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Michael Brown - Michigan State University. East Lansing, MI, US

Michael Brown

Chair, Department of Emergency Medicine | Michigan State University

East Lansing, MI, UNITED STATES

Has expertise teaching evidence-based medicine concepts and engaged in knowledge translation at the national level.

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Biography

Michael Brown, MD, MSc, is chair of the Department of Emergency Medicine. After graduating from the College of Human Medicine in 1986, Dr. Brown completed his EM residency training at Butterworth Hospital where he subsequently joined the faculty. During this period, he developed a passion for summarizing research evidence in a form useful to clinicians, an interest that led to a Master of Science degree in Epidemiology with a focus on evidence synthesis (i.e., meta-analysis).

Dr. Brown has shared his expertise teaching evidence-based medicine concepts to medical students and engaged in knowledge translation at the national level by serving in many roles:

• Lead editor for the Annals of Emergency Medicine Systematic Review Snapshot series
• Past Chair for the American College of Emergency Physicians Clinical Policies Committee
• Leadership role on the American Board of Emergency Medicine New Advances Panel

Dr. Brown currently serves as the University Physician, on the Editorial Board for Cochrane, and as the Editor for Cochrane Evidence Synthesis and Methods.

Areas of Expertise (5)

Emergency Medicine

Evidence Synthesis and Evaluation

Knowledge Translation

Epidemiology

Meta-Analysis

Education (2)

Michigan State University: M.D., College of Human Medicine 1986

n/a: M.S., Epidemiology

Affiliations (3)

  • Annals of Emergency Medicine Systematic Review Snapshot Series : Lead Editor
  • American College of Emergency Physicians Clinical Policies Committee : Past Chair
  • American Board of Emergency Medicine New Advances Panel : Leadership Role

News (4)

Ask the expert: Understand the latest on COVID-19 and mpox

MSU Today  online

2024-08-22

As the university physician at Michigan State, Michael Brown advises the president and other leaders on major health policy or programs that impact life on campus or education abroad programs. He is also chair of the Department of Emergency Medicine in the MSU College of Human Medicine. Here, Brown shares the latest guidance about two viruses that are making news — COVID-19 and mpox, which was formerly called monkeypox.

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Metro Detroit medical providers, patients prepare for updated COVID vaccine

WXYZ Channel 7  online

2024-08-22

Dr. Michael Brown is the university physician at Michigan State University. He highly recommends the updated vaccines for those most vulnerable and also recommends it for younger students returning to MSU's campus. “The number of emergency department visits due to COVID have bumped up slightly, but it pales in comparison to what we saw the first couple years of the pandemic,” said Brown. "I will be recommending that people go out and get a vaccine, but it’s not mandatory or required like it was during the peak of the pandemic.”

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Hospitals are seeing an increase in COVID-19 cases: How does it affect Michigan?

The State News  online

2023-12-06

When discussing the increase in COVID cases and hospitalizations, Michael Brown, an MSU physician, professor and chair of emergency medicine, said the increase now "is due to one of the lowest lows we had over the summer.” Brown said he has not seen a pattern with COVID-19 as he has seen with other respiratory infections, so he doesn’t get too surprised when there are highs and lows at certain times. “COVID hasn't had that pattern," Brown said. "We could see a new peak in the spring or summer."

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Michigan State drops COVID-19 vaccinations and booster requirements for students and staff

Lansing State Journal  online

2023-02-28

University Physician Michael Brown, in a communication, said MSU was dropping the mandates due to the “widespread protection” as more and more people have become vaccinated and as more treatment options are now more widely available. “Thus, as the pandemic continues to shift from an acute public health crisis to a personal health responsibility, MSU no longer will require the COVID-19 vaccination for students, staff and faculty, effective today,” Brown said in the communication. “There still may be limited situations in which professional students and employees must be vaccinated due to the requirements of the hospitals and health care facilities where they work and study.”

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Journal Articles (5)

Prioritising Cochrane reviews to be updated with health equity focus

International Journal for Equity in Health

2023 Background The prioritisation of updating published systematic reviews of interventions is vital to prevent research waste and ensure relevance to stakeholders. The consideration of health equity in reviews is also important to ensure interventions will not exacerbate the existing inequities of the disadvantaged if universally implemented. This study aimed to pilot a priority setting exercise based on systematic reviews of interventions published in the Cochrane Library, to identify and prioritise reviews to be updated with a focus on health equity. Methods We conducted a priority setting exercise with a group of 13 international stakeholders.

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ACR Appropriateness Criteria® Cerebrovascular Diseases-Aneurysm, Vascular Malformation, and Subarachnoid Hemorrhage

Journal of the American College of Radiology

2021 Cerebrovascular disease is a broad topic. This document focuses on the imaging recommendations for the varied clinical scenarios involving intracranial aneurysms, vascular malformations, and vasculitis, which all carry high risk of morbidity and mortality. Additional imaging recommendations regarding complications of these conditions, including subarachnoid hemorrhage and vasospasm, are also covered. While each variant presentation has unique imaging recommendations, the major focus of this document is neurovascular imaging techniques. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel.

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ACR Appropriateness Criteria® Syncope

Journal of the American College of Radiology

2021 Syncope and presyncope lead to well over one million emergency room visits in the United States each year. Elucidating the cause of syncope or presyncope, which are grouped together given similar etiologies and outcomes, can be exceedingly difficult given the diverse etiologies. This becomes more challenging as some causes, such as vasovagal syncope, are relatively innocuous while others, such as cardiac-related syncope, carry a significant increased risk of death. While the mainstay of syncope and presyncope assessment is a detailed history and physical examination, imaging can play a role in certain situations. In patients where a cardiovascular etiology is suspected based on the appropriate history, physical examination, and ECG findings, resting transthoracic echocardiography is usually considered appropriate for the initial imaging.

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Diagnostic test accuracy of the initial electrocardiogram after resuscitation from cardiac arrest to indicate invasive coronary angiographic findings and attempted revascularization [...]

Resuscitation

2021 Aim Conduct a diagnostic test accuracy systematic review and meta-analysis of the post-return of spontaneous circulation (ROSC) electrocardiogram (ECG) to indicate an acute-appearing coronary lesion and revascularization. Methods We searched PubMed, EMBASE, CINAHL, Cochrane Library, and Web of Science through February 18, 2020. Two investigators screened titles and abstracts, extracted data, and assessed risks of bias using QUADAS-2. We estimated sensitivity (Sn), specificity (Sp), and likelihood ratios (LR) for all reported ECG features to indicate all reported reference standards. Random-effects meta-analysis pooled comparable studies without critical risk of bias.

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Clinical Practice Guideline: Nosebleed (Epistaxis)

Otolaryngology–Head and Neck Surgery

2020 Objective: Nosebleed, also known as epistaxis, is a common problem that occurs at some point in at least 60% of people in the United States. While the majority of nosebleeds are limited in severity and duration, about 6% of people who experience nosebleeds will seek medical attention. For the purposes of this guideline, we define the target patient with a nosebleed as a patient with bleeding from the nostril, nasal cavity, or nasopharynx that is sufficient to warrant medical advice or care. This includes bleeding that is severe, persistent, and/or recurrent, as well as bleeding that impacts a patient's quality of life. Interventions for nosebleeds range from self-treatment and home remedies to more intensive procedural interventions in medical offices, emergency departments, hospitals, and operating rooms.

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