Search tips
Search criteria

Results 1-3 (3)

Clipboard (0)

Select a Filter Below

Year of Publication
Document Types
1.  Modern Medicine Is Neglecting Road Traffic Crashes 
PLoS Medicine  2013;10(6):e1001463.
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
PMCID: PMC3678998  PMID: 23776413
2.  Early experience with simulated trauma resuscitation 
Canadian Journal of Surgery  1999;42(3):205-210.
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.
PMCID: PMC3788951  PMID: 10372017
3.  Role of the trauma-room chest x-ray film in assessing the patient with severe blunt traumatic injury 
Canadian Journal of Surgery  1996;39(1):36-41.
To examine the accuracy of standard trauma-room chest x-ray films in assessing blunt abdominal trauma and to determine the significance of missed injuries under these circumstances.
A retrospective review.
A regional trauma unit in a tertiary-care institution.
Multiply injured trauma patients admitted between January 1988 and December 1990 who died within 24 hours of injury and in whom an autopsy was done.
Standard radiography of the chest.
Main Outcome Measures
Chest injuries diagnosed and recorded by the trauma room team from standard anteroposterior x-ray films compared with the findings at autopsy and with review of the films by a staff radiologist initially having no knowledge of the injuries and later, if injuries remained undetected, having knowledge of the autopsy findings.
Thirty-seven patients met the study criteria, and their cases were reviewed. In 11 cases, significant injuries were noted at autopsy and not by the trauma-room team, and in 7 cases these injuries were also missed by the reviewing radiologist. Injuries missed by the team were: multiple rib fractures (11 cases), sternal fractures (3 cases), diaphragmatic tear (2 cases) and intimal aortic tear (1 case). In five cases, chest tubes were not inserted despite the presence (undiagnosed) of multiple rib fractures and need for intubation and positive-pressure ventilation.
Significant blunt abdominal trauma, potentially requiring operative management or chest-tube insertion, may be missed on the initial anteroposterior chest x-ray film. Caution must therefore be exercised in interpreting these films in the trauma resuscitation room.
PMCID: PMC3895124  PMID: 8599789

Results 1-3 (3)