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AH McDonald

The Impact of Trans-thoracic Ultrasound on Cardiac Injuries

Issue: 
DOI: 
10.7727/wimj.2013.319
Pages: 
258–61
Synopsis: 
his review demonstrates that cardiac injuries remain lethal, diagnosis is largely clinical and trans-thoracic ultrasound may be over-utilized, having little impact on clinical outcome of patients presenting with this injury.

ABSTRACT

Objective: To determine the impact of trans-thoracic ultrasound (TTUS) in patients with chest trauma and potential cardiac injuries and to determine the outcome of patients with cardiac injury detected on TTUS.

Accepted: 
24 Feb, 2014
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Journal Sections: 
e-Published: 17 Jul, 2014

Trauma in the Developing World: The Jamaican Experience

Issue: 
DOI: 
10.7727/wimj.2013.318
Pages: 
267–70
Synopsis: 
Trauma remains a challenging burden on the often under-funded healthcare systems of developing countries. Ten-year data from the Jamaica Trauma Registry shows that trauma accounts for 20% of surgical admissions, with 5% mortality. There is a good opportunity for various preventive programmes to be instituted to reduce the burden of this disease.
 

ABSTRACT

Trauma remains a challenging burden on the often under-funded healthcare systems of developing countries. Ten-year data from the Jamaica Trauma Registry show that trauma accounts for 20% of surgical admissions, with close to 50% being intentional and with a 5% mortality. There is a good opportunity for various preventive programmes to be instituted to reduce the burden of this disease.

Accepted: 
11 Dec, 2013
PDF Attachment: 
Journal Sections: 
e-Published: 12 Jun, 2014

Emergency Medicine – Merging with Other Specialties: An Update

Issue: 
DOI: 
10.7727/wimj.2014.395
Pages: 
213–6
 
INTRODUCTION
 
Accepted: 
15 May, 2014
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Journal Sections: 
Journal Authors: 
e-Published: 11 Jun, 2014

Effects of Tranexamic Acid on Death, Vascular Occlusive Events, and Blood Transfusion in Trauma Patients with Significant Haemorrhage (CRASH-2): A Randomised, Placebo-Controlled Trial

Issue: 
Pages: 
612–24
Synopsis: 
Tranexamic acid safely reduced the risk of death in bleeding trauma patients in this study. On the basis of these results, tranexamic acid should be considered for use in bleeding trauma patients.

ABSTRACT

Background: Tranexamic acid can reduce bleeding in patients undergoing elective surgery. We assessed the effects of early administration of a short course of tranexamic acid on death, vascular occlusive events, and the receipt of blood transfusion in trauma patients.

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e-Published: 15 Oct, 2013

Trauma: The Burden of a Preventable Problem

Issue: 
Pages: 
26–8
Synopsis: 
Jamaica Trauma Registry data analysis shows that the majority of hospitalized patients were males suffering from penetrating trauma. Their care were largely state funded.

ABSTRACT

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e-Published: 01 Oct, 2013

The Jamaica Injury Surveillance System A Profile of the Intentional and Unintentional Injuries in Jamaican Hospitals

Issue: 
Pages: 
7–13
Synopsis: 
Injuries in Jamaica are a major public health problem. Causes of unintentional injuries were falls, lacerations and blunt injuries. Motor vehicle related injuries were in motorcars, riding motorbikes/bicycles or as pedestrians. Violence-related injuries were mostly fights with acquaintances using sharp objects to inflict injury.

ABSTRACT

Background: Injuries in Jamaica are a major public health problem as demonstrated by a hospital based computerized injury surveillance system established in 1999 that provides a risk profile for injuries.

PDF Attachment: 
Journal Sections: 
e-Published: 01 Oct, 2013

Health Impact of Research in Emergency Medicine – Moving Forward in the Field

Issue: 
Pages: 
447–51
Synopsis: 
The research impact on health issues from the specialty of emergency medicine is discussed. Emphasis is placed on the epidemiology of common diseases, the role of collaboration within the specialty and the value of conducting clinical trials.

ABSTRACT

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e-Published: 21 Aug, 2013

The Evolution of Emergency Medicine in Jamaica

Issue: 
Pages: 
161–5
Synopsis: 
The evolution of emergency medicine in Jamaica over the past two decades is described. There is room for improvement in many areas including pre-hospital care, trauma and disaster preparedness.


ABSTRACT

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e-Published: 18 Jul, 2013

Penetrating Neck Trauma and the Aberrant Subclavian Artery

Issue: 
Pages: 
288–93

ABSTRACT

Vascular injuries from penetrating trauma to the base of the neck are accompanied by significant morbidity and potential mortality. These injuries require several diagnostic adjuncts in order to facilitate early diagnosis and appropriate treatment. Herein reported is the case of a patient who sustained penetrating injury to the thoracic inlet but had a fortuitous anomaly that prevented vascular injury and its attendant complications.

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Journal Sections: 
e-Published: 02 Jul, 2013

Six Years Experience of Angioedema at the University Hospital of the West Indies

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