A5037352212- Acute Myocardial Infarction Research
- Cardiac Arrest and Resuscitation
- Heart Failure Treatment and Management
- Trauma and Emergency Care Studies
- Healthcare Systems and Practices
- Emergency and Acute Care Studies
- Spinal Fractures and Fixation Techniques
- Cardiovascular Health and Risk Factors
- Mechanical Circulatory Support Devices
- Injury Epidemiology and Prevention
- Community Development and Social Impact
- Acute Ischemic Stroke Management
- Spine and Intervertebral Disc Pathology
- Non-Invasive Vital Sign Monitoring
- Hospital Admissions and Outcomes
- Cardiac electrophysiology and arrhythmias
- ECG Monitoring and Analysis
- Sepsis Diagnosis and Treatment
- Cardiac Imaging and Diagnostics
- Health Systems, Economic Evaluations, Quality of Life
- Nursing Diagnosis and Documentation
- Scoliosis diagnosis and treatment
- Chronic Disease Management Strategies
- Healthcare Technology and Patient Monitoring
- Simulation-Based Education in Healthcare
St. Michael's Hospital
2024
University of Toronto
2014-2024
Sante Montreal
2014-2023
Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal
2022-2023
McGill University
2011-2023
Jewish General Hospital
2014-2023
Hôpital du Sacré-Cœur de Montréal
2015-2023
Ottawa Hospital Research Institute
2019
Ottawa Hospital
2019
Université de Montréal
2017
Business firms and non-profit organizations are increasingly collaborating. Such collaborations promise substantial mutual benefits as business realize the extent to which their profits depend on a healthy social environment entrepreneurs begin appreciate how applying principles can enable them fulfill missions more effectively. Nevertheless, for of crosssector partnerships be achieved, each partner must have realistic understanding both challenges potential pitfalls relationship.
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...
To compare head motions that occur when trained professionals perform the squeeze (HS) and trap (TS) C-spine stabilization techniques.Cross-over design.Twelve experienced lead rescuers.Peak motion with respect to initial conditions using inertial measurement units attached forehead trunk of simulated patient. We compared both HS TS during lift-and-slide (L&S) log-roll (LR) placement on spinal board, agitated patient trying sit up (AGIT-Sit) or rotate his (AGIT-Rot). The a priori minimal...
Interhospital transfer of patients with ST-elevation myocardial infarction (STEMI) for primary percutaneous coronary intervention (PPCI) is associated longer delays to reperfusion, related in part turnaround ("door in" "door out," or DIDO) time at the initial hospital. As a systematic, province-wide evaluation STEMI care, we examined DIDO times and associations patient, hospital, process-of-care factors.We performed medical chart review transferred PPCI during 6-month period (October 1,...
Objectives. To compare paramedics' ability to minimize cervical spine motion during patient transfer onto a vacuum mattress with two stabilization techniques (head squeeze vs. trap squeeze) and methods (log roll one assistant (LR2) 3 assistants (LR4)). Methods. We used crossover design bias. Each lead paramedic performed 10 LR2 transfers LR4 transfers. For each of the transfers, stabilized using head technique five times times. randomized order LR2/LR4 across paramedics avoid practice or...
Early identification of septic patients is important to prevent delays in appropriate management. To improve detection presenting the emergency department (ED), we implemented a triage screening tool. Our study sought determine effect this tool on time antibiotics with suspected severe sepsis or shock ED. This was retrospective chart review examining interval pre- and postimplementation Multiple linear regression analyses were conducted evaluate while controlling for level triage. We...
Patients with inferior ST elevation myocardial infarction (STEMI), associated right ventricular infarction, are thought to be at higher risk of developing hypotension when administered nitroglycerin (NTG). However, current basic life support (BLS) protocols do not differentiate location STEMI prior NTG administration. We sought determine if administration is more likely (systolic blood pressure < 90 mmHg) in compared non-inferior STEMI. conducted a retrospective chart review prehospital...
Objective. We conducted a time-motion study of emergency medical technician (EMT) flow in an urban, academic department (ED). Our objective was to describe the activity EMTs during their time ED. Secondary objectives included association day, age, andtriage code with various intervals. Methods. In this descriptive study, we combined information from two databases: prospectively collected data presenting one ED andan electronically prehospital call database data. The pretriage, triage,...
Abstract Introduction Rapid access to defibrillation is a key element in the management of out-of-hospital cardiac arrests (OHCAs). Public automated external defibrillators (PAEDs) are becoming increasingly available, but little information exists regarding relation between proximity arrest and their usage urban areas. Methods This study retrospective, observational, cross-sectional analysis non-traumatic OHCA during 24-month period greater Montreal area (Quebec, Canada). Using logistic...
Context: Health care providers must be prepared to manage all potential spine injuries as if they are unstable. Therefore, most sport teams devote resources training for sideline cervical (C-spine) emergencies. Objective: To determine (1) how accurately rescuers and simulated patients can assess motion during C-spine stabilization practice (2) whether providing performance feedback influences their choice of technique. Design: Crossover study. Setting: Training studio. Patients or Other...
Many patients with ST-elevation myocardial infarction (STEMI) do not receive reperfusion therapy and are known to have poorer outcomes. We aimed perform the first population-level, integrated analysis of clinical, ECG hospital characteristics associated non-receipt in STEMI.This systematic evaluation STEMI care 82 hospitals Quebec included all a discharge diagnosis infarction, presenting characteristic symptoms an showing as attested by at least one two study cardiologists or left bundle...
Out-of-hospital cardiac arrest (OHCA) remains a prominent medical concern worldwide. Epidemiologic metrics and trends over time for OHCA cases in Canada are not well defined. This study evaluated geographic differences the incidence outcomes of patients admitted to hospitals across Canada, during period 2013-2017. population-based retrospective cohort included 10,492 nontraumatic aged 2-85 years (66% male) who were an acute-care hospital any Canadian province or territory (excluding Quebec)...
Background. The prehospital electrocardiogram (ECG) allows earlier identification of acute ST-segment elevation myocardial infarction (STEMI). Its utility for detection other cardiac events, as well transient abnormalities no longer present when the first hospital ECG is performed, not characterized. Objective. We sought to examine whether adds supplemental information obtained in hospital, by comparing data on possible ischemia and arrhythmias provided two ECGs, ambulance patients later...