Thomas FraccaliniAzienda Ospedaliero Universitaria San Luigi Gonzaga | AOU S. Luigi · Emergency Medicine
Thomas Fraccalini
Doctor of Medicine
Physician in Emergency Department, experience in clinical ultrasound and invasive procedures. Researcher in Emergency
About
21
Publications
2,182
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
40
Citations
Citations since 2017
Introduction
Thomas Fraccalini currently works at the Department of Emergency Medicine, Azienda Ospedaliero Universitaria San Luigi Gonzaga, Orbassano, Turin, Italy.
Additional affiliations
December 2008 - present
Position
- Medical Doctor
Description
- Physician in Emergency Department
Education
September 2009 - December 2010
Field of study
- Master's Degree in Pain Therapy and Palliative Medicine
September 2002 - December 2006
October 1995 - October 2001
Publications
Publications (21)
Basic course in clinical ultrasound in emergency and urgent care. The course has theoretical, frontal part and through video clips as well as clinical exercises on the patient
in december 2019, a severe acute respiratory syndrome due to a novel human coronavirus (sars-cov-2) caused the outbreak of the pandemic coronavirus dis- ease (covid-19). From March 2020 an overwhelm- ing number of patients with coronavirus pneumonia and acute respiratory failure have been admitted to the emergency department of our hospital. patien...
We analyzed the characteristics of a group of patients with and without pulmonary embolism (PTE) in a population admitted to the Hospital for COVID-19 infection complicated by interstitial pneumonia and respiratory failure. Our goal was to find clinical indicators and/or predictors of TEP that could allow rationalizing the use of Angio-CT in relati...
Background
Lung ultrasound (LUS) has a role in the diagnosis of pulmonary embolism (PE) mainly based on the visualization of pulmonary infarctions. However, examining the whole chest to detect small peripheral infarctions by LUS may be challenging. Pleuritic pain, a frequent presenting symptom in patients with PE, is usually localized in a restrict...
Background
Lung ultrasound (LUS) is useful to diagnose and assess the severity of pulmonary lesions during CoViD-19 related acute respiratory distress syndrome (CoARDS). A conventional LUS score is proposed to measure the loss of aeration during CoARDS. However, this score was validated during the pre-COVID-19 era in ARDS patients in intensive care...
We present the case of a 28-years-old male presenting to the Emergency Department for relapsing episodes of “déjà vu” and syncope. After a diagnostic workup by a multidisciplinary team, the simultaneous EEG and ECG monitoring showed an asystole associated with EEG anomalies in right fronto-temporal region of the brain. The brain MRI revealed an isc...
A group of physicians performing advanced clinical ultrasonography
Syncope, Epilepsy or both? A case of temporal lobe epilepsy presenting with asystole
The aim of this study was to examine the clinical functional features of COVID-19 pneumonia in relation with the extent of ground glass (GGO) and consolidation areas found through volumetric investigations on computed tomography. The parameters we considered were P/F ratio, PCR, LDH, (D-dimer), levels of eosinophils and lymphocytes in the blood.
Aims We analyzed the characteristics of patients with and without pulmonary embolism (PE) in a population admitted to the hospital for COVID-19 infection complicated by interstitial pneumonia and respiratory failure. Our aim was to find clinical indicators and/or predictors of PE that might allow to rationalise the use of computed tomography pulmon...
Background:
The necessity to identify and isolate COVID-19 patients to avoid intrahospital cross infections is particularly felt as a challenge. Clinically occult SARS-CoV-2 infection among patients admitted to the hospital is always considered a risk during the pandemic. The aim of our study is to describe the application of CT scan to reveal une...
Background
Lung ultrasound (LUS) and chest radiography (CXR) are the most used chest imaging tools in the early diagnosis of COVID-19 associated pneumonia. However, the relationship between LUS and CXR is not clearly defined. The aim of our study was to describe the comparison between LUS interpretation and CXR readings in the first approach to pat...
The application of point-of-care lung ultrasound (LUS) in the first diagnosis and management of Corona Virus Disease 2019 (COVID-19) has gained a great interest during a pandemic that is undermining even the most advanced health systems. LUS demonstrated high sensitivity in the visualization of the interstitial signs of the typical pneumonia compli...
The evidence available suggests that cannabinoid-based products improve spasticity, chronic pain, and bladder dysfunction, which are common symptoms in more than 50% of multiple sclerosis (MS) patients. In this paper we present three cases of patients with progressive or relapsing forms of MS, with different severity, duration, and with various deg...
The emerging domain of epigenetics in molecular medicine finds application for a variety of patient populations. Here, we present fundamental neuroendocrine immune evidence obtained in patients with senile dementia of the Alzheimer's type (sDAT), and discuss the implications of these data from the viewpoint of translational epigenetics of Alzheimer...
Patients with Alzheimer's disease (AD) are characterized by an altered sensitivity to cortisol-mediated modulation of circulating
lymphocytes. Longitudinal studies are needed to address the clinical applicability of these abnormalities as prognostic factors. Therefore, we
designed a longitudinal study to address the clinical applicability of physio...
Questions
Question (1)
We are trying to draw up a useful protocol for emergency physicians to be able to discharge patients with covid-19 based on pulmonary involvement based on chest ultrasound (LUS) investigation.
Projects
Projects (4)
Pleuritic chest pain is a common presentation in ED and it could be related to pleural irritation due to pulmonary infarction in patients with pulmonary embolism (PE). Lung ultrasound (LUS) can detect pulmonary infarction, however its diagnostic accuracy for PE in a selected population presenting with pleuritic pain is unknown. The aim of this study is to analyze the performance of LUS for the diagnosis of PE in patients complaining of pleuritic pain.
Characteristics and predictors of pulmonary embolism in patients admitted for COVID- 19 with respiratory failure
Aims
We analyzed the characteristics of patients with and without pulmonary embolism (PE) in a population admitted to the hospital for COVID-19 infection complicated by interstitial pneumonia and respiratory failure. Our aim was to find clinical indicators and/or predictors of PE that might allow to rationalise the use of computed tomography pulmonary angiogram (CTPA) during the COVID-19 pandemic.
