Care Continuum



    • Ms. Suzanne Bouillé Honoured at the Regional Trauma Care Seminar in Trois-Rivières

      November 17, 2009 - In recognition of her dedication and accomplishments as a member of the Mauricie and Centre-du-Québec Trauma Care Continuum, the Prix Hommage 2009 was awarded to Ms. Suzanne Bouillé, a Trauma Care Consultant with the agency.

      Suzanne Bouillé received her degree in Physiotherapy from Université Laval and has 33 years of experience in the field of physical rehabilitation, specifically in traumatology. She also has a Master’s degree in Public Administration from ÉNAP. After holding several managerial positions at Centre de réadaptation en déficience physique InterVal, she worked for the SAAQ until 2006, where she was responsible for implementing rehabilitation agreements. Since then, she has served as a Trauma Care Consultant at the Agence de la santé et des services sociaux de la Mauricie et du Centre-du-Québec. She is a member of the Québec Trauma Care Program established by the Ministère de la Santé et des Services sociaux and recently joined the Trauma Care Continuum Assessment Team at AETMIS.

      This is a timely honour from Ms. Bouillé, who just took leave of her colleagues for a richly deserved retirement. Congratulations!

      • Film 10-04, 3 métiers, 1 seul but : An information tour is under way

        November 17, 2009 - Over the next few months, information sessions will be held in several Québec regions in order to screen the new film 10-04, 3 métiers, 1 seul but and to present a learning activity kit to people in three emergency services occupations. These tools have been developed to provide the best possible care to traffic accident victims.

        For more information on the tour, please write to us. You will find our contact information under the heading To reach us.

        • New study : Identification of Children at Very Low Risk of Clinically-Important Brain Injuries After Head Trauma: A Prospective Cohort Study

          November 17, 2009 - Traumatic brain injury is a leading cause of death and disability in children worldwide. Children with clinically-important traumatic brain injuries needing acute intervention, especially neurosurgery, should be identified rapidly. CT is the standard technique for emergency diagnosis of traumatic brain injuries, although some brain injuries are not seen on CT. About 50% of children assessed in North American emergency departments for head trauma undergo CT. The aim of this study, published in the journal The Lancet, was to derive and validate prediction rules for clinically-important traumatic brain injury to identify children at very low risk of such injuries following blunt head trauma, for whom CT might be unnecessary.

          To read the summary or order the article

          • New study : Towards National Indicators of Safety and Quality in Health Care

            November 17, 2009 - This Australian Institute of Health and Welfare report recommends a set of 55 national indicators to evaluate the safety and quality of health care. The focus is on safety and four quality domains: appropriateness, effectiveness, continuity, and responsiveness. Most (42) of the indicators in the set measure appropriateness of care, responding to the growing emphasis on evidence-based health care and best practice guidelines, while 25 relate to safety.

            To consult the study (PDF)

            • New study : Early Outcome in Patients with Traumatic Brain Injury, Pre-Injury Alcohol Abuse and Intoxication at Time of Injury

              November 17, 2009 - Alcohol abuse in society has a significant cost in terms of human life and financial resources and is a significant risk factor for traumatic brain injury. Alcohol is involved in 35%–50% of all traumatic brain injuries throughout North America. This study, published in the journal The Brain Injury, sought to explore questions regarding pre-injury alcohol substance abuse and intoxication upon admission and outcomes of interest by studying patients with TBI admitted to acute care settings.

              To read the summary or consult the article

              • New study : Developing a Spinal Clearance Protocol for Unconscious Pediatric Trauma Patients

                November 17, 2009 - Spinal injury in pediatric trauma is associated with significant morbidity and mortality, but no current consensus exists on the safest and most effective method of clearance in high-risk pediatric trauma patients. The purpose of this study published in The Journal of Trauma, Injury, Infection and Critical Care was to retrospectively assess spinal imaging and clearance methods in a pediatric trauma population with significant associated injuries, including head injury, at a United Kingdom level-I trauma centre. This dataset was then studied to recommend a protocol for cervical spinal clearance in this population.

                To read the summary or order the article

                • New study : Fatalities in Frontal Crashes Despite Seat Belts and Air Bags

                  November 17, 2009 - The National Highway Traffic Safety Administration (NHSTA) issued a report entitled “Fatalities in Frontal Crashes Despite Seat Belts and Air Bags.” The principal finding is that many of the crashes involve poor structural engagement between the vehicle and its collision partner: corner impacts, oblique crashes, impacts with narrow objects, and underrides. NHTSA will issue a notice in the Federal Register inviting public comment on the report.

                  To read the report (PDF)

                  • New study : Predictors of Laparotomy and Mortality in Polytrauma Patients With Pelvic Fractures

                    November 17, 2009 - The decision to perform laparotomy in blunt trauma patients is often difficult owing to pelvic fractures; however, once the decision is made, delay or failure to perform laparotomy could affect morbidity and mortality. We sought to identify predictors of laparotomy and mortality in polytrauma patients with pelvic fractures.

                    To read the summary or the article (PDF)

                    • National Rehabilitation Reporting System (NRS)

                      October 9, 2009 - The rehabilitation program area at the Canadian Institute for Health Information (CIHI) is pleased to announce that adult inpatient rehabilitation data from the National Rehabilitation Reporting System (NRS) is now available for 2008-2009.

                      These NRS data include demographic, administrative and clinical information on clients from 110 participating facilities in nine provinces. Data may be of particular value to researchers, health care facilities, regional health authorities, ministries of health and others for exploring areas such as client characteristics, resource utilization and outcomes.

                      Consult the site

                      • Lack of Association Between Prehospital Response Times and Patient Outcomes

                        October 9, 2009 - The provision of optimal emergency medical services (EMS) care in the prehospital environment requires integration of multiple operational and clinical components undertaken by many persons from different sites. It remains self-evident that response time represents an important performance indicator, but taken alone, it does not completely predict outcome of disease severity or mortality. The purpose of this study published in Prehospital Emergency Care is to examine the EMS response times, clinical care provided, and patient outcome for high-acuity 9-1-1 calls that occurred in an urban metropolitan jurisdiction to determine whether the current response time specifications set for the community are safe.

                        Read the abstract or order the article

                        • Enhancing Patient Safety in the Trauma/Surgical Intensive Care Unit

                          9 octobre 2009 - Traditionnellement, l'étude de la mortalité chez les patients victimes de traumatismes se concentre sur la gestion des blessures du point de vue des services préhospitaliers, chirurgicaux et intensifs. Toutefois, une nouvelle étude portant sur ces cas de mortalité dévoilent qu'un pourcentage significatif de ces décès auraient pu être évité. Le but de cette étude, publiée dans The Journal of Trauma Injury, Infection, and Critical Care, est de faire le suivi des communications portant sur les renseignements cruciaux du patient en service de soins intensifs (en traumatologie ou en chirurgie), afin de mieux comprendre la façon dont les données d'un patient sont transmises et comment une erreur ou une perte d'information peut influer sur la mortalité chez les patients. L'hypothèse de cette étude est que l'utilisation d'une liste de contrôle structurée pour le transfert des soins d'un service à l'autre contribuerait à réduire les pertes de renseignements qui se veulent cruciaux à la prise en charge sécuritaire des patients.

                          Lire le résumé ou commander l'article (en anglais)

                          • Website of interest: Regroupement des associations de personnes traumatisés cranio cérébrales du Québec (RAPTCCQ) (Associations for people suffering from traumatic brain injury)

                            October 9, 2009 - For more than ten years, the Regroupement des associations de personnes traumatisées cranio-cérébrales du Québec (RAPTCCQ) has been defending and promoting the rights and interests of people living with consequences of a cranio-cerebral trauma. The RAPTCCQ brings together 13 regional associations from all over Québec which provide an invaluable support by helping victims regain their dignity. The associations also help the victims' families and loved ones.

                            Visit the site (French only)

                            • SMARTRISK Launches New Youth Website

                              October 9, 2009 - Founded in 1992, SMARTRISK is a national non-profit organization dedicated to preventing injuries and saving lives. SMARTRISK's youth programs now have their own website, where students, teachers, parents, sponsors and anyone else interested in youth injury can find what they need online.

                              Consult the site

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