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AH McDonald

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.

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e-Published: 01 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

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

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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e-Published: 11 Jun, 2014

Transfer of Head-injured Patients in Jamaica: Is there a Problem?

Issue: 
Pages: 
220–24
Synopsis: 
The transfer of head-injured patients, many with multiple injuries, is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardized protocol for the transfer of such patients in Jamaica.

ABSTRACT

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e-Published: 05 Jun, 2013

Bile Duct Injuries in the Laparoscopic Era: The University Hospital of the West Indies Experience

Issue: 
Pages: 
228–31
Synopsis: 
A review of all the cases of bile duct injuries seen at the University Hospital of the West Indies since the introduction of laparoscopic cholecystectomy reveals that 60% of all cases resulted from open cholecystectomy and Roux en Y hepaticojejunostomy was the most common surgery offered for major bile duct injury.

ABSTRACT

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e-Published: 10 Jun, 2013

Clinicopathologic Profile of Gastric Carcinomas at the University Hospital of the West Indies

Issue: 
Pages: 
364–8
Synopsis: 
The majority of 216 cases of gastric cancer seen over a ten-year period was in the elderly; they were of the intestinal variety and located in the antrum. These patients presented with epigastric pain and often did not undergo curative surgery.

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e-Published: 06 Jun, 2013

The Effect of Hurricane Ivan on Emergency Department Operations at the University Hospital of the West Indies

Issue: 
Pages: 
232–5
Synopsis: 
The authors conducted a descriptive retrospective record-based incidence study of all admissions to the Emergency Department (ED) during a hurricane. Injuries that took place during the hurricane period represented 40% of the total patients seen. Overall, the coping mechanism of the ED was adequate for this magnitude of disaster.

ABSTRACT

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e-Published: 05 Jun, 2013

Unnecessary Admissions of Head-injured Patients at the University Hospital of the West Indies

Issue: 
Synopsis: 
Reduction in unnecessary admissions, cost savings and increased efficiency may result from standardization of admission criteria for head-injured patients and consistent implementation of guidelines for admission without increased risk to patients.

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e-Published: 02 Jul, 2013

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Ultrasound and White Blood Cell Counts in Suspected Acute Appendicitis

Issue: 
Pages: 
100–2
Synopsis: 
In this group of patients, ultrasonograplry and leucocyte counts were not adequately sensitive to be useful as discriminating diagnostic tools in patients with suspected acute appendicitis

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e-Published: 10 Jun, 2013

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