A5084562007- Emergency and Acute Care Studies
- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Infective Endocarditis Diagnosis and Management
- Ultrasound in Clinical Applications
- Cardiac Valve Diseases and Treatments
- Healthcare cost, quality, practices
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Clinical Reasoning and Diagnostic Skills
- COVID-19 and Mental Health
- Hemodynamic Monitoring and Therapy
- Geriatric Care and Nursing Homes
- Respiratory Support and Mechanisms
- Aortic Disease and Treatment Approaches
- Hospital Admissions and Outcomes
- Healthcare professionals’ stress and burnout
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Long-Term Effects of COVID-19
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Maternal and fetal healthcare
- Agriculture and Farm Safety
Saint John Regional Hospital
2017-2025
Dalhousie University
2017-2025
Horizon Health Network
2022-2024
Canadian Respiratory Research Network
2022
Concordia University
2022
Memorial University of Newfoundland
2018-2022
Concordia University
2022
Apollo Hospitals
2021
Upper River Valley Hospital
2019
Government Medical College Thoothukudi
2019
A multicentre prospective observational study (36 sites in 8 Canadian provinces), imbedded the CODE-MI trial, had clinical laboratories at these test 3 samples (normal, female 99th-percentile, and male 99th-percentile concentrations) monthly for 1 year on 67 instruments, producing 2142 results from 6 distinct troponin assays. Mean differences varied per assay with maximum values being ± 4, 8, 9 ng/L normal, sample, respectively. Using a pragmatic approach, combining all assays, analytic...
Treatment for coronavirus disease 2019 (COVID-19) evolved between pandemic waves. Our objective was to compare treatments, acute care utilization, and outcomes of COVID-19 patients presenting emergency departments (ED) across
Abstract Many health authorities differentiate hospitalizations in patients infected with SARS-CoV-2 as being “for COVID-19” (due to direct manifestations of infection) versus an “incidental” finding someone admitted for unrelated condition. We conducted a retrospective cohort study all hospitalized via 47 Canadian emergency departments, March 2020-July 2022 determine whether infection are less burden and the healthcare system. Using priori standardized definitions applied hospital discharge...
Few studies have investigated the risks of developing intubation and death in patients seen emergency department (ED) with COVID-19 pre-existing asthma. We conducted a retrospective cohort study using data from Canadian Emergency Department Rapid Response Network (CCEDRRN) March 1st, 2020, to December 31st, 2021. Inclusion criteria were age ≥18 positive SARS-CoV-2 test. The primary outcome was composite or death, secondary severe COVID-19, as defined by World Health Organization....
Introduction: Emergency departments (ED) around the world are overcrowded and wait times long. Many ED visits could be avoided if patients’ needs met in a more appropriate care setting. Yet, patients, especially older adults from minority linguistic ethno-cultural groups, continue to experience multiple intersecting systemic structural barriers accessing equitable culturally safe care. Our team has shown that when patients their health providers hospital do not speak same first language, it...
Importance Early and accurate diagnostic testing for SARS-CoV-2 is essential to initiate appropriate treatment infection control prevention measures among patients presenting the hospital. Objective To evaluate sensitivity of nucleic acid amplification test (NAAT) performed within 24 hours arrival emergency department a nationally representative sample patients. Design, Setting, Participants This study was conducted at 47 hospitals across 7 provinces in Canada participating Canadian COVID-19...
We aimed to quantify the baseline familiarity of emergency medicine (EM) physicians with Choosing Wisely Canada (CWC)-EM recommendations. then assessed whether a structured knowledge translation (KT) initiative affected awareness, knowledge, and practice patterns for imaging in low back pain.We completed two-center, before after evaluation study. Physicians working two Canadian departments (EDs) were asked participate survey KT initiative, surveyed again at six-month follow up period...
Abstract Objective Intubation practices changed during the COVID-19 pandemic to protect healthcare workers from transmission of disease. Our objectives were describe intubation characteristics and outcomes for patients tested SARS CoV-2 infection. We compared between testing COV-2 positive with those negative. Methods conducted a health records review using Canadian Emergency Department Rapid Response Network (CCEDRRN) registry. included consecutive eligible who presented one 47 EDs across...
High rates of emergency department (ED) use by older adults persist despite attempts to improve accessibility appropriate and comprehensive care. Understanding the drivers ED visits from perspective historically marginalized groups could help reduce patients with needs that are preventable or have been treated in a more setting. This interpretivist, feminist study aims explore unmet care (age 65 +) high belonging better understand how social structural inequities reinforced neoliberalism;...
<title>Abstract</title> Few studies have investigated the risks of developing intubation and death in patients seen ED with COVID-19 pre-existing asthma. We conducted a retrospective cohort study using data from Canadian Emergency Department Rapid Response Network (CCEDRRN) March 1st, 2020, to December 31st, 2021. Inclusion criteria were age ≥18 positive SARS CoV-2 test. The primary outcome was composite or death, secondary severe as defined by World Health Organization. Multivariable...
Significant heterogeneity exists internationally in the airway devices used pre-hospital setting during cardiac arrest. This study evaluated first-pass success (FPS) rate of two supraglottic airways (SGAs) by paramedics out-of-hospital arrest: King LTS-D and i-gel. By examining 2,680 patient care records compiled Ambulance New Brunswick between 2015 2020, we FPS SGAs using a 2x2 Pearson chi-square test for association, Mann-Whitney U test, to determine whether there were significant...
ABSTRACT Background Treatment strategies for coronavirus disease 2019 (COVID-19) evolved between pandemic waves. Our objective was to compare treatments, acute care resource utilization, and outcomes of COVID-19 patients presenting Emergency Departments across two Methods This observational study enrolled consecutive eligible 46 participating in the Canadian Department Rapid Response Network (CCEDRRN) March 1 December 31, 2020. We collected data by retrospective chart review. primary outcome...
Demand for emergency services has resulted in an increased number of physicians experiencing burnout. Burnout rates amongst medicine consistently exceed that other specialties, with shift work being a large contributor to the phenomenon. Casino-shift scheduling addressed this issue several departments (EDs). is modeled around circadian rhythm theory which shows anchor sleep helps preserve and normalize patterns. To account this, casino-shift models schedule overnight coverage two six-hour...