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EW Williams

Evaluation of Waiting Times and Sonographic Findings in Patients with First Trimester Vaginal Bleeding at the University Hospital of the West Indies. Can Emergency Department Ultrasound Make a Difference?

Issue: 
DOI: 
10.7727/wimj.2013.230
Pages: 
247–51
Synopsis: 
This retrospective study was conducted to evaluate how long pregnant female patients with vaginal bleeding in the first trimester wait for a pelvic ultrasound. The majority of patients had sonographic findings that would have allowed safe and timely discharge from the emergency department had ultrasound been available at the point of care.
 

ABSTRACT

Accepted: 
26 Nov, 2013
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e-Published: 11 Jun, 2014

Differences and Similarities in Explanatory Models of Hypertension in the United States of America, Tanzania and Jamaica

Issue: 
DOI: 
10.7727/wimj.2013.302
Pages: 
238–46
Synopsis: 
Health beliefs drive health behaviour, yet the health beliefs of racially similar but culturally divergent groups in regards to hypertension have yet to be explored. We examine the differences and similarities amongst racially “black” emergency department patients in the United States of America, Jamaica and Tanzania.

ABSTRACT

Background: Misperceptions detract from effective disease management in a number of conditions but the nature of underlying illness beliefs and their relative consistency in patients with chronic hypertension (cHTN) who present to the Emergency Department (ED) with poor blood pressure control is not known.

Accepted: 
22 Apr, 2014
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e-Published: 11 Jun, 2014

A Clinical Audit of the Management of Acute Asthmatic Attacks in Adults and Children Presenting to an Emergency Department

Issue: 
DOI: 
10.7727/wimj.2013.146
Pages: 
226–33
Synopsis: 
A prospective docket audit comparing the actual acute management of asthma in the emergency department of the University Hospital of the West Indies with a universally approved written protocol for its management is presented. Failure to assess and document the severity of asthma attacks along with the under-utilization of peak expiratory flow rate was prominent. Strategies to address these should be implemented.

ABSTRACT

Objective: To compare the guidelines in the University Hospital of the West Indies (UHWI) acute asthma management protocol with actual practice in the Accident and Emergency Department.

Accepted: 
27 Feb, 2014
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e-Published: 11 Jun, 2014

The Compliance of Healthcare Workers with Universal Precautions in the Emergency Room at the University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2014.044
Pages: 
217–25
Synopsis: 
Due to the nature of interventions that unstable patients require, emergency room healthcare providers are at risk of exposure to blood-borne pathogens. This study assessed compliance with universal precautions among healthcare workers in the emergency room.

ABSTRACT

Objectives: The study assessed compliance among health workers in the Emergency Room at the University Hospital of the West Indies with universal precautions. This was done by determining the knowledge, practices and perceptions of staff of universal precautions and by assessing compliance. Reported adherence with universal precautions was compared with observed practice.

Accepted: 
24 Feb, 2014
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e-Published: 11 Jun, 2014

Primary Amyloidosis of the Nose Presenting with Refractory Epistaxis and Systemic Involvement — A Rare Phenomenon

Issue: 
DOI: 
10.7727/wimj.2012.296
Pages: 
382–3

INTRODUCTION

Accepted: 
28 Nov, 2012
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e-Published: 30 Dec, 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

Closed Degloving Injury of the Thigh

Delays in Presentations of Stroke Patients at the University Hospital of the West Indies

Issue: 
Pages: 
341–6
Synopsis: 
Early diagnosis of patients with stroke is paramount in order to achieve benefits from thrombolytic therapy. Public education, improved access to pre-hospital care and healthcare personnel along with prompt neuroimaging are some means by which care can be improved.

ABSTRACT

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e-Published: 19 Sep, 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

Twenty-four Hour Trauma Team at the University Hospital of the West Indies, Kingston, Jamaica – The Time is Now

Issue: 
Pages: 
211–2b

INTRODUCTION

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e-Published: 21 Aug, 2013

Pages

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