Andy S. Jagoda | |
---|---|
Born | 1952 |
Nationality | American |
Alma mater | Georgetown University |
Scientific career | |
Fields | Emergency medicine |
Institutions | Icahn School of Medicine at Mount Sinai |
Andy S. Jagoda (born 1952) is an American physician and Professor and Chair Emeritus of the Department of Emergency Medicine at Icahn School of Medicine at Mount Sinai. [1]
He edited and authored 14 books, including The Good Housekeeping Family First Aid Book and the textbook Neurologic Emergencies. He is an editor of the 9th edition of Rosen’s Emergency Medicine.
Jagoda is the son of a Jewish singer, Flory Papo Jagoda, and her husband, builder Harry Jagoda. [2] He is one of four siblings including two sisters, Lori and Betty, and brother, Elliot, who died in 2014. [3] He is married to neuro-psychiatrist Silvana Riggio. [2] With Riggio, he contributed vocals to his mother's song, Ocho Kandelikas, which reportedly became one of the "best-known Hanukah songs all over the world." [3]
He received his medical degree from Georgetown University [4] in 1982. He completed a residency in emergency medicine at the joint program of Georgetown/George Washington/Maryland Institute for Emergency Medical Services System in 1985.
As a doctor in the United States Navy, Jagoda completed two tours in the Middle East, first during the Iran-Iraq War, and then again during Desert Storm/Desert Shield. [5] In 1990, he earned the rank of lieutenant commander. He was later made Assistant Professor at the Department of Military Medicine/Emergency Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He received a Commendation Medal for “meritorious service” from the Navy. [6]
Jagoda joined the faculty of George Washington University, then the University of Florida. He joined the staff at Mount Sinai Medical Center in 1995, earning the rank of Professor of Emergency Medicine with tenure in 2000. In 2009, he was named Chair of the Department of Emergency Medicine.
Jagoda led the credentialing committee for the National Football League (NFL) Airway Management Physician Program and played a role in setting up the NFL Visiting Team Medical Liaison program. [7]
As of 2024, Jagoda is Editor-in-chief of Emergency Medicine Practice. [8] He is a member of the Executive Committee of the Brain Attack Coalition at the National Institute of Neurological Disorders and Stroke (part of the National Institutes of Health) and of the Executive Board of the Foundation for Education and Research on Neurologic Emergencies (FERNE). He is also on the advisory board of the Indian Head Injury Foundation and of the Brain Trauma Foundation where he also serves as the EMS Director.
He is past chair of the Clinical Policies Committee of the American College of Emergency Physicians (ACEP), where his work with the committee for 14 years facilitated the evolution from a consensus-based process to an evidence-based process and promoted ACEP’s practice guideline methodology both nationally and internationally. [9] He has organized evidence-based symposiums in Italy, the Netherlands, and Chile and co-organized the first Joint ACEP/Italian Congress on Emergency Medicine.
In the case of Newman v. Mount Sinai Medical Center, Inc., plaintiff Ms. Aja Newman alleged that she was sexually assaulted by one Dr. David Newman (no relation) in a private room. Dr. David Newman was found culpable. Jagoda and eight other named defendants, who were in the vicinity at the time, were dismissed from all allegations. [10] [11]
Jagoda's most cited publications as of 2024, reported by Google Scholar
Partial list, 2024:
Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. An epileptic seizure is the clinical manifestation of an abnormal, excessive, and synchronized electrical discharge in the neurons. The occurrence of two or more unprovoked seizures defines epilepsy. The occurrence of just one seizure may warrant the definition in a more clinical usage where recurrence may be able to be prejudged. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrical activity in the brain. These episodes can result in physical injuries, either directly, such as broken bones, or through causing accidents. In epilepsy, seizures tend to recur and may have no detectable underlying cause. Isolated seizures that are provoked by a specific cause such as poisoning are not deemed to represent epilepsy. People with epilepsy may be treated differently in various areas of the world and experience varying degrees of social stigma due to the alarming nature of their symptoms.
A seizure is a period of symptoms due to abnormally excessive or synchronous neuronal activity in the brain. Outward effects vary from uncontrolled shaking movements involving much of the body with loss of consciousness, to shaking movements involving only part of the body with variable levels of consciousness, to a subtle momentary loss of awareness. These episodes usually last less than two minutes and it takes some time to return to normal. Loss of bladder control may occur.
Brain injury (BI) is the destruction or degeneration of brain cells. Brain injuries occur due to a wide range of internal and external factors. In general, brain damage refers to significant, undiscriminating trauma-induced damage.
Cerebral edema is excess accumulation of fluid (edema) in the intracellular or extracellular spaces of the brain. This typically causes impaired nerve function, increased pressure within the skull, and can eventually lead to direct compression of brain tissue and blood vessels. Symptoms vary based on the location and extent of edema and generally include headaches, nausea, vomiting, seizures, drowsiness, visual disturbances, dizziness, and in severe cases, death.
A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. Symptoms may include loss of consciousness; memory loss; headaches; difficulty with thinking, concentration, or balance; nausea; blurred vision; dizziness; sleep disturbances, and mood changes. Any of these symptoms may begin immediately, or appear days after the injury. Concussion should be suspected if a person indirectly or directly hits their head and experiences any of the symptoms of concussion. Symptoms of a concussion may be delayed by 1–2 days after the accident. It is not unusual for symptoms to last 2 weeks in adults and 4 weeks in children. Fewer than 10% of sports-related concussions among children are associated with loss of consciousness.
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumatic brain injury. TBI can also be characterized based on mechanism or other features. Head injury is a broader category that may involve damage to other structures such as the scalp and skull. TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death.
Intracerebral hemorrhage (ICH), also known as hemorrhagic stroke, is a sudden bleeding into the tissues of the brain, into its ventricles, or into both. An ICH is a type of bleeding within the skull and one kind of stroke. Symptoms can vary dramatically depending on the severity, acuity, and location (anatomically) but can include headache, one-sided weakness, numbness, tingling, or paralysis, speech problems, vision or hearing problems, memory loss, attention problems, coordination problems, balance problems, dizziness or lightheadedness or vertigo, nausea/vomiting, seizures, decreased level of consciousness or total loss of consciousness, neck stiffness, and fever.
In emergency medicine, a lucid interval is a temporary improvement in a patient's condition after a traumatic brain injury, after which the condition deteriorates. A lucid interval is especially indicative of an epidural hematoma. An estimated 20 to 50% of patients with epidural hematoma experience such a lucid interval.
Post-concussion syndrome (PCS), also known as persisting symptoms after concussion, is a set of symptoms that may continue for weeks, months, or years after a concussion. PCS is medically classified as a mild traumatic brain injury (TBI). About 35% of people with concussion experience persistent or prolonged symptoms 3 to 6 months after injury. Prolonged concussion is defined as having concussion symptoms for over four weeks following the first accident in youth and for weeks or months in adults.
Pseudobulbar affect (PBA), or emotional incontinence, is a type of neurological disorder characterized by uncontrollable episodes of crying or laughing. PBA occurs secondary to a neurologic disorder or brain injury. Patients may find themselves crying uncontrollably at something that is only slightly sad, being unable to stop themselves for several minutes. Episodes may also be mood-incongruent: a patient may laugh uncontrollably when angry or frustrated, for example. Sometimes, the episodes may switch between emotional states, resulting in the patient crying uncontrollably before dissolving into fits of laughter.
Carotid artery dissection is a separation of the layers of the artery wall in the carotid arteries supplying oxygen-bearing blood to the head. It is the most common cause of stroke in younger adults. The term 'cervical artery dissection' should also be considered in the context of this article.
Bronson Methodist Hospital is a 434-bed non-profit teaching hospital located in downtown Kalamazoo, Michigan, United States, and is a Level I trauma center. Bronson Methodist Hospital is the flagship of the Bronson Healthcare Group, a non-profit healthcare system serving all of southwest Michigan and northern Indiana. Bronson Methodist Hospital provides care in cardiology, orthopedics, surgery, emergency medicine, neurology, oncology; in neurological care as a Comprehensive Stroke Center; in cardiac care as a Chest Pain Center; in obstetrics as a BirthPlace and high-risk pregnancy center, and in pediatrics as a children's hospital.
Traumatic brain injury can cause a variety of complications, health effects that are not TBI themselves but that result from it. The risk of complications increases with the severity of the trauma; however even mild traumatic brain injury can result in disabilities that interfere with social interactions, employment, and everyday living. TBI can cause a variety of problems including physical, cognitive, emotional, and behavioral complications.
Joshua B. Bederson is an American neurosurgeon, Leonard I. Malis, MD/Corinne and Joseph Graber Professor of Neurosurgery, and System Chair of Neurosurgery at the Mount Sinai Health System in New York City. He is a Fellow of the American College of Surgeons, and an attending neurosurgeon at The Mount Sinai Hospital.
Burton Drayer, MD, FACR, FANN, is an American radiologist and nationally recognized authority on the use of computed tomography and magnetic resonance imaging for diagnosing neurological disorders. From 2003 to 2008, he served as president, The Mount Sinai Hospital. As of 2020, he is the Charles M. and Marilyn Newman Professor and System Chair, Radiology, for The Mount Sinai Health System and Icahn School of Medicine at Mount Sinai Hospital in New York City.
Computed tomography of the head uses a series of X-rays in a CT scan of the head taken from many different directions; the resulting data is transformed into a series of cross sections of the brain using a computer program. CT images of the head are used to investigate and diagnose brain injuries and other neurological conditions, as well as other conditions involving the skull or sinuses; it used to guide some brain surgery procedures as well. CT scans expose the person getting them to ionizing radiation which has a risk of eventually causing cancer; some people have allergic reactions to contrast agents that are used in some CT procedures.
Joseph F. Waeckerle is an American physician specializing in emergency and sports medicine. He directed the search and rescue efforts at the Hyatt Regency walkway collapse in Kansas City, Missouri, on July 17, 1981. He is currently Clinical Professor of Emergency Medicine, University of Missouri–Kansas City School of Medicine and Editor Emeritus of Annals of Emergency Medicine. He previously served as Chief Medical Officer for the Office of Homeland Security, State of Missouri and Medical Officer for the Kansas City Division of the FBI.
The Mischer Neuroscience Institute is a combined research and education effort between the Vivian L. Smith Department of Neurosurgery and the Department of Neurology at McGovern Medical School at UTHealth Houston and Memorial Hermann Hospital. Located in Houston, the Institute draws patients from around the world for specialized treatment of diseases of the brain and spine. It was the first center in Texas and one of only a few institutions in the country to fully integrate neurology, neurosurgery, neuroradiology, neuro-oncology, spine surgery, pain medicine and neurorehabilitation.
The Neurocritical Care Society (NCS) is an international, multidisciplinary medical society first established in 2002. The Society is dedicated to improving the care and outcomes of patients with life-threatening neurologic illnesses in the intensive care unit. Common illnesses requiring neurocritical care include ischemic stroke, subarachnoid hemorrhage, intracranial hemorrhage, traumatic brain and spinal cord injury, coma, and status epilepticus. Its members are health professionals providing care to critically ill and injured patients. The Society supports research and education, and advocates on issues related to neurointensive care, neurocritical care, and general critical care.
Ramon Diaz-Arrastia is an American neurologist and clinical investigator. He is the John McCrae Dickson, MD Presidential professor of Neurology at the University of Pennsylvania Perelman School of Medicine in Philadelphia, Director of Clinical Traumatic Brain Injury Research, and Attending Neurologist at the Hospital of the University of Pennsylvania and Penn Presbyterian Medical Center.