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Niels Kumar Rathlev BS, MD, FACEP

TitleChair and Professor
InstitutionUMMS - Baystate Regional Campus
DepartmentEmergency Medicine at UMMS-Baystate
AddressBaystate Medical Center
759 Chestnut Street
Springfield MA 01199
Phone413-794-5375
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    Collapse Biography 
    Collapse education and training
    Duke University, Durham, NC, United StatesBSScience
    Case Western Reserve University School of Medicine, Cleveland, OH, United StatesMD

    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. Boudi Z, Lauque D, Alsabri M, Östlundh L, Oneyji C, Khalemsky A, Lojo Rial C, W Liu S, A Camargo C, Aburawi E, Moeckel M, Slagman A, Christ M, Singer A, Tazarourte K, Rathlev NK, A Grossman S, Bellou A. Association between boarding in the emergency department and in-hospital mortality: A systematic review. PLoS One. 2020; 15(4):e0231253. PMID: 32294111.
      View in: PubMed
    2. Rathlev NK, Holt NM, Harbertson CA, Hettler J, Reznek MA, Tsai SL, Lopiano KK, Bohrmann T, Scheulen JJ. 2017 AAAEM Benchmarking Survey: Comparing Pediatric and Adult Academic Emergency Departments. Pediatr Emerg Care. 2020 Jan 21. PMID: 31977768.
      View in: PubMed
    3. McLean SA, Ressler K, Koenen KC, Neylan T, Germine L, Jovanovic T, Clifford GD, Zeng D, An X, Linnstaedt S, Beaudoin F, House S, Bollen KA, Musey P, Hendry P, Jones CW, Lewandowski C, Swor R, Datner E, Mohiuddin K, Stevens JS, Storrow A, Kurz MC, McGrath ME, Fermann GJ, Hudak LA, Gentile N, Chang AM, Peak DA, Pascual JL, Seamon MJ, Sergot P, Peacock WF, Diercks D, Sanchez LD, Rathlev N, Domeier R, Haran JP, Pearson C, Murty VP, Insel TR, Dagum P, Onnela JP, Bruce SE, Gaynes BN, Joormann J, Miller MW, Pietrzak RH, Buysse DJ, Pizzagalli DA, Rauch SL, Harte SE, Young LJ, Barch DM, Lebois LAM, van Rooij SJH, Luna B, Smoller JW, Dougherty RF, Pace TWW, Binder E, Sheridan JF, Elliott JM, Basu A, Fromer M, Parlikar T, Zaslavsky AM, Kessler R. The AURORA Study: a longitudinal, multimodal library of brain biology and function after traumatic stress exposure. Mol Psychiatry. 2019 Nov 19. PMID: 31745239.
      View in: PubMed
    4. Mauck MC, Hu J, Sefton C, Swor RA, Peak DA, Jones JS, Rathlev NK, Lee DC, Domeier RM, Hendry PL, McLean SA. Obesity increases the risk of chronic pain development following motor vehicle collision. Pain. 2018 Nov 29. PMID: 30507783.
      View in: PubMed
    5. Richmond NL, Meyer ML, Hollowell AG, Isenberg EE, Domeier RM, Swor RA, Hendry PL, Peak DA, Rathlev NK, Jones JS, Lee DC, Jones CW, Platts-Mills TF. Social Support and Pain Outcomes After Trauma Exposure Among Older Adults: A Multicenter Longitudinal Study. Clin J Pain. 2018 Apr; 34(4):366-374. PMID: 28915155.
      View in: PubMed
    6. Rathlev NK, Anderson J, Schmidt J, Hettler J, Garreffi L, Gray M, Neal D, Visintainer P. Key Players in Key Roles: The Baystate Patient Progress Initiative to Improve Emergency Department Efficiency and Productivity. J Emerg Nurs. 2018 Mar; 44(2):123-131. PMID: 29223696.
      View in: PubMed
    7. Madhuripan N, Hicks RJ, Feldmann E, Rathlev NK, Salvador D, Artenstein AW. A Protocol-Based Approach to Spinal Epidural Abscess Imaging Improves Performance and Facilitates Early Diagnosis. J Am Coll Radiol. 2018 Apr; 15(4):648-651. PMID: 29102538.
      View in: PubMed
    8. Artenstein AW, Rathlev NK, Neal D, Townsend V, Vemula M, Goldlust S, Schmidt J, Visintainer P. Decreasing Emergency Department Walkout Rate and Boarding Hours by Improving Inpatient Length of Stay. West J Emerg Med. 2017 Oct; 18(6):982-992. PMID: 29085527.
      View in: PubMed
    9. Soares WE, Wilson D, Rathlev N, Lee JD, Gordon M, Nunes EV, O'Brien CP, Friedmann PD. Healthcare utilization in adults with opioid dependence receiving extended release naltrexone compared to treatment as usual. J Subst Abuse Treat. 2017 May 12. PMID: 28576389.
      View in: PubMed
    10. Platts-Mills TF, Nebolisa BC, Flannigan SA, Richmond NL, Domeier RM, Swor RA, Hendry PL, Peak DA, Rathlev NK, Jones JS, Lee DC, Jones CW, McLean SA. Post-Traumatic Stress Disorder among Older Adults Experiencing Motor Vehicle Collision: A Multicenter Prospective Cohort Study. Am J Geriatr Psychiatry. 2017 Apr 04. PMID: 28506605.
      View in: PubMed
    11. Beaudoin FL, Gutman R, Merchant RC, Clark MA, Swor RA, Jones JS, Lee DC, Peak DA, Domeier RM, Rathlev NK, McLean SA. Persistent pain after motor vehicle collision: comparative effectiveness of opioids vs nonsteroidal antiinflammatory drugs prescribed from the emergency department-a propensity matched analysis. Pain. 2017 Feb; 158(2):289-295. PMID: 28092325.
      View in: PubMed
    12. Pearlmutter MD, Dwyer KH, Burke LG, Rathlev N, Maranda L, Volturo G. Analysis of Emergency Department Length of Stay for Mental Health Patients at Ten Massachusetts Emergency Departments. Ann Emerg Med. 2016 Dec 30. PMID: 28063614.
      View in: PubMed
    13. Feinberg RK, Hu J, Weaver MA, Fillingim RB, Swor RA, Peak DA, Jones JS, Rathlev NK, Lee DC, Domeier RM, Hendry PL, Liberzon I, McLean SA. Stress-related psychological symptoms contribute to axial pain persistence after motor vehicle collision: path analysis results from a prospective longitudinal study. Pain. 2016 Dec 22. PMID: 28030471.
      View in: PubMed
    14. Linnstaedt SD, Hu J, Liu AY, Soward AC, Bollen KA, Wang HE, Hendry PL, Zimny E, Lewandowski C, Velilla MA, Damiron K, Pearson C, Domeier R, Kaushik S, Feldman J, Rosenberg M, Jones J, Swor R, Rathlev N, McLean SA. Methodology of AA CRASH: a prospective observational study evaluating the incidence and pathogenesis of adverse post-traumatic sequelae in African-Americans experiencing motor vehicle collision. BMJ Open. 2016 Sep 06; 6(9):e012222. PMID: 27601501.
      View in: PubMed
    15. Platts-Mills TF, Nicholson RJ, Richmond NL, Patel KV, Simonsick EM, Domeier RM, Swor RA, Hendry PL, Peak DA, Rathlev NK, Jones JS, Lee DC, Weaver MA, Keefe FJ, McLean SA. Restricted activity and persistent pain following motor vehicle collision among older adults: a multicenter prospective cohort study. BMC Geriatr. 2016 Apr 19; 16:86. PMID: 27094038.
      View in: PubMed
    16. Hu J, Bortsov AV, Ballina L, Orrey DC, Swor RA, Peak D, Jones J, Rathlev N, Lee DC, Domeier R, Hendry P, Parry BA, McLean SA. Chronic widespread pain after motor vehicle collision typically occurs through immediate development and nonrecovery: results of an emergency department-based cohort study. Pain. 2016 Feb; 157(2):438-44. PMID: 26808013.
      View in: PubMed
    17. Rathlev N, Almomen R, Deutsch A, Smithline H, Li H, Visintainer P. Randomized Controlled Trial of Electronic Care Plan Alerts and Resource Utilization by High Frequency Emergency Department Users with Opioid Use Disorder. West J Emerg Med. 2016 Jan; 17(1):28-34. PMID: 26823927.
      View in: PubMed
    18. Linnstaedt SD, Bortsov AV, Soward AC, Swor R, Peak DA, Jones J, Rathlev N, Lee DC, Domeier R, Hendry PL, McLean SA. CRHBP polymorphisms predict chronic pain development following motor vehicle collision. Pain. 2016 Jan; 157(1):273-9. PMID: 26447706.
      View in: PubMed
    19. Auvergne L, Bortsov AV, Ulirsch JC, Peak DA, Jones JS, Swor RA, Domeier RM, Lee DC, Rathlev NK, Hendry PL, McLean SA. Association of Epidemiologic Factors and Genetic Variants Influencing Hypothalamic-Pituitary-Adrenocortical Axis Function With Postconcussive Symptoms After Minor Motor Vehicle Collision. Psychosom Med. 2016 Jan; 78(1):68-78. PMID: 26588823.
      View in: PubMed
    20. Platts-Mills TF, Flannigan SA, Bortsov AV, Smith S, Domeier RM, Swor RA, Hendry PL, Peak DA, Rathlev NK, Jones JS, Lee DC, Keefe FJ, Sloane PD, McLean SA. Persistent Pain Among Older Adults Discharged Home From the Emergency Department After Motor Vehicle Crash: A Prospective Cohort Study. Ann Emerg Med. 2016 Feb; 67(2):166-176.e1. PMID: 26092559.
      View in: PubMed
    21. Linnstaedt SD, Hu J, Bortsov AV, Soward AC, Swor R, Jones J, Lee D, Peak D, Domeier R, Rathlev N, Hendry P, McLean SA. µ-Opioid Receptor Gene A118 G Variants and Persistent Pain Symptoms Among Men and Women Experiencing Motor Vehicle Collision. J Pain. 2015 Jul; 16(7):637-44. PMID: 25842347.
      View in: PubMed
    22. Pereira GF, McLean SA, Tkacik TJ, Swor RA, Jones JS, Lee DC, Peak DA, Domeier RM, Rathlev NK, Hendry PL, Platts-Mills TF. Pain, distress, and anticipated recovery for older versus younger emergency department patients after motor vehicle collision. BMC Emerg Med. 2014 Dec 30; 14:25. PMID: 25547869.
      View in: PubMed
    23. Qadri YJ, Bortsov AV, Orrey DC, Swor RA, Peak DA, Jones JS, Rathlev NK, Lee DC, Domeier RM, Hendry PL, Mclean SA. Genetic Polymorphisms in the Dopamine Receptor 2 Predict Acute Pain Severity after Motor Vehicle Collision. Clin J Pain. 2014 Nov 3. PMID: 25370144.
      View in: PubMed
    24. Rathlev NK, Bryson C, Samra P, Garreffi L, Li H, Geld B, Wu RY, Visintainer P. Reducing patient placement errors in emergency department admissions: right patient, right bed. West J Emerg Med. 2014 Sep; 15(6):687-92. PMID: 25247044.
      View in: PubMed
    25. McClelland M, Asplin B, Epstein SK, Kocher KE, Pilgrim R, Pines J, Rabin EJ, Rathlev NK. The Affordable Care Act and emergency care. Am J Public Health. 2014 Oct; 104(10):e8-10. PMID: 25121814.
      View in: PubMed
    26. Ulirsch JC, Weaver MA, Bortsov AV, Soward AC, Swor RA, Peak DA, Jones JS, Rathlev NK, Lee DC, Domeier RM, Hendry PL, McLean SA. No man is an island: living in a disadvantaged neighborhood influences chronic pain development after motor vehicle collision. Pain. 2014 Oct; 155(10):2116-23. PMID: 25107859.
      View in: PubMed
    27. Bortsov AV, Platts-Mills TF, Peak DA, Jones JS, Swor RA, Domeier RM, Lee DC, Rathlev NK, Hendry PL, Fillingim RB, McLean SA. Effect of pain location and duration on life function in the year after motor vehicle collision. Pain. 2014 Sep; 155(9):1836-45. PMID: 24972071.
      View in: PubMed
    28. Lewis GC, Platts-Mills TF, Liberzon I, Bair E, Swor R, Peak D, Jones J, Rathlev N, Lee D, Domeier R, Hendry P, McLean SA. Incidence and predictors of acute psychological distress and dissociation after motor vehicle collision: a cross-sectional study. J Trauma Dissociation. 2014; 15(5):527-47. PMID: 24983475.
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    29. Budhram G, Elia T, Rathlev N. Implementation of a successful incentive-based ultrasound credentialing program for emergency physicians. West J Emerg Med. 2013 Nov; 14(6):602-8. PMID: 24381680.
      View in: PubMed
    30. McLean SA, Ulirsch JC, Slade GD, Soward AC, Swor RA, Peak DA, Jones JS, Rathlev NK, Lee DC, Domeier RM, Hendry PL, Bortsov AV, Bair E. Incidence and predictors of neck and widespread pain after motor vehicle collision among US litigants and nonlitigants. Pain. 2014 Feb; 155(2):309-21. PMID: 24145211.
      View in: PubMed
    31. Bortsov AV, Smith JE, Diatchenko L, Soward AC, Ulirsch JC, Rossi C, Swor RA, Hauda WE, Peak DA, Jones JS, Holbrook D, Rathlev NK, Foley KA, Lee DC, Collette R, Domeier RM, Hendry PL, McLean SA. Polymorphisms in the glucocorticoid receptor co-chaperone FKBP5 predict persistent musculoskeletal pain after traumatic stress exposure. Pain. 2013 Aug; 154(8):1419-26. PMID: 23707272.
      View in: PubMed
    32. Lee DC, Peak DA, Jones JS, Domeier RM, Hendry PL, Rathlev NK, Swor RA, McLean SA. Variations in institutional review board reviews of a multi-center, Emergency Department (ED)-based genetic research protocol. Am J Emerg Med. 2013 Jun; 31(6):967-9. PMID: 23623236.
      View in: PubMed
    33. Bortsov AV, Platts-Mills TF, Peak DA, Jones JS, Swor RA, Domeier RM, Lee DC, Rathlev NK, Hendry PL, Fillingim RB, McLean SA. Pain distribution and predictors of widespread pain in the immediate aftermath of motor vehicle collision. Eur J Pain. 2013 Sep; 17(8):1243-51. PMID: 23335385.
      View in: PubMed
    34. Rathlev NK, Blank F, Osborne B, Kellogg A, Li H, Blanchet J, Conway RF, Durkin L, Gerstein R, Strzempko S, Vig M, Santoro JP, Visintainer P. No diversion in Western Massachusetts. J Emerg Med. 2013 Feb; 44(2):313-20. PMID: 22921858.
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    35. Rabin E, Kocher K, McClelland M, Pines J, Hwang U, Rathlev N, Asplin B, Trueger NS, Weber E. Solutions to emergency department 'boarding' and crowding are underused and may need to be legislated. Health Aff (Millwood). 2012 Aug; 31(8):1757-66. PMID: 22869654.
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    36. Rathlev NK, Obendorfer D, White LF, Rebholz C, Magauran B, Baker W, Ulrich A, Fisher L, Olshaker J. Time series analysis of emergency department length of stay per 8-hour shift. West J Emerg Med. 2012 May; 13(2):163-8. PMID: 22900106.
      View in: PubMed
    37. Platts-Mills TF, Hunold KM, Bortsov AV, Soward AC, Peak DA, Jones JS, Swor RA, Lee DC, Domeier RM, Hendry PL, Rathlev NK, McLean SA. More educated emergency department patients are less likely to receive opioids for acute pain. Pain. 2012 May; 153(5):967-73. PMID: 22386895.
      View in: PubMed
    38. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, Bernhard M, Bertini A, Gries A, Ferrandiz S, Kumar VA, Harjola VP, Hogan B, Madsen B, Mason S, Ohlén G, Rainer T, Rathlev N, Revue E, Richardson D, Sattarian M, Schull MJ. International perspectives on emergency department crowding. Acad Emerg Med. 2011 Dec; 18(12):1358-70. PMID: 22168200.
      View in: PubMed
    39. Kocher KE, Shane SA, Venkatesh AK, Aronsky D, Asplin BR, Rathlev NK. Interventions to safeguard system effectiveness during periods of emergency department crowding. Acad Emerg Med. 2011 Dec; 18(12):1313-7. PMID: 22168196.
      View in: PubMed
    40. Platts-Mills TF, Ballina L, Bortsov AV, Soward A, Swor RA, Jones JS, Lee DC, Peak DA, Domeier RM, Rathlev NK, Hendry PL, McLean SA. Using emergency department-based inception cohorts to determine genetic characteristics associated with long term patient outcomes after motor vehicle collision: methodology of the CRASH study. BMC Emerg Med. 2011 Sep 26; 11:14. PMID: 21943293.
      View in: PubMed
    41. Hwang U, McCarthy ML, Aronsky D, Asplin B, Crane PW, Craven CK, Epstein SK, Fee C, Handel DA, Pines JM, Rathlev NK, Schafermeyer RW, Zwemer FL, Bernstein SL. Measures of crowding in the emergency department: a systematic review. Acad Emerg Med. 2011 May; 18(5):527-38. PMID: 21569171.
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    42. Friedman FD, Rathlev NK, White L, Epstein SK, Sayah A, Pearlmutter M, Biddinger P, Zane R, Moyer P. Trial to end ambulance diversion in Boston: report from the conference of the Boston teaching hospitals consortium. Prehosp Disaster Med. 2011 Apr; 26(2):122-6. PMID: 21888732.
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    43. Duong DK, Rathlev NK, McGrath ME, White LF, Mitchell P. Does mandatory inpatient alcohol detoxification reduce emergency department recidivism, hospital admissions, and emergency medical services transports for patients with chronic, severe alcohol dependence? J Emerg Med. 2012 Nov; 43(5):883-8. PMID: 19944550.
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    44. Anderson SW, Soto JA, Lucey BC, Ozonoff A, Jordan JD, Ratevosian J, Ulrich AS, Rathlev NK, Mitchell PM, Rebholz C, Feldman JA, Rhea JT. Abdominal 64-MDCT for suspected appendicitis: the use of oral and IV contrast material versus IV contrast material only. AJR Am J Roentgenol. 2009 Nov; 193(5):1282-8. PMID: 19843742.
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    45. Sethuraman KN, Duong D, Mehta S, Director T, Crawford D, St George J, Rathlev NK. Complications of tube thoracostomy placement in the emergency department. J Emerg Med. 2011 Jan; 40(1):14-20. PMID: 19097724.
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    46. Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, McCarthy M, John McConnell K, Pines JM, Rathlev N, Schafermeyer R, Zwemer F, Schull M, Asplin BR. The effect of emergency department crowding on clinically oriented outcomes. Acad Emerg Med. 2009 Jan; 16(1):1-10. PMID: 19007346.
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    47. Medzon R, Bracken M, Rathlev NK, Mower WR, Wolfson AB, Go S, Hoffman JR. Clinically suspected coagulopathy in blunt head trauma. J Emerg Med. 2010 Oct; 39(4):399-405. PMID: 18584993.
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    48. Spector J, Rathlev NK. Pertussis in an elderly Asian-American man: a case report. J Emerg Med. 2010 May; 38(4):434-8. PMID: 18462908.
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    49. Rathlev NK, Medzon R, Bracken ME. Evaluation and management of neck trauma. Emerg Med Clin North Am. 2007 Aug; 25(3):679-94, viii. PMID: 17826212.
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    50. Narang AT, Rathlev NK. Non-aneurysmal infectious aortitis: a case report. J Emerg Med. 2007 May; 32(4):359-63. PMID: 17499687.
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    51. Rathlev NK, Chessare J, Olshaker J, Obendorfer D, Mehta SD, Rothenhaus T, Crespo S, Magauran B, Davidson K, Shemin R, Lewis K, Becker JM, Fisher L, Guy L, Cooper A, Litvak E. Time series analysis of variables associated with daily mean emergency department length of stay. Ann Emerg Med. 2007 Mar; 49(3):265-71. PMID: 17224203.
      View in: PubMed
    52. Rathlev NK, Ulrich AS, Delanty N, D'Onofrio G. Alcohol-related seizures. J Emerg Med. 2006 Aug; 31(2):157-63. PMID: 17044577.
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    53. Bracken ME, Medzon R, Rathlev NK, Mower WR, Hoffman JR. Effect of intoxication among blunt trauma patients selected for head computed tomography scanning. Ann Emerg Med. 2007 Jan; 49(1):45-51. PMID: 17141144.
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    54. Ramanujam P, Rathlev NK. Blood cultures do not change management in hospitalized patients with community-acquired pneumonia. Acad Emerg Med. 2006 Jul; 13(7):740-5. PMID: 16766742.
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    55. Olshaker JS, Rathlev NK. Emergency Department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the Emergency Department. J Emerg Med. 2006 Apr; 30(3):351-6. PMID: 16677993.
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    56. Rathlev NK, Medzon R, Lowery D, Pollack C, Bracken M, Barest G, Wolfson AB, Hoffman JR, Mower WR. Intracranial pathology in elders with blunt head trauma. Acad Emerg Med. 2006 Mar; 13(3):302-7. PMID: 16514123.
      View in: PubMed
    57. Medzon R, Rothenhaus T, Bono CM, Grindlinger G, Rathlev NK. Stability of cervical spine fractures after gunshot wounds to the head and neck. Spine (Phila Pa 1976). 2005 Oct 15; 30(20):2274-9. PMID: 16227889.
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    58. Anderson PD, Mitchell PM, Rathlev NK, Fish SS, Feldman JA. Potential diversion rates associated with prehospital acute myocardial infarction triage strategies. J Emerg Med. 2004 Nov; 27(4):345-53. PMID: 15498614.
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    59. Stuhlfaut JW, Soto JA, Lucey BC, Ulrich A, Rathlev NK, Burke PA, Hirsch EF. Blunt abdominal trauma: performance of CT without oral contrast material. Radiology. 2004 Dec; 233(3):689-94. PMID: 15516605.
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    60. Ulrich AS, Rathlev NK. Hypothermia and localized cold injuries. Emerg Med Clin North Am. 2004 May; 22(2):281-98. PMID: 15163568.
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    61. Sikka R, Berstein E, James T, Rathlev N, Davé AK. Cross-cultural competency in emergency medicine. Ann Emerg Med. 2003 Jun; 41(6):885-6; author reply 886. PMID: 12790119.
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    62. Rollinson DC, Rathlev NK, Moss M, Killiany R, Sassower KC, Auerbach S, Fish SS. The effects of consecutive night shifts on neuropsychological performance of interns in the emergency department: a pilot study. Ann Emerg Med. 2003 Mar; 41(3):400-6. PMID: 12605209.
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    63. Rathlev NK, Ulrich A, Shieh TC, Callum MG, Bernstein E, D'Onofrio G. Etiology and weekly occurrence of alcohol-related seizures. Acad Emerg Med. 2002 Aug; 9(8):824-8. PMID: 12153888.
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    64. Rathlev NK, Ulrich A, Fish SS, D'Onofrio G. Clinical characteristics as predictors of recurrent alcohol-related seizures. Acad Emerg Med. 2000 Aug; 7(8):886-91. PMID: 10958128.
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    65. D'Onofrio G, Rathlev NK, Ulrich AS, Fish SS, Freedland ES. Lorazepam for the prevention of recurrent seizures related to alcohol. N Engl J Med. 1999 Mar 25; 340(12):915-9. PMID: 10094637.
      View in: PubMed
    66. Rathlev NK, D'Onofrio G, Fish SS, Harrison PM, Bernstein E, Hossack RW, Pickens L. The lack of efficacy of phenytoin in the prevention of recurrent alcohol-related seizures. Ann Emerg Med. 1994 Mar; 23(3):513-8. PMID: 8135426.
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    67. Rathlev NK, D'onofrio G, Fish SS. Sample size & selection criteria. Ann Emerg Med. 1992 Mar; 21(3):344-6. PMID: 1536500.
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    68. Rathlev NK. Penetrating neck trauma: mandatory versus selective exploration. J Emerg Med. 1990 Jan-Feb; 8(1):75-8. PMID: 2191031.
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    69. Petersen J, Kieffer M, Lilic D, Rathlev N, Andersen V. Influence of autologous monocytes on the pokeweed mitogen-induced generation of immunoglobulin-secreting cells in man. Scand J Haematol. 1982 Oct; 29(4):273-82. PMID: 6758106.
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