Physician

Emergency Medicine

Emanuel P. Rivers practices Emergency Medicine. He researched medicine at University of Michigan Medical School. He received awards:"Regional Top Doctor", "Elected Member", "Top MD", "Whos Who in Medicine and Healthcare" and "Super Doctor". Emanuel Rivers is also published. He has 99 publications published. The lastest publication: "Hyperbaric oxygenation of mechanically ventilated patients poisoned with carbon monoxide.' Emanuel P. Rivers, MD accepts Medicare payments and is listed with Medicare.gov.

Publications

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• Age-related differences in biomarkers of acute inflammation during hospitalization for sepsis.
• A cost-effective analysis of postoperative goal-directed therapy for high-risk surgical patients: improved outcomes are not enough … you have to "show me the money"*.
• The incidence and significance of bacteremia in out of hospital cardiac arrest.
• "I Can't Walk!" Acute Thrombosis of Descending Aorta Causing Paraplegia.
• A host-based rt-PCR gene expression signature to identify acute respiratory viral infection.
• An integrated clinico-metabolomic model improves prediction of death in sepsis.
• A Phase 2 Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of Talactoferrin in Patients With Severe Sepsis*
• Early biomarker activity in severe sepsis and septic shock and a contemporary review of immunotherapy trials: not a time to give up, but to give it earlier.
• Gene Expression-Based Classifiers Identify Staphylococcus aureus Infection in Mice and Humans.
• Early Interventions in Severe Sepsis and Septic Shock: A Review of the Evidence One Decade Later.
• Counterpoint: should lactate clearance be substituted for central venous oxygen saturation as goals of early severe sepsis and septic shock therapy? No.
• Relationship between B-type natriuretic peptide and adverse outcome in patients with clinical evidence of sepsis presenting to the emergency department.
• Point: adherence to early goal-directed therapy: does it really matter? Yes. After a decade, the scientific proof speaks for itself.
• Fluid therapy in septic shock.
• The diagnostic accuracy of plasma neutrophil gelatinase-associated lipocalin in the prediction of acute kidney injury in emergency department patients with suspected s...
• Disease progression in hemodynamically stable patients presenting to the emergency department with sepsis.
• Multiplex PCR to diagnose bloodstream infections in patients admitted from the emergency department with sepsis.
• A prospective, multicenter derivation of a biomarker panel to assess risk of organ dysfunction, shock, and death in emergency department patients with suspected sepsis.
• Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscit...
• Management of sepsis: early resuscitation.
• Improving outcomes for severe sepsis and septic shock: tools for early identification of at-risk patients and treatment protocol implementation.
• ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation.
• Early goal-directed therapy in severe sepsis and septic shock: a contemporary review of the literature.
• Clinical utility of B-type natriuretic peptide in early severe sepsis and septic shock.
• The influence of early hemodynamic optimization on biomarker patterns of severe sepsis and septic shock.
• Early goal-directed therapy in severe sepsis and septic shock revisited: concepts, controversies, and contemporary findings.
• Fluid-management strategies in acute lung injury--liberal, conservative, or both?
• Early goal-directed therapy in severe sepsis and septic shock: converting science to reality.
• Emergency medicine and the surviving sepsis campaign: an international approach to managing severe sepsis and septic shock.
• Central venous-arterial carbon dioxide difference as an indicator of cardiac index.
• Targeted resuscitation strategies after injury.
• Prevalence of elevated troponin I in end-stage renal disease patients receiving hemodialysis.
• Early lactate clearance is associated with improved outcome in severe sepsis and septic shock.
• Early goal-directed therapy.
• Sepsis: a landscape from the emergency department to the intensive care unit.
• The prevalence of latex-specific IgE in patients presenting to an urban emergency department.
• An integrated transcriptome and expressed variant analysis of sepsis survival and death.
• Metabolomic derangements are associated with mortality in critically ill adult patients.
• Response from the authors.
• The GENESIS Project (GENeralized Early Sepsis Intervention Strategies): A Multicenter Quality Improvement Collaborative.
• Iatrogenic venous air embolism.
• Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department.
• Critical care in the emergency department: introduction.
• Characterization of systemic oxygen transport in end-stage chronic congestive heart failure.
• Early goal-directed therapy in the treatment of severe sepsis and septic shock.
• A comparison of the shock index and conventional vital signs to identify acute, critical illness in the emergency department.
• Corticosteroid supplementation during cardiac arrest in rats.
• Health care worker exposure to HIV-1 and HTLV I-II in critically ill, resuscitated emergency department patients.
• The impact of cardiac contractility on cerebral blood flow in ischemia.
• Multinational, observational study of procalcitonin in ICU patients with pneumonia requiring mechanical ventilation: a multicenter observational study.
• Cardiac complications in acute ischemic stroke.
• The prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Article of Shoemaker et al with expert commentary by Dr. ...
• The outcome of patients presenting to the emergency department with severe sepsis or septic shock.
• Cocaine use in elder patients presenting to an inner-city emergency department.
• Implementation of an evidence-based "standard operating procedure" and outcome in septic shock: what a sepsis pilot must consider before taking flight with your next p...
• Mixed vs central venous oxygen saturation may be not numerically equal, but both are still clinically useful.
• Reducing mortality in sepsis: new directions.
• Emergency department cardiopulmonary bypass in the treatment of human cardiac arrest.
• Vasopressin can increase coronary perfusion pressure during human cardiopulmonary resuscitation.
• Hemodynamic effects of aortic occlusion during hemorrhagic shock and cardiac arrest.
• Resuscitation of the critically ill in the ED: responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate.
• Simultaneous radial, femoral, and aortic arterial pressures during human cardiopulmonary resuscitation.
• Functional responses to extremely high plasma epinephrine concentrations in cardiac arrest.
• A characterization of hypothalamic-pituitary-adrenal axis function during and after human cardiac arrest.
• Measurement of oxygen consumption after uncomplicated acute myocardial infarction.
• A technique revisited: hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation.
• Hemodynamics of interposed abdominal compression during human cardiopulmonary resuscitation.
• Simultaneous aortic, jugular bulb, and right atrial pressures during cardiopulmonary resuscitation in humans. Insights into mechanisms.
• Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation.
• Organ and tissue procurement in the acute care setting: principles and practice--Part 2.
• Organ and tissue procurement in the acute care setting: principles and practice--Part 1.
• Cerebral lactate uptake during cardiopulmonary resuscitation in humans.
• The effect of standard- and high-dose epinephrine on coronary perfusion pressure during prolonged cardiopulmonary resuscitation.
• Aortic-carotid artery pressure differences and cephalic perfusion pressure during cardiopulmonary resuscitation in humans.
• Aortic pressure during human cardiac arrest. Identification of pseudo-electromechanical dissociation.
• The clinical implications of continuous central venous oxygen saturation during human CPR.
• Venous hyperoxia after cardiac arrest. Characterization of a defect in systemic oxygen utilization.
• Continuous central venous oximetry and shock index in the emergency department: use in the evaluation of clinical shock.
• Use of open chest cardiopulmonary resuscitation after failure of standard closed chest CPR: illustrative cases.
• Central venous oxygen saturation monitoring in the critically ill patient.
• Adrenal insufficiency in high-risk surgical ICU patients.
• Critical care in the emergency department: A physiologic assessment and outcome evaluation.
• The clinical utility of serologic markers in the evaluation of the acute scrotum.
• Biphasic extrathoracic pressure CPR. A human pilot study.
• The effect of the total cumulative epinephrine dose administered during human CPR on hemodynamic, oxygen transport, and utilization variables in the postresuscitation ...
• Emergency department overcrowding in the United States: an emerging threat to patient safety and public health.
• Adrenal dysfunction in hemodynamically unstable patients in the emergency department.
• Hyperbaric oxygenation of mechanically ventilated patients poisoned with carbon monoxide.
• Whole body oxygen consumption and critical oxygen delivery in response to prolonged and severe carbon monoxide poisoning.
• Early and innovative interventions for severe sepsis and septic shock: taking advantage of a window of opportunity.
• Clinical manifestations of disordered microcirculatory perfusion in severe sepsis.
• Critical care medicine training and certification for emergency physicians.
• Severe sepsis and septic shock: review of the literature and emergency department management guidelines.
• Critical care response teams: potential roles for emergency physicians.
• Clarification of cyanide''s effect on oxygen transport characteristics in a canine model.
• Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A Scientific Statement from the International Liaison Committee on Resusci...
• Post-cardiac arrest syndrome: Epidemiology, pathophysiology, treatment, and prognostication: A scientific statement from the International Liaison Committee on Resusci...
• Early lactate clearance is associated with biomarkers of inflammation, coagulation, apoptosis, organ dysfunction and mortality in severe sepsis and septic shock.

Schools

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• University Of Michigan Medical School

• Henry Ford Hospital

• University Of Pittsburgh Med Center

Doctors Specialties

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• Critical Care Medicine
• Emergency Medicine

Accepted Insurances

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• CHAMPVA
• Cofinity PPO
• Medicare MCR
• Medico
• Molina
• Choice Plus POS
• Navigate HMO
• Navigate POS
• Options PPO

Awards

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• Regional Top Doctor
• Elected Member
• Top MD
• Whos Who in Medicine and Healthcare
• Super Doctor

Education

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• University of Pittsburgh Medical Center
• Henry Ford Hospital - Wayne State University
• University of Michigan Medical School

Hospital

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• Henry Ford Hospital

Helpful Reviews

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Medicare Facts

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National Provider Identifier [NPI]	1457425969
Last Name Of The Provider	RIVERS
First Name Of The Provider	EMANUEL
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