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1. Epidemiology of pregnant patients with major trauma in Victoria

Author

Sato, N, Cameron, P, Thomson, BNJ, Read, D, McLellan, S, Woodward, A, Beck, B, Sato, N, Cameron, P, Thomson, BNJ, Read, D, McLellan, S, Woodward, A, and Beck, B

Abstract

OBJECTIVE: Trauma is one of the most common contributors to maternal and foetal morbidity and mortality. The aim of the present study was to describe the characteristics and outcomes of major trauma in pregnant patients using a population-based registry. METHODS: Registry-based study using data from the Victorian State Trauma Registry (VSTR), a population-based database of all hospitalised major trauma (death due to injury, Injury Severity Score [ISS] ≥12, admission to an intensive care unit [ICU] for more than 24 h and requiring mechanical ventilation for at least part of their ICU stay or urgent surgery) in Victoria, Australia, from 1 July 2007 to 30 June 2019. Pregnant patients with major trauma were identified on the VSTR. We summarised patient data using descriptive statistics. RESULTS: Over the 12-year study period, there were 63 pregnant major trauma patients. Fifty-two (82.5%) patients sustained injuries resulting from road transport collisions. The maternal survival rate was 98.4% and the foetal survival rate was 88.9%. Thoracic injury was the most common injury (25/63), followed by abdominal injury (23/63). Eighty-six percent of the third trimester patients (19/22) were transported directly to a major trauma service with capacity for definitive care of the pregnancy. CONCLUSION: The present study demonstrated road transport injury was the most common mechanism of injury and both maternal survival rates and foetal survival rates were high. This information is essential for trauma care system planning and public health initiatives to improve the clinical management and outcomes of pregnant women with major trauma.

Published
2022

3. Examining the hurdles in defining the practice of Nurse Navigators

Author

Harvey, C., Byrne, A-L, Willis, E., Brown, J., Baldwin, A., Hegney, D., Palmer, J., Heard, D., Brain, D., Heritage, B., Ferguson, B., Judd, J., McLellan, S., Forrest, R., Thompson, S., Harvey, C., Byrne, A-L, Willis, E., Brown, J., Baldwin, A., Hegney, D., Palmer, J., Heard, D., Brain, D., Heritage, B., Ferguson, B., Judd, J., McLellan, S., Forrest, R., and Thompson, S.

Abstract

Background Nurse navigators are an emerging workforce providing care to people with multiple chronic conditions. The role of the navigators is to identify patients requiring support in negotiating their health care. Purpose A critical discourse analysis was used to examine qualitative data collected from nurse navigators and consenting navigated patients to identify key indicators of how nurse navigators do their work and where the success of their work is most evident. Discussion Nurse navigators help patients who have lost trust in the health system to re-engage with their interdisciplinary health care team. This re-engagement is the final step in a journey of addressing unmet needs, essential to hospital avoidance. Conclusion Nurse navigators provide a continuum of authentic and holistic care. To acknowledge the true value of nurse navigators, their performance indicators need to embrace the value-added care they provide.

Published
2021

4. Understanding the impact and causes of ‘failure to attend’ on continuity of care for patients with chronic conditions

Author

Vaingankar, J.A., Byrne, A-L, Baldwin, A., Harvey, C., Brown, J., Willis, E., Hegney, D., Ferguson, B., Judd, J., Kynaston, D., Forrest, R., Heritage, B., Heard, D., McLellan, S., Thompson, S., Palmer, J., Vaingankar, J.A., Byrne, A-L, Baldwin, A., Harvey, C., Brown, J., Willis, E., Hegney, D., Ferguson, B., Judd, J., Kynaston, D., Forrest, R., Heritage, B., Heard, D., McLellan, S., Thompson, S., and Palmer, J.

Abstract

Aim To understand the impact and causes of ‘Failure to Attend’ (FTA) labelling, of patients with chronic conditions. Background Nurse navigators are registered nurses employed by public hospitals in Queensland, Australia, to coordinate the care of patients with multiple chronic conditions, who frequently miss hospital appointments. The role of the nurse navigator is to improve care management of these patients. Evidence for this is measured through improvement in patient self-management of their conditions, a reduction in preventable hospital admissions and compliance with attendance at outpatient clinics. Failure to attend (FTA) is one measure of hospital utilisation, identifying outpatient appointments that are cancelled or not attended. Method The cohort for this study was patients with multiple chronic conditions, and nurse navigators coordinating their care. Data describing the concept of FTA were thematically analysed twelve months into this three year evaluation. Results Although the patient is blamed for failing to attend appointments, the reasons appear to be a mixture of systems error/miscommunication between the patient and the health services or social reasons impacting on patient’s capacity to attend. Themes emerging from the data were: access barriers; failure to recognise personal stigma of FTA; and bridging the gap. Conclusion The nurse navigators demonstrate their pivotal role in engaging with outpatient services to reduce FTAs whilst helping patients to become confident in dealing with multiple appointments. There are many reasons why a patient is unable to attend a scheduled appointment. The phrase ‘Failure to Attend’ has distinctly negative connotations and can lead to a sense of blame and shame for those with complex chronic needs. We propose the use of the neutral phrase “appointment did not proceed” to replace FTA.

Published
2021

5. Yarning as an Interview Method for Non-Indigenous Clinicians and Health Researchers

Author

Byrne, A.L., McLellan, S., Willis, E., Curnow, V., Harvey, C., Brown, Janie, Hegney, D., Byrne, A.L., McLellan, S., Willis, E., Curnow, V., Harvey, C., Brown, Janie, and Hegney, D.

Abstract

In this article, we discuss the origins, epistemology, and forms of Yarning as derived from the literature, and its use in research and clinical contexts. Drawing on three Yarns, the article addresses the extent to which non-Indigenous researchers and clinicians rightfully use and adapt this information-gathering method, or alternatively, may engage in yet another form of what can be described as post-colonialist behavior. Furthermore, we argue that while non-Indigenous researchers can use Yarning as an interview technique, this does not necessarily mean they engage in Indigenous methodologies. As we note, respectfully interviewing Aboriginal and Torres Strait Islander peoples can be a challenge for non-Indigenous researchers. The difficulties go beyond differences in language to reveal radically different expectations about how relationships shape information giving. Yarning as a method for addressing cross-cultural clinical and research differences goes some way to ameliorating these barriers, but also highlights the post-colonial tensions.

Published
2021

6. Understanding the impact and causes of 'failure to attend' on continuity of care for patients with chronic conditions

Author

Byrne, A.L., Baldwin, A., Harvey, C., Brown, Janie, Willis, E., Hegney, D., Ferguson, B., Judd, J., Kynaston, D., Forrest, R., Heritage, B., Heard, D., McLellan, S., Thompson, S., Palmer, J., Byrne, A.L., Baldwin, A., Harvey, C., Brown, Janie, Willis, E., Hegney, D., Ferguson, B., Judd, J., Kynaston, D., Forrest, R., Heritage, B., Heard, D., McLellan, S., Thompson, S., and Palmer, J.

Abstract

Aim: To understand the impact and causes of 'Failure to Attend' (FTA) labelling, of patients with chronic conditions. Background: Nurse navigators are registered nurses employed by public hospitals in Queensland, Australia, to coordinate the care of patients with multiple chronic conditions, who frequently miss hospital appointments. The role of the nurse navigator is to improve care management of these patients. Evidence for this is measured through improvement in patient self-management of their conditions, a reduction in preventable hospital admissions and compliance with attendance at outpatient clinics. Failure to attend (FTA) is one measure of hospital utilisation, identifying outpatient appointments that are cancelled or not attended. Method: The cohort for this study was patients with multiple chronic conditions, and nurse navigators coordinating their care. Data describing the concept of FTA were thematically analysed twelve months into this three year evaluation. Results: Although the patient is blamed for failing to attend appointments, the reasons appear to be a mixture of systems error/miscommunication between the patient and the health services or social reasons impacting on patient's capacity to attend. Themes emerging from the data were: access barriers; failure to recognise personal stigma of FTA; and bridging the gap. Conclusion: The nurse navigators demonstrate their pivotal role in engaging with outpatient services to reduce FTAs whilst helping patients to become confident in dealing with multiple appointments. There are many reasons why a patient is unable to attend a scheduled appointment. The phrase 'Failure to Attend' has distinctly negative connotations and can lead to a sense of blame and shame for those with complex chronic needs. We propose the use of the neutral phrase “appointment did not proceed” to replace FTA. Implications for Nursing management: This article advocates for further consideration of collaborative models that engage the

Published
2021

8. The use of telephone communication between nurse navigators and their patients

Author

Heritage, B., Harvey, C., Brown, J., Hegney, D., Willis, E., Baldwin, A., Heard, D., McLellan, S., Clayton, V., Claes, J., Lang, M., Curnow, V., Heritage, B., Harvey, C., Brown, J., Hegney, D., Willis, E., Baldwin, A., Heard, D., McLellan, S., Clayton, V., Claes, J., Lang, M., and Curnow, V.

Abstract

Background Hospitals and other health care providers frequently experience difficulties contacting patients and their carers who live remotely from the town where the health service is located. In 2016 Nurse Navigator positions were introduced into the health services by Queensland Health, to support and navigate the care of people with chronic and complex conditions. One hospital in Far North Queensland initiated an additional free telephone service to provide another means of communication for patients and carers with the NNs and for off-campus health professionals to obtain details about a patient utilising the service. Calls made between 7am and 10pm, seven days per week are answered by a nurse navigator. Aim To report utilisation of the service by navigated clients and remotely located clinicians compared to use of navigators’ individual work numbers and direct health service numbers. We report the reason for calls to the free number and examine features of these calls. Methods Statistical analysis examined the call reason, duration of calls, setting from where calls originated and stream of calls. Interactions between the reasons for calls and the features of calls, such as contact method, were examined. Results The major reason for calls was clinical issues and the source of calls was primarily patients and carers. Clinical calls were longer in duration. Shorter calls were mainly non-clinical, made by a health professional. Setting for calls was not related to the reason. The most frequent number used was the individual mobile number of the NN, followed by the hospital landline. Although the free number was utilised by patients and carers, it was not the preferred option. Conclusion As patients and carers preferred to access their NN directly than via the 1800 number, further research should explore options best suited to this group of patients outside normal business hours.

Published
2020

9. Li Wenliang, a face to the frontline healthcare worker. The first doctor to notify the emergence of the SARS-CoV-2, (COVID-19), outbreak

Author

Petersen, E. (Eskild), Hui, D. (David), Hamer, D.H. (Davidson H.), Blumberg, L. (Lucille), Madoff, L.C. (Lawrence C.), Pollack, M. (Marjorie), Lee, S.S. (Shui Shan), McLellan, S. (Susan), Memish, Z.A. (Ziad), Praharaj, I. (Ira), Wasserman, S. (Sean), Ntoumi, F. (Francine), Azhar, E.I. (Esam Ibraheem), McHugh, T.D. (Timothy D.), Kock, R. (Richard), Ippolito, G. (Guiseppe), Zumla, A. (Ali), Koopmans, M. (Marion), Petersen, E. (Eskild), Hui, D. (David), Hamer, D.H. (Davidson H.), Blumberg, L. (Lucille), Madoff, L.C. (Lawrence C.), Pollack, M. (Marjorie), Lee, S.S. (Shui Shan), McLellan, S. (Susan), Memish, Z.A. (Ziad), Praharaj, I. (Ira), Wasserman, S. (Sean), Ntoumi, F. (Francine), Azhar, E.I. (Esam Ibraheem), McHugh, T.D. (Timothy D.), Kock, R. (Richard), Ippolito, G. (Guiseppe), Zumla, A. (Ali), and Koopmans, M. (Marion)

Published
2020
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10. Li Wenliang, a face to the frontline healthcare worker. The first doctor to notify the emergence of the SARS-CoV-2, (COVID-19), outbreak

Author

Petersen, E, Hui, D, Hamer, DH, Blumberg, L, Madoff, LC, Pollack, M, Lee, SS, McLellan, S, Memish, Z, Praharaj, I, Wasserman, S, Ntoumi, F, Azhar, E I, McHugh, TD, Kock, R, Ippolito, G, Zumla, A, Koopmans, Marion, Petersen, E, Hui, D, Hamer, DH, Blumberg, L, Madoff, LC, Pollack, M, Lee, SS, McLellan, S, Memish, Z, Praharaj, I, Wasserman, S, Ntoumi, F, Azhar, E I, McHugh, TD, Kock, R, Ippolito, G, Zumla, A, and Koopmans, Marion

Published
2020

20. The evaluation of nurse navigators in chronic and complex care

Author

Harvey, C., Palmer, J., Hegney, D., Willis, E., Baldwin, A., Rees, C., Heritage, B., Thompson, S., Forrest, R., O’Donnell, C., Marshall, R., McLellan, S., Sibley, J., Judd, J., Ferguson, B., Bamford‐Wade, A., Brain, D., Harvey, C., Palmer, J., Hegney, D., Willis, E., Baldwin, A., Rees, C., Heritage, B., Thompson, S., Forrest, R., O’Donnell, C., Marshall, R., McLellan, S., Sibley, J., Judd, J., Ferguson, B., Bamford‐Wade, A., and Brain, D.

Abstract

Aim With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse‐led co‐ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses’ professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Design A concurrent mixed‐method approach was selected to address the research aims. Methods The research project was funded in July 2018 and will conclude in December 2020. Several cohorts will be studied including; patients assigned to a navigator, patients not assigned to a navigator, family members of patients assigned a navigator; and a sample sized estimated at 140 navigators. Discussion This study provides a comprehensive international longitudinal and mixed method framework for evaluating the impact of nurse navigators on quality of care outcomes for patients with chronic conditions.

Published
2019

21. Differences in the epidemiology of out-of-hospital and in-hospital trauma deaths

Author

Masquelier, B, Beck, B, Smith, K, Mercier, E, Gabbe, B, Bassed, R, Mitra, B, Teague, W, Siedenburg, J, McLellan, S, Cameron, P, Masquelier, B, Beck, B, Smith, K, Mercier, E, Gabbe, B, Bassed, R, Mitra, B, Teague, W, Siedenburg, J, McLellan, S, and Cameron, P

Abstract

BACKGROUND: Trauma is a leading cause of mortality. Holistic views of trauma systems consider injury as a public health problem that requires efforts in primary, secondary and tertiary prevention. However, the performance of trauma systems is commonly judged on the in-hospital mortality rate. Such a focus misses opportunities to consider all deaths within a population, to understand differences in in-hospital and out-of-hospital trauma deaths and to inform population-level injury prevention efforts. The aim of this study was to provide an epidemiological overview of out-of-hospital and in-hospital trauma deaths in a geographically-defined area over a 10-year period. METHODS: We performed a population-based review of out-of-hospital and in-hospital trauma deaths over the period of 01 July 2006 to 30 June 2016 in Victoria, Australia, using data from the National Coronial Information System and the Victorian State Trauma Registry. Temporal trends in population-based incidence rates were evaluated. RESULTS: Over the study period, there were 11,246 trauma deaths, of which 71% were out-of-hospital deaths. Out-of-hospital trauma deaths commonly resulted from intentional self-harm events (50%) and transport events (35%), while in-hospital trauma deaths commonly resulted from low falls (≤1 metre) (50%). The incidence of overall trauma deaths did not change over the study period (incidence rate ratio 0.998; 95%CI: 0.991, 1.004; P = 0.56). CONCLUSIONS: Out-of-hospital deaths accounted for most trauma deaths. Given the notable differences between out-of-hospital and in-hospital trauma deaths, monitoring of all trauma deaths is necessary to inform injury prevention activities and to reduce trauma mortality. The absence of a change in the incidence of both out-of-hospital and in-hospital trauma deaths demonstrates the need for enhanced activities across all aspects of injury prevention.

Published
2019

22. The Australian Trauma Registry

Author

Fitzgerald, MC, Curtis, K, Cameron, PA, Ford, JE, Howard, TS, Crozier, JA, Fitzgerald, A, Gruen, RL, Pollard, C, Martin, B, Clarke, C, Read, D, Christey, G, McDermott, K, Reade, M, Rushworth, N, Judson, R, Zalstein, S, Vallmuur, K, Rao, S, Joseph, T, Mathew, J, Dinh, M, Civil, I, Gabbe, B, Harrison, J, Morgan, M, McLellan, S, Isles, S, Mckie, E, Fitzgerald, MC, Curtis, K, Cameron, PA, Ford, JE, Howard, TS, Crozier, JA, Fitzgerald, A, Gruen, RL, Pollard, C, Martin, B, Clarke, C, Read, D, Christey, G, McDermott, K, Reade, M, Rushworth, N, Judson, R, Zalstein, S, Vallmuur, K, Rao, S, Joseph, T, Mathew, J, Dinh, M, Civil, I, Gabbe, B, Harrison, J, Morgan, M, McLellan, S, Isles, S, and Mckie, E

Abstract

INTRODUCTION: Injuries are a major cause of disability and lost productivity. The case for a national trauma registry has been recognized by the Australian Commission on Safety and Quality in Health Care and at a policy level. BACKGROUND: The need was flagged in 1993 by the Royal Australasian College of Surgeons and the Australasian Trauma Society. In 2003, the Centre of National Research and Disability funded the Australian and New Zealand National Trauma Registry Consortium, which produced three consecutive annual reports. The bi-national trauma minimum dataset was also developed during this time. Operations were suspended thereafter. METHOD: In response to sustained lobbying the Australian Trauma Quality Improvement Program including the Australian Trauma Registry (ATR) commenced in 2012, with data collection from 26 major trauma centres. An inaugural report was released in late 2014. RESULT: The Federal Government provided funding in December 2016 enabling the work of the ATR to continue. Data are currently being collected for cases that meet inclusion criteria with dates of injury in the 2017-2018 financial year. Since implementation, the number of submitted records has been increased from fewer than 7000 per year to over 8000 as completeness has improved. Four reports have been released and are available to stakeholders. CONCLUSION: The commitment shown by the College, other organizations and individuals to the vision of a national trauma registry has been consistent since 1993. The ATR is now well placed to improve the care of injured people.

Published
2019

31. Sex and Gender Differences in Travel‐Associated Disease

Author

Schlagenhauf, P, Chen, Lh, Wilson, Me, Freedman, Do, Tcheng, D, Schwartz, E, Pandey, P, Weber, R, Nadal, D, Berger, C, von Sonnenburg, F, Keystone, J, Leder, K, GeoSentinel Surveillance Network, Kain, Kc, Loutan, L, Chappuis, F, Macdonald, S, Lim, Pl, Wilder Smith, A, Hale, Dc, Gelman, Ss, Brown, G, Torresi, J, Connor, Ba, Kozarsky, Pe, Franco Paredes, C, Steffen, R, Sagara, H, Parola, P, Simon, F, Delmont, J, Libman, Md, Maclean, Jd, Shaw, M, Haulman, Nj, Roesel, D, Jong, Ec, Carosi, Giampiero, Castelli, Francesco, Burchard, Gd, Kass, R, Barnett, Ed, Mccarthy, A, Gurtman, A, Licitra, C, Crespo, A, Stauffer, Wm, Walker, Pf, Nutman, Tb, Klion, Ad, Sack, Rb, Mckenzie, R, Meisch, D, Jensenius, M, Muller, R, Piyaphanee, W, Silachamroon, U, Ansdell, V, Perret, C, Valdivieso, F, Kanagawa, S, Lynch, Mw, Coyle, Cm, Wittner, M, Mclellan, S, Gkrania Klotsas, E, Borwein, S, Hagmann, S, Anglim, A, and Jenks, N. P.

Subjects
Adult, Diarrhea, Male, Microbiology (medical), medicine.medical_specialty, Fever, Hepatitis, Viral, Human, Sexually Transmitted Diseases, Disease, Altitude Sickness, Communicable Diseases, Irritable Bowel Syndrome, Young Adult, Sex Factors, Internal medicine, medicine, Humans, Travel medicine, Adverse effect, Respiratory Tract Infections, Irritable bowel syndrome, Travel, Frostbite, business.industry, Stomatognathic Diseases, medicine.disease, Surgery, Infectious Diseases, Upper respiratory tract infection, Cardiovascular Diseases, Urinary Tract Infections, Tropical medicine, Female, Viral hepatitis, business, Stress, Psychological, Malaria
Abstract

No systematic studies exist on sex and gender differences across a broad range of travel-associated diseases.Travel and tropical medicine GeoSentinel clinics worldwide contributed prospective, standardized data on 58,908 patients with travel-associated illness to a central database from 1 March 1997 through 31 October 2007. We evaluated sex and gender differences in health outcomes and in demographic characteristics. Statistical significance for crude analysis of dichotomous variables was determined using chi2 tests with calculation of odds ratios (ORs) and 95% confidence intervals (CIs). The main outcome measure was proportionate morbidity of specific diagnoses in men and women. The analyses were adjusted for age, travel duration, pretravel encounter, reason for travel, and geographical region visited.We found statistically significant (P.001) differences in morbidity by sex. Women are proportionately more likely than men to present with acute diarrhea (OR, 1.13; 95% CI, 1.09-1.38), chronic diarrhea (OR, 1.28; 95% CI, 1.19-1.37), irritable bowel syndrome (OR, 1.39; 95% CI, 1.24-1.57), upper respiratory tract infection (OR, 1.23; 95% CI, 1.14-1.33); urinary tract infection (OR, 4.01; 95% CI, 3.34-4.71), psychological stressors (OR, 1.3; 95% CI, 1.14-1.48), oral and dental conditions, or adverse reactions to medication. Women are proportionately less likely to have febrile illnesses (OR, 0.15; 95% CI, 0.10-0.21); vector-borne diseases, such as malaria (OR, 0.46; 95% CI, 0.41-0.51), leishmaniasis, or rickettsioses (OR, 0.57; 95% CI, 0.43-0.74); sexually transmitted infections (OR, 0.68; 95% CI 0.58-0.81); viral hepatitis (OR, 0.34; 95% CI, 0.21-0.54); or noninfectious problems, including cardiovascular disease, acute mountain sickness, and frostbite. Women are statistically significantly more likely to obtain pretravel advice (OR, 1.28; 95% CI, 1.23-1.32), and ill female travelers are less likely than ill male travelers to be hospitalized (OR, 0.45; 95% CI, 0.42-0.49).Men and women present with different profiles of travel-related morbidity. Preventive travel medicine and future travel medicine research need to address gender-specific intervention strategies and differential susceptibility to disease.

Published
2010
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34. An effective strategy for influenza vaccination of healthcare workers in Australia: experience at a large health service without a mandatory policy

Author

Heinrich-Morrison, K, McLellan, S, McGinnes, U, Carroll, B, Watson, K, Bass, P, Worth, LJ, Cheng, AC, Heinrich-Morrison, K, McLellan, S, McGinnes, U, Carroll, B, Watson, K, Bass, P, Worth, LJ, and Cheng, AC

Abstract

BACKGROUND: Annual influenza vaccination of healthcare workers (HCWs) is recommended in Australia, but uptake in healthcare facilities has historically been low (approximately 50%). The objective of this study was to develop and implement a dedicated campaign to improve uptake of staff influenza annual vaccination at a large Australian health service. METHODS: A quality improvement program was developed at Alfred Health, a tertiary metropolitan health service spanning 3 campuses. Pre-campaign evaluation was performed by questionnaire in 2013 to plan a multimodal vaccination strategy. Reasons for and against vaccination were captured. A campaign targeting clinical and non-clinical healthcare workers was then implemented between March 31 and July 31 2014. Proportional uptake of influenza vaccination was determined by campus and staff category. RESULTS: Pre-campaign questionnaire responses were received from 1328/6879 HCWs (response rate 20.4%), of which 76% were vaccinated. Common beliefs held by unvaccinated staff included vaccine ineffectiveness (37.1%), that vaccination makes staff unwell (21.0%), or that vaccination is not required because staff are at low risk for acquiring influenza (20.2%). In 2014, 6009/7480 (80.3%) staff were vaccinated, with significant improvement in uptake across all campuses and amongst nursing, medical and allied health staff categories from 2013 to 2014 (p < 0.0001). CONCLUSIONS: A non-mandatory multimodal strategy utilising social marketing and a customised staff database was successful in increasing influenza vaccination uptake by all staff categories. The sustainability of dedicated campaigns must be evaluated.

Published
2015

35. Candida bloodstream infections in intensive care units: analysis of the extended prevalence of infection in intensive care unit study

Author

Keth, Th, Azoulay, E, Echeverria, Pm, Vincent, Jl, Collaboratorsmargarit, A, Valentini, R, Alan Javier, Z, Bevilacqua, C, Curone, M, Rabuffetti, R, Comignani, P, Torres Boden, M, Chertcoff, F, Cardonatti, G, Adén, F, Marcos, L, Dónofrio, M, Fernández, R, Lamberghini, R, Balasini, S, Teves, J, Las Heras, M, Sinner, J, Ceraso, D, Curcio, D, Aguilar, L, Weller, C, Cardonnet, L, Santa Cruz, R, Manrique, E, Bernardez, D, Iolster, T, Chiappero, G, Ramos, P, Vergara, J, Moine, I, Ilutovich, S, Jannello, G, Waschbusch, M, Rios Picaza, G, Raimondi, A, Miriam, M, Lovesio, C, Caridi, M, Leong, T, Orford, N, Reece, G, Ernest, D, Hawker, F, Tan, J, Giannellis, C, Ihle, B, Bersten, A, Mcinnes, J, Tallott, M, Mcfadyen, B, Vibert, J, Parr, M, Tran, K, Sutton, J, Webb, S, Groves, N, Cole, L, Long, D, Bass, F, Erickson, S, Lipman, J, Delzoppo, C, Thomas, J, Dobb, G, Daley, M, Roberts, B, Santamaria, J, Young, J, Festa, M, Holland, R, Mullany, D, Williams, P, Corkeron, M, Gales, M, Banerjee, A, Yung, M, Mutz, N, Hiesmayr, M, Faybik, P, Fitzgerald, R, Firlinger, F, Zasmeta, G, Zink, M, Sieber, W, Hildegard, J, Bakondy, R, Schlieber, J, Filzwieser, G, Beer, R, Joannidis, M, Schuster, R, Scherzer, W, Smolle, K, Fitzal, S, Manzoor, R, Brunain, J, D'Hondt, A, Huylenbroeck, G, Van der Schueren, M, 't Kindt, H, Slock, E, Rijckaert, D, Raemaekers, J, Bourgeois, M, Van Cotthem, I, Nackaerts, G, Gusu, D, Gadisseux, P, Vancollie, O, Lignian, H, Michel, P, Fraipont, V, Vander Stappen, M, Forêt, F, De Bels, D, Devriendt, J, Massaut, J, Biston, P, Roman, A, Lambermont, B, De Meulder, A, Frederic, V, Sottiaux, T, Ruyffelaere, P, Collin, V, Anane, S, Kleiren, P, Simon, M, Machayekhi, S, Frans, E, Leroy, G, Berghmans, T, Joseph, R, Eerens, J, Laterre, P, Lagrou, B, Rutsaert, R, Pisarek, W, Dive, A, De Waele, J, Spapen, H, Damas, P, Malbrain, M, Hidalgo, J, Baptista, M, Salgado, D, Braga, M, Avila, C, Westphal, G, Caser, E, Alves, A, Friedman, G, Luz, M, Assuncao, M, Reis, H, Gomes, A, Silva, U, Nogueira Fh, W, El Dash, S, Valiatti, J, Barbosa, A, Coelho, C, Knibel, M, Minelli, C, Caovilla, J, Teixeira, G, Hovnanian, A, Rea Neto, A, Lobo, S, Lugarinho, M, Souza, P, Ferreira, D, Duarte, P, Oliveira, M, Marques, J, Machado, R, Rehder, P, Mataloun, S, Grilo, M, Quesado, P, Moock, M, Ferreira, F, Teles, J, Silva, E, Morais, A, Bruzzi de Carvalho, F, Wanderley, M, Velasco, M, Brandão da Silva, N, Feijó, J, Souza Dantas, V, Costa Filho, R, Japiassú, A, Villela, D, Santos, C, Passos, R, Alheira Rocha, R, Silva, R, Houly, J, Aldrighi, J, Hatum, R, Suparregui Dias, F, Ferreira, L, Ferro, L, Gomez, J, Fleury, R, David, C, Resener, T, Mendes, C, Germano, A, De Marco, F, Lage, S, Salluh, J, Torelly, A, Sad, R, Oliveira, G, Lima, R, Paranhos, J, Rocha, M, Bitencourt, W, Grion, C, Forte, D, Guimarães, H, Piras, C, Stephanova, L, Lyubenov, L, Tsarianski, G, Dimov, G, Green, R, Levasseur, J, Ward, R, Lesur, O, Poirier, G, Wax, R, Wood, G, Cook, D, Marshall, J, Herridge, M, Ferguson, N, 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Locicero, Mt, Marri, I, Sicignano, A, Conte, V, Oggioni, R, De Gasperi, A, De negri, P, Santagostino, G, Roberto, F, Marino, G, Castiglione, G, Sforza, D, Camillo, S, Giuseppe, N, Bassetti, Matteo, Napoli, D, Ferraro, F, Clementi, S, Di Filippo, A, Cotogni, P, Ranieri, Mv, Antonelli, M, Martinelli, L, Gianesello, L, Gullo, A, Morelli, A, Biancofiore, G, DELLA ROCCA, Giorgio, Hashimoto, S, Onodera, M, Kobayashi, A, Shinozuka, T, Imanaka, H, Ikeda, T, Yaguchi, A, Misane, I, Piebalga, A, Moughaghab, A, Pilvinis, V, Vosylius, S, Balciunas, M, Kekstas, G, Margaret, H, Klop, M, Grozdanovski, K, Eftimova, B, Wafa, S, Lim, C, Mat nor, M, Tai, L, Syed Mohd Tahir, S, Idris, N, Tan, C, Borg, M, Manzo, E, Gutierrez Morales, H, Miguel, P, Villagomez, A, Bassols, A, Aguirre, G, Cerón, U, Lopez ramos, J, Monjardín, J, Bermudez Aceves, E, Gonzalez Salazar, F, Rodriguez Gonzalez, D, Poblano Morales, M, Ramirez, F, Cetina, M, Navarro, J, Villagomez Ortiz, A, Sanchez, V, Chavarria, U, Fernandez Ponce, O, 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Amador Amerigo, J, Guerrero Gomez, F, Montejo González, J, Sirvent, J, Pujol, I, Mesalles Sanjuan, E, Barcenilla Gaite, F, Serrano, N, Cerdá, E, Lesmes Serrano, A, Garcia Fuentes, C, Macias Pingarrón, J, Espinosa, E, Sanchez Garcia, M, Felices, F, de la Torre Prados, M, Maria Jesus, H, Luis, V, Jara, R, Briones Lopez, M, Posada, P, Galvan, B, Mariscal, F, Rello, J, Gil, B, Sierra, R, Rico Feijoo, J, Izura, J, González, J, Soto Ibáñez, J, Agabani, H, Petersen, P, Johansson, L, Blomqvist, H, Peterzén, B, Wyon, N, Lindström, I, Paulsson, A, Agvald Ohman, C, Petersson, J, Friberg, H, Einar, V, Hammarskjöld, F, Schindele, M, Arvidsson, S, Sellgren, S, Hulting, J, Häggqvist, J, Rudenstam, J, Lind, D, Kokinsky, E, Owall, A, Jacobson, S, Stiernstrom, H, Nydahl, A, Eggimann, P, Stocker, R, Loderer, G, Loetscher, R, Heer, K, Zender, H, Cottini, S, Pagnamenta, A, Eich, G, Felleiter, P, Marco, M, Pugin, J, Shu Hui, W, Hsieh, K, Toomtong, P, Khwannimit, B, Kietdumrongwong, P, Khaldi, A, Messadi, A, 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Nguyen Huu, C.

Published
2011

36. Patterns of illness in travelers visiting Mexico and Central America: the GeoSentinel experience

Author

Flores Figueroa, J, Okhuysen, Pc, von Sonnenburg, F, Dupont, Hl, Libman, Md, Keystone, Js, Hale, Dc, Burchard, G, Han, Pv, Wilder Smith, A, Freedman, Do, GeoSentinel Surveillance Network, Kain, Kc, Gelman, Ss, Ward, B, Dick Maclean, J, Jean Haulman, N, Roesel, D, Jong, Ec, Schwartz, E, Stauffer, Wm, Walker, Pf, Kozarsky, Pe, Franco Paredes, C, Pandey, P, Murphy, H, Loutan, L, Chappuis, F, Mccarthy, A, Connor, Ba, Chen, Lh, Wilson, Me, Lynch, Mw, Licitra, C, Crespo, A, Caumes, E, Pérignon, A, de Vries PJ, Gadroen, K, Nutman, Tb, Klion, Ad, Hynes, N, Bradley Sack, R, Mckenzie, R, Field, V, Gurtman, A, Coyle, Cm, Wittner, M, Parola, P, Simon, F, Delmont, J, Leder, K, Torresi, J, Brown, G, Jensenius, M, Wang, A, Macdonald, S, López Vélez, R, Antonio Perez Molina, J, Cahill, Jd, Mckinley, G, Schlagenhauf, P, Weber, R, Steffen, R, Shaw, M, Hern, A, Perret, C, Valdivieso, F, Valdez, L, Siu, H, Carosi, G, Castelli, Francesco, Tachikawa, N, Kurai, H, Sagara, H, Kass, R, Barnett, Ed, Mclellan, S, Holtom, P, Goad, J, Anglim, A, Hagmann, S, Henry, M, Miller, Ao, Ansdell, V, Kato, Y, Borwein, S, Anderson, N, Batchelor, T, Meisch, D, Gkrania Klotsas, E, Doyle, P, Ghesquiere, W, Piper Jenks, N, Kerr, C, Lian Lim, P, Piyaphanee, W, Silachamroon, U, Mendelson, M, Vincent, P, Africa, S, Virk, A, Sia, I., and Infectious diseases

Subjects
Microbiology (medical), Adult, Diarrhea, Male, medicine.medical_specialty, Endemic Diseases, Fever, Neurocysticercosis, Skin Diseases, Dengue, Risk Factors, Epidemiology, medicine, Travel medicine, Imported diseases, Humans, Respiratory Tract Infections, Travel, Chi-Square Distribution, business.industry, Outbreak, Central America, Odds ratio, Middle Aged, medicine.disease, Leptospirosis, Malaria, Infectious Diseases, Latin America, Cross-Sectional Studies, Emergency medicine, Immunology, Female, Morbidity, business, Onchocerciasis, Sentinel Surveillance, human activities
Abstract

BACKGROUND: Mexico and Central America are important travel destinations for North American and European travelers. There is limited information on regional differences in travel related morbidity. METHODS: We describe the morbidity among 4779 ill travelers returned from Mexico and Central America who were evaluated at GeoSentinel network clinics during December 1996 to February 2010. RESULTS: The most frequent presenting syndromes included acute and chronic diarrhea, dermatologic diseases, febrile systemic illness, and respiratory disease. A higher proportion of ill travelers from the United States had acute diarrhea, compared with their Canadian and European counterparts (odds ratio, 1.9; P < .0001). During the 2009 H1N1 influenza outbreak from March 2009 through February 2010, the proportionate morbidity (PM) associated with respiratory illnesses in ill travelers increased among those returned from Mexico, compared with prior years (196.0 cases per 1000 ill returned travelers vs 53.7 cases per 1000 ill returned travelers; P < .0001); the PM remained constant in the rest of Central America (57.3 cases per 1000 ill returned travelers). We identified 50 travelers returned from Mexico and Central America who developed influenza, including infection due to 2009 H1N1 strains and influenza-like illness. The overall risk of malaria was low; only 4 cases of malaria were acquired in Mexico (PM, 2.2 cases per 1000 ill returned travelers) in 13 years, compared with 18 from Honduras (PM, 79.6 cases per 1000 ill returned travelers) and 14 from Guatemala (PM, 34.4 cases per 1000 ill returned travelers) during the same period. Plasmodium vivax malaria was the most frequent malaria diagnosis. CONCLUSIONS: Travel medicine practitioners advising and treating travelers visiting these regions should dedicate special attention to vaccine-preventable illnesses and should consider the uncommon occurrence of acute hepatitis A, leptospirosis, neurocysticercosis, acute Chagas disease, onchocerciasis, mucocutaneous leishmaniasis, neurocysticercosis, HIV, malaria, and brucellosis.

Published
2011

37. Illness in long-term travelers visiting GeoSentinel clinics

Author

Chen, Lh, Wilson, Me, Davis, X, Loutan, L, Schwartz, E, Keystone, J, Hale, D, Lim, Pl, Mccarthy, A, Gkrania Klotsas, E, Schlagenhauf, P, von Sonnenburg, F, Gelman, Ss, Chappuis, F, Kain, Kc, Field, V, Burchard, Gd, Libman, Md, Maclean, Jd, Leder, K, Torresi, J, Brown, G, Parola, P, Simon, F, Delmont, J, Kass, R, Carosi, Giampiero, Castelli, Francesco, Pandey, P, Shaw, M, Kozarsky, Pe, Franco Paredes, C, Piyaphanee, W, Silachamroon, U, Tachikawa, N, Sagara, H, Connor, Ba, Kanagawa, S, Kato, Y, Jensenius, M, Haulman, Nj, Roesel, D, Jong, Ec, Coyle, Cm, Wittner, M, López Vélez, R, Pérez Molina JA, Nutman, Tb, Klion, Ad, Hagmann, S, Miller, A, Weber, R, Steffen, R, Stauffer, Wm, Walker, Pf, Freedman, Do, Ansdell, V, Wilder Smith, A, Sack, B, Mckenzie, R, Caumes, E, Pérignon, A, Licitra, C, Crespo, A, Barnett, Ed, Gurtman, A, Perret, C, Valdivieso, F, Muller, R, Cahill, Jd, Mckinley, G, Mclellan, S, Macdonald, S, Lynch, Mw, Borwein, S, Anglim, A., and University of Zurich

Subjects
Male, Time Factors, Epidemiology, Irritable colon, lcsh:Medicine, Disease Vectors, Global Health, Communicable Diseases, Emerging, Ambulatory Care Facilities, Communicable Diseases, Emerging/diagnosis/*epidemiology/transmission, 2726 Microbiology (medical), Global health, bacteria, Travel, Mental Disorders, Syndrome, Middle Aged, Diarrhea, Long-term travelers, Infectious Diseases, Population Surveillance, World Health, Female, Health education, medicine.symptom, Disease transmission, special travel populations, Adult, Microbiology (medical), medicine.medical_specialty, 610 Medicine & health, lcsh:Infectious and parasitic diseases, Young Adult, medicine, Animals, Humans, viruses, lcsh:RC109-216, ddc:613, business.industry, Research, business travelers, lcsh:R, Network data, 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI), 2725 Infectious Diseases, missionaries, medicine.disease, Wounds and Injuries/epidemiology, Family medicine, Immunology, Wounds and Injuries, business, human activities, Mental Disorders/epidemiology, Malaria, 2713 Epidemiology
Abstract

Length of travel appears to be associated with health risks. GeoSentinel Surveillance Network data for 4,039 long-term travelers (trip duration >6 months) seen after travel during June 1, 1996, through December 31, 2008, were compared with data for 24,807 short-term travelers (trip duration 1 month, eosinophilia, cutaneous leishmaniasis, schistosomiasis, and Entamoeba histolytica diarrhea. Areas of concern for long-term travelers were vector-borne diseases, contact-transmitted diseases, and psychological problems. Our results can help prioritize screening for and diagnosis of illness in long-term travelers and provide evidence-based pretravel advice.

Published
2009

38. Seasonality, annual trends, and characteristics of dengue among ill returned travelers, 1997-2006

Author

Schwartz, E, Weld, Lh, Wilder Smith, A, von Sonnenburg, F, Keystone, Js, Kain, Kc, Torresi, J, Freedman, Do, Barnett, E, Brown, G, Carosi, Giampiero, Castelli, Francesco, Chen, L, Wilson, M, Connor, B, Delmont, J, Parola, P, Hale, D, Gelman, S, Jong, E, Haulman, J, Kozarsky, P, Franco, C, Licitra, C, Loutan, L, Chappuis, F, Lim, Pl, Lynch, M, Mclellan, S, Pandey, P, Perret, C, Sack, B, Mckenzie, R, Sagara, H, Shaw, M, Steffan, R, Schlagenhauf, P, Stauffer, W, Walker, P, and Wittner, M.

Subjects
Microbiology (medical), Adult, Male, medicine.medical_specialty, Asia, South Central Asia, Adolescent, Epidemiology, 030231 tropical medicine, sentinel surveillance, lcsh:Medicine, Southeast asia, Dengue fever, lcsh:Infectious and parasitic diseases, Dengue, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, lcsh:RC109-216, 030212 general & internal medicine, Longitudinal Studies, travel, research, seasonality, lcsh:R, Seasonality, Middle Aged, South America, medicine.disease, 3. Good health, Infectious Diseases, Geography, Caribbean Region, Relative risk, Female, Seasons, Demography
Abstract

Atypical patterns may indicate onset of epidemic activity., We examined seasonality and annual trends for dengue cases among 522 returned travelers reported to the international GeoSentinel Surveillance Network. Dengue cases showed region-specific peaks for Southeast Asia (June, September), South Central Asia (October), South America (March), and the Caribbean (August, October). Travel-related dengue exhibited annual oscillations with several epidemics occurring during the study period. In Southeast Asia, annual proportionate morbidity increased from 50 dengue cases per 1,000 ill returned travelers in nonepidemic years to an average of 159 cases per 1,000 travelers during epidemic years. Dengue can thus be added to the list of diseases for which pretravel advice should include information on relative risk according to season. Also, dengue cases detected at atypical times in sentinel travelers may inform the international community of the onset of epidemic activity in specific areas.

Published
2008

39. Gastrointestinal Infection Among International Travelers Globally

Author

Greenwood, Z, Black, J, Weld, L, O'Brien, D, Leder, K, Von Sonnenburg, F, Pandey, P, Schwartz, E, Connor, Ba, Brown, G, Freedman, Do, Torresi, J, Barnett, E, Carosi, Giampiero, Castelli, Francesco, Chen, L, Wilson, M, Delmont, J, Parola, P, Gurtman, A, Hale, D, Gelman, S, Jenks, Np, Jong, E, Haulman, J, Keystone, J, Kain, K, Kozarsky, P, Franco Paredes, C, Licitra, C, Loutan, L, Lynch, M, Mcdonald, S, Mclellan, S, Müller, R, Nutman, T, Klion, A, Pérez, Cp, Sack, B, Mckenzie, R, Sagara, H, Schlagenhauf, P, Steffen, R, Shaw, M, Stauffer, W, Walker, P, Wilder Smith, A, Lim, Pl, and Wittner, M.

Subjects
Adult, Male, medicine.medical_specialty, Gastrointestinal Diseases, Administration, Oral, Developing country, Risk Factors, Surveys and Questionnaires, Tropical Medicine, Environmental health, Epidemiology, Parasitic Diseases, Prevalence, medicine, Humans, Developing Countries, Aged, Retrospective Studies, Travel, Middle East, business.industry, Developed Countries, Australia, Retrospective cohort study, Bacterial Infections, General Medicine, Middle Aged, Causality, Diarrhea, Tropical medicine, Etiology, Female, medicine.symptom, business, human activities, Developed country
Abstract

Background Data on relative rates of acquisition of gastrointestinal infections by travelers are incomplete. The objective of this study was to analyze infections associated with oral ingestion of pathogens in international travelers in relation to place of exposure. Methods We performed a multicenter, retrospective observational analysis of 6,086 travelers ill enough with any gastrointestinal infection to seek medical care at a GeoSentinel clinic after completion of travel during 2000 to 2005. We determined regional and country-specific reporting rate ratios (RRRs) in comparison to risk in northern and western Europe. Results Travel to sub-Saharan Africa (RRR = 282), South America (RRR = 203), and South Asia (RRR = 890) was associated with the greatest rate of gastrointestinal infections. RRRs were moderate (25–142) for travel to Oceania, the Middle East, North Africa, Central America, the Caribbean, and Southeast Asia. RRRs were least (

Published
2008

40. Development and validation of a complementary map to enhance the existing 1998 to 2008 Abbreviated Injury Scale map

Author

Palmer, CS, Franklyn, M, Read-Allsopp, C, McLellan, S, Niggemeyer, LE, Palmer, CS, Franklyn, M, Read-Allsopp, C, McLellan, S, and Niggemeyer, LE

Abstract

INTRODUCTION: Many trauma registries have used the Abbreviated Injury Scale 1990 Revision Update 98 (AIS98) to classify injuries. In the current AIS version (Abbreviated Injury Scale 2005 Update 2008 - AIS08), injury classification and specificity differ substantially from AIS98, and the mapping tools provided in the AIS08 dictionary are incomplete. As a result, data from different AIS versions cannot currently be compared. The aim of this study was to develop an additional AIS98 to AIS08 mapping tool to complement the current AIS dictionary map, and then to evaluate the completed map (produced by combining these two maps) using double-coded data. The value of additional information provided by free text descriptions accompanying assigned codes was also assessed. METHODS: Using a modified Delphi process, a panel of expert AIS coders established plausible AIS08 equivalents for the 153 AIS98 codes which currently have no AIS08 map. A series of major trauma patients whose injuries had been double-coded in AIS98 and AIS08 was used to assess the maps; both of the AIS datasets had already been mapped to another AIS version using the AIS dictionary maps. Following application of the completed (enhanced) map with or without free text evaluation, up to six AIS codes were available for each injury. Datasets were assessed for agreement in injury severity measures, and the relative performances of the maps in accurately describing the trauma population were evaluated. RESULTS: The double-coded injuries sustained by 109 patients were used to assess the maps. For data conversion from AIS98, both the enhanced map and the enhanced map with free text description resulted in higher levels of accuracy and agreement with directly coded AIS08 data than the currently available dictionary map. Paired comparisons demonstrated significant differences between direct coding and the dictionary maps, but not with either of the enhanced maps. CONCLUSIONS: The newly-developed AIS98 to AIS08 compl

Published
2011

41. Chronic Asthma

Author

Stumbles, P.A., Andrus, P., McLellan, S., von Garnier, C., Stumbles, P.A., Andrus, P., McLellan, S., and von Garnier, C.

Published
2008

42. Trauma Association of Canada (TAC) Annual Scientific Meeting. The Westin Whistler Resort & Spa, Whistler, BC, Thursday, Apr. 11 to Saturday, Apr. 13, 2013Testing the reliability of tools for pediatric trauma teamwork evaluation in a North American high-resource simulation settingThe association of etomidate with mortality in trauma patientsDefinition of isolated hip fractures as an exclusion criterion in trauma centre performance evaluations: a systematic reviewEstimation of acute care hospitalization costs for trauma hospital performance evaluation: a systematic reviewHospital length of stay following admission for traumatic injury in Canada: a multicentre cohort studyPredictors of hospital length of stay following traumatic injury: a multicentre cohort studyInfluence of the heterogeneity in definitions of an isolated hip fracture used as an exclusion criterion in trauma centre performance evaluations: a multicentre cohort studyPediatric trauma, advocacy skills and medical studentsCompliance with the prescribed packed red blood cell, fresh frozen plasma and platelet ratio for the trauma transfusion pathway at a level 1 trauma centreEarly fixed-wing aircraft activation for major trauma in remote areasDevelopment of a national, multi-disciplinary trauma crisis resource management curriculum: results from the pilot courseThe management of blunt hepatic trauma in the age of angioembolization: a single centre experienceEarly predictors of in-hospital mortality in adult trauma patientsThe impact of open tibial fracture on health service utilization in the year preceding and following injuryA systematic review and meta-analysis of the efficacy of red blood cell transfusion in the trauma populationSources of support for paramedics managing work-related stress in a Canadian EMS service responding to multisystem trauma patientsAnalysis of prehospital treatment of pain in the multisystem trauma patient at a community level 2 trauma centreIncreased mortality associated with placement of central lines during trauma resuscitationChronic pain after serious injury — identifying high risk patientsEpidemiology of in-hospital trauma deaths in a Brazilian university teaching hospitalIncreased suicidality following major trauma: a population-based studyDevelopment of a population-wide record linkage system to support trauma researchInduction of hmgb1 by increased gut permeability mediates acute lung injury in a hemorrhagic shock and resuscitation mouse modelPatients who sustain gunshot pelvic fractures are at increased risk for deep abscess formation: aggravated by rectal injuryAre we transfusing more with conservative management of isolated blunt splenic injury? A retrospective studyMotorcycle clothesline injury prevention: Experimental test of a protective deviceA prospective analysis of compliance with a massive transfusion protocol - activation alone is not enoughAn evaluation of diagnostic modalities in penetrating injuries to the cardiac box: Is there a role for routine echocardiography in the setting of negative pericardial FAST?Achievement of pediatric national quality indicators — an institutional report cardProcess mapping trauma care in 2 regional health authorities in British Columbia: a tool to assist trauma sys tem design and evaluationPatient safety checklist for emergency intubation: a systematic reviewA standardized flow sheet improves pediatric trauma documentationMassive transfusion in pediatric trauma: a 5-year retrospective reviewIs more better: Does a more intensive physiotherapy program result in accelerated recovery for trauma patients?Trauma care: not just for surgeons. Initial impact of implementing a dedicated multidisciplinary trauma team on severely injured patientsThe role of postmortem autopsy in modern trauma care: Do we still need them?Prototype cervical spine traction device for reduction stabilization and transport of nondistraction type cervical spine injuriesGoing beyond organ preservation: a 12-year review of the beneficial effects of a nonoperative management algorithm for splenic traumaAssessing the construct validity of a global disability measure in adult trauma registry patientsThe mactrauma TTL assessment tool: developing a novel tool for assessing performance of trauma traineesA quality improvement approach to developing a standardized reporting format of ct findings in blunt splenic injuriesOutcomes in geriatric trauma: what really mattersFresh whole blood is not better than component therapy (FFP:RBC) in hemorrhagic shock: a thromboelastometric study in a small animal modelFactors affecting mortality of chest trauma patients: a prospective studyLong-term pain prevalence and health related quality of life outcomes for patients enrolled in a ketamine versus morphine for prehospital traumatic pain randomized controlled trialDescribing pain following trauma: predictors of persistent pain and pain prevalenceManagement strategies for hemorrhage due to pelvic trauma: a survey of Canadian general surgeonsMajor trauma follow-up clinic: Patient perception of recovery following severe traumaLost opportunities to enhance trauma practice: culture of interprofessional education and sharing among emergency staffPrehospital airway management in major trauma and traumatic brain injury by critical care paramedicsImproving patient selection for angiography and identifying risk of rebleeding after angioembolization in the nonoperative management of high grade splenic injuriesFactors predicting the need for angioembolization in solid organ injuryProthrombin complex concentrates use in traumatic brain injury patients on oral anticoagulants is effective despite underutilizationThe right treatment at the right time in the right place: early results and associations from the introduction of an all-inclusive provincial trauma care systemA multicentre study of patient experiences with acute and postacute injury carePopulation burden of major trauma: Has introduction of an organized trauma system made a difference?Long-term functional and return to work outcomes following blunt major trauma in Victoria, AustraliaSurgical dilemma in major burns victim: heterotopic ossification of the tempromandibular jointWhich radiological modality to choose in a unique penetrating neck injury: a differing opinionThe Advanced Trauma Life Support (ATLS) program in CanadaThe Rural Trauma Team Development Course (RTTDC) in Pakistan: Is there a role?Novel deployment of BC mobile medical unit for coverage of BMX world cup sporting eventIncidence and prevalence of intra-abdominal hypertension and abdominal compartment syndrome in critically ill adults: a systematic review and meta-analysisRisk factors for intra-abdominal hypertension and abdominal compartment syndrome in critically ill or injured adults: a systematic review and meta-analysisA comparison of quality improvement practices at adult and pediatric trauma centresInternational trauma centre survey to evaluate content validity, usability and feasibility of quality indicatorsLong-term functional recovery following decompressive craniectomy for severe traumatic brain injuryMorbidity and mortality associated with free falls from a height among teenage patients: a 5-year review from a level 1 trauma centreA comparison of adverse events between trauma patients and general surgery patients in a level 1 trauma centreProcoagulation, anticoagulation and fibrinolysis in severely bleeding trauma patients: a laboratorial characterization of the early trauma coagulopathyThe use of mobile technology to facilitate surveillance and improve injury outcome in sport and physical activityIntegrated knowledge translation for injury quality improvement: a partnership between researchers and knowledge usersThe impact of a prevention project in trauma with young and their learningIntraosseus vascular access in adult trauma patients: a systematic reviewThematic analysis of patient reported experiences with acute and post-acute injury careAn evaluation of a world health organization trauma care checklist quality improvement pilot programProspective validation of the modified pediatric trauma triage toolThe 16-year evolution of a Canadian level 1 trauma centre: growing up, growing out, and the impact of a booming economyA 20-year review of trauma related literature: What have we done and where are we going?Management of traumatic flail chest: a systematic review of the literatureOperative versus nonoperative management of flail chestEmergency department performance of a clinically indicated and technically successful emergency department thoracotomy and pericardiotomy with minimal equipment in a New Zealand institution without specialized surgical backupBritish Columbia’s mobile medical unit — an emergency health care support resourceRoutine versus ad hoc screening for acute stress: Who would benefit and what are the opportunities for trauma care?A geographical analysis of the Early Development Instrument (EDI) and childhood injuryDevelopment of a pediatric spinal cord injury nursing course“Kids die in driveways” — an injury prevention campaignEpidemiology of traumatic spine injuries in childrenA collaborative approach to reducing injuries in New Brunswick: acute care and injury preventionImpact of changes to a provincial field trauma triage tool in New BrunswickEnsuring quality of field trauma triage in New BrunswickBenefits of a provincial trauma transfer referral system: beyond the numbersThe field trauma triage landscape in New BrunswickImpact of the Rural Trauma Team Development Course (RTTDC) on trauma transfer intervals in a provincial, inclusive trauma systemTrauma and stress: a critical dynamics study of burnout in trauma centre healthcare professionalsUltrasound-guided pediatric forearm fracture reduction with sedation in the emergency departmentBlock first, opiates later? The use of the fascia iliaca block for patients with hip fractures in the emergency department: a systematic reviewRural trauma systems — demographic and survival analysis of remote traumas transferred from northern QuebecSimulation in trauma ultrasound trainingIncidence of clinically significant intra-abdominal injuries in stable blunt trauma patientsWake up: head injury management around the clockDamage control laparotomy for combat casualties in forward surgical facilitiesDetection of soft tissue foreign bodies by nurse practitioner performed ultrasoundAntihypertensive medications and walking devices are associated with falls from standingThe transfer process: perspectives of transferring physiciansDevelopment of a rodent model for the study of abdominal compartment syndromeClinical efficacy of routine repeat head computed tomography in pediatric traumatic brain injuryEarly warning scores (EWS) in trauma: assessing the “effectiveness” of interventions by a rural ground transport service in the interior of British ColumbiaAccuracy of trauma patient transfer documentation in BCPostoperative echocardiogram after penetrating cardiac injuries: a retrospective studyLoss to follow-up in trauma studies comparing operative methods: a systematic reviewWhat matters where and to whom: a survey of experts on the Canadian pediatric trauma systemA quality initiative to enhance pain management for trauma patients: baseline attitudes of practitionersComparison of rotational thromboelastometry (ROTEM) values in massive and nonmassive transfusion patientsMild traumatic brain injury defined by GCS: Is it really mild?The CMAC videolaryngosocpe is superior to the glidescope for the intubation of trauma patients: a prospective analysisInjury patterns and outcome of urban versus suburban major traumaA cost-effective, readily accessible technique for progressive abdominal closureEvolution and impact of the use of pan-CT scan in a tertiary urban trauma centre: a 4-year auditAdditional and repeated CT scan in interfacilities trauma transfers: room for standardizationPediatric trauma in situ simulation facilitates identification and resolution of system issuesHospital code orange plan: there’s an app for thatDiaphragmatic rupture from blunt trauma: an NTDB studyEarly closure of open abdomen using component separation techniqueSurgical fixation versus nonoperative management of flail chest: a meta-analysisIntegration of intraoperative angiography as part of damage control surgery in major traumaMass casualty preparedness of regional trauma systems: recommendations for an evaluative frameworkDiagnostic peritoneal aspirate: An obsolete diagnostic modality?Blunt hollow viscus injury: the frequency and consequences of delayed diagnosis in the era of selective nonoperative managementEnding “double jeopardy:” the diagnostic impact of cardiac ultrasound and chest radiography on operative sequencing in penetrating thoracoabdominal traumaAre trauma patients with hyperfibrinolysis diagnosed by rotem salvageable?The risk of cardiac injury after penetrating thoracic trauma: Which is the better predictor, hemodynamic status or pericardial window?The online Concussion Awareness Training Toolkit for health practitioners (CATT): a new resource for recognizing, treating, and managing concussionThe prevention of concussion and brain injury in child and youth team sportsRandomized controlled trial of an early rehabilitation intervention to improve return to work Rates following road traumaPhone call follow-upPericardiocentesis in trauma: a systematic review

Author

Hoit, G., primary, Hinkewich, C., primary, Tiao, J., primary, Porgo, V., primary, Moore, L., primary, Wang, C., primary, Moffatt, B., primary, Wheeler, S., primary, Gillman, L., primary, Bartens, K., primary, Lysecki, P., primary, Pallister, I., primary, Patel, S., primary, Bradford, P., primary, Kidane, B., primary, Holmes, A., primary, Trajano, A., primary, March, J., primary, Lyons, R., primary, Kao, R., primary, Rezende-Neto, J., primary, Leblanc, Y., primary, Vogt, K., primary, Alzaid, S., primary, Jansz, G., primary, Andrusiek, D., primary, Bailey, K., primary, Livingston, M., primary, Calthorpe, S., primary, Hsu, J., primary, Lubbert, P., primary, Boitano, M., primary, Leeper, W., primary, Williamson, O., primary, Reid, S., primary, Alonazi, N., primary, Lee, C.M., primary, Aleassa, E., primary, Jennings, P., primary, Mador, B., primary, Hoffman, K., primary, Riley, J., primary, Vu, E., primary, Alburakan, A., primary, Mckee, J., primary, Bobrovitz, N., primary, Gabbe, B.J., primary, Hodgkinson, J., primary, Ali, J., primary, Grant, M., primary, Roberts, D., primary, Holodinsky, J., primary, Cooper, C., primary, Santana, M.J., primary, Kruger, K., primary, Waggott, M., primary, Da Luz, L.T., primary, Banfield, J., primary, Dorigatti, A., primary, Birn, K., primary, Zakirova, R., primary, Davies, D., primary, Das, D., primary, Gamme, G., primary, Pervaiz, F., primary, Almarhabi, Y., primary, Brainard, A., primary, Brown, R., primary, Bell, N., primary, Jowett, H., primary, Bressan, S., primary, Hogan, A., primary, Watson, I., primary, Woodford, S., primary, Boulay, R., primary, Howlett, M., primary, Atkinson, P., primary, Chesters, A., primary, Hamadani, F., primary, Azzam, M., primary, Fraser, J., primary, Doucet, J., primary, Muakkassa, F., primary, Sathivel, N., primary, Chadi, S., primary, Joseph, B., primary, Takeuchi, L., primary, Bradley, N., primary, Al Bader, B., primary, Harrington, A., primary, Nixon, K., primary, Veigas, P., primary, O’Keeffe, T., primary, Bracco, D., primary, Lin, Y., primary, Nash, N., primary, Alhabboubi, M., primary, Slobogean, G., primary, Spicer, J., primary, Heidary, B., primary, Joos, E., primary, Berg, R., primary, Sankarankutty, A., primary, Zakrison, T., primary, Babul, S., primary, Lockhart, S., primary, Faux, S., primary, Jackson, A., primary, Lee, T., primary, Bailey, K., additional, Pemberton, J., additional, Green, R., additional, Tallon, J., additional, Moore, L., additional, Turgeon, A., additional, Boutin, A., additional, Reinartz, D., additional, Lapointe, G., additional, Stelfox, H.T., additional, Nathens, A., additional, Neveu, X., additional, Bratu, I., additional, Gladwin, C., additional, Voaklander, D., additional, Lewis, M., additional, Vogt, K., additional, Eckert, K., additional, Williamson, J., additional, Stewart, T. Charyk, additional, Parry, N., additional, Gray, D., additional, L’Heureux, R., additional, Ziesmann, M., additional, Kortbeek, J., additional, Brindley, P., additional, Hicks, C., additional, Fata, P., additional, Engels, P., additional, Ball, C., additional, Paton-Gay, D., additional, Widder, S., additional, Hernandez-Alejandro, R., additional, Vanderbeek, L., additional, Forrokhyar, F., additional, Anatharajah, R., additional, Howatt, N., additional, Lamb, S., additional, Sne, N., additional, Kahnamoui, K., additional, Lyons, R., additional, Walters, A., additional, Brooks, C., additional, Pinder, L., additional, Rahman, S., additional, Kidane, B., additional, Donnelly, E., additional, Lewell, M., additional, Mellow, R., additional, Hedges, C., additional, Morassutti, P., additional, Bulatovic, R., additional, Galbraith, E., additional, McKenzie, S., additional, Bradford, D., additional, Peddle, M., additional, Dukelow, A., additional, Eby, D., additional, McLeod, S., additional, Bradford, P., additional, Williamson, O., additional, Fraga, G., additional, Pereira, B., additional, Sareen, J., additional, Doupe, M., additional, Gawaziuk, J., additional, Chateau, D., additional, Logsetty, S., additional, Pallister, I., additional, Lewis, J., additional, O’Doherty, D., additional, Hopkins, S., additional, Griffiths, S., additional, Palmer, S., additional, Gabbe, B.J., additional, Xu, X., additional, Martin, C., additional, Xenocostas, A., additional, Mele, T., additional, Rui, T., additional, Abreu, E., additional, Andrade, M., additional, Cruz, F., additional, Pires, R., additional, Carreiro, P., additional, Andrade, T., additional, Lampron, J., additional, Balaa, F., additional, Fortuna, R., additional, Issa, H., additional, Dias, P., additional, Marques, M., additional, Fernandes, T., additional, Sousa, T., additional, Inaba, K., additional, Smith, J., additional, Okoye, O., additional, Joos, E., additional, Shulman, I., additional, Nelson, J., additional, Rhee, P., additional, Demetriades, D., additional, Ostrofsky, R., additional, Butler-Laporte, G., additional, Chughtai, T., additional, Khwaja, K., additional, Mulder, D., additional, Razek, T., additional, Deckelbaum, D., additional, Evans, D., additional, Anton, H., additional, Wei, J., additional, Randall, E., additional, Sobolev, B., additional, Scott, B. Ballantyne, additional, van Heest, R., additional, Frankfurter, C., additional, McKerracher, S., additional, Merritt, N., additional, Barber, L., additional, Kimmel, L., additional, Hodgson, C., additional, Webb, M., additional, Holland, A., additional, Gruen, R., additional, Harrison, K., additional, Hwang, M., additional, Hsee, L., additional, Civil, I., additional, Muizelaar, A., additional, Baillie, F., additional, Leeper, T., additional, Sutherland, A., additional, Hart, M., additional, Tuma, F., additional, Coates, A., additional, Farrokhyar, F., additional, Faidi, S., additional, Gastaldo, F., additional, Paskar, D., additional, Reid, S., additional, Petrisor, B., additional, Bhandari, M., additional, Loh, W-L, additional, Ho, C.D., additional, Chong, C.K., additional, Rodrigues, G., additional, Gissoni, M., additional, Martins, M., additional, Cunha-Melo, J., additional, Rizoli, S., additional, Abu-Zidan, F., additional, Cameron, P., additional, Bernard, S., additional, Walker, T., additional, Jolley, D., additional, Fitzgerald, M., additional, Masci, K., additional, Simpson, P., additional, Smith, K., additional, Cox, S., additional, West, A., additional, Barratt, L., additional, Rozmovits, L., additional, Livingstone, B., additional, Vu, M., additional, Griesdale, D., additional, Schlamp, R., additional, Wand, R., additional, Alhabboubi, M., additional, Alrowaili, A., additional, Alghamdi, H., additional, Essbaiheen, F., additional, Chankowsky, J., additional, Stephens, M., additional, Vis, C., additional, Belton, K., additional, Dufresne, B., additional, Guilfoyle, J., additional, Ibbotson, G., additional, Martin, K., additional, Matheson, D., additional, Parks, P., additional, Thomas, L., additional, Kirkpatrick, A., additional, Santana, M.J., additional, Kline, T., additional, Macey, S., additional, Judson, R., additional, Morgan, M., additional, McLellan, S., additional, Wilson, K., additional, Sorvari, A., additional, Chaudhry, Z., additional, Khawaja, K., additional, Ali, A., additional, Akhtar, J., additional, Zubair, M., additional, Nickow, J., additional, Holodinsky, J., additional, Jaeschke, R., additional, Blaser, A. Reintam, additional, Starkopf, J., additional, Zygun, D., additional, Roberts, D., additional, Tanenbaum, B., additional, Redondano, B. Ribeiro, additional, Jimenez, L. Simakawa, additional, Zago, T., additional, de Carvalho, R. Barros, additional, Calderan, T. 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Published
2013
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50. P-682

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Davies, D., primary, McLellan, S., additional, O’Leary, T., additional, Finn, A., additional, and Hill, J.A., additional

Published
2006
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