Lance Becker
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Lance B. Becker is an American physician and academic, specializing in
emergency medicine Emergency medicine is the medical speciality concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (often called “ER doctors” in the United States) continuously learn to care for unsche ...
and treatment for
cardiac arrest Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and possib ...
, currently at
Northwell Health Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 81,000 employees. The flagship hospitals of Northwell are North Shore University Hosp ...
. He is the chairman of the department of emergency medicine at
North Shore University Hospital North Shore University Hospital (formerly known as Manhasset Hospital) is a part of Northwell Health, New York State's largest healthcare provider and private employer. It is a primary teaching hospital for the Donald & Barbara Zucker School of ...
, as well as chair and professor of emergency medicine at
Hofstra Northwell School of Medicine The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell is the graduate medical school of Hofstra University in the town of Hempstead on Long Island, in the U.S. state of New York. The academic institution was established in 2008 b ...
.


Career

Becker received his M.D. from the
University of Illinois College of Medicine The University of Illinois College of Medicine offers a four-year program leading to the MD degree at four different sites in Illinois: Chicago, Peoria, Illinois, Peoria, Rockford, Illinois, Rockford, and formerly Champaign–Urbana metropolitan a ...
, and completed his residency in internal medicine at the Michael Reese Hospital and Medical Center. Prior to joining
Northwell Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 81,000 employees. The flagship hospitals of Northwell are North Shore University Hosp ...
, he founded and directed of the Center for Resuscitation Science at the
University of Pennsylvania The University of Pennsylvania (also known as Penn or UPenn) is a private research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universitie ...
, and the Emergency Resuscitation Center at the
University of Chicago The University of Chicago (UChicago, Chicago, U of C, or UChi) is a private research university in Chicago, Illinois. Its main campus is located in Chicago's Hyde Park neighborhood. The University of Chicago is consistently ranked among the b ...
.


Research

Becker is the author and co-author of more than 290 scientific publications. His research has been focused on extending the time between
cardiac arrest Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and possib ...
, or clinical death, and the time when a person is
brain dead Brain death is the permanent, irreversible, and complete loss of brain function which may include cessation of involuntary activity necessary to sustain life. It differs from persistent vegetative state, in which the person is alive and some aut ...
and can no longer be revived by emergency care. Historically, there was a "standard four-minute time limit", but this can now be extended to fifteen or even thirty minutes through better medical practices. Becker has worked to convince other doctors that "death doesn’t mean what they learned in their med school textbooks: 10 minutes without oxygen equals gone". Becker discovered that re-introduction of oxygen, rather than loss of oxygen, was primarily responsible for
cell death Cell death is the event of a biological cell ceasing to carry out its functions. This may be the result of the natural process of old cells dying and being replaced by new ones, as in programmed cell death, or may result from factors such as dis ...
. Cell death can be delayed or stopped through the application of
therapeutic hypothermia Targeted temperature management (TTM) previously known as therapeutic hypothermia or protective hypothermia is an active treatment that tries to achieve and maintain a specific body temperature in a person for a specific duration of time in an e ...
. In the case of Swedish skier Anna Bågenholm, who fell through ice into freezing water, the cold protected her from brain damage despite being without oxygen for over an hour. As of 2014, further research is planned where a patient's blood is replaced with a cold saline solution, and a state of "profound hypothermia" is then medically induced, at temperatures as low as 50 F (10 C). According to Becker, "draining the blood out and rapidly cooling a person to a deep level—we try to do it every day, and it’s just doggone hard to do... But I would say it’s very likely that the idea is correct." Becker believes that long-term
suspended animation Suspended animation is the temporary (short- or long-term) slowing or stopping of biological function so that physiological capabilities are preserved. It may be either hypometabolic or ametabolic in nature. It may be induced by either endogen ...
, where a person is kept cold for years, will eventually be possible, although "we’re quite a distance" from that with current technology. Becker leads the MTV-CPR (Mechanical, Team-Focused, Video-Reviewed Cardiopulmonary Resuscitation) project, based on video-feedback of cardiopulmonary resuscitation cases at the North Shore University Hospital. In 2020 Becker's team published a 2-year study showing improvements in
return of spontaneous circulation Return of spontaneous circulation (ROSC) is the resumption of a sustained heart rhythm that perfuses the body after cardiac arrest. It is commonly associated with significant respiratory effort. Signs of return of spontaneous circulation include bre ...
in cardiac arrest patients from 26% to 41% in non-intervention vs intervention groups, respectively. Becker and Miyara published the first case report of a transplant renal artery
pseudoaneurysm A pseudoaneurysm, also known as a false aneurysm, is a locally contained hematoma outside an artery or heart due to damage to the vessel wall. The injury goes through all the three layers of the arterial wall causing a leak, which is contained b ...
that due to retroperitoneal bleeding caused uretero-vesical
anastomosis An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection m ...
dehiscence,
hematuria Hematuria or haematuria is defined as the presence of blood or red blood cells in the urine. “Gross hematuria” occurs when urine appears red, brown, or tea-colored due to the presence of blood. Hematuria may also be subtle and only detectable w ...
, hemorrhagic shock, pulmonary embolism and cardiac arrest. This is the first known survivor who presented those clinical and pathological characteristics.


Awards

Becker is a member of the US
National Academy of Sciences The National Academy of Sciences (NAS) is a United States nonprofit, non-governmental organization. NAS is part of the National Academies of Sciences, Engineering, and Medicine, along with the National Academy of Engineering (NAE) and the Nati ...
, as well as the
National Academy of Medicine The National Academy of Medicine (NAM), formerly called the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, En ...
.


References


External links


Personal page at Hofstra School of Medicine
{{DEFAULTSORT:Becker, Lance Year of birth missing (living people) Living people American emergency physicians Hofstra University faculty Northwell Health Members of the National Academy of Medicine Members of the United States National Academy of Sciences University of Illinois College of Medicine alumni