S French

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Discrepancies between Clinical and Autopsy Diagnoses in the Emergency Department of the University Hospital of the West Indies

Issue:

Vol 66, Issue 2: 2017

DOI:

10.7727/wimj.2015.192

Pages:

311–7

Synopsis:

The discrepancy rate between the clinical and autopsy cause of death diagnoses was 36.8%. The high frequency of discrepant diagnoses among older age groups, combined with the diagnostic challenges in the Emergency Department related to time and patient co-morbidities, highlight the need to increase the autopsy rate.

ABSTRACT

Objectives: To determine the cause of death diagnoses and the discrepancy rate between clinical and autopsy diagnoses in the Emergency Department (ED) of the University Hospital of the West Indies (UHWI).

Received:

20 Apr, 2015

Accepted:

29 Apr, 2015

Published:

22 Sep, 2017

PDF Attachment:

wimj-iss2-2017_311_317.pdf

Journal Sections:

Original Articles

Keywords:

Cause of death

Autopsy

Diagnostic Errors/ standards

Journal Authors:

e-Published: 06 Nov, 2015

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Horner’s Syndrome: A Case Report and Review of the Pathophysiology and Clinical Features

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2014.004

Pages:

278–80

ABSTRACT

Tumours of the superior sulcus of the lung, commonly referred to as Pancoast tumours, present with characteristic clinical symptoms and signs. An interesting case of a patient who presented with such a tumour is presented. The pathophysiology, clinical features and approach to management are reviewed.

Received:

31 Jan, 2014

Revised:

19 Jun, 2014

Accepted:

08 Jul, 2014

PDF Attachment:

walker_and_french-horners_syndrome.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 17 Jul, 2014

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An Unusual Case of Primary Spontaneous Tension Pneumothorax in a Jamaican Female

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.301

Pages:

274–7

ABSTRACT

Received:

12 Nov, 2013

Accepted:

11 Dec, 2013

PDF Attachment:

johnson_et_al-primary_spontaneous_tension_pneumothorax.pdf

Journal Sections:

Case Reports

Keywords:

Jamaican female

spontaneous pneumothorax

Journal Authors:

M Johnson

S French

D Cornwall

e-Published: 12 Jun, 2014

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Stress, Burnout and Coping among Emergency Physicians at a Major Hospital in Kingston, Jamaica

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.330

Pages:

262–6

Synopsis:

Emergency physicians at a major hospital in Kingston, Jamaica, scored high on stress and components of burnout. Interventions aimed at reducing the occupational contributors to stress and improving levels of coping will reduce the risk of burnout and enhance their psychological well-being.

ABSTRACT

Objectives: The study examined the prevalence of stress, burnout, and coping, and the relationship between these variables among emergency physicians at a teaching hospital in Kingston, Jamaica.

Methods: Thirty out of 41 physicians in the Emergency Department completed the Maslach Burnout Inventory, Perceived Stress Scale, Ways of Coping Questionnaire, and a background questionnaire. Descriptive statistical analyses were conducted.

Received:

09 Dec, 2013

Accepted:

29 May, 2014

PDF Attachment:

hutchinson_et_al-burnout_among_emergency_physicians.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 12 Jun, 2014

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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:

Vol 63, Issue 3: Emergency Medicine (2014)

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

Received:

14 Aug, 2013

Accepted:

26 Nov, 2013

PDF Attachment:

french_et_al-sonographic_findings_for_vaginal_bleeding.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 11 Jun, 2014

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

Issue:

Vol 58, issue 4 (2009)

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

PDF Attachment:

williams_delays_in_presentations_of_stroke_patients_at_the_university_hospital_of_the_west_indies_wimjsept.qxd_.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 19 Sep, 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

PDF Attachment:

dr_j_williams-johnson_wimj.qxd_.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 21 Aug, 2013

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

Issue:

Vol 61, issue 1 (2012)

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.

PDF Attachment:

dr_ks_myint_role_of_routine_chest_radiographs.pdf

Journal Sections:

Original Articles

Keywords:

Routine chest radiograph

stable blunt chest trauma

Journal Authors: