- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Musculoskeletal pain and rehabilitation
- Emergency and Acute Care Studies
- Cardiac electrophysiology and arrhythmias
- Cardiac Arrhythmias and Treatments
- Healthcare cost, quality, practices
- Innovations in Medical Education
- Anesthesia and Sedative Agents
- Cardiac Arrest and Resuscitation
- Cardiac Imaging and Diagnostics
- Spine and Intervertebral Disc Pathology
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Health Sciences Research and Education
- Cannabis and Cannabinoid Research
- Radiology practices and education
- Health Systems, Economic Evaluations, Quality of Life
- Clinical Reasoning and Diagnostic Skills
- Pregnancy-related medical research
- Cardiovascular Syncope and Autonomic Disorders
- Occupational Health and Performance
- Meta-analysis and systematic reviews
Dalhousie University
2014-2024
Queen Elizabeth II Health Sciences Centre
2003-2021
Royal College of Physicians and Surgeons of Canada
2021
Nova Scotia Health Authority
2019-2020
University of British Columbia
2019-2020
Université Laval
2019-2020
Health Sciences Centre
2019
Saint John Regional Hospital
2017
Thomas Keating Ltd
2016
Deleted Institution
2006
Background Atrial fibrillation ( AF ) is the most common sustained cardiac arrhythmia resulting in mortality and morbidity. Gaps oral anticoagulation education of patients regarding have been identified as areas that require improvement. Methods Results A before‐and‐after study 433 with newly diagnosed 3 emergency departments Nova Scotia from January 1, 2011 until 31, 2014 was performed. The “before” phase underwent usual‐care pathway for management; “after” enrolled a nurse‐run,...
Low back pain (LBP) is one of the leading causes disability. Presentations to emergency department (ED) are common and consume significant healthcare resources. However, treatment patients with LBP variable highly physician dependent. Our study objective was describe demographic clinical characteristics presenting ED LBP, diagnostic strategies employed by physicians, subsequent management. We conducted a retrospective using electronic health data at Queen Elizabeth II Health Science Center's...
In this study, we compared metronidazole (Mtz)-sensitive and -resistant strains of Helicobacter pylori for metabolic differences that might correlate with drug resistance. Included in study was an isogenic Mtz(r) strain, HP1107, constructed by transforming genomic DNA from strain HP439 into Mtz(s) HP500. Enzyme activities were also measured grown the presence or absence 18 micrograms per ml (ca. one-half MIC). These studies confirmed Embden-Meyerhof-Parnas, Entner-Doudoroff, pentose...
While low back pain is a common presenting complaint in the emergency department, current estimates from Canada are limited. Furthermore, existing do not clearly define pain. As such, our main objective was to estimate prevalence rates of large Nova Scotian department using various definitions, and describe characteristics individuals included these groups. An additional explore trends over time.We conducted cross sectional analysis six years administrative data local setting. We first...
BACKGROUND: This prospective, randomized trial was undertaken to evaluate the utility of adding end-tidal capnometry (ETC) pulse oximetry (PO) in patients undergoing procedural sedation and analgesia (PSA) emergency department (ED). METHODS:The were monitoring with or without ETC addition current standard care.Primary endpoints included respiratory adverse events, secondary level sedation, hypotension, other PSA-related events patient satisfaction. RESULTS:Of 986 patients, 501 usual care 485...
Lack of oral anticoagulation prescription in the emergency department (ED) has been identified as a care gap atrial fibrillation patients. This study seeks to determine whether use tool kit for physicians with follow-up community-based clinic resulted greater at ED discharge than usual care.This was before-after 5 Canadian EDs 3 cities. Patients who presented were eligible inclusion. The before phase (1) retrospective; 2 after phases (2 and 3) prospective: used an patient education...
Low back pain is one of the most common and disabling health problems in Canada internationally. In cases, low a benign, self-limiting condition that can be managed with little diagnostic investigation or treatment. Yet contrary to clinical practice guideline recommendations, imaging (here meaning X-ray, MRI, CT) commonly used assessment pain. Diagnostic limited value exposing patients unnecessary radiation leading increased services use worse patient outcomes. The Choosing Wisely campaign...