AH McDonald

The Impact of Trans-thoracic Ultrasound on Cardiac Injuries

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

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.

Received:

15 Nov, 2013

Accepted:

24 Feb, 2014

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plummer_et_al-trans-thoracic_ultrasound.pdf

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e-Published: 17 Jul, 2014

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Trauma in the Developing World: The Jamaican Experience

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

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.

Received:

15 Nov, 2013

Accepted:

11 Dec, 2013

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plummer_et_al-trauma_in_the_developing_world.pdf

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e-Published: 12 Jun, 2014

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Emergency Medicine – Merging with Other Specialties: An Update

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2014.395

Pages:

213–6

INTRODUCTION

Received:

12 May, 2014

Accepted:

15 May, 2014

PDF Attachment:

mcdonald-editorial_0.pdf

Journal Sections:

Editorial

Journal Authors:

AH McDonald

e-Published: 11 Jun, 2014

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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:

Vol 59, issue 6 (2010)

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.

PDF Attachment:

dr_williams-johnson.qxd_.pdf

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Keywords:

vascular occlusive events

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e-Published: 15 Oct, 2013

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Trauma: The Burden of a Preventable Problem

Issue:

Vol 59, issue 1 (2010)

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

PDF Attachment:

dr_jm_plummer_wimj_january1.qxd_.pdf

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e-Published: 01 Oct, 2013

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

Issue:

Vol 59, issue 1 (2010)

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:

dr_e_ward_wimj_january1.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

Injury Surveillance

Unintentional Injuries

Intentional Injuries

Motor Vehicle Related Injuries

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e-Published: 01 Oct, 2013

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

Issue:

Vol 61, issue 4 (2012) - Special Issue on Jamaica and Trinidad and Tobago 50 years Independence

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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dr_j_williams-johnson_wimj.qxd_.pdf

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e-Published: 21 Aug, 2013

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The Evolution of Emergency Medicine in Jamaica

Issue:

Vol 57, issue 2 (2008)

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

PDF Attachment:

williams_the_evolution_of_emergency_medicine.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

The Evolution of Emergency Medicine

Journal Authors:

e-Published: 18 Jul, 2013

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Penetrating Neck Trauma and the Aberrant Subclavian Artery

Issue:

Vol 56, Issue 3 (2007)

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.

PDF Attachment:

williams_penetrating_neck_trauma.pdf

Journal Sections:

Case Reports

Keywords:

Aberrant Subclavian Artery

Journal Authors: