- Emergency and Acute Care Studies
- Bioenergy crop production and management
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Healthcare Systems and Technology
- Electronic Health Records Systems
- Biofuel production and bioconversion
- Disaster Response and Management
- Pneumonia and Respiratory Infections
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Clinical practice guidelines implementation
- Nursing Diagnosis and Documentation
- Pediatric Urology and Nephrology Studies
- Renewable energy and sustainable power systems
- Neurosurgical Procedures and Complications
- Biomedical Text Mining and Ontologies
- Trauma Management and Diagnosis
- Medical Coding and Health Information
- Gastrointestinal Bleeding Diagnosis and Treatment
- Photovoltaic Systems and Sustainability
- Agronomic Practices and Intercropping Systems
- Venous Thromboembolism Diagnosis and Management
- Agriculture, Plant Science, Crop Management
- Agricultural economics and policies
High Point University
2025
University of Alberta
2009-2020
University of Calgary
2010-2020
Alberta Health Services
2011-2018
Hazen and Sawyer (United States)
2016-2018
Hazen Research (United States)
2018
Red Deer Regional Hospital
2018
University of Alberta Hospital
2003-2017
University of Ottawa
2003-2013
University of Toronto
2011
Objective To measure the sensitivity of modern third generation computed tomography in emergency patients being evaluated for possible subarachnoid haemorrhage, especially when carried out within six hours headache onset. Design Prospective cohort study. Setting 11 tertiary care departments across Canada, 2000-9. Participants Neurologically intact adults with a new acute peaking intensity one hour onset whom was ordered by treating physician to rule haemorrhage. Main outcome measures...
Investigation of the neurologically intact (ie, no neurologic deficits) patient with headache is a potentially difficult clinical decision for physicians.2][3][4] Although to evaluate patients new deficits relatively straightforward, it much more determine which alert, who present alone require investigations-yet such account half all subarachnoid hemorrhages at initial presentation. 5This diagnostic dilemma illustrated by report that 5.4% confirmed were misdiagnosed during patients'...
PURPOSE: To correlate imaging findings of types I and II emphysematous pyelonephritis (EPN) with clinical course prognosis. MATERIALS AND METHODS: The studies outcome in 38 patients EPN were retrospectively studied. performed included radiography (n = 33), computed tomography 31), ultrasonography 35). RESULTS: Two identified. Type was characterized by parenchymal destruction either absence fluid collection or presence streaky mottled gas. as renal perirenal collections bubbly loculated gas...
Several reports have documented the prevalence and severity of emergency department (ED) overcrowding at specific hospitals or cities in Canada; however, no study has examined issue a national level. A 54-item, self-administered, postal web-based questionnaire was distributed to 243 ED directors Canada collect data on frequency, impact factors associated with overcrowding. The survey completed by 158 (65% response rate) directors, 62% whom reported as major severe problem during past year....
Patients leaving the emergency department (ED) without being seen (LWBS) by a physician have become growing concern in overcrowded EDs. The purpose of this study was to determine acuity level, reasons, and outcomes LWBS cases.LWBS patients (or their guardians) from two linked Canadian EDs (one adult, one pediatric), identified during 11 sampling periods seven days' duration each, were contacted telephone. Descriptive statistics are provided.A total 711 (4.5%) 15,660 registered left (50%...
<b>Objective</b> To identify high risk clinical characteristics for subarachnoid haemorrhage in neurologically intact patients with headache. <b>Design</b> Multicentre prospective cohort study over five years. <b>Setting</b> Six university affiliated tertiary care teaching hospitals Canada. Data collected from November 2000 until 2005. <b>Participants</b> Neurologically adults a non-traumatic headache peaking within an hour. <b>Main outcome measures</b> Subarachnoid haemorrhage, as defined...
Triage liaison physicians (TLPs) have been employed in overcrowded emergency departments (EDs); however, their effectiveness remains unclear.To evaluate the implementation of TLP shifts at an academic tertiary care adult ED using comprehensive outcome reporting.A six-week clinical research project was conducted between December 9, 2005, and February 2006. A deployed for nine hours (11 AM to 8 PM) daily initiate patient management, assist triage nurses, answer all medical consult or transfer...
No AccessJournal of UrologyClinical Urology: Original Articles1 Feb 1998PREDICTORS OF OUTCOME IN EMPHYSEMATOUS PYELONEPHRITIS Yung-Liang Wan, Sing-Kai Lo, Michael J. Bullard, Phei-Lang Chang, and Tze-Yu Lee WanYung-Liang Wan , LoSing-Kai Lo BullardMichael Bullard ChangPhei-Lang Chang LeeTze-Yu View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63919-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail...
Objectives To describe the findings in cerebrospinal fluid from patients with acute headache that could distinguish subarachnoid hemorrhage effects of a traumatic lumbar puncture. Design A substudy prospective multicenter cohort study. Setting 12 Canadian academic emergency departments, November 2000 to December 2009. Participants Alert aged over 15 an non-traumatic who underwent puncture rule out hemorrhage. Main outcome measure Aneurysmal requiring intervention or resulting death. Results...
Abstract Background Emergency department (ED) triage prioritizes patients on the basis of urgency need for care. eTRIAGE is a Web‐based decision support tool that based Canadian Triage and Acuity Scale (CTAS), five level system (CTAS 1 = resuscitation, CTAS 5 nonurgent). Objectives To examine validity resource utilization cost as measures acuity. Methods Scores CTAS, specialist consultations, computed‐tomography use, ED length stay, disposition, estimated hospital costs (if patient was...
Emergency department (ED) triage prioritizes patients based on urgency of care. This study compared agreement between two blinded, independent users a Web-based tool (eTRIAGE) and examined the effects ED crowding reliability.Consecutive presenting to large, urban, tertiary care were assessed by duty nurse an nurse, both using eTRIAGE. Triage score distribution are reported. The collected data activity, during different levels is Two methods interrater used: linear-weighted kappa...
Patients experiencing a mental health crisis often present to the emergency department and are admitted an inpatient facility for treatment. This can cause incontinuity in care, increased costs, may worsen clinical outcomes compared treatment outpatient setting. An innovative behavioral clinic (BHC) was established provide number of critical services such as individual therapy, stabilization, partial hospitalization, substance abuse intensive services, specialized adult group medication...