Samir M Fakhry

Title
InstitutionMedical University of South Carolina
DepartmentSurgery
Address
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    Charles F. Crews Professor and Chief, General Surgery
    Physician Leader, Surgical Acute and Critical Care Service Line

    Dr. Fakhry graduated from the American University of Beirut, School of Medicine in 1981. He completed his residency in general surgery and his fellowship in critical care and trauma at the University of North Carolina at Chapel Hill in 1988.

    From 1988 until 1991 he led the trauma program as Director for Trauma Services at George Washington University Medical Center in Washington D.C. In 1991, he became Director of Surgical Critical Care Services at UNC Hospitals in Chapel Hill, NC. While at UNC, he rose to the rank of Associate Professor of Surgery with Tenure and was awarded several teaching awards by the medical students and the surgical residents. He remained there until 1997 when he was recruited to the Inova Regional Trauma Center at Inova Fairfax Hospital in Falls Church, Virginia as the Chief of Trauma Services.

    From August 1997 until December 2008, he held the position of Chief, Trauma and Surgical Critical Care Services at the Inova Regional Trauma Center. He was also Associate Chair for Research and Education, Department of Surgery; Medical Director for the Inova Regional Trauma Center Injury Prevention Program and Professor of Surgery, Virginia Commonwealth University - Inova Campus. In January of 2009, Dr. Fakhry was appointed Professor of Surgery and Chief of the Division of General Surgery at the Medical University of South Carolina (MUSC) in Charleston, South Carolina. He is also the Physician Leader of the Surgical Acute and Critical Care Service line at MUSC. His clinical interests include the full spectrum of general surgery, trauma and surgical critical care and he is especially interested in the care of complex and high risk surgical patients.

    Dr. Fakhry has been heavily involved in trauma and surgical critical care research and in injury prevention. His research interests include trauma systems, medical informatics and telemedicine applications, traumatic brain injury, intestinal injury, motor vehicle crashes, aggressive driving and surgical education. He has authored over 100 peer-reviewed publications, abstracts and book chapters. He is a member of many national societies and serves on several national committees and boards. He currently serves as President of the American Trauma Society.

    Dr. Fakhry was Principal Investigator (PI) for the Crash Injury Research and Engineering Network (CIREN) Center at Inova Fairfax Hospital from May, 2000 until December, 2008. He was PI together with Dee Ford MD from September 2009 until March 2012 on an NIH funded research project entitled “Critical Care Excellence in Sepsis and Trauma” (CREST). The goal of CREST was to improve patient outcomes for sepsis and trauma by educating providers and providing access to specialist consultation via telemedicine technology to participating rural hospitals in South Carolina. In June 2011, he was awarded a Duke Endowment grant to create a Virtual TeleConsult Clinic using telemedicine technologies to provide specialty consultation to underserved areas in South Carolina (www.musc.edu/VTCC). That project has evolved to become the Outpatient Telemedicine Program of the state funded MUSC Telehealth Center and Dr. Fakhry is its medical director.
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    General surgery, emergency surgery, trauma surgery, surgical critical care

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Fakhry SM, Morse JL, Garland JM, Wilson NY, Shen Y, Wyse RJ, Watts DD. Redefining geriatric trauma: 55 is the new 65. J Trauma Acute Care Surg. 2021 04 01; 90(4):738-743. PMID: 33740785.
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    2. Berg GM, Wyse RJ, Morse JL, Chipko J, Garland JM, Slivinski A, Lieser M, Biswas S, Carrick MM, Rhodes H, Acuna D, Watts DD, Wilson NY, Shen Y, Deas S, Fakhry SM. Decreased adult trauma admission volumes and changing injury patterns during the COVID-19 pandemic at 85 trauma centers in a multistate healthcare system. Trauma Surg Acute Care Open. 2021; 6(1):e000642. PMID: 33634213.
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    3. Fakhry SM, Morse JL, Garland JM, Wilson NY, Shen Y, Wyse RJ, Watts DD. Increasing BMI is associated with higher mortality, worsening outcomes and highly specific injury patterns following trauma: A multi-institutional analysis of 191,274 patients. J Trauma Acute Care Surg. 2021 02 01; 90(2):376-383. PMID: 33502149.
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    4. Fakhry SM, Morse JL, Garland JM, Wilson NY, Shen Y, Wyse RJ, Watts DD. Antiplatelet and anticoagulant agents have minimal impact on traumatic brain injury incidence, surgery, and mortality in geriatric ground level falls: A multi-institutional analysis of 33,710 patients. J Trauma Acute Care Surg. 2021 02 01; 90(2):215-223. PMID: 33060534.
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    5. Lieser MJ, Watts DD, Cooper T, Chipko J, Carrick MM, Berg GM, Wilson NY, Wyse RJ, Garland JM, Fakhry SM. Critical Role of Trauma and Emergency Surgery Physicians in Patient Satisfaction: An Analysis of Consumer Assessment of Healthcare Providers and Systems, Hospital Version Data from 186,779 Patients and 168 Hospitals in a National Healthcare System. J Am Coll Surg. 2021 Apr; 232(4):656-663. PMID: 33524542.
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    6. Houghton AC, Friedman JK, Smith AA, Toraih EA, Flanagan MR, Schroll RW, Guidry C, McGrew PR, Fakhry SM, Duchesne JC. Zero Preventable Deaths by 2020: Analysis of Prehospital and Emergency Department Deaths Following Penetrating Trauma Stratified by Anatomic Location. Am Surg. 2020 Nov 15; 3134820945251. PMID: 33190520.
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    7. Esposito T, Reed R, Adams RC, Fakhry S, Carey D, Crandall ML. Acute Care Surgery Billing, Coding and Documentation Series Part 1: Basic Evaluation and Management (E/M), Emergency Department E/M, Prolonged Services, Adult Critical Care Documentation and Coding. Trauma Surg Acute Care Open. 2020; 5(1):e000578. PMID: 33227084.
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    8. Esposito T, Reed R, Adams RC, Fakhry S, Carey D, Crandall ML. Acute Care Surgery Billing, Coding and Documentation Series Part 3: Coding of Additional Select Procedures; Modifiers; Telemedicine Coding; Robotic Surgery. Trauma Surg Acute Care Open. 2020; 5(1):e000587. PMID: 33227066.
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    9. Esposito T, Reed R, Adams RC, Fakhry S, Carey D, Crandall ML. Acute Care Surgery Billing, Coding and Documentation Series Part 2: Postoperative Documentation and Coding; Documentation and Coding in Conjunction with Trainees and Advanced Practitioners; Coding Select Procedures. Trauma Surg Acute Care Open. 2020; 5(1):e000586. PMID: 33227083.
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    10. Sakran JV, Mehta A, Matar MM, Wilson DA, Kent AJ, Anton RF, Fakhry SM. The Utility of Carbohydrate-Deficient Transferrin in Identifying Chronic Alcohol Users in the Injured Patient: Expanding the Toolkit. J Surg Res. 2021 01; 257:92-100. PMID: 32818790.
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    11. Ruggiero KJ, Davidson TM, Anton MT, Bunnell B, Winkelmann J, Ridings LE, Bravoco O, Crookes B, McElligott J, Fakhry SM. Patient Engagement in a Technology-Enhanced, Stepped-Care Intervention to Address the Mental Health Needs of Trauma Center Patients. J Am Coll Surg. 2020 08; 231(2):223-230. PMID: 32335320.
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    12. deRoon-Cassini TA, Hunt JC, Geier TJ, Warren AM, Ruggiero KJ, Scott K, George J, Halling M, Jurkovich G, Fakhry SM, Zatzick D, Brasel KJ. Screening and treating hospitalized trauma survivors for posttraumatic stress disorder and depression. J Trauma Acute Care Surg. 2019 Aug; 87(2):440-450. PMID: 31348404.
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    13. Lesher AP, Fakhry SM, DuBose-Morris R, Harvey J, Langston LB, Wheeler DM, Brack JT, McElligott JT. Development and Evolution of a Statewide Outpatient Consultation Service: Leveraging Telemedicine to Improve Access to Specialty Care. Popul Health Manag. 2020 02; 23(1):20-28. PMID: 31161963.
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    14. Michetti CP, Fakhry SM, Brasel K, Martin ND, Teicher EJ, Liu C, Newcomb A. Structure and function of a trauma intensive care unit: A report from the Trauma Intensive Care Unit Prevalence Project. J Trauma Acute Care Surg. 2019 05; 86(5):783-790. PMID: 30741885.
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    15. Mehta A, Lunardi N, Efron DT, Joseph BA, Steven KA, Manukyan M, Fakhry SM, Sakran JV. Characterizing the underlying diagnoses for exploratory laparotomies to improve risk-adjustment models of postoperative mortality. J Trauma Acute Care Surg. 2019 04; 86(4):664-669. PMID: 30605142.
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    16. Fakhry SM, Allawi A, Ferguson PL, Michetti CP, Newcomb AB, Liu C, Brownstein MR. Blunt small bowel perforation (SBP): An Eastern Association for the Surgery of Trauma multicenter update 15 years later. J Trauma Acute Care Surg. 2019 04; 86(4):642-650. PMID: 30633100.
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    17. Michetti CP, Fakhry SM, Brasel K, Martin ND, Teicher EJ, Newcomb A. Trauma ICU Prevalence Project: the diversity of surgical critical care. Trauma Surg Acute Care Open. 2019; 4(1):e000288. PMID: 30899799.
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    18. Bunnell BE, Davidson TM, Winkelmann JR, Maples-Keller JL, Ridings LE, Dahne J, Fakhry SM, Ruggiero KJ. Implementation and Utility of an Automated Text Messaging System to Facilitate Symptom Self-Monitoring and Identify Risk for Post-Traumatic Stress Disorder and Depression in Trauma Center Patients. Telemed J E Health. 2019 12; 25(12):1198-1206. PMID: 30730263.
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    19. Lane-Fall MB, Kuza CM, Fakhry S, Kaplan LJ. The Lifetime Effects of Injury: Postintensive Care Syndrome and Posttraumatic Stress Disorder. Anesthesiol Clin. 2019 Mar; 37(1):135-150. PMID: 30711227.
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    20. Stein DM, Kozar RA, Livingston DH, Luchette F, Adams SD, Agrawal V, Arbabi S, Ballou J, Barraco RD, Bernard AC, Biffl WL, Bosarge PL, Brasel KJ, Cooper Z, Efron PA, Fakhry SM, Hartline CA, Hwang F, Joseph BA, Kurek SJ, Moore FA, Mosenthal AC, Pathak AS, Truitt MS, Yelon JA. Geriatric traumatic brain injury-What we know and what we don't. J Trauma Acute Care Surg. 2018 Oct; 85(4):788-798. PMID: 30256343.
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    21. Fakhry SM, Ferguson PL, Olsen JL, Haughney JJ, Resnick HS, Ruggiero KJ. Continuing Trauma: The Unmet Needs of Trauma Patients in the Postacute Care Setting. Am Surg. 2017 Nov 01; 83(11):1308-1314. PMID: 29183537.
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    22. Fakhry SM, Ferguson PL, Johnson EE, Wilson DA. Hospitalization in low-level trauma centres after severe traumatic brain injury: review of a population-based emergency department data base. Brain Inj. 2017; 31(11):1486-1493. PMID: 28980837.
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    23. Matar MM, Jewett B, Fakhry SM, Wilson DA, Ferguson PL, Anton RF, Sakran JV. Identifying chronic heavy alcohol use in emergency general surgery patients: a pilot study. Trauma Surg Acute Care Open. 2017; 2(1):e000098. PMID: 29766097.
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    24. Dismuke CE, Bishu KG, Fakhry S, Walker RJ, Egede LE. Clinical Factors and Expenditures Associated With ICD-9-CM Coded Trauma for the U.S. Population: A Nationally Representative Study. Acad Emerg Med. 2017 04; 24(4):467-474. PMID: 27976494.
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    25. Cooper Z, Maxwell CA, Fakhry SM, Joseph B, Lundebjberg N, Burke P, Baracco R. A position paper: The convergence of aging and injury and the need for a Geriatric Trauma Coalition (GeriTraC). J Trauma Acute Care Surg. 2017 02; 82(2):419-422. PMID: 27893640.
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    26. Palm NM, McKinzie B, Ferguson PL, Chapman E, Dorlon M, Eriksson EA, Jewett B, Leon SM, Privette AR, Fakhry SM. Pharmacologic Stress Gastropathy Prophylaxis May Not Be Necessary in At-Risk Surgical Trauma ICU Patients Tolerating Enteral Nutrition. J Intensive Care Med. 2018 Jul; 33(7):424-429. PMID: 27837045.
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    27. Mikhail JN, Nemeth LS, Mueller M, Pope C, NeSmith EG, Wilson KL, McCann M, Fakhry SM. The Association of Race, Socioeconomic Status, and Insurance on Trauma Mortality. J Trauma Nurs. 2016 Nov/Dec; 23(6):347-356. PMID: 27828890.
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    28. Liakina V, Hamid S, Tanaka J, Olafsson S, Sharara AI, Alavian SM, Gheorghe L, El Hassan ES, Abaalkhail F, Abbas Z, Abdou A, Abourached A, Al Braiki F, Al Hosani F, Al Jaberi K, Al Khatry M, Al Mulla MA, Al Quraishi H, Al Rifai A, Al Serkal Y, Alam A, Alashgar HI, Alawadhi S, Al-Dabal L, Aldins P, Alfaleh FZ, Alghamdi AS, Al-Hakeem R, Aljumah AA, Almessabi A, Alqutub AN, Alswat KA, Altraif I, Alzaabi M, Andrea N, Assiri AM, Babatin MA, Baqir A, Barakat MT, Bergmann OM, Bizri AR, Blach S, Chaudhry A, Choi MS, Diab T, Djauzi S, El Khoury S, Estes C, Fakhry S, Farooqi JI, Fridjonsdottir H, Gani RA, Ghafoor Khan A, Goldis A, Gottfredsson M, Gregorcic S, Hajarizadeh B, Han KH, Hasan I, Hashim A, Horvath G, Hunyady B, Husni R, Jafri W, Jeruma A, Jonasson JG, Karlsdottir B, Kim DY, Kim YS, Koutoubi Z, Lesmana LA, Lim YS, Löve A, Maimets M, Makara M, Malekzadeh R, Maticic M, Memon MS, Merat S, Mokhbat JE, Mourad FH, Muljono DH, Nawaz A, Nugrahini N, Priohutomo S, Qureshi H, Rassam P, Razavi H, Razavi-Shearer D, Razavi-Shearer K, Rozentale B, Sadik M, Saeed K, Salamat A, Salupere R, Sanai FM, Sanityoso Sulaiman A, Sayegh RA, Schmelzer JD, Sibley A, Siddiq M, Siddiqui AM, Sigmundsdottir G, Sigurdardottir B, Speiciene D, Sulaiman A, Sultan MA, Taha M, Tarifi H, Tayyab G, Tolmane I, Ud Din M, Umar M, Valantinas J, Videcnik-Zorman J, Yaghi C, Yunihastuti E, Yusuf MA, Zuberi BF, Gunter J. Historical epidemiology of hepatitis C virus (HCV) in select countries - volume 3. J Viral Hepat. 2015 Dec; 22 Suppl 4:4-20. PMID: 26513445.
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    29. Sibley A, Han KH, Abourached A, Lesmana LA, Makara M, Jafri W, Salupere R, Assiri AM, Goldis A, Abaalkhail F, Abbas Z, Abdou A, Al Braiki F, Al Hosani F, Al Jaberi K, Al Khatry M, Al Mulla MA, Al Quraishi H, Al Rifai A, Al Serkal Y, Alam A, Alavian SM, Alashgar HI, Alawadhi S, Al-Dabal L, Aldins P, Alfaleh FZ, Alghamdi AS, Al-Hakeem R, Aljumah AA, Almessabi A, Alqutub AN, Alswat KA, Altraif I, Alzaabi M, Andrea N, Babatin MA, Baqir A, Barakat MT, Bergmann OM, Bizri AR, Blach S, Chaudhry A, Choi MS, Diab T, Djauzi S, El Hassan ES, El Khoury S, Estes C, Fakhry S, Farooqi JI, Fridjonsdottir H, Gani RA, Ghafoor Khan A, Gheorghe L, Gottfredsson M, Gregorcic S, Gunter J, Hajarizadeh B, Hamid S, Hasan I, Hashim A, Horvath G, Hunyady B, Husni R, Jeruma A, Jonasson JG, Karlsdottir B, Kim DY, Kim YS, Koutoubi Z, Liakina V, Lim YS, Löve A, Maimets M, Malekzadeh R, Maticic M, Memon MS, Merat S, Mokhbat JE, Mourad FH, Muljono DH, Nawaz A, Nugrahini N, Olafsson S, Priohutomo S, Qureshi H, Rassam P, Razavi H, Razavi-Shearer D, Razavi-Shearer K, Rozentale B, Sadik M, Saeed K, Salamat A, Sanai FM, Sanityoso Sulaiman A, Sayegh RA, Sharara AI, Siddiq M, Siddiqui AM, Sigmundsdottir G, Sigurdardottir B, Speiciene D, Sulaiman A, Sultan MA, Taha M, Tanaka J, Tarifi H, Tayyab G, Tolmane I, Ud Din M, Umar M, Valantinas J, Videcnik-Zorman J, Yaghi C, Yunihastuti E, Yusuf MA, Zuberi BF, Schmelzer JD. The present and future disease burden of hepatitis C virus infections with today's treatment paradigm - volume 3. J Viral Hepat. 2015 Dec; 22 Suppl 4:21-41. PMID: 26513446.
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    30. Alfaleh FZ, Nugrahini N, Maticic M, Tolmane I, Alzaabi M, Hajarizadeh B, Valantinas J, Kim DY, Hunyady B, Abaalkhail F, Abbas Z, Abdou A, Abourached A, Al Braiki F, Al Hosani F, Al Jaberi K, Al Khatry M, Al Mulla MA, Al Quraishi H, Al Rifai A, Al Serkal Y, Alam A, Alashgar HI, Alavian SM, Alawadhi S, Al-Dabal L, Aldins P, Alghamdi AS, Al-Hakeem R, Aljumah AA, Almessabi A, Alqutub AN, Alswat KA, Altraif I, Andrea N, Assiri AM, Babatin MA, Baqir A, Barakat MT, Bergmann OM, Bizri AR, Chaudhry A, Choi MS, Diab T, Djauzi S, El Hassan ES, El Khoury S, Estes C, Fakhry S, Farooqi JI, Fridjonsdottir H, Gani RA, Ghafoor Khan A, Gheorghe L, Goldis A, Gottfredsson M, Gregorcic S, Gunter J, Hamid S, Han KH, Hasan I, Hashim A, Horvath G, Husni R, Jafri W, Jeruma A, Jonasson JG, Karlsdottir B, Kim YS, Koutoubi Z, Lesmana LA, Liakina V, Lim YS, Löve A, Maimets M, Makara M, Malekzadeh R, Memon MS, Merat S, Mokhbat JE, Mourad FH, Muljono DH, Nawaz A, Olafsson S, Priohutomo S, Qureshi H, Rassam P, Razavi H, Razavi-Shearer D, Razavi-Shearer K, Rozentale B, Sadik M, Saeed K, Salamat A, Salupere R, Sanai FM, Sanityoso Sulaiman A, Sayegh RA, Schmelzer JD, Sharara AI, Sibley A, Siddiq M, Siddiqui AM, Sigmundsdottir G, Sigurdardottir B, Speiciene D, Sulaiman A, Sultan MA, Taha M, Tanaka J, Tarifi H, Tayyab G, Ud Din M, Umar M, Videcnik-Zorman J, Yaghi C, Yunihastuti E, Yusuf MA, Zuberi BF, Blach S. Strategies to manage hepatitis C virus infection disease burden - volume 3. J Viral Hepat. 2015 Dec; 22 Suppl 4:42-65. PMID: 26513447.
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    31. Montgomery SC, Privette AR, Ferguson PL, Mirdamadi M, Fakhry SM. Inadequately marketing our brand: Medical student awareness of acute care surgery. J Trauma Acute Care Surg. 2015 Nov; 79(5):858-64. PMID: 26496113.
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    32. Kozar RA, Arbabi S, Stein DM, Shackford SR, Barraco RD, Biffl WL, Brasel KJ, Cooper Z, Fakhry SM, Livingston D, Moore F, Luchette F. Injury in the aged: Geriatric trauma care at the crossroads. J Trauma Acute Care Surg. 2015 Jun; 78(6):1197-209. PMID: 26151523.
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    33. Shalhub S, Starnes BW, Brenner ML, Biffl WL, Azizzadeh A, Inaba K, Skiada D, Zarzaur B, Nawaf C, Eriksson EA, Fakhry SM, Paul JS, Kaups KL, Ciesla DJ, Todd SR, Seamon MJ, Capano-Wehrle LM, Jurkovich GJ, Kozar RA. Blunt abdominal aortic injury: a Western Trauma Association multicenter study. J Trauma Acute Care Surg. 2014 Dec; 77(6):879-85; discussion 885. PMID: 25248064.
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    34. Minshall CT, Doben AR, Leon SM, Fakhry SM, Eriksson EA. Computed tomography pulmonary angiography: more than a screening tool for pulmonary embolus. J Crit Care. 2015 Feb; 30(1):196-200. PMID: 25449879.
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    35. Eriksson EA, Rickey J, Leon SM, Minshall CT, Fakhry SM, Schandl CA. Fat embolism in pediatric patients: an autopsy evaluation of incidence and etiology. J Crit Care. 2015 Feb; 30(1):221.e1-5. PMID: 25306239.
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    36. Doben AR, Eriksson EA, Denlinger CE, Leon SM, Couillard DJ, Fakhry SM, Minshall CT. Surgical rib fixation for flail chest deformity improves liberation from mechanical ventilation. J Crit Care. 2014 Feb; 29(1):139-43. PMID: 24075300.
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    37. Fakhry SM, Leon S, Derderian C, Al-Harakeh H, Ferguson PL. Intensive care unit bounce back in trauma patients: an analysis of unplanned returns to the intensive care unit. J Trauma Acute Care Surg. 2013 Jun; 74(6):1528-33. PMID: 23694883.
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    38. Fakhry SM, Martin B, Al Harakeh H, Norcross ED, Ferguson PL. Proportional costs in trauma and acute care surgery patients: dominant role of intensive care unit costs. J Am Coll Surg. 2013 Apr; 216(4):607-14; discussion 614-6. PMID: 23415554.
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    39. Zapka J, Simpson K, Hiott L, Langston L, Fakhry S, Ford D. A mixed methods descriptive investigation of readiness to change in rural hospitals participating in a tele-critical care intervention. BMC Health Serv Res. 2013 Jan 29; 13:33. PMID: 23360332.
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    40. Melton TJ, Couillard DJ, Ferguson PL, Power S, Norcross ED, Fakhry SM. Level I trauma center internal campaign to increase safe driving by staff. J Trauma Nurs. 2012 Oct-Dec; 19(4):221-6. PMID: 23222402.
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    41. Fakhry SM, Montgomery SC. Peri-operative oxygen and the risk of surgical infection. Surg Infect (Larchmt). 2012 Aug; 13(4):228-33. PMID: 22913336.
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    42. Sakran JV, Michetti CP, Sheridan MJ, Richmond R, Waked T, Aldaghlas T, Rizzo A, Griffen M, Fakhry SM. The utility of procalcitonin in critically ill trauma patients. J Trauma Acute Care Surg. 2012 Aug; 73(2):413-8; discussion 418. PMID: 22846948.
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    43. Michetti CP, Fakhry SM, Ferguson PL, Cook A, Moore FO, Gross R. Ventilator-associated pneumonia rates at major trauma centers compared with a national benchmark: a multi-institutional study of the AAST. J Trauma Acute Care Surg. 2012 May; 72(5):1165-73. PMID: 22673241.
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    44. Selassie AW, Fakhry SM, Ford DW. Population-based study of the risk of in-hospital death after traumatic brain injury: the role of sepsis. J Trauma. 2011 Nov; 71(5):1226-34. PMID: 22071924.
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    45. Minshall CT, Eriksson EA, Leon SM, Doben AR, McKinzie BP, Fakhry SM. Safety and efficacy of heparin or enoxaparin prophylaxis in blunt trauma patients with a head abbreviated injury severity score >2. J Trauma. 2011 Aug; 71(2):396-9; discussion 399-400. PMID: 21825943.
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    46. Eriksson EA, Pellegrini DC, Vanderkolk WE, Minshall CT, Fakhry SM, Cohle SD. Incidence of pulmonary fat embolism at autopsy: an undiagnosed epidemic. J Trauma. 2011 Aug; 71(2):312-5. PMID: 21825932.
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    47. Michetti CP, Smeltzer E, Fakhry SM. Splenic injury due to colonoscopy: analysis of the world literature, a new case report, and recommendations for management. Am Surg. 2010 Nov; 76(11):1198-204. PMID: 21140684.
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    48. Fakhry SM, Couillard D, Liddy CT, Adams D, Norcross ED. Trauma center finances and length of stay: identifying a profitability inflection point. J Am Coll Surg. 2010 May; 210(5):817-21, 821-3. PMID: 20421057.
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    49. Fakhry SM, Potter C, Crain W, Maier R. Survey of national usage of trauma response charge codes: an opportunity for enhanced trauma center revenue. J Trauma. 2009 Dec; 67(6):1352-8. PMID: 20009689.
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    50. Vaziri K, Roland JC, Robinson LL, Reines HD, Fakhry SM. Extreme anemia in an injured Jehovah's Witness: a test of our understanding of the physiology of severe anemia and the threshold for blood transfusion. J Trauma. 2009 Jul; 67(1):E11-3. PMID: 19590298.
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    51. Michetti CP, Sakran JV, Grabowski JG, Thompson EV, Bennett K, Fakhry SM. Physical examination is a poor screening test for abdominal-pelvic injury in adult blunt trauma patients. J Surg Res. 2010 Mar; 159(1):456-61. PMID: 19786282.
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    52. Roland J, Seoudi HM, Albus RA, Fakhry SM. Right atrial rupture from blunt thoracic trauma in a 4-year-old child. Pediatr Emerg Care. 2009 Mar; 25(3):188-9. PMID: 19287279.
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    53. Stadter G, Grabowski JG, Burke C, Aldaghlas TA, Robinson L, Fakhry SM. Injury and side impact air bag deployment in near and far sided motor vehicle crashes, United States, 2000-2005. J Trauma. 2008 Dec; 65(6):1333-8; discussion 1338-9. PMID: 19077623.
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    54. Seoudi HM, Lefrak EA, Speir AM, Hendershot K, Moynihan J, Fakhry SM. Survival following combined intrapericardial inferior vena cava and thoracic aortic injury caused by blunt trauma. J Trauma. 2008 Jul; 65(1):218-21. PMID: 17514035.
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    55. Zhao X, Rizzo A, Malek B, Fakhry S, Watson J. Basilar skull fracture: a risk factor for transverse/sigmoid venous sinus obstruction. J Neurotrauma. 2008 Feb; 25(2):104-11. PMID: 18260793.
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    56. Ivarsson BJ, Manaswi A, Genovese D, Crandall JR, Hurwitz SR, Burke C, Fakhry S. Site, type, and local mechanism of tibial shaft fracture in drivers in frontal automobile crashes. Forensic Sci Int. 2008 Mar 05; 175(2-3):186-92. PMID: 17826018.
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    57. Greene W, Robinson L, Rizzo AG, Sakran J, Hendershot K, Moore A, Weatherspoon K, Fakhry SM. Pregnancy is not a sufficient indicator for trauma team activation. J Trauma. 2007 Sep; 63(3):550-4; discussion 554-5. PMID: 18073600.
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    58. Fakhry SM, Robinson L, Hendershot K, Reines HD. Surgical residents' knowledge of documentation and coding for professional services: an opportunity for a focused educational offering. Am J Surg. 2007 Aug; 194(2):263-7. PMID: 17618817.
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    59. Michetti CP, Hanna R, Crandall JR, Fakhry SM. Contemporary analysis of thoracic aortic injury: importance of screening based on crash characteristics. J Trauma. 2007 Jul; 63(1):18-24; discussion 24-5. PMID: 17622864.
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    60. Vaziri K, Roland JC, Robinson L, Fakhry SM. Optimizing physician staffing and resource allocation: sine-wave variation in hourly trauma admission volume. J Trauma. 2007 Mar; 62(3):610-4. PMID: 17414336.
      Citations:    
    61. Davis DP, Fakhry SM, Wang HE, Bulger EM, Domeier RM, Trask AL, Bochicchio GV, Hauda WE, Robinson L. Paramedic rapid sequence intubation for severe traumatic brain injury: perspectives from an expert panel. Prehosp Emerg Care. 2007 Jan-Mar; 11(1):1-8. PMID: 17169868.
      Citations:    
    62. Hendershot KM, Robinson L, Roland J, Vaziri K, Rizzo AG, Fakhry SM. Estimated height, weight, and body mass index: implications for research and patient safety. J Am Coll Surg. 2006 Dec; 203(6):887-93. PMID: 17116557.
      Citations:    
    63. Fakhry SM, Scanlon JM, Robinson L, Askari R, Watenpaugh RL, Fata P, Hauda WE, Trask A. Prehospital rapid sequence intubation for head trauma: conditions for a successful program. J Trauma. 2006 May; 60(5):997-1001. PMID: 16688061.
      Citations:    
    64. Vaziri K, Roland JC, Fakhry SM. Blunt ureteropelvic junction disruption. J Am Coll Surg. 2006 Apr; 202(4):707. PMID: 16571445.
      Citations:    
    65. Fata P, Robinson L, Fakhry SM. A survey of EAST member practices in blunt splenic injury: a description of current trends and opportunities for improvement. J Trauma. 2005 Oct; 59(4):836-41; discussion 841-2. PMID: 16374270.
      Citations:    
    66. Watts DD, Hanfling D, Waller MA, Gilmore C, Fakhry SM, Trask AL. An evaluation of the use of guidelines in prehospital management of brain injury. Prehosp Emerg Care. 2004 Jul-Sep; 8(3):254-61. PMID: 15295724.
      Citations:    
    67. Fakhry SM, Fata P. How low is too low? Cardiac risks with anemia. Crit Care. 2004; 8 Suppl 2:S11-4. PMID: 15196315.
      Citations:    
    68. Fakhry SM, Trask AL, Waller MA, Watts DD. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma. 2004 Mar; 56(3):492-9; discussion 499-500. PMID: 15128118.
      Citations:    
    69. Williams MD, Watts D, Fakhry S. Colon injury after blunt abdominal trauma: results of the EAST Multi-Institutional Hollow Viscus Injury Study. J Trauma. 2003 Nov; 55(5):906-12. PMID: 14608164.
      Citations:    
    70. Fakhry SM, Watts DD, Luchette FA. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma. 2003 Feb; 54(2):295-306. PMID: 12579055.
      Citations:    
    71. Watts DD, Fakhry SM. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial. J Trauma. 2003 Feb; 54(2):289-94. PMID: 12579054.
      Citations:    
    72. Fakhry SM, Watts DD, Michetti C, Hunt JP. The resident experience on trauma: declining surgical opportunities and career incentives? Analysis of data from a large multi-institutional study. J Trauma. 2003 Jan; 54(1):1-7; discussion 7-8. PMID: 12544893.
      Citations:    
    73. Welton JM, Meyer AA, Mandelkehr L, Fakhry SM, Jarr S. Outcomes of and resource consumption by high-cost patients in the intensive care unit. Am J Crit Care. 2002 Sep; 11(5):467-73. PMID: 12233972.
      Citations:    
    74. O'Donnell M, Fakhry S, Chambers T. Traumatic left renal arterioureteral fistula. J Trauma. 2002 Aug; 53(2):395. PMID: 12199203.
      Citations:    
    75. Fakhry SM, Salaita K. Aggressive driving: a preliminary analysis of a serious threat to motorists in a large metropolitan area. J Trauma. 2002 Feb; 52(2):217-23; discussion 223-4. PMID: 11834978.
      Citations:    
    76. Dwyer KM, Watts DD, Thurber JS, Benoit RS, Fakhry SM. Percutaneous endoscopic gastrostomy: the preferred method of elective feeding tube placement in trauma patients. J Trauma. 2002 Jan; 52(1):26-32. PMID: 11791048.
      Citations:    
    77. Harbrecht BG, Peitzman AB, Rivera L, Heil B, Croce M, Morris JA, Enderson BL, Kurek S, Pasquale M, Frykberg ER, Minei JP, Meredith JW, Young J, Kealey GP, Ross S, Luchette FA, McCarthy M, Davis F, Shatz D, Tinkoff G, Block EF, Cone JB, Jones LM, Chalifoux T, Federle MB, Clancy KD, Ochoa JB, Fakhry SM, Townsend R, Bell RM, Weireter L, Shapiro MB, Rogers F, Dunham CM, McAuley CE. Contribution of age and gender to outcome of blunt splenic injury in adults: multicenter study of the eastern association for the surgery of trauma. J Trauma. 2001 Nov; 51(5):887-95. PMID: 11706335.
      Citations:    
    78. Fakhry SM, Watts DD. What's a trauma surgeon worth? A salary survey of the Eastern Association for the Surgery of Trauma. J Trauma. 2000 Nov; 49(5):833-8. PMID: 11086772.
      Citations:    
    79. Benoit R, Watts DD, Dwyer K, Kaufmann C, Fakhry S. Windows 99: a source of suburban pediatric trauma. J Trauma. 2000 Sep; 49(3):477-81; discussion 481-2. PMID: 11003326.
      Citations:    
    80. Peitzman AB, Heil B, Rivera L, Federle MB, Harbrecht BG, Clancy KD, Croce M, Enderson BL, Morris JA, Shatz D, Meredith JW, Ochoa JB, Fakhry SM, Cushman JG, Minei JP, McCarthy M, Luchette FA, Townsend R, Tinkoff G, Block EF, Ross S, Frykberg ER, Bell RM, Davis F, Weireter L, Shapiro MB. Blunt splenic injury in adults: Multi-institutional Study of the Eastern Association for the Surgery of Trauma. J Trauma. 2000 Aug; 49(2):177-87; discussion 187-9. PMID: 10963527.
      Citations:    
    81. Fakhry SM. Billing, coding, and documentation in the critical care environment. Surg Clin North Am. 2000 Jun; 80(3):1067-83. PMID: 10897279.
      Citations:    
    82. Hunt JP, Buechter KJ, Fakhry SM. Acinetobacter calcoaceticus pneumonia and the formation of pneumatoceles. J Trauma. 2000 May; 48(5):964-70. PMID: 10823547.
      Citations:    
    83. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma. 2000 Mar; 48(3):408-14; discussion 414-5. PMID: 10744277.
      Citations:    
    84. Brownstein MR, Bunting T, Meyer AA, Fakhry SM. Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. J Trauma. 2000 Mar; 48(3):402-7. PMID: 10744276.
      Citations:    
    85. Hunt JP, Baker CC, Fakhry SM, Rutledge RR, Ransohoff D, Meyer AA. Accuracy of administrative data in trauma. Surgery. 1999 Aug; 126(2):191-7. PMID: 10455883.
      Citations:    
    86. Watts DD, Roche M, Tricarico R, Poole F, Brown JJ, Colson GB, Trask AL, Fakhry SM. The utility of traditional prehospital interventions in maintaining thermostasis. Prehosp Emerg Care. 1999 Apr-Jun; 3(2):115-22. PMID: 10225643.
      Citations:    
    87. Meredith W, Rutledge R, Fakhry SM, Emery S, Kromhout-Schiro S. The conundrum of the Glasgow Coma Scale in intubated patients: a linear regression prediction of the Glasgow verbal score from the Glasgow eye and motor scores. J Trauma. 1998 May; 44(5):839-44; discussion 844-5. PMID: 9603086.
      Citations:    
    88. Tuttle-Newhall JE, Rutledge R, Hultman CS, Fakhry SM. Statewide, population-based, time-series analysis of the frequency and outcome of pulmonary embolus in 318,554 trauma patients. J Trauma. 1997 Jan; 42(1):90-9. PMID: 9003264.
      Citations:    
    89. Fakhry SM, Kercher KW, Rutledge R. Survival, quality of life, and charges in critically III surgical patients requiring prolonged ICU stays. J Trauma. 1996 Dec; 41(6):999-1007. PMID: 8970553.
      Citations:    
    90. Hunt JP, Lentz CW, Cairns BA, Ramadan FM, Smith DL, Rutledge R, Meyer AA, Fakhry SM. Management and outcome of splenic injury: the results of a five-year statewide population-based study. Am Surg. 1996 Nov; 62(11):911-7. PMID: 8895712.
      Citations:    
    91. Rutledge R, Lentz CW, Fakhry S, Hunt J. Appropriate use of the Glasgow Coma Scale in intubated patients: a linear regression prediction of the Glasgow verbal score from the Glasgow eye and motor scores. J Trauma. 1996 Sep; 41(3):514-22. PMID: 8810973.
      Citations:    
    92. Rutledge R, Fakhry SM, Baker CC, Meyer AA. The impact of laparoscopic cholecystectomy on the management and outcome of biliary tract disease in North Carolina: a statewide, population-based, time-series analysis. J Am Coll Surg. 1996 Jul; 183(1):31-45. PMID: 8673305.
      Citations:    
    93. Rutledge R, Hunt JP, Lentz CW, Fakhry SM, Meyer AA, Baker CC, Sheldon GF. A statewide, population-based time-series analysis of the increasing frequency of nonoperative management of abdominal solid organ injury. Ann Surg. 1995 Sep; 222(3):311-22; discussion 322-6. PMID: 7677461.
      Citations:    
    94. Smith DL, Kim K, Cairns BA, Fakhry SM, Meyer AA. Prospective analysis of outcome after cardiopulmonary resuscitation in critically ill surgical patients. J Am Coll Surg. 1995 Apr; 180(4):394-401. PMID: 7719542.
      Citations:    
    95. Fakhry SM, Alexander J, Smith D, Meyer AA, Peterson HD. Regional and institutional variation in burn care. J Burn Care Rehabil. 1995 Jan-Feb; 16(1):86-90; discussion 85. PMID: 7721916.
      Citations:    
    96. Van Le L, Fakhry S, Walton LA, Moore DH, Fowler WC, Rutledge R. Use of the APACHE II scoring system to determine mortality of gynecologic oncology patients in the intensive care unit. Obstet Gynecol. 1995 Jan; 85(1):53-6. PMID: 7800324.
      Citations:    
    97. Fakhry SM, Sheldon GF. Blood administration, risks, and substitutes. Adv Surg. 1995; 28:71-92. PMID: 7879691.
      Citations:    
    98. Smith DL, Cairns BA, Ramadan F, Dalston JS, Fakhry SM, Rutledge R, Meyer AA, Peterson HD. Effect of inhalation injury, burn size, and age on mortality: a study of 1447 consecutive burn patients. J Trauma. 1994 Oct; 37(4):655-9. PMID: 7932899.
      Citations:    
    99. Fakhry SM, Rutledge R, Dahners LE, Kessler D. Incidence, management, and outcome of femoral shaft fracture: a statewide population-based analysis of 2805 adult patients in a rural state. J Trauma. 1994 Aug; 37(2):255-60; discussion 260-1. PMID: 8064926.
      Citations:    
    100. Rutledge R, Fakhry SM, Baker CC, Weaver N, Ramenofsky M, Sheldon GF, Meyer AA. A population-based study of the association of medical manpower with county trauma death rates in the United States. Ann Surg. 1994 May; 219(5):547-63; discussion 563-7. PMID: 8185404.
      Citations:    
    101. Hammond JE, Berger RG, Carey TS, Fakhry SM, Rutledge R, Kichak JP, Cleveland TJ, Dempsey MJ, Tsongalis NM, Ayscue CF. Report on the clinical workstation and clinical data repository utilization at UNC Hospitals. Proc Annu Symp Comput Appl Med Care. 1994; 276-80. PMID: 7949934.
      Citations:    
    102. Rutledge R, Fakhry SM, Meyer A, Sheldon GF, Baker CC. An analysis of the association of trauma centers with per capita hospitalizations and death rates from injury. Ann Surg. 1993 Oct; 218(4):512-21; discussion 521-4. PMID: 8215642.
      Citations:    
    103. Rutledge R, Fakhry S, Baker C, Oller D. Injury severity grading in trauma patients: a simplified technique based upon ICD-9 coding. J Trauma. 1993 Oct; 35(4):497-506; discussion 506-7. PMID: 8411270.
      Citations:    
    104. Rutledge R, Fakhry S, Rutherford E, Muakkassa F, Meyer A. Comparison of APACHE II, Trauma Score, and Injury Severity Score as predictors of outcome in critically injured trauma patients. Am J Surg. 1993 Sep; 166(3):244-7. PMID: 8368434.
      Citations:    
    105. Hammond JE, Berger RG, Carey TS, Fakhry SM, Rutledge R, Kichak JP, Cleveland TJ, Dempsey MJ, Tsongalis NM, Ayscue CF. Progress report on the clinical workstation and clinical data repository at UNC Hospitals. Proc Annu Symp Comput Appl Med Care. 1993; 243-7. PMID: 8130470.
      Citations:    
    106. Meyer AA, Messick WJ, Young P, Baker CC, Fakhry S, Muakkassa F, Rutherford EJ, Napolitano LM, Rutledge R. Prospective comparison of clinical judgment and APACHE II score in predicting the outcome in critically ill surgical patients. J Trauma. 1992 Jun; 32(6):747-53; discussion 753-4. PMID: 1613834.
      Citations:    
    107. Rutledge R, Fakhry SM, Rutherford EJ, Muakkassa F, Baker CC, Koruda M, Meyer AA. Acute Physiology and Chronic Health Evaluation (APACHE II) score and outcome in the surgical intensive care unit: an analysis of multiple intervention and outcome variables in 1,238 patients. Crit Care Med. 1991 Aug; 19(8):1048-53. PMID: 1860330.
      Citations:    
    108. Fakhry SM, Buehrer JL, Sheldon GF, Meyer AA. A comparison of intensive care unit care of surgical patients in teaching and nonteaching hospitals. Ann Surg. 1991 Jul; 214(1):19-23. PMID: 2064466.
      Citations:    
    109. Fakhry SM, Azizkhan RG. Observations and current operative management of congenital lumbar hernias during infancy. Surg Gynecol Obstet. 1991 Jun; 172(6):475-9. PMID: 2035138.
      Citations:    
    110. Muakkassa FF, Fakhry SM, Rutledge R, Hsu H, Meyer AA. Cost-effective use of microcomputers for quality assurance and resource utilization in the surgical intensive care unit. Crit Care Med. 1990 Nov; 18(11):1243-7. PMID: 2121416.
      Citations:    
    111. Muakkassa FF, Rutledge R, Fakhry SM, Meyer AA, Sheldon GF. ABGs and arterial lines: the relationship to unnecessarily drawn arterial blood gas samples. J Trauma. 1990 Sep; 30(9):1087-93; discussion 1093-5. PMID: 2120467.
      Citations:    
    112. Meyer AA, Fakhry SM, Sheldon GF. Critical care education in general surgery residencies. Surgery. 1989 Aug; 106(2):392-7; discussion 397-9. PMID: 2763037.
      Citations:    
    113. Fakhry SM, Jaques PF, Proctor HJ. Cervical vessel injury after blunt trauma. J Vasc Surg. 1988 Oct; 8(4):501-8. PMID: 3050159.
      Citations:    
    114. Fakhry SM, Herbst CA, Buckwalter JA. Cholecystectomy in morbidly obese patients. Am Surg. 1987 Jan; 53(1):26-8. PMID: 3800160.
      Citations:    
    115. Fakhry SM, Thomas CG. Pseudotumor of the supraclavicular fossa. South Med J. 1986 Jul; 79(7):822-4. PMID: 3726581.
      Citations:    
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