Loma Linda University

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T. Kent Denmark, MD
Director, Center for Interprofessional Education, Director Center for Interprofessional Education
Loma Linda University
Professor, Emergency Medicine
School of Medicine
Professor, Basic Sciences
School of Medicine
Professor, Medical Education
School of Medicine
Professor, Pediatrics
School of Medicine
Publications    Scholarly Journals--Published
  • Hasty M, Kness S, Klasner A, Denmark TK, Herman MI, Brown L. "Cutaneous Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA) Infections in Two Geographically Distant Pediatric EDs." Academic Emergency Medicine 14.1 (2007): 35-40. ( 1/2007 ) Link...
    OBJECTIVES: To describe the culture results of cutaneous infections affecting otherwise healthy children presenting to two pediatric emergency departments (EDs) in the southeastern United States and southern California. METHODS: Medical records of 920 children who presented to the pediatric EDs with skin infections and abscesses (International Classification of Diseases, Ninth Revision codes 680.0?686.9) during 2003 were reviewed. Chronically ill children with previously described risk factors for community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) were excluded. Data abstracted included the type of infection; the site of infection; and, if a culture was obtained, the organism grown, along with their corresponding sensitivities. RESULTS: Of the 270 children who had bacterial cultures obtained, 60 (22%) were CA-MRSA?positive cultures, most cultured from abscesses (80%). Of all abscesses cultured, CA-MRSA grew in more than half (53%). All CA-MRSA isolates tested were sensitive to vancomycin, trimethoprim-sulfamethoxazole, rifampin, and gentamicin. One isolate at each center was resistant to clindamycin. The sensitivities at both institutions were similar. CONCLUSIONS: The authors conclude that CA-MRSA is responsible for most abscesses and that the pattern of CA-MRSA infections in these geographically distant pediatric EDs is similar. These data suggest that optimal diagnostic and management strategies for CA-MRSA will likely be widely applicable if results from a larger, more collaborative study yield similar findings.
  • Denmark TK, Crane HA, Brown L. "Ketamine to avoid mechanical ventilation in severe pediatric asthma." Journal of Emergency Medicine 30.2 (2006): 163-166. ( 3/2006 )
    Children experiencing severe asthma exacerbations may deteriorate to respiratory failure requiring endotracheal intubation and mechanical ventilation. Mechanical ventilation is often life saving in this setting, but also exposes the asthmatic child to substantial iatrogenic risk. We present two cases of severe asthma exacerbations in prepubertal children for whom the administration of a bolus of intravenous ketamine followed by a continuous infusion of a relatively large dose of ketamine led to prompt improvement, obviating the need for mechanical ventilation. These cases suggest that for children experiencing severe asthma exacerbations, intravenous ketamine may be an effective temporizing measure to avoid exposing these children to the risks associated with mechanical ventilation.
  • Kim TY, Denmark TK. "Intraabdominal abscess masquerading as a properly placed GT." Clinical Pediatrics 44. (2005): 539-541-. ( 5/2005 )
  • Denmark TK, Thorp A. "Hair tourniquet masquerading as an STD." Cal/ACEP newsletter . (2004): 9-9. ( 12/2004 ) Link...
  • Vargas EJ, Mody AP, Kim TY, Denmark TK, et al.. "Pediatric upper esophageal coin removal by emergency physicians: A pilot study." CJEM 6.6 (2004): 431-433. ( 11/2004 ) Link...
  • Brown L, Shaw T, Moynihan JA, Denmark TK, et al. "Investigation of afebrile neonates with a history of fever." CJEM 6.5 (2004): 343-348. ( 9/2004 ) Link...
  • Brown L, Denmark TK, et al. "Procedural sedation use in the emergency department managment of pediatric ear and nose foreign bodies." AJEM 22.4 (2004): 310-314. ( 7/2004 )
  • Denmark TK, Hargrove J, Brown L. "Utility of intramuscular ketamine for obtaining central venous access." CJEM 6.4 (2004): 259-262. ( 7/2004 ) Link...
  Books and Chapters
  • Denmark TK, Roger SC. Drowning and submersion injuries. Pediatric Emergency Medicine: Elsevier 2008: 987-991 ( 10/2004 - 2/2005 )
     
  • Denmark TK. Inborn errors of metabolism. Pediatric Emergency Medicine: Elsevier 2008: 273-276 ( 9/2004 - 2/2005 )