Robert Welch, M.D., M.S., F.A.C.E.P.

Robert Welch, M.D., M.S., F.A.C.E.P.

Professor
Director of Clinical Research
Fellowship Director of Clinical Research
Brooks F. Bock, M.D. Endowed Professor
 

rwelch@med.wayne.edu

Robert Welch, M.D., M.S., F.A.C.E.P.

Office Phone

313-993-2534

Office Location

4201 Saint Antoine Street
UCH-6G
Detroit, MI 48201

Biography

 Dr. Welch is a clinician in emergency medicine, a clinical researcher, Director of Clinical Research and Fellowship Director of Clinical Research. 

He is also active in:

  • Decision Editor for the Annals of Emergency Medicine
  • Wayne State University School of Medicine - Dean's Council for Continuing Medical Education
  • Research and Development for WSU School of Medicine

Education

Graduate Education
M.S.
Clinical Research Design and Statistical Analysis
University of Michigan
April 2005

M.D.
Wayne State University School of Medicine
June 1983

B.S.
Michigan State University
June 1979

Education – Degrees, Licenses, Certifications

M.D., M.S., F.A.C.E.P.

Residency

Detroit Receiving Hospital/Wayne State University
Emergency Medicine
1986

 

Prior Appointments

FACULTY APPOINTMENTS
Department of Emergency Medicine Wayne State University School of Medicine

Professor - Clinical Educator
Aug 2010 - present

Associate Professor - Clinical Educator
Aug 2002–Aug 2010

Assistant Professor - Clinical
Jul 1995 – Aug 2002

Assistant Professor - Clinical
Aug 1991 – Jun 1995

Instructor
Feb 1989 – Aug 1991

Clinical Instructor
Feb 1987 – Feb 1989


Associate, Department of Physical Medicine and Rehabilitation Wayne State University School of Medicine

Professor – Clinical Educator
Aug 2010 – present

Associate Professor – Clinical Educator
Jan 2009 – Aug 2010

Member, Cardiovascular Research Institute
Wayne State University School of Medicine
Jul 5, 2010 - present

HOSPITAL OR OTHER PROFESSIONAL APPOINTMENTS

Department of Emergency Medicine Wayne State University
Detroit, Michigan

Director of Clinical Research, Detroit Receiving Hospital Division
Department of Emergency Medicine, WSU SOM
July 2015 - present

Director of Clinical Research, Department of Emergency Medicine
Wayne State University School of Medicine
April 2007 - July 2015

Medical Director: Adult Section of the WSU Clinical Research Center
Jan 2010 – Dec 2011

Associate Director of Clinical Research
Aug 2005 – Mar 2007

Member, Clinical Research Section
Oct 2001 – Jul 2005

Director of Education
Jun 1997 – Oct 2001

Director of Continuing Medical Education – Emergency Medicine
Jul 1992 – May 1997

Associate Residency Director
Feb 1989 – Jun 1992


 

Courses taught

Wayne State University School of Medicine

Undergraduate Students

Course Instructor - Directed Studies, Clinical Research in Emergency Medicine
Honors #4990, Undergraduate Honors College Course

Medical Students

Translational Medicine “Team Hippocrates” – WSU 2nd year SOM students - A course on basic biostatistics, epidemiology, and evidence-based medicine
2015 - present

Course Director - Emergency Medicine Clinical Research
2007 – present

Physical Diagnosis for WSU Medical Students
1998 – 2002

Clinical Correlation in Anatomy Instructor, First year medical students
1998 – 2002

Procedure Day and Suture Lab for WSU Medical Students
1991- present

 

Clinical Instructor – Emergency Medicine Students
1987 - present

 

 

Accomplishments

 HONORS/AWARDS

Research Award, Wayne State University School of Medicine at the Professor, Clinical Educator Track Level for year 2015
October, 28, 2015

Appointed to the editorial board Annals of Emergency Medicine
Apr 2007 – present

“Top Consultant 2005-2006”, Annals of Emergency Medicine
Apr 7, 2007

“Top Consultant 2004-2005”, Annals of Emergency Medicine
Apr 4, 2006

“Top Consultant 2003-2004”, Annals of Emergency Medicine
Apr 4, 2005

“Top Consultant 2002-2003”, Annals of Emergency Medicine
May 13, 2004

Blue Cross Blue Shield of Michigan Foundation “Excellence in Research Award for Physicians
in the Area of Clinical Research” ($10,000.00)
May 6, 2002

Wayne State University School of Medicine “Dean's Council Award for Planning and Teaching in
Continuing Medical Education”
Nov. 15, 1999

Fellow, American College of Emergency Physicians
1989

Alpha Omega Alpha Honors Society
1982

 

Professional Experience

SERVICE

Wayne State University Department/Divisional
Selective Salary Review Committee, Emergency Medicine
Jan 2015 - present

Curriculum Development for Clinical Research
Jul 2008 – July 2015

Chair – Clinical Research Committee
Apr 2007 – July 2015

Chair – Education Committee
Jun 1997 – Oct 2001

School of Medicine

Cardiovascular Research Institute 5-year Internal Review Committee Mar 2015 – present Executive Committee - WSU School of Medicine Faculty Senate
Jul 2012 – Jun 2016
(Elected to 2 terms)

Department Representative, Associate Chairs for Research Committee Oct 2012 – Jan 2015 Wayne State University School of Medicine Faculty Incentive Plan Committee
Jan 2011 – May 2012

Wayne State University School of Medicine Research Development Committee
Sep 2007 – present

Wayne State University School of Medicine T32 training grant - Cardiovascular
2007 – 2009 Research group

Wayne State University Dean's Council for Continuing Medical Education
Jun 1996 – Aug 2012

University
Co-Director (Adult subjects), WSU Trials Office/Clinical Research Center
Jan 2010 - Dec 2011

Member of the Clinical and Translational Trials Office Working Group
Nov 2006 - Dec 2009

Section for Wayne State University’s application for the
Institutional Clinical and Translational Science Award

Affiliated Medical Organizations
Hospital Attending Staff Appointments

Detroit Receiving Hospital
Jul 1986 - present

Harper/Grace then Harper Hospital
Jul 1986 - present

Holy Cross Hospital, Detroit, Michigan
Jul 1986 – Jun 1987

Flight Physician-DMC Sky Team (Dissolved after Mar 1987)
Mar 1986 – Mar 1987

Professional
Outside Examiner for Emergency Medicine Certification Exam, University of the West Indies Emergency Medicine Program
May 2011

American College of Emergency Physicians,Ultrasound Education Subcommittee
2002-2004

Alternate councilor, American College of Emergency Physicians
2000

Michigan College of Emergency Physicians - Education Committee Chairman
1999-2000

Michigan College of Emergency Physicians, Board of Directors
1998-2003

Political Affairs Committee, Society for Academic Emergency Medicine
1996 –1998

Michigan College of Emergency Physicians Education Committee
1994-2006

Government Affairs Committee, Society for Academic Emergency Medicine
1992 -1996

Patient Care

Volunteer Physician for Health Care on Wheels, Wayne County
Jun 1992 - Jul 1998

 

Community
Seminar: Medicine Afloat, Detroit River Yacht Association
Feb 2012

Research Committee Chairman, The Del Harder Foundation
Nov 2011 - present

Seminar: Medicine Afloat, Detroit River Yacht Association
Feb 2011

Board of Directors, The Del Harder Foundation and the Rehabilitation Institute of Michigan Fund
Oct 2010 - present

Chairman, Research and Grants Committee, The Del Harder Foundation and the Rehabilitation Institute of Michigan Fund
Jan 2011-present

Fleet Surgeon, Grosse Point Sail Club
Jan 2007 –Dec 2010


Consultation
Consultation to Arista and Genentech on thrombolytic therapy
1986 - 1988

 

Publications

 Peer Reviewed Publications Reports of Original Work

1. Welch RD, Ellis M, Lewis LM, Ayaz SI, Mika VH, Millis SR, Papa L. Modeling the Kinetics of Serum Glial Fibrillary Acidic Protein, Ubiquitin Carboxyl-Terminal Hydrolase-L1, and S100B Concentrations in Patients with Traumatic Brain Injury. J Neurotrauma. 2016. Published ahead of print; December 28, 2016.
Role: Study design, all data analysis, patient enrollment, manuscript writing and critical revisions

2. Pearson C, Przklenk K, Mika V, Ayaz S I, Ellis M, Varade P, Tolomello R, Welch RD, Utility of point of care assessment of platelet reactivity (using the PFA-100® ) to aid in diagnosis of stroke. Am J Emer Med (2016), doi: 10.1016/j.ajem.2016.11.036; (Accepted for publication November 14, 2016 and published on-line November 15, 2016).
Role: Study design, data analysis, manuscript writing, critical revisions

3. Janke AT, McNaughton CD, Brody AM, Welch RD, Levy PD. Trends in the Incidence of Hypertensive Emergencies in US Emergency Departments From 2006 to 2013. J Am Heart Assoc. 2016;5.
Role: Advise on methodology and data analysis, critical review, and revisions

4. Zalenski, R.J., Jones, S.S., Courage, C., Waselewsky, D.R., Kostaroff, A.S., Kaufman, D., Beemath, A., Bronfman, J., Castillo, J.W., Krayem, H., Marinelli, A., Milner, B., Palleschi, M.T., Tareen, M., Testani, S., Soubani, A., Walch, J., Wheeler, J., Wilborn, S., Granovsky, H. and Welch, R.D. (2016). Impact of Palliative Care Screening and Consultation in the ICU: A Multi- hospital Quality Improvement Project. J Pain Symptom Manage.
Role: Data analysis and interpretation, writing, and critical revisions

5. Miller JB, Lewandowski C, Wira CR, Taylor A, Burmeister C, Welch R. Volume of Plasma Expansion and Functional Outcomes in Stroke. Neurocritical care. 2016.
Published on-line first Setpember 14, 2016
Role: Patient enrollment, methodology advice, data analysis and interpretation, critical revisions

6. Qureshi AI, Palesch YY, Barsan WG, Hanley DF, Hsu CY, Martin RL, Moy CS, Silbergleit R, Steiner T, Suarez JI, Toyoda K, Wang Y, Yamamoto H, Yoon BW, Investigators A-T, the Neurological Emergency Treatment Trials N. Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. N Engl J Med. 2016;375:1033-1043.
Role: Patient enrollment and Hub Principle Investigator Robert D. Welch (WSU NETT network). See online appendix for author list: http://www.nejm.org/doi/suppl/10.1056/NEJMoa1603460/suppl_file/nejmoa1603460_appendix.pdf

7. Iraji A, Chen H, Wiseman N, Zhang T, Welch R, O'Neil B, Kulek A, Ayaz SI, Wang X, Zuk C, Haacke EM, Liu T, Kou Z. Connectome-scale assessment of structural and functional connectivity in mild traumatic brain injury at the acute stage. NeuroImage Clinical. 2016;12:100- 115.

8. Hopp FP, Zalenski RJ, Waselewsky D, Burn J, Camp J, Welch RD, Levy P. Results of a Hospital-Based Palliative Care Intervention for Patients With an Acute Exacerbation of Chronic Heart Failure. J Card Fail. 2016. (Accepted and on-line publication April 2016).
Role: Data analysis, manuscript review, and revisions

9. Papa L, Brophy GM, Welch RD, Lewis LM, Braga CF, Tan CN, Ameli NJ, Lopez MA, Haeussler CA, Mendez Giordano DI, Silvestri S, Giordano P, Weber KD, Hill-Pryor C, Hack DC. Time Course and Diagnostic Accuracy of Glial and Neuronal Blood Biomarkers GFAP and
UCH-L1 in a Large Cohort of Trauma Patients With and Without Mild Traumatic Brain Injury. JAMA neurology. 2016;73:551-560. (On-line publication March 2016).
Role: Manuscript review and revisions, data and methods review and revisions

10. Iraji A, Chen H, Wiseman N, Welch RD, O'Neil BJ, Haacke EM, T. Liu, and Z. Kou. Compensation through Functional Hyperconnectivity: A Longitudinal Connectome Assessment of Mild Traumatic Brain Injury. Neural Plasticity. 2016;2016:4072402.
Role: Study design, implementation, enrollment and reviewing manuscript.

11. Welch RD, Ayaz SI, Lewis LM, Unden J, Chen JY, Mika VH, Saville B, Tyndall JA, Nash M, Buki A, Barzo P, Hack D, Tortella FC, Schmid K, Hayes RL, Vossough A, Sweriduk ST, Bazarian JJ. Ability of Serum Glial Fibrillary Acidic Protein, Ubiquitin C-Terminal Hydrolase- L1, and S100B To Differentiate Normal and Abnormal Head Computed Tomography Findings in Patients with Suspected Mild or Moderate Traumatic Brain Injury. J Neurotrauma. 2016;33:203- 214.
(On-line first Oct 2015)
Role: Study design, data collection, data analysis, first author, mentor

12. Levy PD, Mahn JJ, Miller J, Shelby A, Brody A, Davidson R, Burla MJ, Marinica A, Carroll J, Purakal J, Flack JM, Welch RD. Blood pressure treatment and outcomes in hypertensive patients without acute target organ damage: a retrospective cohort. Am J Emerg Med. 2015;33:1219- 1224.
Role: Some study design, data analysis and interpretation, and revisions.

13. Lolar SA, Sherwin RL, Robinson DM, Courage C, Welch RD. Effectiveness of an urban emergency department call-back system in the successful linkage to treatment of sexually transmitted infections. South Med J. 2015;108:268-27.
Role: Study design, data analysis, significant revisions, mentoring first author.

14. Vohra TT, Miller JB, Nicholas KS, Varelas PN, Harsh DM, Durkalski V, et al. Endotracheal Intubation in Patients Treated for Prehospital Status Epilepticus. Neurocritical Care. 2015;23:33- 43.
Role: Hub Principal Investigator: Robert D. Welch; NETT Hub (Wayne State University). See on-line appendix for full NETT author list.

15. Welch RD, Nicholas K, Durkalski-Mauldin VL, Lowenstein DH, Conwit R, Mahajan PV, Lewandowski C, Silbergleit R. Intramuscular midazolam versus intravenous lorazepam for the prehospital treatment of status epilepticus in the pediatric population. Epilepsia. 2015;56:254- 262.
Role: Study design, some data analysis, writing manuscript, and revisions.

16. Janke AT, Brody AM, Overbeek DL, Bedford JC, Welch RD, Levy PD. Access to care issues and the role of EDs in the wake of the Affordable Care Act. Am J Emerg Med. 2015;33:181-185. Role: Content and data analysis review and revisions.

17. Doshi H, Wiseman N, Liu J, Wang W, Welch RD, O'Neil BJ, Zuk C, Wang X, Mika V, Szaflarski JP, Haacke EM, Kou Z. Cerebral Hemodynamic Changes of Mild Traumatic Brain Injury at the Acute Stage. PloS One. 2015;10:e0118061.
Role: Study design, implementation, enrollment and reviewing manuscript.

18. Iraji A, Benson RR, Welch RD, O'Neil BJ, Woodard JL, Ayaz SI, Kulek A, Mika V, Medado P, Soltanian-Zadeh H, Liu T, Haacke EM, Kou Z. Resting State Functional Connectivity in Mild Traumatic Brain Injury at the Acute Stage: Independent Component and Seed-Based Analyses. Journal of neurotrauma. 2015;32:1031-1045.
Role: Study design, implementation, enrollment and writing.

19. Wright DW, Yeatts SD, Silbergleit R, Palesch YY, Hertzberg VS, Frankel M, Goldstein FC, Caveney AF, Howlett-Smith H, Bengelink EM, Manley GT, Merck LH, Janis LS, Barsan WG. Very early administration of progesterone for acute traumatic brain injury. N Engl J Med. 2014;371:2457-2466.
Role: Hub Principal Investigator: Robert D. Welch; NETT Hub (Wayne State University). See on-line appendix for full NETT author list: http://www.nejm.org/action/showSupplements?doi=10.1056%2FNEJMoa1404304&viewType=P opup&viewClass=Suppl.

20. Mahn JJ, Dubey E, Brody A, Welch R, Zalenski R, Flack JM, Ference B, Levy PD. Test Characteristics of Electrocardiography for Detection of Left Ventricular Hypertrophy in Asymptomatic Emergency Department Patients With Hypertension. Acad Emerg Med. 2014;21:996-1002.
Role: Study design, data and statistical analysis, critical content review and revisions.

21. McMullan JT, Jones E, Barnhart B, Denninghoff K, Spaite D, Zaleski E, Silbergleit R, Neurological Emergencies Treatment Trials Investigators. Degradation of benzodiazepines after 120 days of EMS deployment. Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors. 2014;18:368-374.
Role: Hub Principal Investigator: Robert D. Welch; NETT Hub (Wayne State University). See appendix for full NETT Investigator List

22. Purakal JD, Williams-Johnson J, Williams EW, Pemba S, Kambona J, Welch R, Flack J, Levy P. Differences and Similarities in Explanatory Models of Hypertension in the United States of America, Tanzania and Jamaica. The West Indian medical journal. 2014;63:242-250.
Role: Data and statistical analysis, critical content review and revisions.

23. Darling CE, Sala Mercado JA, Quiroga-Castro W, Tecco GF, Zelaya FR, Conci EC, Sala JP, Smith CS, Michelson AD, Whittaker P, Welch RD, Przyklenk K. Point-of-care assessment of platelet reactivity in the emergency department may facilitate rapid rule-out of acute coronary syndromes: a prospective cohort pilot feasibility study. BMJ open. 2014;4:e003883.
Role: Data and statistical analysis, critical content review and revisions.

24. Kou, Z., R. Gattu, F. Kobeissy, R. D. Welch, B. J. O'Neil, J. L. Woodard, S. I. Ayaz, A. Kulek,
R. Kas-Shamoun, V. Mika, C. Zuk, F. Tomasello and S. Mondello (2013). "Combining biochemical and imaging markers to improve diagnosis and characterization of mild traumatic brain injury in the acute setting: results from a pilot study." PLoS One. 2013; 8(11) : e80296. Role: Study design, implementation, enrollment and writing.

25. Silbergleit R, Biros MH, Harney D, Dickert N, Baren J, The Neurological Treatment Trials Network Investigators. Implementation of the exception from informed consent regulations in a large multicenter emergency clinical trials network: the RAMPART experience. Acad Emerg Med. 2012 Apr;19(4):448-54. PubMed PMID: 22506949. Pubmed Central PMCID: 3335290. Epub 2012/04/18. eng.
Roll: Collaborator and Study Enrollment.

26. Silbergleit R, Durkalski V, Lowenstein D, Conwit R, Pancioli A, Palesch Y, Barsan W, The NETT Investigators. Intramuscular Versus Intravenous Therapy for Prehospital Status Epilepticus. N Engl J Med. 2012;366(7):591-600.
Role: Hub Principal Investigator: Robert D. Welch, MD, MS; NETT Hubs (ordered by number of subjects enrolled; Wayne State University -178). See on-line appendix: http://www.nejm.org.proxy.lib.wayne.edu/doi/suppl/10.1056/NEJMoa1107494/suppl_f ile/nejmoa1107494_appendix.pdf.

27. Levy PD, Nandyal D, Welch RD, Sun JL, Pieper K, Ghali J, Fonarow GC, Gheorgiade M, O’Connor CM. Does aspirin use adversely influence intermediate-term postdischarge outcomes for hospitalized patients who are treated with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers? Findings from Organized Program to Facilitate Life-Saving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). Am Heart J 2010;159(2):222-230.e2.
Role: Study design, data interpretation.

28. Levy PD, Ye H, Compton S, Chan PS, Larkin GL, Welch RD. Factors associated with neurologically intact survival for patients with acute heart failure and in-hospital cardiac arrest. Circ Heart Fail. Nov 2009;2(6):572-581.
Role: Study conception, design, and data analysis.

29. Yende S, D’Angelo GD, Kellum JA, Weissfeld L, Fine J, Welch RD, Kong L, Carter M, Angus DC, for the GenIMS Investigators. Inflammatory markers at hospital discharge predict subsequent mortality after pneumonia and sepsis. Am J Resp Critical Care Med. 2008;177(11):1242-1247. (Role: Implementation, manuscript writing).

30. Berk WA, Welch RD, Levy PD, Jones JT, Arthur C, Kuhn GJ, King JJ, Bock BF, Sweeny PJ. The effect of clinical experience on the error rate of emergency physicians. Ann Emerg Med. 2008;52(5):497-501.

31. Levy P, Compton S, Welch R, Dunne R, Penugonda N, Delgado G, Jennett A, Zalenski R. Treatment of severe decompensated heart failure with High-dose intravenous nitroglycerin: a feasibility and outcome analysis. Ann Emerg Med 2007;50(2):144-152.

32. Dunne RB, Compton S, Zalenski RJ, Swor RA, Welch RD, Bock BF. Outcomes from out-of- hospital cardiac arrest in Detroit. Resuscitation. Jan 2007;72(1):59-65. (Role: Conception, design, implementation)

33. Harris RE, Jeter J, Chan P, Higgins P, Kong FM, Fazel R, Bramson C, Gillespie B. Using acupressure to modify alertness in the classroom: a single-blinded, randomized, cross-over trial. J Altern Complement Med. Aug 2005;11(4):673-679. (Member: Welch, RD, University of Michigan Clinical Research Design and Statistical Analysis Program Cohort 11, Role: Conception, design, implementation)

34. Pitta SR, Grzybowski M, Welch RD, Frederick PD, Wahl R, Zalenski RJ. ST-segment depression on the initial electrocardiogram in acute myocardial infarction-prognostic significance and its effect on short-term mortality: A report from the National Registry of Myocardial Infarction (NRMI-2, 3, 4). Am J Cardiol. 2005;95(7):843-848.

35. Hallstrom AP, Ornato JP, Weisfeldt M, Travers A, Christenson J, McBurnie MA, Zalenski R, Becker LB, Schron EB, Proschan M. Public Access Defibrillation Trial Investigators. Public- access defibrillation and survival after out-of-hospital cardiac arrest. N Engl J Med.
2004;351(7):637-646. (Member: Welch, RD investigators and coordinators, Role: Implementation)

36. Grzybowski M, Parsons L, Welch R, Chen E, Ndumele C, Zalenski R, Barron H. The association between white blood cell count and acute myocardial infarction mortality: findings from the national registry of myocardial infarction. Acad Emerg Med 2004;11:1049-1060.

37. Sayre MR, Travers AH, Daya M, Greene HL, Salive ME, Vijayaraghavan K, Craven RA, Groh WJ, Hallstrom AP; PAD Investigators. Measuring survival rates from sudden cardiac arrest: The elusive definition. Resuscitation 2004; 62:25-34. (Member: Welch RD, investigators and coordinators, Role: Implementation)

38. Grzybowski M, Clements EA, Welch R, Tintinalli AT, Ross MA, Zalenski RJ. Mortality benefit of immediate revascularization of acute st-elevation myocardial infarction in patients with contraindications to thrombolytic therapy: a propensity analysis. JAMA 2003;290:1891-1898.

39. The PAD Trial Investigators. The public access defibrillation (PAD) trial: Study design and rationale. Resuscitation 2003;56:135-147. (Member: Welch, R, investigators and coordinators, Role: Implementation)

40. Compton S, Swor RA, Dunne R, Welch RD, Zalenski RJ. Urban public school Teachers' attitudes and perceptions of the effectiveness of CPR and automated external defibrillators. J Health Ed 2003; 34:186-192. (Role: Study design, data collection, manuscript writing)

41. Dunne RB, Compton S, Welch RD, Zalenski RJ, Bock BF. Pre-hospital on-site triaging. Prehosp Emerg Care 2003;7:85-88.

42. Welch RD, Zalenski RJ, Frederick PD, Malmgren JA, Compton S, Grzybowski M, Thomas S, Kowalenko T, Every NR. Prognostic value of a normal or nonspecific initial electrocardiogram in acute myocardial infarction. JAMA 2001; 286:1977-1984.

43. Kosnik JW, Zalenski RJ, Grzybowski M, Huang R, Sweeny PJ, Welch RD. Impact of technitium-99m sestamibi imaging on the emergency department management and costs in the evaluation of low-risk chest pain. Acad Emerg Med 2001;8:315-323.

44. Welch RD, Zalenski RJ, Shamsa F, Waselewsky DR, Kosnik JW, Compton S. Pretest probability assessments for selective rest Sestamibi scans in stable chest pain patients. Am J Emerg Med 2000;18:789-792.

45. Welch RD, White BC, Bock BF. Infectious diseases: A focus on current concepts and emerging therapies in emergency care. Ann Emerg Med 1994;24:441-442.

46. Todd K, Berk WA, Welch RD, Williams JW, Fisher J, Wahl RP, Claps PJ, Farrell WR, Huang R, Bock BF. Prospective analysis of mental status progression in ethanol intoxicated patients. Am J Emerg Med 1992;10:271-273.

47. Welch RD, Todd K, Krause GS. Incidence of cocaine-associated rhabdomyolysis. Ann Emerg Med 1991;20:154-157.

48. Welch RD, Smith DB Jr, Danosi SF, Zwanger ML, Bock BF. Phenytoin loading in chronic alcoholic patients. Am J Emerg Med 1988;6:89-92.

 

 

Case Reports

1. Ellis MM, Welch RD. Severe hypothermia and cardiac arrest successfully treated without external mechanical circulatory support. Am J Emerg Med. 2016;34:1913 e5-6. (On-line first March 2016).

2. Burla MJ, Brody AM, Welch RD, et al. Anaphylactic reaction after ongoing exposure to hair glue: a novel case report. J Emerg Med. 2015;48:e5-7.

3. Welch RD, Todd IK. Nifedipine overdose accompanied by ethanol intoxication in a patient with congenital heart disease. J Emerg Med 1990;8:169-172 and 9:153-154.


Review Articles

1. Welch RD. Management of traumatically injured patients in the emergency department observation unit. Emerg Med Clin N Am 2001;19:137-154.

2. Berk WA, Welch RD, Bock BF. Controversial issues in clinical management of the simple wound. Ann Emerg Med 1992;21:72-80.


Other Study Group Publications

1. Ginsberg MD, Palesch YY, Hill MD, Martin RH, Moy CS, Barsan WG, Waldman BD, Tamariz D, Ryckborst KJ. High-dose albumin treatment for acute ischaemic stroke (ALIAS) Part 2: a randomised, double-blind, phase 3, placebo-controlled trial. Lancet Neurol. 2013;12:1049-1058. Roll: Robert D. Welch, NETT Hub Principal Investigator and study site PI at Detroit Receiving and Sinai-Grace Hospitals. See on-line appendix for details. http://www.sciencedirect.com/science/article/pii/S1474442213702230


Editorials/Commentaries

1. Levy PD, Welch RD. Response to "An approach to markedly elevated blood pressure in hypertensive patients without acute organ damage". Am J Emerg Med. 2015;33:1831-1832. Role: Invited response author

2. Carr BG, Welch RD. Traumatic intracranial hemorrhage, value in health care, and being important. Ann Emerg Med. 2013 May;61(5):518-9. PubMed PMID: 23261313. Epub 2012/12/25.
Role: Invited editorial author.


Letters to the Editor (Peer-Reviewed)

1. Welch RD, Zalenski RJ, Grzybowski M, Kowalenko T, Malmgren JA, Every NR. Predictive value of the electrocardiogram in acute myocardial infarction (response to a letter). JAMA 2002;287:711-712.

2. Welch, RD. Ischemia, contraction band necrosis and myocarditis (letter). Ann Emerg Med 1991;20:591-592.

Books Authorships, Editorships, and Chapters

1. Kern B, Welch RD. “Management of Pyelonephritis in the Observation Unit”. In: Observation Medicine: Principles & Protocols, S Mace (ed), Cambridge University Press, Shaftesbury Road, Cambridge; In Press, 2015.

From the publisher’s website: Edition: 1st
Publisher: Cambridge University Press ISBN: 1-107-02234-7 (1107022347)
ISBN-13: 978-1-107-02234-8 (9781107022348)
Pages: 320
Subject Class: E-M (Emergency Medicine)
This Title is Not Yet Published, Scheduled to Release 02/28/16

2. Pearson C, Welch RD. “Management of Urolethisasis in the Observation Unit”. In: Observation Medicine: Principles & Protocols, S Mace (ed), Cambridge University Press, Shaftesbury Road, Cambridge; In Press, 2015.
From the publisher’s website as in #1 above

3. Welch RD, Levy P. Valvular Heart Disease. In: Peacock WF, Tiffany B, (eds). Emergency Cardiac Care. 1st Ed., New York: McGraw-Hill Medical Pub. Division; 2005, pp. 367-414.

4. Jones R, Welch RD. Performing the F.A.S.T. In: Jehle D, Heller M, (eds). Ultrasonography in Trauma: The FAST Exam. 1st ed. Dallas, TX: American College of Emergency Physicians; 2003: 15-37.

5. Welch, RD (section editor). "Critical Care". In: Detroit Receiving Hospital Emergency Medicine Handbook, WA Berk (ed), 4th ed., Plymouth Press, pp. 191-212, 2001.

6. Welch R. Summary and Case Studies. In: Jones R, Welch R, Falcone R, Underwood J, (eds). Handbook of Trauma Ultrasonography. 1st ed. Bloomfield Hills, MI: Haines International; 1999:61-67.

7. Jones R, Welch R, Falcone R, Underwood J. Handbook of Trauma Ultrasonography. 1st ed. Bloomfield Hills, MI: Haines International; 1999.

8. Welch, RD: Tuberculosis. In: Emergency Medicine: A Comprehensive Study Guide, Tintinalli JE, Krome RL, Ruiz E, (eds.), 4th ed., McGraw-Hill, pp. 422-425, 1996.

9. Welch, RD (section editor). Critical Care. In: Detroit Receiving Hospital Emergency Medicine Handbook, WA Berk (ed), 3rd ed., Plymouth Press, pp. 141-158, 1995.

 

10. Wahl RP, Welch RD, Malinowski R, Levy DB (section editors): Drug Therapy. In: Detroit Receiving Hospital Emergency Medicine Handbook, WA Berk (ed), 3rd ed., Plymouth Press, pp. 1-110, 1995.

11. Welch, RD (section editor). "Drug Therapy" and "Critical Care". In: Detroit Receiving Hospital Emergency Medicine Handbook, WA Berk (ed), 2nd ed., Plymouth Press, 1992.

12. Welch, RD (section editor). "Critical Care" and "Poisoning". In: Detroit Receiving Hospital Emergency Medicine Handbook, WA Berk (ed), 1st ed., Plymouth Press, 1990.


Published Abstracts

1. Haley M*, Kawaji Q, Arthur W, Welch R, Tennenberg S. iCa, Mg, and P have divergent correlations with ICU mortality. Crit Care Med. 2016;44:198 (Abstract #486). (*Presenter and Trainee)

2. Welch RD, Ellis MM*, Lewis LM, Ayaz SI, Mika VH, Chawla A, Catania M, Millis SR, Hayes R, Papa L. The Association of CT Findings with Repeated Measurements of Serum Biomarker Levels in Patients with Acute Mild to Moderate Traumatic Brain Injury. 2016 May, Vol 23, Issue Supplement S1, S1–S308 (Abstract #28).
(* Presenter and Trainee)

3. Welch RD, Mika VH*, Ellis MM**, Pearson C, Ayaz SI, Swor RA, Levy PD. The Association of Blood Pressure Changes During the First 24 Hours Post-Acute Ischemic Stroke with 90-Day Functional Outcomes. 2016 May, Vol 23, Issue Supplement S1, S1–S308 (Abstract #37).
(* Presenter, ** Trainee)

4. Schloemann DT, Welch RD, Fucetola RP, Hayes RL, Weber A, Linburg M, Lewis LM. The Utility of Serum Biomarkers in the Stratification of Mild Traumatic Brain Injury. 2016 May, Vol 23, Issue Supplement S1, S1–S308 (Abstract #379).

5. Welch RD, et al. Intramuscular Midazolam versus Intravenous Lorazepam for the Pre-Hospital Treatment of Status Epilepticus in the Pediatric Population. Acad Emerg Med. 2013 May;20(s1):S233 (Abstract #582).

6. Butterfield JM*, Welch RD. Characteristics and Predictors of Outcomes for Patients With Spinal Epidural Abscess. Annals of Emergency Medicine. 2012 Oct;60(4):S47-S48. PubMed PMID: WOS:000309636100128. (Abstract #129)
(* Presenter and Trainee)

7. Kou ZF, Doshi H, Mika V, Yang J, Ma G, Welch R, Haacke M. Early Response of Neural Vasculature to Mild Traumatic Brain Injury at the Acute Stage. Journal of Neurotrauma. 2012 Jul;29(10):A47-A. PubMed PMID: WOS:000306244400076.

8. Kou ZF, Hanks R, Gattu R, Yang J, Zheng WL, Mika V, Welch R, Benson R, Millis S, Haacke EM. QUANTIFYING CHANGES OF HEMORRHAGE OVER TIME IN TRAUMATIC BRAIN INJURY BY USING MR SUSCEPTIBILITY MAPPING. Journal of Neurotrauma. 2011 Jun;28(6):A121-A2. PubMed PMID: WOS:000292457600378.

9. Kou Z, Benson R, Mika V, Gattu R, Mango L, Welch R, Millis S, Haacke EM. Advanced Magnetic Resonance Imaging of Mild Traumatic Brain Injury in Emergency Settings. Brain Injury, March 2010; 24(3): 197.

10. Levy P, Shums A, Ye H, Welch R, Compton S. Prevalence and predictors of preclinical cardiac dysfunction in asymptomatic hypertensive patients in an urban emergency department. Acad Emerg Med 2009;16:S117.

11. Darling C, Welch R, Yong R, Volturo G, Michelson A, Przyklenk K. Point-of-care measurement of platelet activity in the emergency department may assist in the early risk assessment of potential acute coronary syndromes. Acad Emerg Med 2009;16:S72.

12. Levy P, Compton S, Welch R, Vaitkevicius P, Ye H, Zalenski R. Preclinical cardiac dysfunction among asymptomatic hypertensive patients presenting to an urban emergency department: A prevalence study. Acad Emerg Med 2008; 15:S148.

13. Sherwin R, Centi M, Compton S, Welch R, Warrick B. Describing the prevalence and value of hyperlactatemia in CHF patients presenting to an urban emergency department. Acad Emerg Med 2008;15:S61.

14. Levy P, Dubey E, Vaitkevicius P, Ye H, Welch R. Utility of electrocardiography for stratification of patients at-risk for left ventricular hypertrophy. Acad Emerg Med 2008;15:S76.

15. Jones J, Ehmer H, Thotakura S, Levy P, Ye H, Welch RD. Characteristic and outcomes of patients with spinal epidural abscess. Ann Emerg Med 2007; 50(3);S9 (Abstract #313).

16. Welch R. National Survey of Diagnostic Imaging in the Emergency Department: Hospital, Patient, and Geographic Factors Associated with Utilization. Acad Emerg Med 2007;14:S42.

17. Welch RD, Zalenski RJ, Grzybowski M, Levy PP, Berk WA, Selker HP. Characteristics of all "at-risk" for acute cardiac ischemia patients treated in low-miss versus high-miss rate hospitals. Acad Emerg Med 2006;13: S35 (Abstract #69).

18. Levy P, Grzybowski M, Guglin M, Zalenski R, Welch R. In-hospital mortality for patients with acute decompensated heart failure: development of a prediction model in a predominantly African-American population. Acad Emerg Med 2006; 13:S107-S108 (Abstract #257).

19. Levy PP, Compton S, Welch R, Delgado G, Penugonda N, Dunne R, Zalenski R. Need for mechanical ventilation is reduced by the use of high-dose nitroglycerin for patients with acute cardiogenic pulmonary edema: results of an open-label trial. Acad Emerg Med 2006;13: S107 (Abstract #255).

20. Berk WA, Welch RD, Compton S, Levy PD, Jones JT, Arthur CL, Kuhn GJ, Sweeny, PJ. Effect of clinical experience on the error rate of emergency physicians. Acad Emerg Med 2006;13:S149-S150 (Abstract #365).

21. Welch RD, Jackson RE, Pitta SR, Levy PD, Parsons LS, Canto JG, Peterson E, Compton S, Zalenski RJ. Impact of early beta-blocker therapy for acute myocardial infarction on in-hospital mortality. JACC 2006;47:235A-236A (Abstract #857-7).

 

22. Zalenski RJ, Levy P, Compton S, Delgado G, Welch R, Waselewsky D. The Feasibility of treating severe acute congestive heart failure with bolus intravenous nitroglycerin. Ann Emerg Med 2004; 44:S134.

23. Pitta SR, Welch R, Zalenski RJ, Gryzbowski M, Wahl R, Frederick P. ST-segment depression on the initial ecg in ami: prognostic significance and effect on short-term mortality. Acad Emerg Med 2004;11:525.

24. Compton S, Dunne R, Wu J, Swor RA, Welch RD, Zalenski R. Characteristics of out-of-hospital cardiac arrest victims in a large urban emergency medical services system: preliminary analysis of the Detroit cardiac arrest registry. Ann Emerg Med 2003;42:S73 (Abstract #270).

25. Welch RD, Zalenski RJ, Grzybowski M, Frederick PD, Malmgren JA. Mortality rates for patients with acute myocardial infarction presenting with a negative electrocardiogram matched by propensity score to patients with diagnostic electrocardiograms. Acad Emerg Med 2002;9:395 (Abstract #102).

26. Clements EA, Grzybowski M, Welch RD, Parsons L, Tintinalli AT, Zalenski RJ. Mortality risk of patients eligible for mechanical reperfusion with contraindications to thrombolytic therapy. Acad Emerg Med 2002;9:493 (Abstract #364).

27. Grzybowski M, Welch RD, Zalenski RJ, Parsons L, Barron HV. The association between white blood cell count and myocardial infarction mortality: Findings from the National Registry of Myocardial Infarction. Circulation 2001;104:389 (Abstract #1854).

28. Grzybowski M, Zalenski R, Welch R, Kowalenko T, Ross M, Konz L, Malmgren J, Frederick P. The prognostic values of an initial negative ECG in acute myocardial infarction. Ann Emerg Med 2001;38:S93-S94 (Abstract # 352).

29. Welch RD, Zalenski R, Wahl RP, Grzybowski M, Hyland J, Frederick PD, Malmgren JA. In- hospital mortality among patients with acute myocardial infarction and normal initial electrocardiograms: effects of previous cardiac disease. Acad Emerg Med 2001;8:503 (Abstract
#241).

30. Welch RD, Tintinalli A, Grzybowski M, Zalenski RJ, Frederick PD Malmgren J. Mortality of patients with AMI stratified by presenting ECG and Killip class. Acad Emerg Med 2001;8:502 (Abstract #240).

31. Zalenski R, Compton S, Welch R, Dunn R, Bock B, Waselewski D, Rudraiah L. Accuracy of an out-of-hospital triage rule to detect unnecessary emergency medical services transports. Ann Emerg Med 2000;36:S19 (Abstract #69).

32. Welch RD, Zalenski R, Compton S, Malmgren JA, Frederick PD. Prognostic value of the initial electrocardiogram in acute myocardial infarction: Evaluation of the National Registry of Myocardial Infarction. Acad Emerg Medicine 2000;7:456 (Abstract #92).

33. Welch RD, Zalenski, RJ, Shamsa FH, Kosnik J, Huang RR, Waselewski DR, Ross MA. Pretest probability assessments do not permit more selective testing with Rest Technetium-99m Sestamibi Scans (RTSS) in the triage of low risk chest pain (LRCP) patients. Acad Emerg Med 1999;6:437 (Abstract #200).

 

34. Berk W, Todd K, Welch R, Williams J, Fisher J, Wahl R, Claps P, Farrell R, Bock B. Value of a simple test of mental status in screening acutely intoxicated patients for serious head injuries. Ann Emerg Med 1990;19:484 (Abstract No. 134).

35. Welch RD, Todd K. Cocaine-associated rhabdomyolysis. Ann Emerg Med 1990;19:449 (Abstract No. 7).

36. Welch RD, Smith DB, Danosi SF, et al. Phenytoin loading in chronic alcoholic patients. Ann Emerg Med 1986;15:637 (Abstract No. 69).

37. Zwanger ML, Welch RD, Carley GJ, et al. The effect of metabolic acidosis on epinephrine during cardiopulmonary resuscitation. Ann Emerg Med 1987;16:492 (Abstract No. 54).


Other Peer-Reviewed Publications

1. Welch, RD. Myocardial contusion. www.emedhome.com April 8, 2002.

2. Reinbolt RL, Welch RD. Nasal Fracture. www.emedicine.com November 29, 2001;2:1-9.

3. Bahr RD, Welch R (eds). A report on the proceedings of the third national congress of chest pain enters in emergency departments. The Clinician 1999;17: 1-24.

4. Welch RD. Other medical specialties' proposals for health care reform: What can emergency medicine learn? Academic Emerg Med 1993;5(2):6-8.

5. Welch RD, Young G. Academic medicine in a reformed health care system. SAEM Newsletter 1993;5: 4-5.

 

Other Information

MAJOR PROFESSIONAL SOCIETIES

Society of Chest Pain Centers and Providers
Founding Member, Steering Committee
1997 – 1999

Wilderness Medical Society
1993 – present

American Association for the Advancement of Science
1992 – present

American College of Emergency Physicians
1983 – present

Society for Academic Emergency Medicine
1983 – present

Alpha Omega Alpha
1982 – present

American Medical Association
1982 – 1986