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J Williams-Johnson

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.

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e-Published: 19 Sep, 2013

An Assessment of Clinical Predictors of Intracranial Head Injury Identified by Computed Tomography Scan

Issue: 
Pages: 
149–52
Synopsis: 
A prospective study, using CT scans, has determined that the absence of amnesia, loss of consciousness, vomiting and ENT bleed in the history and a Glasgow Coma Score of 15 on examination alone or in combination cannot exclude the presence of intra-cranial injury.

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e-Published: 18 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

Role of Routine Chest Radiographs in the Evaluation of Patients with Stable Blunt Chest Trauma – A Prospective Analysis

Issue: 
Pages: 
64–72
Synopsis: 
The study sought to assess the test performance characteristics of clinical judgement in the evaluation of stable blunt chest trauma patients compared with chest radiography in the determination of significant intra-thoracic injury. The study revealed that physicians in the local emergency department may be over-utilizing chest radiographs for patients who had stable blunt chest trauma.


ABSTRACT

Objective: The study sought to assess the test performance characteristics of clinical judgement in the evaluation of stable blunt chest trauma patients compared with chest radiography (CXR) in the determination of significant intra-thoracic injury.

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e-Published: 19 Aug, 2013

Simultaneous Spontaneous Bilateral Pneumothoraces in an Asthmatic

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.


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e-Published: 18 Jul, 2013

Penetrating Neck Trauma and the Aberrant Subclavian Artery

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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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e-Published: 02 Jul, 2013

Association Between Exposure/Non-Exposure to the Mandatory Seat Belt Law with Regards to Compliance in Vehicle Accident Victims – A Hospital Review

Issue: 
Pages: 
236–9
Synopsis: 
It is concluded from this hospital-based study that the mandatory seat belt law was associated with increased seat belt use in vehicle accident victims. However, current data from the Road Traffic Agency indicated that there is still an alarming number of fatalities. This clearly suggests that additional public health measures are needed to address the epidemic of motor vehicle trauma in Jamaica.

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e-Published: 02 Jul, 2013

Spontaneous Haemo-pneumothorax: A Rare but Life-threatening Phenomenon

Issue: 
Pages: 
346–7
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e-Published: 06 Jun, 2013

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