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Vol 54, Issues 4 (2005)

Editorial

  • RB Pierre, R Augier
    The delivery of optimal paediatric critical care requires healthcare providers to think outside the confines of the intensive care unit. Public health strategies, training and recertification in basic and advanced paediatric life support and optimized transport of patients are key issues for consideration.

Original Articles

  • IW Crandon, H Harding, AH McDonald, CAR Bruce, D Fearon-Boothe, A Rhoden, N Meeks-Aitken
    The transfer of head-injured patients, many with multiple injuries, is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardized protocol for the transfer of such patients in Jamaica.
  • I Tennant, H Harding, M Nelson, K Roye-Green
    Sputum, blood and urine cultures done in ICU patients at the UHWI showed a predominance of gram-negative organisms. Risk factors for positive cultures included mechanical ventilation > 5 days, CVP line insertion > 7 days, pre-admission infection, prior use of antibiotics, increasing APACHE II score and increasing age.
  • EW Williams, J Williams-Johnson, S French, P Singh, AH McDonald, R Ford
    The authors conducted a descriptive retrospective record-based incidence study of all admissions to the Emergency Department (ED) during a hurricane. Injuries that took place during the hurricane period represented 40% of the total patients seen. Overall, the coping mechanism of the ED was adequate for this magnitude of disaster.

Short Communication

Dental Forum

Images and Diagnosis

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