D. Ross Brown
University of British Columbia
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by D. Ross Brown.
American Journal of Surgery | 1994
D. Ross Brown; Noelle L. Davis; Michael Lepawsky; Johann Cunningham; John B. Kortbeek
To examine the effectiveness of hyperbaric oxygen (HBO) therapy in the treatment of major truncal necrotizing infections, a retrospective (1980 to 1992) analysis of the medical records of 30 patients treated with HBO therapy and 24 patients treated without HBO therapy was undertaken. The two groups were similar; however, there was a selection bias towards more frequent clostridial infections in a younger population in the HBO group. There was no difference in length of hospital stay, intensive care unit (ICU) stay, or duration of antibiotic therapy between groups. The mortality rates were 9/30 (30%) in the HBO group versus 10/24 (42%) (nonsignificant difference) in the non-HBO group. The total number of operations was greater in the HBO-treated group. This study failed to show that the use of HBO in the treatment of major truncal necrotizing infections statistically reduced mortality or the number of débridements. We believe, however, that the apparent selection bias and the trend towards increased survival in the HBO-treated group (12%) justifies the continued use of and research with HBO therapy.
Journal of Trauma-injury Infection and Critical Care | 2002
Alex K. Ng; Richard K. Simons; William C. Torreggiani; Stephen Ho; Andrew W. Kirkpatrick; D. Ross Brown
BACKGROUND The optimal management of patients sustaining blunt abdominal trauma (BAT), in whom intra-abdominal free fluid but no solid organ injury is found on imaging, remains unclear. The purpose of this study was to determine the incidence and significance of this finding. METHODS All patients presenting with suspected BAT to a provincial trauma center over a 30-month period were reviewed. A screening focused abdominal sonogram for trauma scan was obtained in every case. Stable patients with positive or indeterminate scans underwent computed tomographic scanning. Those with free fluid but without visible solid organ injury were studied. Radiologic interpretation, clinical management, and operative findings were analyzed. RESULTS Twenty-eight of 1,367 patients (2%) met inclusion criteria. Twenty-one patients (75%) underwent exploratory laparotomy, which for 16 (76%) was therapeutic: bowel injuries were found in 10 patients, mesentery injuries in 6, and injuries to solid organs in 3. In five patients, laparotomy was nontherapeutic. Those with more than a trace of free fluid were significantly more likely to have a therapeutic procedure. Seven patients (25%) were observed, of whom two failed nonoperative management and underwent therapeutic laparotomies within 24 hours of admission for missed colon, splenic, and hepatic injuries. The presence of abdominal seat belt bruising or a Chance-type fracture in the study patients was associated with a 90% and 100% therapeutic laparotomy rate, respectively. Computed tomographic scan findings were variable and were not able to predict injury severity or need for surgery. CONCLUSION The finding of more than trace amounts of free fluid in the absence of solid organ injury in BAT is often associated with clinically significant visceral injury. Early laparotomy is recommended for these patients.
Journal of Oral and Maxillofacial Surgery | 2012
Sally L. Hynes; Leigh A. Jansen; D. Ross Brown; Douglas J. Courtemanche; James C. Boyle
Bilateral anterior temporomandibular joint dislocation is very rare, with only 2 reported cases published. In the present report, we describe a healthy 25-year-old man from Haida Gwaii, in British Columbia, Canada, who was transferred to our tertiary trauma center with life-threatening complications of a bilateral anterior temporomandibular joint dislocation with locked mandibular impaction.
BMC Research Notes | 2013
D. Ross Brown; Behrouz Heidary; Nathaniel Bell; Leanne Appleton; Richard K. Simons; David C. Evans; S. Morad Hameed; Jack E. Taunton; Kosar Khwaja; Michael O’Connor; Naisan Garraway; Peter Hennecke; Donna Kuipers; Tracey Taulu; Lori Quinn
BackgroundThe mobile medical unit/polyclinic (MMU/PC) was an essential part of the medical services to support ill or injured Olympic or Paralympics family during the 2010 Olympic and Paralympics winter games. The objective of this study was to survey the satisfaction of the clinical staff that completed the training programs prior to deployment to the MMU.MethodsMedical personnel who participated in at least one of the four training programs, including (1) week-end sessions; (2) web-based modules; (3) just-in-time training; and (4) daily simulation exercises were invited to participate in a web-based survey and comment on their level of satisfaction with training program.ResultsA total of 64 (out of 94 who were invited) physicians, nurses and respiratory therapists completed the survey. All participants reported favorably that the MMU/PC training positively impacted their knowledge, skills and team functions while deployed at the MMU/PC during the 2010 Olympic Games. However, components of the training program were valued differently depending on clinical job title, years of experience, and prior experience in large scale events. Respondents with little or no experience working in large scale events (45%) rated daily simulations as the most valuable component of the training program for strengthening competencies and knowledge in clinical skills for working in large scale events.ConclusionThe multi-phase MMU/PC training was found to be beneficial for preparing the medical team for the 2010 Winter Games. In particular this survey demonstrates the effectiveness of simulation training programs on teamwork competencies in ad hoc groups.
Journal of Trauma-injury Infection and Critical Care | 2004
Nathan Schneidereit; Richard K. Simons; Savvas Nicolaou; Douglas Graeb; D. Ross Brown; Andrew W. Kirkpatrick; Gary Redekop; Elaine McKevitt; Amir Neyestani
Journal of Trauma-injury Infection and Critical Care | 2010
Syed Morad Hameed; Nadine Schuurman; Tarek Razek; Darrell C. Boone; Rardi Van Heest; Tracey Taulu; Nasira Lakha; David C. Evans; D. Ross Brown; Andrew W. Kirkpatrick; Henry T. Stelfox; Dianne Dyer; Mary van Wijngaarden-Stephens; Sarvesh Logsetty; Avery B. Nathens; Tanya Charyk-Stewart; Sandro Rizoli; Lorraine N. Tremblay; Frederick D. Brenneman; Najma Ahmed; Elsie Galbraith; Neil Parry; Murray J. Girotti; Guiseppe Pagliarello; Nancy Tze; Kosar Khwaja; Natalie L. Yanchar; John M. Tallon; J. Andrew I. Trenholm; Candance Tegart
Journal of Trauma-injury Infection and Critical Care | 2002
Johann Cunningham; Andrew W. Kirkpatrick; Savvas Nicolaou; David M. Liu; Douglas R. Hamilton; Bernard Lawless; Mark A. Lee; D. Ross Brown; Richard K. Simons
Journal of Trauma-injury Infection and Critical Care | 2006
Peter T. W. Kim; Dalbhir Jangra; Alec H. Ritchie; Mary Ellen Lower; Sharon Kasic; D. Ross Brown; Greg A. Baldwin; Richard K. Simons
Journal of Trauma-injury Infection and Critical Care | 2011
Thomas McLaughlin; Peter Hennecke; Naisan Garraway; David C. Evans; Morad Hameed; Richard K. Simons; Jay Doucet; Daniel Hansen; Siobhan Annand; Nathaniel Bell; D. Ross Brown
Injury-international Journal of The Care of The Injured | 2007
Naisan Garraway; D. Ross Brown; David Nash; Andrew W. Kirkpatrick; Nathan Schneidereit; Rardi Van Heest; Hamish Hwang; Richard K. Simons