Dr. Brown is a clinical researcher, ICU physician, and historian of religion and culture. His current project, Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human (Oxford, Spring 2016) outlines and advocates fundamental reforms in the way medical treatments are provided to create a truly patient and family centered Intensive Care Unit.
The National Heart Lung and Blood Institute of the National Institutes of Health has funded our work to employ big data statistical analysis techniques to identify and predict meaningful outcome phenotypes among survivors of the Acute Respiratory Distress Syndrome. This work is part of a collaboration with investigators at Johns Hopkins University and other sites.
I’m pleased to report that my new trade book, Through the Valley of Shadows: Making Intensive Care Human is now under contract with Oxford University Press. The book is due to enter production in early 2015, with a likely release in 2016. This book project explores the problems with critical care and the failings of living wills to address the real risks of contemporary ICUs. In the process, I show several ways to improve the current practice of intensive care in the USA
We are pleased to announce that In Heaven won the Best Book Award for 2013 from the John Whitmer Historical Association (JWHA). JWHA is a well-respected, independent historical society devoted to the history of the Community of Christ and the Restoration Movement. The book award is a great honor from this esteemed group.
In this study, our group at Intermountain led by Terry Clemmer demonstrated that careful rollout of an intensive quality improvement effort to improve the care of patients with life-threatening infection led to dramatic improvements in care and in outcomes for patients. We saw a dramatic improvement in survival in association with this effort.
The Journal of Critical Care has published our initial evaluation of fractal exponents (the scaling coefficients from detrended fluctuation analysis) of heart rate variability in early sepsis and septic shock. In this study, we found that loss of fractal complexity in the time between successive heart beats was associated with poor response to initial resuscitation among patients arriving in the ICU with life-threatening infection.
Ellie Hirshberg is leading a collaboration with Jorie Butler to validate the HEALTHII value persona instrument psychometrically. The Intermountain Research and Medical Foundation has provided the initial funding for the project, which is an important early step in the progress of our Humanizing the Experience of Acute Life-THreatening Illness and Injury (HEALTHII) project.