A5089061282- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Airway Management and Intubation Techniques
- ERP Systems Implementation and Impact
- Healthcare Policy and Management
- Information Technology Governance and Strategy
- Radiology practices and education
- Orthopedic Surgery and Rehabilitation
- Health Sciences Research and Education
- Injury Epidemiology and Prevention
- Trauma Management and Diagnosis
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Empathy and Medical Education
- Abdominal Trauma and Injuries
- Venous Thromboembolism Diagnosis and Management
- Outsourcing and Supply Chain Management
- Sepsis Diagnosis and Treatment
- Orthopaedic implants and arthroplasty
- COVID-19 and healthcare impacts
- Emergency Medicine Education and Research
Queen Elizabeth II Health Sciences Centre
1998-2024
Dalhousie University
2015-2024
University of Kansas
2022-2024
Nova Scotia Health Authority
2000-2021
Thunder Bay Regional Health Sciences Centre
2019
Saint John Regional Hospital
2017
Capital District Health Authority
2015
Dartmouth General Hospital
2014
Capital Health
2012
California State University, Fullerton
2010
Enterprise resource planning (ERP) packages touch many aspects of a company's internal and external operations. Consequently, successful deployment use ERP systems are critical to organizational performance survival. This paper presents the results study problems outcomes in projects which was conducted under sponsorship an vendor. Two basic research questions were addressed. First, how companies at different points time their experiences measures success related? (That is, can early be...
Objective To report on all complications experienced by patients with displaced intra-articular calcaneal fractures (DIACFs) following nonoperative management or open reduction internal fixation (ORIF). Design Prospective, randomized, multicenter study. Setting Four level I trauma centers. Patients The patient population consisted of consecutive patients, age 17 to 65 at the time injury, presenting 1 centers DIACFs between April 1991 and December 1998. Interventions were randomized treatment...
Objective The goal of the current study was to analyze prospective clinical outcome patients who failed closed or open treatment a displaced intra-articular calcaneal fracture. This cohort required secondary subtalar fusion by distraction bone-block arthrodesis. Design Review prospective, randomized trial database. Setting Four level I trauma centers. Patients Between April 1, 1991 and December 31, 1997, 424 with 471 fractures were involved in large, multicenter, trial. Forty-four following...
Enterprise resource planning (ERP) packages touch many aspects of a company's internal and external operations. Consequently, successful deployment use ERP systems are critical to organizational performance survival. This paper presents the results study problems outcomes in projects which was conducted under sponsorship an vendor. Two basic research questions were addressed. First, how companies at different points time their experiences measures success related? (That is, can early be...
The historical tendency to view medicine as both an art and a science may have contributed disinclination among clinicians towards cognitive science. In particular, this has had impact on the approach diagnostic process which is barometer of clinical decision-making behaviour increasingly seen yardstick clinician calibration performance. itself more complicated complex than was previously imagined, with multiple variables that are difficult predict, interactive, show nonlinearity. They...
Objective The purpose of this study was to compare the outcomes trauma patients with an Injury Severity Score (ISS) > 12 who had team involved (TTA) in their resuscitative care those that did not (TTNA). Setting Level I regional center teaching hospital university affiliation. Methods All admitted between July 1, 1991 and August 31, 1994 ISS were identified through registry. Burn patients, suffered injury >24 hours before admission, deaths emergency room excluded from analysis. TRISS...
Objectives. 1) To compare the outcomes of adult trauma patients transported to a level I center by helicopter vs. ground ambulance. 2) determine whether using unique “natural experiment” design obtain comparison group will reduce potential confounders. Methods. Outcomes in tertiary care air were compared with who accepted online medical control physician for transport, but whose missions aborted aviation reasons (weather, maintenance, out on mission); these subsequently ambulance instead....
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...
Background . Patients with sepsis benefit from early diagnosis and treatment. Accurate paramedic recognition of is important to initiate care promptly for patients who arrive by Emergency Medical Services. Methods Prospective observational study adult (age ≥ 16 years) transported paramedics the emergency department (ED) a Canadian tertiary hospital. Paramedic identification was assessed using novel prehospital screening tool developed team compared blind, independent documentation ED...
The COVID-19 pandemic has produced significant changes in emergency medicine patient volumes, clinical practice, and accelerated a number of systems-level developments. Many these efficiencies care systems contributed to reduction crowding access block. In this paper, we explore changes, analyse their risks benefits examine sustainability for the future extent that they may combat crowding. We also necessity system-wide approach addressing ED
Background: Warfarin is an effective agent for prophylaxis against deep-vein thrombosis following total hip or knee arthroplasty. However, management with warfarin in the postoperative setting problematic because of need anticoagulant monitoring. We developed a nomogram dosing that was specific joint The objective this study to compare performance physician-adjusted patients undergoing Methods: involved two cohort trials. historical control group consisted 1024 who underwent arthroplasty...
<h3>Background:</h3> Mature trauma systems have evolved to respond major injury-related morbidity and mortality. Studies of mature demonstrated improved survival, especially among seriously injured patients. From 1995 1998, a province-wide system was implemented in the province Nova Scotia. We measured proportion admissions tertiary level centre in-hospital deaths patients with injuries as result motor vehicle collisions (MVCs) before 10 years after provincial implementation....