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  1. Article ; Online: Letter to the editor: Multicentre external validation of the Canadian Syncope Risk Score to predict adverse events and comparison with clinical judgement.

    Thiruganasambandamoorthy, Venkatesh

    Emergency medicine journal : EMJ

    2022  Volume 39, Issue 6, Page(s) 488

    MeSH term(s) Canada ; Clinical Reasoning ; Emergency Service, Hospital ; Humans ; Risk Assessment ; Risk Factors ; Syncope/diagnosis ; Syncope/etiology
    Language English
    Publishing date 2022-03-09
    Publishing country England
    Document type Letter ; Multicenter Study ; Comment
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2021-212268
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1941: Show issues Location:
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  2. Article ; Online: Emergency department resuscitative endovascular balloon occlusion of the aorta in trauma patients with exsanguinating hemorrhage: the UK-REBOA randomized clinical trial.

    Badiudeen, Thariq / Thiruganasambandamoorthy, Venkatesh / Rosenberg, Hans

    CJEM

    2024  

    Language English
    Publishing date 2024-03-25
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-024-00680-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Using single sex-specific high-sensitivity cardiac troponin cut-off values for ruling out myocardial infarction - Are we there yet?

    Thiruganasambandamoorthy, Venkatesh

    CJEM

    2019  Volume 21, Issue 1, Page(s) 7–8

    MeSH term(s) Emergency Service, Hospital ; Female ; Humans ; Male ; Myocardial Infarction ; Troponin T
    Chemical Substances Troponin T
    Language English
    Publishing date 2019-01-28
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2018.488
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Teaching old tools new tricks-preparing emergency medicine for the impact of machine learning-based risk prediction models.

    Harish, Vinyas / Grewal, Keerat / Mamdani, Muhammad / Thiruganasambandamoorthy, Venkatesh

    CJEM

    2023  Volume 25, Issue 5, Page(s) 365–369

    MeSH term(s) Humans ; Emergency Service, Hospital ; Machine Learning ; Emergency Medicine
    Language English
    Publishing date 2023-03-18
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-023-00480-8
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  5. Article ; Online: Web Exclusive. Annals On Call - Syncope: Who Is at Risk for Poor Outcomes?

    Centor, Robert M / Thiruganasambandamoorthy, Venkatesh

    Annals of internal medicine

    2021  Volume 174, Issue 4, Page(s) OC2

    Language English
    Publishing date 2021-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/A20-0011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Web Exclusive. Annals for Hospitalists Inpatient Notes - Identifying High-Risk Patients With Syncope-What Hospitalists Need to Know.

    Thiruganasambandamoorthy, Venkatesh / Sivilotti, Marco L A

    Annals of internal medicine

    2021  Volume 174, Issue 2, Page(s) HO2–HO3

    Language English
    Publishing date 2021-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M20-8081
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    In stock of ZB MED Cologne/Königswinter

    Ua VI Zs.178/2: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Alternative care models for paramedic patients from long-term care centers: a national survey of Canadian paramedic services.

    Leduc, Shannon / Wells, George / Thiruganasambandamoorthy, Venkatesh / Kelly, Peter / Vaillancourt, Christian

    CJEM

    2023  Volume 25, Issue 4, Page(s) 344–352

    Abstract: Introduction: Long-term care (LTC) patients do poorly when transported to emergency departments (ED). Community paramedic programs deliver enhanced care in their place of residence, yet few programs are reported in the literature. We conducted a ... ...

    Abstract Introduction: Long-term care (LTC) patients do poorly when transported to emergency departments (ED). Community paramedic programs deliver enhanced care in their place of residence, yet few programs are reported in the literature. We conducted a national cross-sectional survey of land ambulance services to understand if such programs exist in Canada, and what the perceived needs and priorities are for future programs.
    Methods: We emailed a 46 question survey to paramedic services across Canada. We asked about service characteristics, current ED diversion programs, existing diversion programs specific to LTC patients, priorities for future programs, the potential impact of such programs, and what the feasibility and barriers are to implementing programs that treat LTC patients on-site, avoiding an ED visit.
    Results: We received responses from 50 sites across Canada, providing services to 73.5% of the total population. Almost a third (30.0%) had existing treat-and-refer programs, and 65.5% of services transported to destinations other than an ED. Almost all respondents (98.0%) felt the need for programs to treat LTC patients on-site, and 36.0% had existing programs. The top priorities for future programs were support for patients being discharged (30.6%), extended care paramedics (24.5%), and respiratory illness treat-in-place programs (20.4%). The highest potential impact was expected from support for patients being discharged (62.0%) and respiratory illness treat-in-place programs (54.0%). Required changes in legislation (36.0%) and required changes to the system of medical oversight (34.0%) were identified as top barriers to implementing such programs.
    Conclusion: There is a significant mismatch between the perceived need for community paramedic programs treating LTC patients on-site, and the number of programs in place. Programs could benefit from standardized outcome measurement and the publication of peer-reviewed evidence to guide future programs. Changes in legislation and medical oversight are needed to address the identified barriers to program implementation.
    MeSH term(s) Humans ; Long-Term Care ; Emergency Medical Services ; Paramedics ; Allied Health Personnel ; Cross-Sectional Studies ; Canada ; Emergency Medical Technicians
    Language English
    Publishing date 2023-03-10
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-023-00471-9
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  8. Article ; Online: Just the facts: how to assess a patient presenting to the emergency department with syncope.

    Rosenberg, Hans / Nath, Avik / Thiruganasambandamoorthy, Venkatesh

    CJEM

    2021  Volume 23, Issue 3, Page(s) 286–290

    MeSH term(s) Emergency Service, Hospital ; Humans ; Syncope/diagnosis ; Syncope/etiology
    Language English
    Publishing date 2021-03-10
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00095-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Choosing Wisely Canada: scratching the 7-year itch.

    Chen, Kuan-Chin Jean / Thiruganasambandamoorthy, Venkatesh / Campbell, Samuel G / Upadhye, Suneel / Dowling, Shawn / Chartier, Lucas B

    CJEM

    2022  Volume 24, Issue 6, Page(s) 569–573

    Language English
    Publishing date 2022-07-12
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-022-00349-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The hospital care and outcomes of long-term care patients treated by paramedics during an emergency call: exploring the potential impact of 'treat-and-refer' pathways and community paramedicine.

    Leduc, Shannon / Wells, George / Thiruganasambandamoorthy, Venkatesh / Cantor, Zach / Kelly, Peter / Rietschlin, Micah / Vaillancourt, Christian

    CJEM

    2023  Volume 25, Issue 11, Page(s) 873–883

    Abstract: Introduction: Adults living in long-term care (LTC) are at increased risk of harm when transferred to the emergency department (ED), and programs targeting treatment on-site are increasing. We examined characteristics, clinical course, and disposition ... ...

    Abstract Introduction: Adults living in long-term care (LTC) are at increased risk of harm when transferred to the emergency department (ED), and programs targeting treatment on-site are increasing. We examined characteristics, clinical course, and disposition of LTC patients transported to the ED to examine the potential impact of alternative models of paramedic care for LTC patients.
    Methods: We conducted a health records review of paramedic and ED records between April 1, 2016, and March 31, 2017. We included emergency calls originating from LTC centers and patients transported to either ED campus of The Ottawa Hospital. We excluded scheduled or deferrable transfers, and patients with Canadian Triage and Acuity Scale of 1. We categorized patients into groups based on care they received in the ED. We calculated standardized differences to examine differences between groups.
    Results: We identified four groups: (1) patients requiring no treatment or diagnostics in the ED (7.9%); (2) patients receiving ED treatment within current paramedic directives and no diagnostics (3.2%); (3) patients requiring diagnostics or ED care outside current paramedic directives (54.9%); and (4) patients requiring admission (34.1%).
    Conclusion: This study found 7.9% of LTC patients transported to the ED did not receive diagnostics, medications, or treatment, and overall 11.1% of patients could have been treated by paramedics within current medical directives using 'treat-and-refer' pathways. This group could potentially expand utilizing community paramedics with expanded scopes of practice.
    MeSH term(s) Adult ; Humans ; Paramedics ; Long-Term Care ; Paramedicine ; Canada ; Emergency Medical Technicians ; Emergency Medical Services ; Emergency Service, Hospital ; Hospitals
    Language English
    Publishing date 2023-09-15
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-023-00590-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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