Emergency Medicine Faculty

Bruce D. Adams, MD, FACEP

Professor and Chair, Department of Emergency Medicine
UT Health Science Center San Antonio

Dr. Bruce Adams Email: adamsb@uthscsa.edu

Biosketch: Dr. Bruce Adams was selected in 2012 as the founding Chair of the Department of Emergency Medicine at UTHSCSA.He attended the University of California at Davis and then enrolled at the Uniformed Services medical school and joined the Army. After a medicine internship at Walter Reed, he worked as a flight surgeon in Army Special Operations. Dr. Adams subsequently completed a residency in Internal Medicine at Eisenhower Army Medical Center followed by an emergency medicine residency at the Medical College of Georgia. His 27 year military career spanned a wide breadth of clinical, academic, combat and leadership positions, culminating as the Deputy Hospital Commander for Fort Bliss Texas. Dr. Adams resides in the San Antonio area with his wife Tina and three children.

Board Certifications:
American Board of Emergency Medicine
American Board of Internal Medicine

Education:
MD, Uniformed Services University of the Health Sciences (USUHS), 1990

Postgraduate training:
Medical College of Georgia, Residency, Emergency Medicine, 2002
Dwight David Eisenhower Army Medical Center, Residency, Internal Medicine, 1997
Walter Reed Army Medical Center, Internship, Internal Medicine, 1991

Research interests:
Vocera Communication Device in the Emergency Department. Funded with $230,000 AMEDD Advanced Medical Technology Initiative, Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command. 2009.

Communications enhancements in support of en route care and medical situational awareness in a deployed environment (Principal Investigator). Funded with $225,000 AMEDD Advanced Medical Technology Initiative, Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command. 2008

Use of a visualized stylet and supraglottic device for intubation in a limited space environment (Principal Investigator). Funded with $200,000 AMEDD Advanced Medical Technology Initiative, Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command. 2008

Implementation of the Surviving Sepsis Guidelines in a Military Treatment Facility (Associate Investigator). Funded with $45,000 grant from Eli Lilly and Company, Indianapolis, Indiana. Protocol # F1K-US-X007. 2007

CPR At Combat Support Hospitals (CRACSH Project) (Principal Investigator). Funded with $90,000 external grant from Cardiac Science, Irvine, CA. Protocol #TF44002. 2005

Decreasing time to defibrillation: AED use for public areas of hospitals. Funded with $12,000 grant from Medtronic Emergency Response Systems, Redmond, WA (Principal Investigator). 2004

Clinical interests:

Publications - manuscripts: Adams BD, Sisson C. Review: Bedside ultrasonography has 82% sensitivity and 99% specificity for blunt intraabdominal injury. Critical appraisal of: Nishijima DK, Simel DL, Wisner DH, Holmes JF. Does this adult patient have a blunt intra-abdominal injury? JAMA. 2012;307:1517-2. ACP Journal Club, Annals of Internal Medicine. 2012; 157(4):JC2-12.

Adams BD. Longer perishock pauses were associated with decreased survival to hospital discharge after out-of-hospital shockable cardiac arrest. Critical appraisal of: Cheskes S, Schmicker RH, Christenson J, et al; Resuscitation Outcomes Consortium Investigators. Perishock pause: an independent predictor of survival from out-of-hospital shockable cardiac arrest. Circulation. 2011;124:58-66. ACP Journal Club, Annals of Internal Medicine, 2011; 155 (8); JC4-12.

Mabry RL, Cuniowski P, Frankfurt A, Adams BD. Advanced Airway Management in Combat Casualties by Medics At The Point Of Injury: A Sub-Group Analysis of the Reach Study. Journal of Special Operations Medicine. 2011; 11(2):1-4.

Adams BD, Baker R, Lopez JA, Spencer S. Myeloproliferative Disorders and the Hyperviscosity Syndrome. Hematology/Oncology Clinics of North America. 2010; 24(3): 585-602 (reprinted).

Hill GJ, Adams BD. Emergency Accidental Oxygen Disconnection in the Emergency Department. Journal of Emergencies Trauma and Shock. 2010; 3:185-186.

Hermstad E, Adams B. Traumatic brain injury complicated by environmental hyperthermia. Journal of Emergencies Trauma and Shock. 2010; 3:66-69.

Adams BD, Baker R, Lopez JA, Spencer S. Myeloproliferative Disorders and the Hyperviscosity Syndrome. Emergency Medicine Clinics of North America. 2009; 27(3): 459-476.

Mellick LB, Adams BD. Resuscitation Team Organization for Emergency Departments: A Conceptual Review and Discussion. The Open Emergency Medicine Journal. 2009; 2: 18-27.

Adams BD, Carr B, Raez A, Hunter CJ. Cardiopulmonary Resuscitation in the Combat Hospital and Forward Operating Base: Use of Automated External Defibrillators. Military Medicine. 2009; 174(6): 584-587.

Gallo AC, Adams BD. Emergency battlefield cricothyrotomy complicated by tube occlusion. Journal of Emergencies Trauma and Shock. 2009; 2(1): 54-55.

Adams BD, Jones RJ, Delgado RE, Larkin GL. Reply letter to: Survival outcomes from cardiac arrest among hospital staff and visitors: the role of response time and optimal cardiopulmonary resuscitation (letter). Resuscitation. 2009; 80(5): 597.

Adams BD, Jones RJ, Delgado RE, Larkin GL. Cardiac Arrests of Hospital Staff and Visitors: Experience from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2009; 80 (1): 65-68.

Muck A, Hilliard MW, Adams BD. When Dead is Only Mostly Dead. Journal of Emergency Medical Services. 2009; 34(3): 42-45.

Adams BD, Cuniowski P, Muck A, DeLorenzo RA. Combat Airway Management: The Registry of Emergency Airways Arriving at Combat Hospitals. Journal of Trauma. 2008; 64(6):1548-1554.

Adams BD, McHugh K, Bryson SA, Dabulewicz J. The Law of Unintended Consequences: The Law of Unintended Consequences: The Joint Commission Regulations and the Digital Rectal Examination. Annals of Emergency Medicine. 2008; 51(2): 197-201. (Editors' Top Selection).

Adams BD, Barry JD. Tiagabine: Let Seizing Dogs Lie? (Letter). Emergency Medicine Australasia. 2008; 20(4): 370.

Sumeru G, Mehta SG, Bautista RM, Adams BD. Role of First-Drawn Indeterminate Troponin-I Levels in the Emergency Department. International Journal of Cardiology. 19 March 2008 (doi:10.1016/j.ijcard.2007.12.100).

Adams BD, Rickett D, Stuffel E, Albaneze PA. The Pinch-An-Inch Test Is More Comfortable Than Rebound Tenderness. Internet Journal of Surgery. 2007; 12(2).

Adams BD. Code Blue — Where to? AHRQ Web M&M [serial online]. October 2007.

Adams BD, Hurtado TR, Geracci J. Improvised Airway Management Devices (letter). Wilderness & Environmental Medicine. 2007; 18(2): 147.

Publications - abstracts:
Hampton, MS, Gonzalez MG, Adams BD. A Comparative Study of Endotracheal Intubation by Airtraq, Glidescope Ranger and Direct Laryngoscopy in a Closed Space Environment. Annals of Emergency Medicine. 2008; 52 (4): S113-S114

Jones R, Delgado R, Adams BD. Cardiac Arrest of Non-Patients within Public Hospital Areas. Prehospital Emergency Care. 2008; 12 (1): 134.

Muck A, Cuniowski P, DeLorenzo RA, Adams BD. Combat Airway Management: The Registry of Emergency Airways Arriving at Combat Hospitals: Is Advanced Airway Management Underutilized in Combat? Prehospital Emergency Care. 2007; 11 (1): 104-105.

Convertino VA, Ryan KL, Rickards CA, Holcomb JB, Idris AH, Metzger A, Lurie KG, Adams BD. Inspiratory Resistance Maintains Arterial Pressure during Central Hypovolemia: Implications for Treatment of Combat Casualties with Severe Hemorrhage. Proceedings of the 25th Biannual Army Science Conference, Dec 2006.

Adams BD, Cuniowski P, Muck A, Hunter CJ, DeLorenzo RA. Combat Airway Management: The REACH Study (Registry of Emergency Airways Arriving at Combat Hospitals). Annals of Emergency Medicine. 2006; 48 (4): S26-27.

Adams BD, McNeil CR, McHugh PJ. A Randomized, Prospective, Comparative Study of Emergency Department Bedside Rounds and Board Rounds. European Journal of Emergency Medicine. 2006; 13 (1): 58.

Adams B, Anderson P, Stuffel E. Cardiac Arrest of Visitors in a Hospital�s �Prehospital� Areas: Bystander AED vs. Standard Response Team. Prehospital Emergency Care. 2006; 10 (1): 147.

Raez A, Carr B, Adams B. The CRACSH Study: Cardiopulmonary Arrest at Combat Support Hospitals. Prehospital Emergency Care. 2006; 10 (1): 147-148.

Adams BD, Anderson PI, Stuffel E. Code Blue: Bystander Automatic External Defibrillation Is Faster Than Standard Cardiac Arrest Team Response for a Public Visitor Area of a Hospital. Proceedings of the American Heart Association Resuscitation Science Symposium. 2005.

Adams BD, Shih H, Stuffel E, Robinson A. A Video Based Training Program Improves Defibrillator Inspection Compliance. Annals of Emergency Medicine. 2005; 46 (3): S18.

Adams BD, McNeil CR, McHugh PJ. A Randomized, Prospective, Comparative Study of Emergency Department Bedside Rounds and Board Rounds. Proceedings of the 3rd Mediterranean Emergency Congress. 2005: 26.

McHugh KA, Bryson SA, Dabulewicz J, Adams BD. The Law of Unintended Consequences: Implementation of Point-of-Care Testing Regulations Decreases Physician Performance of Digital Rectal Exams. Annals of Emergency Medicine. 2005; 46 (3): S32.

Anderson PI, Adams BD, Stuffel E. Code Blue: Bystander Automatic External Defibrillation Is Faster Than Standard Cardiac Arrest Team Response for a Public Visitor Area of a Hospital. Annals of Emergency Medicine. 2005; 46 (3): S75.

Adams BD, Anderson PI, Stuffel E. Cardiac Arrest of Visitors in a Hospital Public Area: Bystander AED is Faster than Standard Cardiac Arrest Team. Southern Medical Journal. 2005; 98 (10): S8.

Mehta S, Bautista RM, Adams BD. Role of First-Drawn Indeterminate Troponin I Levels in the Emergency Department. Southern Medical Journal. 2005; 98 (10): S47.

Stuffel E, Shih H, Adams BD. A Video-Based Training Program Improves Defibrillator Inspection Compliance. Southern Medical Journal. 2005; 98 (10): S50.

York G, Rickett D, Albaneze P, Jones MD, Woods B, Adams BD. The Pinch-An-Inch Test for Appendicitis. Southern Medical Journal. 2005; 98 (10): S84.

Mehta S, Bautista RM, Adams BD. Role of First-Drawn Indeterminate Troponin I Levels in the Emergency Department. Circulation. 2005; 111(20): e340.

Bautista RM, Adams BD, Mehta S. Role of First-drawn Indeterminate Troponin I Levels in the Emergency Department. Acad Emerg Med. 2005; 12(5): S33-34.

Easty DM, Adams BD, Stuffel E, Hartman I. Decreasing the time to defibrillation: A crossover comparative study of Quik-Combo and Padpro defibrillator electrodes. Annals of Emergency Medicine. 2004; 44(4): S66.

Textbook chapters: Adams BD, Arbogast CB. 'Rhabdomyolysis' in Textbook of Emergency Medicine, 2nd edition. Edited by James Adams. 2012, Elsevier, Philadelphia, PA.

Adams BD, Lowery DW. 'Arthritis' in Rosen's Emergency Medicine: Concepts and Clinical Practice, 7th Edition. Edited by John A. Marx, Robert S. Hockberger, and Ron M. Walls. 2009, Mosby Elsevier, Philadelphia, PA (in development).

Adams BD, Lyon M, DeFlorio PT. 'Central Venous Catheterization and Central Venous Pressure Monitoring' in Clinical Procedures in Emergency Medicine, 5th Edition. Edited by James Roberts, Jerris Hedges. 2009, W.B. Saunders, Philadelphia, PA.

Adams BD, Grant JA. 'Rhabdomyolysis' in Textbook of Emergency Medicine. Edited by James Adams. 2008, Elsevier, Philadelphia, PA.

Adams BD (contributor). Advanced Disaster Life Support Provider Manual, ?2003 National Disaster Life Support Educational Consortium (NDLSEC).

Adams BD, Linsky R. 'Traumatic and Explosive Events' in Basic Disaster Life Support Provider Manual. 2002 National Disaster Life Support Educational Consortium (NDLSEC).

Honors and awards:
2011, Command Select for US Army Research Institute of Environmental Medicine
2011, Command Select for Hugo V. Mendoza Soldier Family Care Clinic
2011, Honorary Member, Board of Directors, Medical Center of the Americas Foundation
2010, Biography listed in Who's Who in America (64th Edition, 2010)
2010, Listed in Guide to America's Top Emergency Medicine Physicians (CRCA, 2010 edition)
2009, Biography listed in Who's Who in America (63rd Edition, 2009)
2008, Surgeon General of the Army "A" Proficiency Designator 62A9A
2008, Biography listed in Who's Who in America (62nd Edition, 2008)
2008, Top Reviewer, Annals of Emergency Medicine
2008, FY09 Colonel AMEDD Command Selection Alternates List
2007, Biography listed in Who's Who in Science and Engineering (10th Edition, 2007-2008)
2007, Top Reviewer, Annals of Emergency Medicine
2007, Council of Central Texas Red, White & Blue Gala Certificate of Recognition
2006, Biography listed in Who's Who in America (61st Edition, 2006-2007)
2006, US Army Order of Military Medical Merit
2006, Faculty of the Year Award, Brooke Army Medical Center
2006, Emergency Medicine Faculty of the Year Award, SAUSHEC
2006, Top Reviewer, Annals of Emergency Medicine
2006, Selected for promotion to Colonel (for 2007)
2005, Inducted into the 11th US Cavalry Regiment Blackhorse Order of the Combat Spur
2003, Emergency Medicine Faculty of the Year Award, SAUSHEC
2002, Emergency Medicine Resident of the Year, Medical College of Georgia
2002, Excellence in Emergency Medicine Research Award, Medical College of Georgia
2002, Finalist, Medical College of Georgia Medical Center Resident of the Year
2002, ABEM In-service Scores: 98th percentile for highest score in the MCG residency
2001, ABEM In-service Scores: 98th percentile for highest score in the MCG residency
2001, Richmond County Medical Society Research Award, 3rd place
2001, Promoted to Lieutenant Colonel, 30 Sep 2001
2000, ABEM In-service Scores: 2000 = 97th percentile for highest score in the MCG residency
1995, Promoted below the zone (early) to Major
1994, US Army Flight Surgeon of the Year (Spurgeon H. Neel Award)
1994, US Army Special Operations Command Flight Surgeon of the Year

Professional societies:
American College of Emergency Physicians
Government Services Chapter of American College of Emergency Physicians
Society of US Army Flight Surgeons
USU Alumni Association
Veterans of Foreign Wars

 
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Updated: 8/1/2013
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