Shires GT, Fildes J: Epidemiology of Suicide and the Impact in Western Trauma Centers. J Trauma 56(2):461, 2005.
15. Davis AK, Kuhls DA, Wulff R, Fildes JJ, MacIntyre AD, Coates JE, Zamboni WA: Heterotopic ossification following blunt abdominal trauma. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
16. Browder TD, Sara J, Kuhls DA, Fildes JJ: Bilateral atrial ruptures following blunt thoracic trauma. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
17. Tsuda S, Kuhls DA, Caplan J, Dunn K, Fildes J: Cecal Bascule: A case report and review of the literature. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
18. Fisher O, Browder TD, Kuhls DA, Fildes JJ: Blunt traumatic occlusion of the left anterior descending artery: two case reports. Proceedings of the 57th Annual Meeting of the Southwestern Surgical Congress, 2005.
19. Kuhls DA, Rathmacher JA, Musngi MD, Frisch D, Barber A, MacIntyre AD, Coates JE, Browder TD, Eubanks P, Fildes JJ. B-hydroxy-B-methylbutyrate improves nitrogen balance in critically injured adult trauma patients. J Trauma 59(2): 522, 2005.
20. Smith J, Kuhls DA, Browder L, Larson J, Frisch D, Greenberg A, Leslie V, Ayoub A, MacIntyre A, Coates J, Fildes J. Six years of antibiotic rotation (AR) and de-escalation (DE) for pneumonia in a trauma intensive care unit (TICU): lessons learned and implications. Critical Care Medicine 33(12) S: A158 (Abstract 189T), 2005.

Original Reports

1. Malone DL, Kuhls DA, Napolitano LM et al. Back to basics: Validation of the admission systemic inflammatory response syndrome (SIRS) score in predicting outcome in trauma. J Trauma 2001 Sep; 51(3):458-63.
2. Simon, RJ, Rabin, J, Kuhls, DA: Impact of Increased Use of Laparoscopy on Negative Laparotomy Rates after Penetrating Trauma. J Trauma, 2002 Aug; 53(2):297-302.
3. Kuhls DA, Malone DL, Napolitano LM et al. Predictors of mortality in trauma patients: The Physiologic Trauma Score is equivalent to TRISS. J Am Coll Surg June 2002, 194(6):695-704.
4. Malone DL, Kuhls DA, Napolitano LM et al. Blood Transfusion in the first 24 hours is associated with systemic inflammatory response syndrome (SIRS) and worse outcome in trauma. Submitted to Critical Care Medicine.
5. Kuhls DA, Fullerton L, Rabeau JA, Landry VA, Snavely E, Fildes JJ: Hispanic ethnicity, male gender and age are determinants of restraint use and hospital resource utilization in Nevada pediatric trauma patients. Paper in progress.
6. Rendon LR, Kuhls DA, Coates JE, Fullerton-Gleason L, Fildes JJ: The utility of magnetic resonance imaging of the cervical spine in trauma patients with negative plain radiographs and/or computed tomography imaging. Paper in progress.
7. Browder LK, Larson JL, Kuhls DA, Frisch D, Martinez, JG, Fildes, JJ: Effect of antibiotic rotation on the development of multi-drug-resistant bacterial pneumonia in trauma critical care patients. Paper in progress.
8. Steljes TPV, Fullerton-Gleason L, Kuhls D, Shires GT, Fildes J: Epidemiology of Suicide and the Impact on Western Trauma Centers. Accepted by Journal of Trauma.
9. Nielson J, Kuhls DA, Shapiro AM, Coates J, MacIntyre AD, Fildes J: Development of rare post-traumatic, post-embolization splenic pseudocyst: Etiology and management. Paper in progress.
10. Markarian M, Kuhls D, Branas CC, Snavley E, Coates J, Fildes J: Adding geocodes to a trauma registry: Methods and applications. Submitted to Journal of Registry Management.
11. Johnson M, Markarian M, McElmeel D, Kuhls D, Coates J, Fildes J: A retained cardiac missile without motion artifact: the case of the non-blurry bullet. Submitted to J Trauma.
12. MacIntyre A, Carson D, Coates J, Kuhls D, Fildes J: Modification in technique on how to perform an emergent cricothyroidotomy in complete darkness with infrared night vision goggles and an elastic bougie. Submitted to Battlefield Medicine.
13. McLean L, Kuhls DA, MacIntyre AD, Browder, TD, Coates JE, Fildes JJ: Severe Acidemia, Base Deficit and Coumadin: An Almost Lethal Triad. Manuscript in revision based upon editorial comments.
14. Kuhls DA, Fullerton L, Rabeau JA, Landry VA, Snavely E, Fildes JJ: Hispanic ethnicity, male gender and age are determinants of restraint use and hospital resource utilization in Nevada pediatric trauma patients. Manuscript in revision based upon editorial comments.
15. Browder LK, Kuhls DA, Larson JL, Frisch D, Martinez, JG, Fildes, JJ: Effect of antibiotic rotation on the development of multi-drug-resistant bacterial pneumonia in trauma critical care patients. Manuscript in revision.
16. Tsuda S, Kuhls DA, Fildes J: Cecal Bascule Case Report or series. Planned submission to Surgical Rounds, manuscript in progress.
17. Kuhls DA, Fullerton L, Sisley A, Saridakis A, Fildes J. Suicide: A public health crisis with great impact on trauma systems. Draft presented at East meeting 2006, manuscript in progress, for submission to J Trauma.

FUNDED CLINICAL STUDIES

Principal Investigator

1. Principal Investigator: A Prospective, randomized, double blinded, multi-center trial assessing the safety and efficacy of sequential (intravenous/oral) BAY 12-8039 (moxifloxacin) 400 ml every 24 hours compared to intravenous piperacillin/tazobactam 3.375 grams every 6 hours followed by oral amoxicillin/clavulanic acid suspension 800 mg every 12 hours for the treatment of patients with complicated intra-abdominal infections, 2001-2002.
2. Principal Investigator: Occupant Protection/Child Passenger Safety grant to study socioeconomic, educational, ethnic, gender and other factors associated with child passenger restraint use and non-use. Grant from Nevada Office of Traffic Safety, 2002, $2,000.
3. Principal Investigator: Adjuvant nutrition for critically ill trauma patients. Grant from Metabolic Technologies, Inc. with subsidiary NIH funding. Prospective, randomized, blinded study to evaluate immune-enhanced additives to standard tube feedings and the impact on infection, inflammation and outcome variables, 2002-4, $100,000
4. Principal Investigator: Phase II Study entitled Comparative Pharmacokinetic and Pharmacodynamic Study of Epoetin Alfa (Procrit) in Anemic Critically Ill Patients Randomized to One of Six Dose Regimens for 15 Days. Protocol PR02-33-048. Multi-Center Trial, 2004-2005.
5. Principal Investigator: A Randomized, Double-Blind, Placebo-Controlled Study to Assess the Effect of Recombinant Human Erythropoietin on Functional Outcomes in Anemic, Critically Ill, Blunt Trauma Subjects After Hospital Discharge, Protocol PR04-15-001. Multi-Center Trial, 2004-2005.
6. Principal Investigator: Reversal of Catabolilsm by Beta-Blockade in Adult Critically Injured Trauma Patients. Recipient of Department of Surgery Research Grant Award, 2004, $5,000.
7. Principal Investigator: Phase 3 trial entitled A multi-center, randomized, double-blind, parallel group, placebo controlled trial to evaluate the efficacy and safety of activated recombinant factor VII (rFVIIa/NovoSever/NiaStase) in the treatment of refractory bleeding in severely injured trauma patients, Protocol F7Trauma-1648, submitting to IRB 2006. Expected $50,000, based upon enrollment.
8. Principal Investigator: Positional Therapy in ARDS. Retrospective review 2002 to present. Working with fourth year medical student to determine impact on lung compliance, oxygenation and survival. (Unfunded)

Co-Investigator

1. Collaborator on grant from the Center for Disease Control and Prevention to focus on data-driven suicide epidemiology and prevention, 2001 to present.
2. A Phase II, Multi-center, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Ranging Evaluation of the Safety and Efficacy of a-hANP Infusion in Patients with Acute Respiratory Distress Syndrome (ARDS). (A. Barber, Principal Investigator) 2000 – present. Protocol # SPI-001.
3. Open-Label, Comparative, Randomized, Multi-center Phase III Study of Intravenous treatment of Synercid 7.5mg/kg q 8 hours plus Aztreonam 2g q 8 hours versus Standard Therapy in the Treatment of 250 adult Evaluable Hospitalized Patients with Nosocomial Pneumonia due, at least in part, to Gram Positive Cocci. (A Barber, Principal Investigator) 2000- present. Protocol # RP59500V-311.
4. Prospective Study on Contrast CT Evaluation of Brain for Brain Death, 2003-4.
5. Prospective Study on efficacy of oral contrast in abdominal CT Scans of Adult Trauma Patients, 2002-3.
6. Improve Morbidity and Mortality through Increased Understanding of Traumatic Mechanism of Motor Vehicle Crashes. Funded by the Nevada Office of Traffic Safety to establish lectures and a cadaver laboratory to provide education to pre-hospital providers, 2003.
7. Hypopituitarism after moderate and severe head injury. Multi-site study funded by NIH Grant #R01 NS 40777. Principal Investigator Daniel F. Kelly, MD at UCLA. Principal investigator at UNSOM Jay Coates, DO, 2005-6, $60,000.
8. Is there a correlation between open abdomen secondary to trauma and the development of acute cholecystitis in the intensive care unit? Principal Investigator: A. David MacIntyre, DO., 2006 to present.

Other Employment

1987 – 1989 University of Pennsylvania, Philadelphia, PA
Assistant Director, Penn Partners mentoring Program targeting minority children interested in medicine.

1991 University of Pennsylvania, Philadelphia, PA
Academic Advisor College of General Studies.

1980-1987 Mellon Bank (East), NA, Philadelphia, PA
Middle management position reporting to Executive Vice President.
Managed professional unit with product development, project management, strategic planning and marketing responsibilities.