A5037136017- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Injury Epidemiology and Prevention
- Patient Safety and Medication Errors
- Disaster Response and Management
- Abdominal Trauma and Injuries
- Traffic and Road Safety
- Airway Management and Intubation Techniques
- Hospital Admissions and Outcomes
- Trauma Management and Diagnosis
- Medical Malpractice and Liability Issues
- Respiratory Support and Mechanisms
- Pelvic and Acetabular Injuries
- Blood transfusion and management
- Simulation-Based Education in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Dignity and Privacy
- Palliative Care and End-of-Life Issues
- Blood donation and transfusion practices
- Autopsy Techniques and Outcomes
- Clinical Reasoning and Diagnostic Skills
- Patient-Provider Communication in Healthcare
- Hip and Femur Fractures
University of Toronto
2015-2025
St. Michael's Hospital
2012-2025
Unity Health Toronto
2021-2025
St Michael’s Hospital
2020-2025
St Michael’s Hospital
2023
St Michael's Hospital
2023
Nova Scotia Health Authority
2023
Canada Research Chairs
2022
University of New Brunswick
2022
Toronto Public Health
2014-2021
Abstract Background Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There many of these in elective surgery literature but no textbook have been proposed patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and best Outcomes non-trauma trauma Methods A modified Delphi exercise undertaken with three planned rounds regarding based on category, number importance (Likert scale 1–5)...
Introduction Traumatic injuries are a significant public health concern globally, resulting in substantial mortality, hospitalisation and healthcare burden. Despite the establishment of specialised trauma centres, there remains considerable variability trauma-care practices outcomes, particularly initial phase resuscitation bay. This stage is prone to preventable errors leading adverse events (AEs) that can impact patient outcomes. Prior studies have identified common causes these errors,...
Abstract Introduction: Haemorrhage is the leading preventable cause of death following traumatic injury, additionally affecting morbidity and mortality in a variety other conditions. Timely intervention with blood products definitive management essential. In Northern Ontario, limited access to care poses challenges managing these The objective our study was describe prevalence which patients suffering from known or suspected haemorrhage, transported by air ambulance received transfusion....
The authors declare no conflicts of interest.
Background-Endovascular aortic aneurysm repair (EVAR) is often offered to patients with abdominal aneurysms (AAAs) considered preoperatively be unfit for open AAA (oAAA).This study describes the short-and long-term outcomes of undergoing EVAR AAAs <6.5 cm who are oAAA.Methods and Results-We analyzed elective EVARs diameter in Vascular Study Group New England (2003-2011).Patients were designated as fit or oAAA by treating surgeon.End points included inhospital major adverse events...
Background: Helicopter emergency medical services (HEMS) have become an engrained component of trauma systems. In Ontario, transportation for patients is through one three ways: scene call, modified or interfacility transfer. We hypothesize that differences exist between these types transports in both patient demographics and outcomes. This study compares the characteristics transported by each methods to two level 1 centers assesses any impact on morbidity mortality. As a secondary outcome...
Background: Many severely injured patients are initially brought to a non-trauma centers for initial assessment and stabilization. Air ambulance services commonly used expedite interfacility transport of trauma centers. Little is known the types delays experienced during transports. The purpose this study was identify specific causes modifiable estimate attributable time associated with each these delays.Methods: This retrospective cohort undergoing transfer center who were transported by...
Out-of-hospital blood transfusion (OHBT) is becoming increasingly common across the prehospital environment, yet there significant variability in OHBT practices. The Canadian Prehospital and Transport Transfusion (CAN-PATT) network was established to collaborate, standardize, evaluate effectiveness of out-of-hospital Canada. objectives this study are describe setting organizational characteristics CAN-PATT member organizations provide a cross-sectional examination current practices...
Abstract Introduction Endotracheal intubation (ETI) is an infrequent but key component of prehospital and retrieval medicine. Common measures quality ETI are the first pass success rates (FPS) on attempt without occurrence hypoxia or hypotension (DASH-1A). We present results a multi-faceted improvement program (QIP) paramedic FPS DASH-1A in large regional critical care transport organization. Methods conducted retrospective database analysis, comparing before after implementation QIP....
Early resuscitation with blood components or products is emerging as best practice in selected patients trauma and medical patients; a result, out-of-hospital transfusion (OHT) programs are being developed based on limited often conflicting evidence. This study aimed to provide guidance Canadian critical care transport organizations the development of OHT protocols.The period was July 2021 June 2022. We used modified RAND Delphi process achieve consensus statements created by team guiding...
Adverse events and lapses in safety are identified after the fact often discussed through postevent review. These rounds rely on personal recollection, information from patient charts incident reports that limited by retrospective data collection. This results recall bias inaccurate or insufficient detail related to timeline, incidence nature adverse events. To better understand interplay of complex team task-based challenges trauma bay, we have developed a synchronized capture analysis...
BackgroundVital signs are important factors in assessing injury severity and guiding trauma resuscitation, especially among severely injured patients. Despite this, physiological data frequently missing from registries. This study aimed to evaluate the extent of prehospital a hospital-based registry assess associations between completeness indicators severity.MethodsA retrospective review was conducted on all adult patients brought directly level 1 center Toronto, Ontario by paramedics...
Management of trauma patients is difficult because their complexity and acuity. In an effort to improve patient care reduce morbidity mortality, the World Health Organization developed a checklist. Local stakeholder input led modified 16-item version that was subsequently piloted. Our study highlights barriers challenges associated with implementing this checklist at our hospital.The piloted over 6-month period St. Michael's Hospital, Level 1 center in Toronto, Canada. At end pilot phase,...