Russell D MacDonald

..We describe a feasibility study of randomizing head injured patients to hypertonic saline and dextran vs. normal saline administration in the out of hospital setting...

..This observational study determined frequency and describes all-cause adverse event epidemiology in a large air medical transport system...

..In Canada, subspecialty training in EMS is still relatively new, and a standard national curriculum for physician EMS training does not exist...

..Transport medicine personnel are potentially exposed to jet fuel combustion products. Setting-specific data are required to determine whether this poses a risk...

..Little is known about the risks of urgent air-medical transport used in regionalized health care systems. We sought to determine the incidence of in-transit critical events and identify factors associated with these events...

..A patient transfer database has also never been validated. This paper presents the validation of the PTAC database...

..While air medical transport is a high-risk setting, its sources and rates of error have been investigated only within the last several years...

..We set out to describe ventilation practice, the use of lung-protective ventilation strategies, administration of sedation and neuromuscular blockade, and related critical events during out-of-hospital transport of ventilated patients...

..Given there are inherent risks and time delays associated with interfacility patient transport, you debate whether these potential risks outweigh the benefits of regional centres of excellence...

..To determine performance of a medical decision algorithm to mitigate spread of severe acute respiratory syndrome (SARS) from interfacility patient transfers during the Toronto SARS outbreak...

..The aim of the study was to evaluate the feasibility of a prehospital trial comparing hypertonic saline and dextran (HSD) with normal saline (NS) in blunt head injury patients...

..The University of Toronto EMS Fellowship Program may serve as a template for the development of similar programs elsewhere in Canada and internationally...

..The authors reviewed available literature to establish evidence-based transport strategies utilizing safe altitudes for patients, with DCI...

..There is inadequate evidence to determine the efficacy of prehospital TCP in the treatment of symptomatic bradycardia...

..Twenty-four patients (0.5/10,000) were transferred to off-site hospitals. CONCLUSIONS: This report on the EMS response, outcomes, and role of the physicians at a large single-day mass gathering may assist EMS planners at future events...

..However, accident analyses indicate that landing at an unsecured landing zone (LZ), particularly at night, increases the risk of aviation accidents. To ensure safety, some HEMS operations land only at designated, secured LZs...

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..Finally, this case report highlights the prehospital bypass decision-making process for patients requiring specialized medical care...

..Determine whether wearing a chemical protective suit increases time to successful completion of four resuscitation skills...

..Further study is required to define the risks and benefits of interfacility transfer in this patient population. Such information is important for the planning and allocation of resources related to transporting critically ill adults...

..This case series demonstrates that specially trained critical care paramedics can safely IABP-dependent patients to definitive cardiac surgical care without additional medical escorts...

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..To provide primary care physicians with an understanding of West Nile virus in North America. This article focuses on epidemiology, clinical features, diagnosis, and prevention of infection...

..Patients presenting with a first episode of clinically suspected nephrolithiasis should undergo CT scanning because it enhances diagnostic certainty by identifying alternate diagnoses not suspected on clinical grounds alone...

..To describe the impact of a rapidly deployable, automated external defibrillator (AED)-equipped first-responder service at Boston's Logan International Airport on the rate of survival to hospital discharge after cardiac arrest...