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1. Trauma Association of Canada Annual Scientific Meeting, Westin Calgary Calgary, Alberta, Apr. 10–11, 2015

Author

Nick Nash, Khaled Almansoori, Kaitlyn Gillard, Amber Menezes, Joao Rezende Neto, Jagadish Rao, Mostafa Alhabboubi, Alex Di Battista, Paul McBeth, Bernard Lawless, S. Logsetty, Candis Kokoski, Melissa McGowan, Barto Nascimento, Fadi Hamadani, Deng Mapiour, Annette Marie Pascual Marrero, Anam Younus, Jaimini Thakore, Alanna Keenan, Tanya Charyk Stewart, Jamie Appel, Sarah Curtis, Salman Khan, Philippe Dufrsne, Tara Grenier, Dennis Kim, Donna Collins, Carlos Semprun, Jessica Mckee, Jessica McKee, Alreem Al Hinai, Safiya Al-Masrouri, Melissa Waggott, Asim Alam, Desiree Young, Heather Knight, Fatma Alhinai, Meagan Mucciaccio, Jane Harrington, Benoit Phelan, Arimie Min, Aziza Al Rawahi, Annie LaLande, Saptarshi Biswas, Muhamad Elhusseini Hassan, Brad Moffat, Saeed Alshlwi, Homer Tien, Alghalya Almaawali, Deanna Fong, Eiman Zargaran, Zahra Hussein, Shahram Yazdani, Madiba Omar, Pedro Padim, David Bracco, Omar Bekdache, Ruben Peralta, Niv Sne, M. Firdaus Mydeen, Michele Masson-Trottier, Hassan Al-Thani, Colin Rouse, Leanne Hewitson, Ann Hogan, Ian Watson, Allison Chisholm, Eileen Bernal, Monica Hinton, Natalie Yanchar, Kaitlin Cyr, Sami Hossri, Lawrence Gillman, Sean Bennett, Karen Bailey, Annette Marie Pascual Marrer, Irada Ibrahim-Zada, Muhammad Younus, Isabelle Hardy, Nina Neuhaus, Nicholas Sowers, N. Karthik Divya Charan, Julien Clement, Michael Driedger, Robert Green, Christopher Lee, Carolyn Snider, John Kortbeek, Paul Engels, Simon Taylor, Matthew Laviolette, Andrew Kirkpatric, Andrew Kirkpatrick, Samir Faidim, Farid Muakkassa, Brett Mador, Jameel Ali, Patrick Murphy, Luis Teodoro Da Luz, Kelly Vogt, Abdulaziz Alali, Rachel Rae, Nancy Tze, Maher Matar, Teegwende Valerie Porgo, Pier-Alexandre Tardif, Anissa Addioui, Sherry MacGillivray, Timothy Rice, Abdul Mohsin Babsail, Patrick Goeres, Shelina Babul, Jimmy Xiao, Morgan Schellenberg, Lynn Moore, Precilla Veigas, Brittany Greene, Joanne Banfield, Chad Ball, Derek Roberts, Gilgamesh Eamer, Daniel Roizblatt, AbdulMohsin Babsail, David Benyayer, Christian Malo, Dan Deckelbaum, Kosar Khwaja, Andrew Beckett, Tarek Razek, Paola Fata, Ioana Bratu, Jenne Craig, Peter Faris, Corina Tiruta, Paul McBeath, Paul Kubes, Christoher Doig, Jacinthe Lampron, Sandro Rizoli, Jeannie Callum, François Lauzier, Simon Berthelot, Henry Thomas Stelfox, Richard Simons, Gilles Bourgeois, Kent Stevens, Amber Mehmood, Subash Gautam, Imran Zafarm, Anne Sorvari, Rasheed Adam, Hari Ondiveeran, Henry Bedaysie, Ernest Ali, Susan Briggs, Crystal Wilson, Helen Lee Robertson, Frederick Zeiler, Bertram Unger, Badar Alhadhrami, Muhamad Elhusseini, Mostafa Alhalbboubi, Mohamed Abdulla, Talat Chughtai, Jeffrey Rice, Susan Reid, Jennifer Li, Frank Baillie, Andrea Somers, Traci Robinson, Andrea Boone, Naminder Sandhu, Ian Wishart, Dickens Saint-Vil, Louis Crevier, Marianne Beaudinn, Lynne Moore, Andre Lavoie, Leon Nshimyumukiza, Alexis Turgeon, Jean Lapointe, Brahim Cisse, Julie Duplantie, Alexandre Tran, Olivia Margie, Jean-Denis Yelle, Giuseppe Pagliarello, Hasham Bakry, Ali Malla, Samir Faidi, Angela Coates, Antonio Capone Neto, Leo Dante DaCosta, Kenji Inaba, Shawn Rhind, William Leeper, Tanya Charyk-Stewart, Richard Malthaner, Daryl Gray, Neil Parry, Carlos Eduardo Semprum Pena, Avery Nathens, Niroshan Sothilingam, Brandon Batey, Anne Sovari, Sharon Henry, Robert Marley, Ann Salvator, Zachary Yetmar, Ileana Horattas, Daniel Erck, Bret A. Landry, Michael Patlas, Anthony LaPorta, Heather Wright-Beatty, Jocelyn Keillorn, Sue Brien, John Wong, Deon Louw, Ian McKee, Nova Panebianco, RJ Parfitt, Douglas Hamilton, Bill Sevcik, Jamie Boyd, Mete Erdogan, Sandy Widder, Michael Butler, Nelofar Kureshi, Kate Martin, Charles Fasanya, Nicole Barrett, Paola Camorlinga, Stephen Quigley, Nelofar Kureschi, S. Longsetty, Depeng Jian, Dean Fergusson, Alex Turgeon, Lauralyn McIntyre, George Kovacs, Donald Griesdale, Shelley McLeod, Michelle Klingel, Kristine Van Aarsen, Jeffrey Franc, Michael Peddle, Arjun Gupta, Bryan Wells, Elijah Dixon, Krubaganesh Rajaram, Patrick Froese, Denise Torres, Kenneth Widom, DiAnne Leonard, Susan Baro, James Dove, Joseph Blansfield, Mohsen Shabahang, Shelly Timmons, Jeffrey Wild, Steven McFaull, Marianne Beaudin, Randall Friese, Peter Rhee, Gary Veercruysse, Bellal Joseph, Alice Wang, Helena Pelletier, Diana Calligan, Aysah Amath, Peter Brindley, Damian Paton-Gay, Jason Park, Adam Cheng, Angelo Mikrogianakis, Sonny Dhanani, Farhan Bhanji, Amina Lalani, Fayez Al-Harthi, Sanjay Mehta, Steven Wolf, Brett Arnoldo, Karen Kowalske, Herb Phelan, Susan Benjamin, Shelley Woodford, Richard Louis, Erik St. Pierre, Paul Atkinson, Jay Mekwan, Glenn Verheul, David Lewis, Jefferson Hayre, James French, Jacqueline Fraser, Beth Sealy, Ayman El-Menyar, R. Consunji, Ahmad Zarour, H. Abdulrahman, A. Parchani, Catherine-Edith Cyr, Caroline Arbour, Nadia Gosselin, Karine Marcotte, Antonia Johnson, Edward Passos, Jerome Fan, Draga Jichici, Andew Healey, Ayman El Menyar, H. Shaltout, H. Abdi, H. Tarakieh, H Abdulrahman, A. Zarour, Hassan Al Thani, Respicious Boniface, Lawrence Museru, Annie Lalande, Judith Marcoux, Mohammed Maleki, Sergio Canestrini, Mazin Tuma, Amanda McFarlan, Caio Cesar Gabrielli Belmont, Philippe Dufresne, Paule Lessard Bonaventure, Nasira Lakha, Damon Ramsey, Morad Hameed, Andrew Nicol, Richard Spence, Pradeep Navsaria, Heather Wong, Rociio Martinez, Erin Shangguan, Jenn Asselstine, Fred Brenneman, Jeremy Grush, Mahvareh Ahghari, Russell MacDonald, Sameena Iqbal, Nancy Fong, Jeremy Grushka, Lyne St-Laurent, Eleanor Eckert, Victoria Munthali, Christopher Doig, Adic Perez, Pang Shek, Richard Grodecki, Henry Peng, Tushar Pishe, Joanna Middeton, Alyssa Penney, Cathie Hedges, Adam Dukelow, Paul Bradford, Donald Levy, Chip Doig, Sukhi Lally, Alma Rados, Anita Williams, Christine Vis, Ryan Perlman, Jocelyn Keillor, Naisan Garraway, Tyler Smith, Dennis Filips, Ian Mckee, Melanie Bouclin, Ian Atkinson, Gloria Kim, Brant Putnam, Chris de Virgilio, James Maciel, Angela Neville, Fred Bongard, Scott Bricker, David Plurad, Jeffrey Odenbach, Rebecca Grokiert, Cathy Falconer, Craig Courchesne, Sandra Campbell, Amanda Newton, Lindy VanRiper, Heidi Wilkes, Abbeir Hussein, Eva Alisc, Claire Hoysted, Markus Landolt, Niccolo Parri, Mark Lytle, Rachel Stanley, Anupam Kharbanda, Franz Babl, Nancy Kassam-Adams, Kim Fichter, Yvonne Harris, Desiree Nahachewsky, Tim Fleiszer, Douglas D. Fraser, Barbara Klassen, Yvonne Briereley, Jennifer McMillan, Scott Robinson, Dori Williams, Haytham Qosa, Sandy Trpcic, Neill Adhikari, Francois Lamontagne, Annabelle Cumyn, Karen Burns, Damon Scales, Mark Duffett, Blair Henry, Tanya Zakrison, Aynsley Young, David MacKinnon, Katie Dainty, Jodi Denbok, Melissa Mcgowan, Alexander Blight, Alicia Bakker, Lee Barratt, Elizabeth Butorac, Karen Gaunt, J. Gawaziuk, Stephanie Lim, D. Chateau, Sazzadul Khan, M. Doupe, J. Sareen, Mypinder Sekhon, Nadine Schuurman, Peter Dodek, Najib Ayas, Erik Vu, Sayed Hassan, Adi Perez, Jane Topolovec-Vranic, null Kenjilnaba, Leo Dante Da Costa, Andrew Baker, Kish Lyster, AbdulMohsin Baabsail, Najma Ahmed, Ori Rotstein, Zu-Hua Gao, Minh Duong, Dominique Shum-Tim, Emanuelle Abreu, Carla Machado, Mario Pastore Neto, Joao Godinho, Athos Bernardes, Nicholas Fry, Michael Liang, Michael Bleszynski, Andrzej Buczkowski, Robert Martindale, David Evans, Shannon Fraser, Mary Stephens, Lisa Knowlton, Dena Almansorri, Vincent Mutiso, Abdullah Saleh, Harvey Hawes, Jessica Hogan, Julie Kromm, Matthew Menon, and Matt Benns

Subjects
Surgery
Published
2015
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2. A single versus multiple doses of dexamethasone in infants wheezing for the first time

Author

Erika Nicota, Amina Lalani, Derek Stephens, Upton Allen, Svetlana Khaikin, Allan L. Coates, Matthew Mokanski, Suzanne Schuh, and Paul T. Dick

Subjects
Male, Pulmonary and Respiratory Medicine, Pediatrics, medicine.medical_specialty, Time Factors, medicine.drug_class, Placebo, Dexamethasone, law.invention, Double-Blind Method, Randomized controlled trial, law, Bronchodilator, medicine, Humans, Glucocorticoids, Respiratory Sounds, business.industry, Respiratory disease, Infant, Emergency department, medicine.disease, Bronchiolitis, Pediatrics, Perinatology and Child Health, Corticosteroid, Female, business, medicine.drug
Abstract

Rationale: Corticosteroid therapy is not routinely recommended in true bronchiolitis. However, since bronchiolitis and the first asthma attack are impossible to distinguish, some infants with the first wheezing episode receive corticosteroids. Optimal duration of corticosteroid therapy in this scenario is unknown. This study compared efficacy of multiple administrations and a single dose of dexamethasone in bronchiolitis. Methods: In this randomized double blind trial, previously healthy outpatients 2–23 months of age with bronchiolitis and Respiratory Disease Assessment Instrument (RDAI) score 6 or more received 1 mg/kg of oral dexamethasone in the Emergency Department. Prior to discharge at 4 hr they were randomized to either 4 daily doses of dexamethasone 0.15 mg/kg or placebo equivalent. Primary outcome was the proportion of subsequent hospitalizations or prescribed trials of bronchodilator/corticosteroid therapy for dyspnea by day 6 in the groups. Secondary outcomes were changes in the RDAI to day 6, and proportions with unscheduled visits by days 6 and 28. Results: The rate of primary outcome in the single dose group (SDG, N = 64) was 9/64 or 14.1% versus 7/61 or 11.5% in the multiple dose group (MDG, N = 61) [95% CI 0.09; 0.14]. Twelve (18.8%) children in the SDG had unscheduled medical visits by day 6 versus 11 (18.0%) children in the MDG [95% CI 0.13; 0.14]. On day 6 the RDAI decreased from 9.5 ± 2.1 to 2.1 ± 2.4 in the SDG and from 9.8 ± 2.2 to 1.6 ± 2.3 in the MDG [95% CI 0.36; 2.06]. Between days 7–28, 24/64 (37.5%) SDG infants returned for care versus 20/61 (32.8%) of the MDG [95% CI 0.12; 0.21]. Conclusions: Our study suggests that, in outpatients with bronchiolitis who receive dexamethasone, continuation of this agent beyond the initial dose does not provide significant benefit. Pediatr Pulmonol. 2008; 43:844–850. © 2008 Wiley-Liss, Inc.

Published
2008
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3. Wrist buckle fractures: a survey of current practice patterns and attitudes toward immobilization

Author

Tammy Clifford, Martin V. Pusic, Samina Ali, Bich Hong Nguyen, Amina Lalani, Amy C. Plint, Blake Bulloch, Jeffrey J. Perry, Gary Joubert, and Kelly Millar

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Wrist, Optimal management, medicine.anatomical_structure, Pain control, Current practice, Orthopedic surgery, Emergency Medicine, Physical therapy, Medicine, business, Splint (medicine), Prospective cohort study, Buckle
Abstract

Objectives: Buckle fractures are the most common wrist fractures in children, yet there is little literature regarding their management. This study examined the management of these fractures and attitudes toward their immobilization by pediatric emergency department (ED) physicians and pediatric orthopedic surgeons. Methods: A standardized survey was mailed to all pediatric orthopedic surgeons and pediatric ED physicians at 8 Canadian children’s hospitals. Results: Eighty-seven percent of physicians responded, including 33 of 39 pediatric orthopedic surgeons and 84 of 96 pediatric ED physicians. Sixty-four percent of respondents believe that wrist buckle fractures always need to be immobilized; pain control was most frequently cited for this belief. Physicians who did not believe that all buckle fractures need to be immobilized indicated that these fractures are inherently stable and have a low risk of refracture. Forty-eight percent of the orthopedic surgeons prefer below-elbow casts, 30% prefer a combination (splint and cast) and 12% prefer backslabs. Sixty percent of ED physicians “usually or always” use casts and 31% “usually or always” use backslabs. Although there was variation among the orthopedic surgeons regarding the recommended length of immobilization, most (70%) recommended 2 to 4 weeks, although some (12%) treated only until pain free. ED physicians showed greater diversity regarding length of immobilization. Conclusions: Although many physicians believe that wrist buckle fractures need to be immobilized, a significant number do not. There is substantial variability in the type and length of immobilization used. This variability suggests that the optimal management strategy for wrist buckle fractures is unclear and should be determined in future prospective studies.

Published
2007

4. Injury admissions to pediatric intensive care are predictable and preventable: a call to action

Author

Ari R. Joffe and Amina Lalani

Subjects
Rehabilitation hospital, Male, Pediatrics, medicine.medical_specialty, Canada, Adolescent, medicine.medical_treatment, Poison control, Suicide, Attempted, Critical Care and Intensive Care Medicine, Intensive Care Units, Pediatric, law.invention, 03 medical and health sciences, 0302 clinical medicine, Accident Prevention, law, Intensive care, Injury prevention, Medicine, Humans, Child, Retrospective Studies, Pediatric intensive care unit, Rehabilitation, business.industry, Infant, 030208 emergency & critical care medicine, Retrospective cohort study, Intensive care unit, 030228 respiratory system, Accidents, Child, Preschool, Wounds and Injuries, Female, business
Abstract

Injuries are often preventable yet remain the most common cause of death in children ages 1 to 19 years in Canada. In this retrospective case series, the authors sought to determine the proportion of injury admissions to a tertiary multidisciplinary university hospital Pediatric intensive care unit (PICU) that were preventable by known measures. Patients were a consecutive sample of 104 children, aged 99 (mean [SD] 70; range, 1-215) months, who were admitted to PICU due to injury from July 1997 to June 1998. Charts were reviewed to determine morbidity (PICU days, ventilation days, and discharge to a rehabilitation hospital), mortality, and whether the injury occurred by a preventable mechanism (as recommended by the American Academy of Pediatrics). Out of 790 admissions, 104 (13.2%) were for injury—81% unintentional and 19% intentional. Unintentional injuries occurred by diverse mechanisms, and 65/84 (77%; 95% confidence interval, 67%-86%) were potentially preventable. Unintentional injuries were especially preventable in the younger age groups ( P= .009): 71% (5/7) in those

Published
2006

5. Evaluation of the utility of radiography in acute bronchiolitis

Author

Amina Lalani, Paul Babyn, Upton Allen, Suzanne Schuh, Matthew Mokanski, Paul T. Dick, Derek Stephens, Shannon MacPhee, Svetlana Khaikin, and David Manson

Subjects
Male, Pediatrics, medicine.medical_specialty, Radiography, RDAI, Respiratory Disease Assessment Instrument, Disease, Sensitivity and Specificity, Article, Cohort Studies, ED, Emergency department, Medicine, Humans, Prospective Studies, Prospective cohort study, business.industry, Respiratory disease, Infant, Emergency department, respiratory system, medicine.disease, Drug Utilization, respiratory tract diseases, Surgery, Anti-Bacterial Agents, Bronchiolitis, Pediatrics, Perinatology and Child Health, Acute Disease, Female, business, Airway, Cohort study, Follow-Up Studies
Abstract

Objectives To determine the proportion of radiographs inconsistent with bronchiolitis in children with typical presentation of bronchiolitis and to compare rates of intended antibiotic therapy before radiography versus those given antibiotics after radiography. Study design We conducted a prospective cohort study in a pediatric emergency department of 265 infants aged 2 to 23 months with radiographs showing either airway disease only (simple bronchiolitis), airway and airspace disease (complex bronchiolitis), and inconsistent diagnoses (eg, lobar consolidation). Results The rate of inconsistent radiographs was 2 of 265 cases (0.75%; 95% CI 0-1.8). A total of 246 children (92.8%) had simple radiographs, and 17 radiographs (6.9%) were complex. To identify 1 inconsistent and 1 complex radiograph requires imaging 133 and 15 children, respectively. Of 148 infants with oxygen saturation >92% and a respiratory disease assessment score

Published
2006

6. PREDICTORS OF MAJOR INTERVENTION IN INFANTS WITH BRONCHIOLITIS

Author

Melissa J Parker, Suzanne Schuh, Derek Stephens, Amina Lalani, and Upton D Allen

Subjects
Pulmonary and Respiratory Medicine, Pediatrics, medicine.medical_specialty, Critical Care, Apnea, medicine.medical_treatment, Comorbidity, Severity of Illness Index, law.invention, Patient Admission, Risk Factors, law, Oxygen therapy, Wheeze, Internal medicine, Severity of illness, Humans, Medicine, Oximetry, Prospective Studies, Prospective cohort study, First episode, Dehydration, Respiratory distress, business.industry, Oxygen Inhalation Therapy, Infant, General Medicine, Emergency department, Length of Stay, Hospitals, Pediatric, medicine.disease, Respiration, Artificial, Intensive care unit, Patient Discharge, Bronchiolitis, Case-Control Studies, Acute Disease, Pediatrics, Perinatology and Child Health, Emergency Medicine, Fluid Therapy, medicine.symptom, Emergency Service, Hospital, business
Abstract

Summary. Objective: We sought to identify predictors of the major medical intervention (MMI) in infants with bronchiolitis in the Emergency Department (ED) to recognize those in need of hospitalization versus the candidates for discharge. Patients and Methods: We conducted an analysis of data from a prospective cohort study of previously healthy infants 2–23 months presenting to our ED with first episode of wheeze and respiratory distress. Infants were divided into those with at least one MMI defined as oxygen administration for saturation of

Published
2007
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