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Canadian Journal of Surgery (1)
Emerging Themes in Epidemiology (1)
PLoS Medicine (1)
McLellan, Barry A. (2)
Chipman, Mary (1)
Colantonio, Angela (1)
Escobar, Michael (1)
McLellan, Barry (1)
Moldofsky, Byron (1)
Redelmeier, Donald A. (1)
Vernich, Lee (1)
Year of Publication
Modern Medicine Is Neglecting Road Traffic Crashes
Redelmeier, Donald A.
Don Redelmeier and Barry McLellan admonish the medical community for failure to act on the vast problem of road traffic crashes.
Please see later in the article for the Editors' Summary
Using geographical information systems mapping to identify areas presenting high risk for traumatic brain injury
Emerging Themes in Epidemiology
The aim of this study is to show how geographical information systems (GIS) can be used to track and compare hospitalization rates for traumatic brain injury (TBI) over time and across a large geographical area using population based data.
Results & Discussion
Data on TBI hospitalizations, and geographic and demographic variables, came from the Ontario Trauma Registry Minimum Data Set for the fiscal years 1993-1994 and 2001-2002. Various visualization techniques, exploratory data analysis and spatial analysis were employed to map and analyze these data. Both the raw and standardized rates by age/gender of the geographical unit were studied. Data analyses revealed persistent high rates of hospitalization for TBI resulting from any injury mechanism between two time periods in specific geographic locations.
This study shows how geographic information systems can be successfully used to investigate hospitalizaton rates for traumatic brain injury using a range of tools and techniques; findings can be used for local planning of both injury prevention and post discharge services, including rehabilitation.
traumatic brain injury; geographic information systems; geographic visualization; spatial analysis
Early experience with simulated trauma resuscitation
Canadian Journal of Surgery
Although trauma resuscitation is best taught through direct exposure with hands-on experience, the opportunities for this type of teaching in Canada are limited by the relatively low incidence of serious injury and the consolidation of trauma care to a small number of centres. Simulators have been used extensively outside the health care environment and more recently have been used by anesthetists to simulate intraoperative crises. In this paper early experience using a realistic mannequin, controlled by a remote computer, that simulates a variety of physiologic and injury specific variables is presented. The resource implications of simulated resuscitation are reviewed, including one-time and operating costs. Simulated trauma resuscitation may be an educational alternative to “real-life” trauma resuscitation, but careful evaluation of the benefits and resource implications of this type of teaching through well-designed research studies will be important.
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