A goal of the Precision Medicine Initiative All of Us Research Program (AoURP) is recruitment of participants who reflect the diversity of the US. Recruitment from among blood bank donors, which may better reflect the demographic makeup of local communities, is one proposed strategy. We evaluated this strategy by analyzing the results of a survey of San Diego Blood Bank donors conducted in November 2015. Whites were more likely than nonwhites to respond to the survey (7.1 percent versus 3.9 percent). However, race was not a significant predictor of interest in participating in precision medicine research. Using census data linked to donors' ZIP codes, we also found that people who indicated interest in research participation were more likely to come from regions with higher educational attainment. Although blood banks represent a viable recruitment strategy for AoURP, our findings indicate that bias toward inclusion of whites and more highly educated people persists.

The purpose of this project was to develop a staff nurse-led initiative to implement and evaluate evidence-based thermoregulation care for adult trauma patients. An evidence-based practice protocol was developed and implemented, addressing varying patient needs across the spectrum of hypothermia seen in practice, serving as a guide for improving thermoregulation care in trauma patients. There were 2 key pieces to the evidence-based practice protocol. The first piece consisted of an interdisciplinary thermoregulation flowchart to provide focused care based on patient temperatures. The flowchart outlined progressive interventions for increasing hypothermia. The second piece outlined the nursing assistant role, preparing the care area before patient arrival and assisting nursing staff during trauma care. Data from staff questionnaires and patient documentation were used in a pre- and postevaluation of the practice change. Improvements were demonstrated in staff feeling better prepared to identify patients with hypothermia, treat hypothermia, and document thermal care of trauma patients. Clinically important improvement in temperature control during emergency treatment in both moderate and severe hypothermic patients were observed. Ongoing monitoring is underway to promote integration of the practice change.

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We were unable to demonstrate any significant effect of MILS on the motion of an unstable cervical spine in this cadaver model. The BL appears to be a viable alternative to DL in the setting of an unstable lower cervical spine.