About

Curtis C. Brown has homeland security and emergency management experience at the federal, state, and local levels. He is currently the State Coordinator (Director) of Emergency Management at the Virginia Department of Emergency Management (VDEM). His previous roles include Chief Deputy State Coordinator, Deputy Secretary of Public Safety and Homeland Security, Regional Emergency Management Administrator for the Hampton Roads Planning District Commission, and professional staff for the U.S. House of Representatives Committee on Homeland Security. Curtis is a leader in promoting diversity and implementing inclusive and equitable emergency management policies and practices. He co-founded the Institute for Diversity and Inclusion in Emergency Management (I-DIEM), a non-profit organization dedicated to promoting equitable practices to improve disaster outcomes and build community resilience for the most vulnerable populations. His educational background includes a BS in political science from Radford University, an MPA from Virginia Tech, and an MA in homeland security and emergency preparedness from Virginia Commonwealth University. He is a graduate of FEMA’s Emergency Management Executive Academy and the Naval Postgraduate School Center for Homeland Defense and Security Executive Leaders Program. Curtis is recognized as a Certified Emergency Manager by the International Association of Emergency Managers. He serves on the Equitable Climate Resilience Advisory Panel for the Institute for Building Technology and Safety (IBTS) and for FEMA’s Mitigation Framework Leadership Group.

Research topics

• Psychology
• Computer Science
• Medicine
• Clinical psychology
• Pathology
• Physical therapy
• Gerontology
• Intensive care medicine
• Algorithm
• Surgery
• Demography
• Family medicine

Selected publications

• Should Anything Else be done Besides Prehospital Cardiopulmonary Resuscitation (CPR)? The Role of CPR and Prehospital Interventions After Traumatic Cardiac Arrest

  Journal of Emergency Medicine · 2025-03-24 · 2 citations

  articleSenior author
  PublisherDOI

• Intraoperative factors associated with unplanned return to the operating room after emergent hemorrhage control surgery

  The Journal of Trauma: Injury, Infection, and Critical Care · 2024-09-26

  articleSenior authorCorresponding

  BACKGROUND: Unplanned return to the operating room (uROR) is associated with worse outcomes and increased mortality. Little is known regarding intraoperative factors associated with uROR after emergent surgery in trauma patients. The objective of this study was to identify intraoperative factors associated with uROR after emergent hemorrhage control procedures in bleeding trauma patients. METHODS: We used anesthetic record of intraoperative management to perform a retrospective study (2017-2022) of bleeding trauma patients who were taken for an emergent hemorrhage control operation. RESULTS: A total of 225 patients met the inclusion criteria, 46 (20%) had uROR, and 181 (80%) did not. While there was no difference in demographics, mechanism, admission physiology, or time from emergency department to operating room, the uROR patients had a higher Injury Severity Score (30 vs. 25, p = 0.007). While there was no difference in volume of crystalloid infused (3,552 ± 2,279 mL vs. 2,977 ± 2,817 mL, p = 0.20), whole blood (2.2 ± 0.9 vs. 2.0 ± 0.5, p = 0.20), or platelets (11.6 ± 8.6 vs. 9.2 ± 9.0, p = 0.14), the uROR group received more packed red blood cells (11.5 ± 10.6 vs. 7.8 ± 7.5, p = 0.006) and plasma (9.6 ± 8.3 vs. 6.5 ± 6.6, p = 0.01), and more uROR patients received ≥10 U of packed red blood cells (48% vs. 27%, p = 0.006). Damage-control surgery (DCS) was more common in uROR patients (78% vs. 45%, p < 0.0001). After logistic regression, ≥10 U of packed cells in the operating room (4.3 [1.5-12.8], p = 0.009), crystalloid (1.0 [1.0-1.001], p = 0.009), International Normalized Ratio (INR) (7.6 [1.3-45.7], p = 0.03), and DCS (5.7 [1.7-19.1], p = 0.005) were independently associated with uROR. CONCLUSION: Massive transfusion, crystalloid resuscitation, persistent coagulopathy, and DCS are the most significant risk factors for uROR. During hemorrhage control surgery in bleeding trauma patients who receive ≥10 U of blood, providers must maintain a keen focus on minimizing crystalloid and ongoing balanced resuscitation, particularly during damage-control procedures. LEVEL OF EVIDENCE: Therapeutic/Care Management; Level IV.

  PublisherDOI

• Out-of-Hospital Management of Traumatic Brain Injury

  Hot topics in acute care surgery and trauma · 2024-01-01

  book-chapterSenior author
  PublisherDOI

• DEI-03 PERSISTENT EFFECTS OF HISTORICAL REDLINING ON TRAUMATIC UROLOGIC INJURIES: A GEOSPATIAL ANALYSIS IN A SOUTHERN US CITY

  The Journal of Urology · 2024-04-15

  article

  You have accessJournal of UrologyDiversity, Equity & Inclusion Forum (DEI01)1 May 2024DEI-03 PERSISTENT EFFECTS OF HISTORICAL REDLINING ON TRAUMATIC UROLOGIC INJURIES: A GEOSPATIAL ANALYSIS IN A SOUTHERN US CITY Maya Malak Eldin, James Bradford, Tarah Woodle, Niru Ancha, Sofia Gereta, Imani Butler, Prachi Khanna, Marissa Mery, Michelle Robert, Sadia Ali, Deborah Salvo, Carlos V. Brown, and Aaron Laviana Maya Malak EldinMaya Malak Eldin , James BradfordJames Bradford , Tarah WoodleTarah Woodle , Niru AnchaNiru Ancha , Sofia GeretaSofia Gereta , Imani ButlerImani Butler , Prachi KhannaPrachi Khanna , Marissa MeryMarissa Mery , Michelle RobertMichelle Robert , Sadia AliSadia Ali , Deborah SalvoDeborah Salvo , Carlos V. BrownCarlos V. Brown , and Aaron LavianaAaron Laviana View All Author Informationhttps://doi.org/10.1097/01.JU.0001008820.69436.91.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: As part of the federal housing policy during the New Deal era, the Home Owners Loan Corporation (HOLC) created maps that assessed the financial security of neighborhoods across the United States. This practice, commonly known as redlining, labeled neighborhoods with high numbers of racial and ethnic minorities as financially unstable, leading to a lack of federal investment. The focus of this research was to investigate how historical redlining within a city in the southern US is connected to the spatial distribution of traumatic injuries, specifically related to urologic cases. METHODS: This study involved analyzing data retrospectively collected from admissions for violent penetrating urologic trauma between January 1, 2013, and April 24, 2023, at a single Level 1 trauma center in a southern US city. Geographical information systems software, specifically ArcGIS, was used to geocode the addresses of injury incidents and link them to the corresponding census tracts. These tracts were classified according to the 1935 HOLC financial designations as "Hazardous," "Definitely Declining," "Still Desirable," or "Best." Tracts labeled as "Hazardous" and "Definitely Declining" were categorized as redlined areas. The study calculated the incidence rate ratio (IRR) to compare the rates of penetrating urologic trauma between historically redlined and non-redlined census tracts. RESULTS: 936 violent penetrating urologic trauma cases occurred during the study period. Of the 387 cases with valid location data for geospatial analysis, 60 incidents fell within the geographical boundaries of the 1935 HOLC map. 70% of these cases occurred in census tracts that were historically redlined. The incidence rate per 100,000 person-years in redlined areas was 8.19, in contrast to 1.63 in non-redlined census tracts (IRR=5.03, 95% CI: 2.90-8.73, p<0.001). CONCLUSIONS: Neighborhoods that were subjected to discriminatory redlining practices in 1935 continue to exhibit a fivefold higher incidence rate of violent penetrating urologic trauma today. These findings underscore the impact of structural racism and historical residential segregation on vulnerability to traumatic injuries, emphasizing the importance of addressing social determinants of health to eliminate disparities in health outcomes. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e288 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Maya Malak Eldin More articles by this author James Bradford More articles by this author Tarah Woodle More articles by this author Niru Ancha More articles by this author Sofia Gereta More articles by this author Imani Butler More articles by this author Prachi Khanna More articles by this author Marissa Mery More articles by this author Michelle Robert More articles by this author Sadia Ali More articles by this author Deborah Salvo More articles by this author Carlos V. Brown More articles by this author Aaron Laviana More articles by this author Expand All Advertisement PDF downloadLoading ...

  PublisherDOI

• Extremity vascular injury: A Western Trauma Association critical decisions algorithm

  The Journal of Trauma: Injury, Infection, and Critical Care · 2023-11-06 · 6 citations

  article

  Fox, Charles J. MD; Feliciano, David V. MD; Hartwell, Jennifer L. MD; Ley, Eric J. MD; Coimbra, Raul MD, PhD; Schellenberg, Morgan MD, MPH; de Moya, Marc MD; Moore, Laura J. MD; Brown, Carlos V.R. MD; Inaba, Kenji MD; Keric, Natasha MD; Peck, Kimberly A. MD; Rosen, Nelson G. MD; Weinberg, Jordan A. MD; Martin, Matthew J. MD Author Information

  PublisherDOI

• 636: GETTING SALTY: INFUSION VS BOLUS DOSING OF HYPERTONIC SALINE IN PATIENTS WITH TRAUMATIC BRAIN INJURY

  Critical Care Medicine · 2023-12-14 · 1 citations

  articleSenior author

  Introduction: Hypertonic saline (HTS) is a mainstay of treatment for patients with traumatic brain injury (TBI), both to alleviate elevated intracranial pressure (ICP) and maintain serum sodium concentrations. Yet, there is currently little evidence on the ideal method to administer HTS. The purpose of this study is to compare the efficacy and safety of 3% HTS bolus dose (BD) vs. continuous infusion (CI) to achieve goal sodium concentrations amongst patients with TBI. We hypothesize that BD of 3% HTS will lead to faster goal serum sodium levels without an increase in adverse events. Methods: This was a single center, retrospective, cohort study conducted in patients 15 years of age or older admitted to the intensive care unit (ICU) with a diagnosis of TBI and who received BD or CI 3% HTS between January 2018 and November 2022. The study institution transitioned from CI to BD HTS in April 2022. The primary outcome was time to goal serum sodium and secondary outcomes included performance metrics at 72 hours (e.g. percent of sodium concentrations at goal, total volume of HTS), efficacy outcomes (e.g. delayed neurosurgical procedure, ICU length of stay, Glasgow Coma Scale (GCS) at discharge, in-hospital all-cause mortality) and safety outcomes (e.g. central line placement, metabolic derangements, sodium overcorrection, acute kidney injury). Results: A total of 90 patients were included (BD n=45, CI n=45). Patients receiving BD HTS achieved goal sodium quicker than patients who received a CI [2.55 hours (IQR, 0 to 14.67) vs. 14.79 hours (IQR, 8.96 to 23.28); p< 0.01]. Patients in the BD required less volume of 3% HTS at 72 hours [750 mL (IQR, 250 to 1750) vs. 2493 mL (IQR, 1642.34 to 3312.83); p< 0.01] and required less central line placement [44.44% vs. 100%; p< 0.01]. There was no difference in percentage of sodium levels at goal for 72 hours [83.3% (IQR 61 to 92) vs. 56% (IQR 44 to 83); p=0.09], ICU length of stay [12 (IQR 6 to 17) vs. 10 (IQR 7 to 17); p=0.93], GCS at discharge [14 (IQR 8 to 15) vs. 14 (IQR 6 to 15); p=0.57], mortality (20% vs. 24.4%; p=0.61) or any other safety outcome investigated. Conclusions: Amongst patients with TBI admitted to the ICU, BD 3% HTS is associated with shorter time to achieve goal sodium levels, less volume of HTS, fewer central lines, and a similar safety profile.

  PublisherDOI

• Adult blunt hepatic injury: A Western Trauma Association critical decisions algorithm

  The Journal of Trauma: Injury, Infection, and Critical Care · 2023-09-25 · 19 citations

  article

  Keric, Natasha MD; Shatz, David V. MD; Schellenberg, Morgan MD, MPH; de Moya, Marc MD; Moore, Laura J. MD; Brown, Carlos V.R. MD; Hartwell, Jennifer L. MD; Inaba, Kenji MD; Ley, Eric J. MD; Peck, Kimberly A. MD; Fox, Charles J. MD; Rosen, Nelson G. MD; Weinberg, Jordan A. MD; Coimbra, Raul S. MD, PhD; Kozar, Rosemary MD; Martin, Matthew J. MD Author Information

  PublisherDOI

• Contributors

  Current Therapy of Trauma and Surgical Critical Care · 2023-07-21

  book-chapter
  PublisherDOI

• Diagnostic management of brain death in the intensive care unit and organ donation

  Current Therapy of Trauma and Surgical Critical Care · 2023-07-21

  book-chapter
  PublisherDOI

• Diagnosis and management of traumatic rectal injury: A Western Trauma Association critical decisions algorithm

  The Journal of Trauma: Injury, Infection, and Critical Care · 2023-07-05 · 7 citations

  article

  In Brief The diagnosis and optimal management of rectal trauma remain controversial. This algorithm from the Western Trauma Association (WTA) provides a data-driven approach to the initial evaluation and treatment of rectal injuries. #trauma

  PublisherDOI

Frequent coauthors

• Kenji Inaba

  University of Southern California

  375 shared

• Δημήτριος Δημητριάδης

  247 shared

• Peter Rhee

  Hackensack University Medical Center

  207 shared

• Alí Salim

  204 shared

• Matthew J. Martin

  Los Angeles Medical Center

  193 shared

• David J. Ciesla

  University of South Florida

  167 shared

• Ernest E. Moore

  University of Colorado Denver

  150 shared

• Karen J. Brasel

  Oregon Health & Science University

  149 shared

Awards & honors

• FEMA’s Emergency Management Executive Academy
• Naval Postgraduate School Center for Homeland Defense and Se…
• Certified Emergency Manager by the International Association…