A5054701892- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Mechanical Circulatory Support Devices
- Disaster Response and Management
- Sepsis Diagnosis and Treatment
- Folklore, Mythology, and Literature Studies
- Amyotrophic Lateral Sclerosis Research
- COVID-19 epidemiological studies
- Viral Infections and Outbreaks Research
- Neurogenetic and Muscular Disorders Research
- Neonatal and fetal brain pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Music History and Culture
- Family and Patient Care in Intensive Care Units
- Organ Donation and Transplantation
- Healthcare Policy and Management
- Cerebrospinal fluid and hydrocephalus
- Venous Thromboembolism Diagnosis and Management
- Intensive Care Unit Cognitive Disorders
- Palliative Care and End-of-Life Issues
University of Saskatchewan
2017-2021
Royal University Hospital
2017-2021
Saskatoon City Hospital
2021
Arkansas State University
2020
Covance (United States)
2020
Creative Commons
2019
University Hospital of North Norway
2018
Children's Hospital Research Institute of Manitoba
2015-2017
University of Manitoba
2014-2017
Children's Hospital of Winnipeg
2014-2017
Forty patients who underwent elective cholecystectomy were examined preoperatively and during the first postoperative week by physical examination, measurement of FVC FEV 1 , arterial pH blood gas analyses, chest x‐ray. Postoperative pulmonary complications (p.p.c.) detected in 30 (75%) patients. Simple auscultation was most sensitive tool discovering p.p.c., but 18 with also had a pathological Obesity, smoking, naso‐gastric tube wound infection predisposing factors for p.p.c. Six...
ABSTRACT Introduction/Aims Spirometry is the conventional means to measure lung function in amyotrophic lateral sclerosis (ALS), but dependent on patient effort and bulbar strength. We aimed use electric impedance tomography (EIT), an emerging non‐invasive imaging modality, dynamic volume changes. Methods Twenty‐one patients with ALS underwent sitting supine spirometry for forced vital capacity (FVC), EIT. There were 13 high FVC group (FVC ≥ 80% predicted) 8 low < predicted). Additional...
In neonatal hypoxic ischemic encephalopathy (HIE), hypo- and hyperglycemia have been associated with poor outcomes. However, glucose variability has not reported in this population.To examine the association between serum within first 24 hours two-year neurodevelopmental outcomes neonates cooled for HIE.In retrospective cohort study, glucose, clinical demographic data were documented from 23 term newborns treated whole body therapeutic hypothermia. Severe planned assessments defined as...
A patient who has been declared brain dead is considered to be both legally and clinically dead. However, we report 2 pediatric cases in which the patients demonstrated clinical signs of stem function that are not recognized or tested current Canadian US guidelines.
Introduction: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' from high fidelity training using modified motorhome as mobile education unit (MEU). Methods: Over 5-month period, data was collected during 14 sessions in nine different southern Manitoban communities....
Providing acutely ill children in isolated communities access to specialized care is challenging. This study aimed evaluate remote presence robotic technology (RPRT) for enhancing pediatric assessments, expediting initiation of treatment, refining triaging, and reducing the need transport.We conducted a pilot prospective observational at primary/urgent clinic an northern community. Participants (n = 38) were <17 years presenting clinic, whom local healthcare professionals had considered...
Hypocarbia during the first 12 h of life is associated with mortality and disability in neonatal hypoxic ischemic encephalopathy (HIE). Notable variation arterial carbon dioxide tension (PaCO2) 4 d related to severe intraventricular hemorrhages preterm infants. We examined association between PaCO2 72 whole-body therapeutic hypothermia for HIE 2-year neurodevelopmental outcomes.A retrospective review 23 term neonates treated documented clinical, demographic blood gas data. Comparisons were...
The World Brain Death Project clarified many aspects of the diagnosis brain death/death by neurologic criteria. Clearer descriptions than previously published were presented concerning etiology, prerequisites, minimum clinical criteria, apnea testing targets, and indications for ancillary testing. Nevertheless, there remained epistemic metaphysical assertions that either false, ad hoc, or confused. Epistemically, project was not successful in explaining away remaining functions, complex...
A technique for scintigraphically quantitating solid‐phase gastric emptying in the dog was developed a Beagle model. The test meal determined to empty linear fashion, indicating label. evaluation performed on group of dogs presented gastrointestinal signs that were judged have normal liquid barium sulfate fluoroscopic and radiographic studies. results this study indicate is valuable identifying those patients with surgically correctable pyloric obstruction exhibit barium.
Multidisciplinary clinics (MDC) have become the standard of care for management amyotrophic lateral sclerosis (ALS). No studies however, captured patients' perspectives during a transition to ALS MDCs. Recently, an MDC emerged from single-physician clinic in Saskatoon, Canada, providing patients with unique exposure two different models care.Fifteen participated semi-structured interviews that were digitally recorded and transcribed. Two independent researchers performed inductive thematic...
Abstract Background Delivery of non‐invasive ventilation commonly occurs in the pediatric intensive care unit ( PICU ). With advent high‐flow nasal cannula HFNC ), patients with respiratory distress may be rescued on ward without a admission. We evaluated our algorithm to determine its safety profile and independent predictors for non‐responders, defined as requiring subsequent Methods A retrospective chart review <17 years age admitted between 2016 2017 was carried out. Pediatric Early...
Ultrasound measurement of optic nerve sheath diameter (ONSD) appears to be a promising, rapid, non-invasive bedside tool for identification elevated intra-cranial pressure. With improvements in ultrasound technology, machines are becoming smaller; however, it is unclear if these ultra-portable handheld units have the resolution make measurements precisely. In this study, we estimate accuracy ONSD pocket-sized unit. Utilizing locally developed, previously validated model eye, was measured by...
Objectives: According to the World Health Organization (WHO), an early and consistent international national response is needed control a pandemic's spread. In this analysis, we evaluate coordination of Canada's coronavirus (COVID-19) pandemic in terms public health interventions policies implemented each province territory. Methods: Retrospective data was obtained from publicly accessible websites maintained by federal, provincial territorial governmental agencies. Consistent with WHO's...
Acute kidney injury occurs early in PICU admission and increases risks for poor outcomes. We evaluated the feasibility of a multicenter acute biomarker urine collection protocol measured diagnostic characteristics neutrophil gelatinase-associated lipocalin, interleukin-18, liver fatty acid binding protein to predict prolonged injury.Prospective observational pilot cohort study.Four Canadian tertiary healthcare PICUs.Eighty-one children 1 month 18 years old. Exclusion criteria were as...
Indigenous children living in rural and remote Canada have limited access to paediatric specialty services. As such, they experience a high rate of medical transport out their home communities. The Truth Reconciliation Commission’s calls action has prioritized health care that is culturally safe community directed. Remote presence robotic technology—a novel form telemedicine—seeks overcome the barriers distance time improve access. robot allows for direct patient visualization, examination,...
There are currently limited data for the use of specific antiviral therapies treatment Ebola virus disease (EVD). While there is anecdotal evidence that supportive care may be effective, a paucity direct experimental to demonstrate role in EVD. We studied impact ICU-level interventions including fluid resuscitation, vasoactive medications, blood transfusion, hydrocortisone, and ventilator support on pathophysiology EVD rhesus macaques infected with universally lethal dose strain Makona C07....
Purpose – This paper aims to report the best practices of deicer corrosion control adopted by Washington State Department Transportation (WSDOT) preserve performance, reliability and value its highway maintenance equipment assets. Design/methodology/approach To enable quantitative analyses, data were collected from a site visit WSDOT, as well survey practitioners various transportation agencies. The direct costs related aggravated exposure roadway deicers analyzed, along with benefits...
Background Children with complex chronic conditions present unique challenges to the pediatric intensive care unit, including prolonged length of stay, medical regimens, and complicated family dynamics. Objectives To examine perspectives unit health providers regarding patients conditions, explore potential opportunities improve these patients’ care. Methods A prospective mixed-methods sequential explanatory study was conducted in a tertiary medical-surgical using surveys performed REDCap...