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  1. Article: Video

    Bilic, Monika / Nagji, Alim / Hanel, Erich

    Canadian medical education journal

    2021  Volume 12, Issue 4, Page(s) 141–142

    Abstract: The COVID-19 pandemic has limited in-person experiences for medical students, especially in situations involving aerosol-generating procedures. We designed a ... ...

    Abstract The COVID-19 pandemic has limited in-person experiences for medical students, especially in situations involving aerosol-generating procedures. We designed a video
    Language English
    Publishing date 2021-09-14
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2689512-2
    ISSN 1923-1202
    ISSN 1923-1202
    DOI 10.36834/cmej.71741
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Delayed laparoscopic peritoneal washout in non-operative management of blunt abdominal trauma: a scoping review.

    Chu, Megan / How, Nathan / Laviolette, Alysha / Bilic, Monika / Tang, Jennifer / Khalid, Maham / Bos, Cecily / Rice, Timothy J / Engels, Paul T

    World journal of emergency surgery : WJES

    2022  Volume 17, Issue 1, Page(s) 37

    Abstract: Objectives: Non-operative management (NOM) of blunt abdominal trauma has become increasingly common in hemodynamically stable patients. There are known complications of NOM from undrained intra-abdominal fluid accumulations including hemorrhage and ... ...

    Abstract Objectives: Non-operative management (NOM) of blunt abdominal trauma has become increasingly common in hemodynamically stable patients. There are known complications of NOM from undrained intra-abdominal fluid accumulations including hemorrhage and peritonitis that require delayed operation. Thus, delayed operation can be considered as part of the overall management plan, instead of failure, of NOM. The aim of this scoping review is to establish key concepts regarding delayed laparoscopic peritoneal washout (DLPW) following NOM of blunt abdominal trauma patients.
    Methods: MEDLINE, EMBASE, CENTRAL, and gray literature were systematically searched. Studies were included if they investigated or reported on the use of delayed laparoscopy involving peritoneal washout following NOM of blunt abdominal trauma patients. Bibliographies of included studies were manually reviewed to identify additional articles for inclusion.
    Results: From 910 citations, 28 studies met inclusion criteria. This included seven case reports, eleven case series or observational cohort studies, six review articles, two management guidelines, one textbook chapter, and one randomized clinical trial. For those reported, medium grade liver injuries proved most common (95.2%). Indications for DLPW were primarily clinical features and changes in imaging findings, highlighting the importance of close observation. Authors reported clinical improvement after DLPW regarding symptomatology, vital signs, and biochemistry. A relatively high transfusion demand was reported with a mean of four units of packed red blood cells pre-operatively. Length of stay and post-operative complications were consistent with previously reported experiences with blunt abdominal injuries.
    Conclusions: DLPW is beneficial in blunt abdominal trauma patients following NOM with improvement in symptoms, SIRS features, and a possible reduction in hospital length of stay. This study is limited by low-quality evidence and skewing of data toward isolated hepatic injuries. Future prospective cohort study comparing NOM with and without DLPW is required.
    MeSH term(s) Abdominal Injuries/surgery ; Humans ; Laparoscopy ; Liver/injuries ; Liver/surgery ; Observational Studies as Topic ; Prospective Studies ; Randomized Controlled Trials as Topic ; Wounds, Nonpenetrating/diagnosis ; Wounds, Nonpenetrating/surgery
    Language English
    Publishing date 2022-07-02
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2233734-9
    ISSN 1749-7922 ; 1749-7922
    ISSN (online) 1749-7922
    ISSN 1749-7922
    DOI 10.1186/s13017-022-00441-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Endotracheal intubation with barrier protection.

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emergency medicine journal : EMJ

    2020  Volume 37, Issue 7, Page(s) 398–399

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient's body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    MeSH term(s) Aerosols ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Intubation, Intratracheal/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Protective Devices ; SARS-CoV-2
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209785
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Virtual application of

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    2020  , Page(s) 1–6

    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emerg Med J

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient's body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #767959
    Database COVID19

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  6. Book ; Online: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    2020  

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient’s body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords Report from the front ; covid19
    Language English
    Publishing date 2020-07-01 00:00:00.0
    Publisher BMJ Publishing Group Ltd
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Endotracheal intubation with barrier protection

    Jazuli, Farah / Bilic, Monika / Hanel, Erich / Ha, Michael / Hassall, Kelly / Trotter, Brendon Gordon

    Emergency Medicine Journal

    2020  Volume 37, Issue 7, Page(s) 398–399

    Abstract: Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its ... ...

    Abstract Given the high risk of healthcare worker (HCW) infection with COVID-19 during aerosol-generating medical procedures, the use of a box barrier during intubation for protection of HCWs has been examined. Previous simulation work has demonstrated its efficacy in protecting HCWs from cough-expelled droplets. Our objective was to assess its ability to protect HCWs against aerosols generated during aerosol-generating medical procedures. We used a battery-powered vapouriser to assess movement of vapour with: (1) no barrier; (2) a box barrier; and (3) a box barrier and a plastic sheet covering the box and patient’s body. We visualised the trajectory of vapour and saw that the vapour remained within the barrier space when the box barrier and plastic sheet were used. This is in contrast to the box barrier alone, where vapour diffused towards the feet of the patient and throughout the room, and to no barrier where the vapour immediately diffused to the laryngoscopist. This demonstrates that the box with the plastic sheet has the potential to limit the spread of aerosols towards the laryngoscopist, and thus may play a role in protecting HCWs during aerosol-generating medical procedures. This is of particular importance in the care of patients with suspected COVID-19.
    Keywords Critical Care and Intensive Care Medicine ; Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher BMJ
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2040124-3
    ISSN 1472-0205
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209785
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Virtual application of in situ simulation during a pandemic

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    2020  Volume 22, Issue 5, Page(s) 563–566

    Abstract: ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic introduced challenges to the use of simulation, including limited personal protective equipment and restricted time and personnel. Our use of video for in situ simulation aimed to circumvent these ...

    Abstract ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic introduced challenges to the use of simulation, including limited personal protective equipment and restricted time and personnel. Our use of video for in situ simulation aimed to circumvent these challenges and assist in the development of a protocol for protected intubation and simultaneously educate emergency department (ED) staff. We video-recorded a COVID-19 respiratory failure in situ simulation event, which was shared by a facilitator both virtually and in the ED. The facilitator led discussions and debriefs. We followed this with in situ run-throughs in which staff walked through the steps of the simulation in the ED, handling medications and equipment and becoming comfortable with use of isolation rooms. This application of in situ simulation allowed one simulation event to reach a wide audience, while allowing participants to respect social distancing, and resulted in the education of this audience and successful crowdsourcing for a protocol amidst a pandemic.
    Keywords Emergency Medicine ; covid19
    Language English
    Publisher Cambridge University Press (CUP)
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1488-1543
    DOI 10.1017/cem.2020.375
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: Virtual application of in situ simulation during a pandemic

    Hanel, Erich / Bilic, Monika / Hassall, Kelly / Hastings, Mary / Jazuli, Farah / Ha, Michael / Trotter, Brendon / Fraser, Cory / Rutledge, Greg

    CJEM

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #825953
    Database COVID19

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  10. Article: Prenatal vitamin D and cord blood insulin-like growth factors in Dhaka, Bangladesh.

    Bilic, Monika / Qamar, Huma / Onoyovwi, Akpevwe / Korsiak, Jill / Papp, Eszter / Al Mahmud, Abdullah / Weksberg, Rosanna / Gernand, Alison D / Harrington, Jennifer / Roth, Daniel E

    Endocrine connections

    2019  Volume 8, Issue 6, Page(s) 745–753

    Abstract: Fetal growth restriction is linked to adverse health outcomes and is prevalent in low- and middle-income countries; however, determinants of fetal growth are still poorly understood. The objectives were to determine the effect of prenatal vitamin D ... ...

    Abstract Fetal growth restriction is linked to adverse health outcomes and is prevalent in low- and middle-income countries; however, determinants of fetal growth are still poorly understood. The objectives were to determine the effect of prenatal vitamin D supplementation on the insulin-like growth factor (IGF) axis at birth, to compare the concentrations of IGF-I in newborns in Bangladesh to a European reference population and to estimate the associations between IGF protein concentrations and birth size. In a randomized controlled trial in Dhaka, Bangladesh, pregnant women enrolled at 17-24 weeks of gestation were assigned to weekly oral vitamin D3 supplementation from enrolment to delivery at doses of 4200 IU/week, 16,800 IU/week, 28,000 IU/week or placebo. In this sub-study, 559 woman-infant pairs were included for analysis and cord blood IGF protein concentrations were quantified at birth. There were no significant effects of vitamin D supplementation on cord blood concentrations of IGF-I (P = 0.398), IGF-II (P = 0.525), binding proteins (BPs) IGFBP-1 (P = 0.170), IGFBP-3 (P = 0.203) or the molar ratio of IGF-I/IGFBP-3 (P = 0.941). In comparison to a European reference population, 6% of girls and 23% of boys had IGF-I concentrations below the 2.5th percentile of the reference population. IGF-I, IGF-II, IGFBP-3 and the IGF-I/IGFBP-3 ratio were positively associated with at least one anthropometric parameter, whereas IGFBP-1 was negatively associated with birth anthropometry. In conclusion, prenatal vitamin D supplementation does not alter or enhance fetal IGF pathways.
    Language English
    Publishing date 2019-05-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2668428-7
    ISSN 2049-3614
    ISSN 2049-3614
    DOI 10.1530/EC-19-0123
    Database MEDical Literature Analysis and Retrieval System OnLINE

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