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J Williams-Johnson

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

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

A Case for a Holistic Approach to the Improvement of Compliance among Hypertensive Patients: A Hospital Review

Issue: 
DOI: 
10.7727/wimj.2013.156
Pages: 
271–3
Synopsis: 
A recent survey of hypertensive patients at the Emergency Department of the University of the West Indies revealed that more than a third were non-compliant with their prescribed medications and more than half had poorly controlled blood pressure. Providing access to drug is inadequate and a more holistic approach is required to reduce blood pressure on the population level.
 

ABSTRACT

Accepted: 
16 May, 2014
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e-Published: 12 Jun, 2014

Oesophageal Foreign Bodies at the University Hospital of the West Indies

Issue: 
Pages: 
47–50
Synopsis: 
A retrospective analysis of oesophageal foreign bodies (EFBs) was conducted. The most common EFBs were bones. Oesophagoscopy is a reliable method in the treatment of EFB impaction.

 

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e-Published: 04 Jun, 2013

Hypoglycaemic Complications of Diabetes Mellitus Management: The Predominant Adverse Drug Reaction Presenting to the Accident and Emergency Department of The University Hospital of The West Indies

Issue: 
Pages: 
555–60
Synopsis: 
Drug-induced hypoglycaemia among patients with diabetes mellitus accounted for 56.3% of the adverse drug reactions cases and most of the patients had comorbidities and were on multi-drug therapy.

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e-Published: 15 Oct, 2013

Idiopathic Avascular Necrosis of the Right Hip Masquerading as a Painful Right Knee in an Adult

Issue: 
DOI: 
10.7727/wimj.2013.154
Pages: 
281–2
Accepted: 
24 Jul, 2013
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e-Published: 12 Jun, 2014

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.

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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.


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e-Published: 18 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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