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Biomedical subjects

J E Williamson

Publications and source records attributed to J E Williamson.

5 recordsLinked to original sources

Bicycle accidents and injuries: a pilot study comparing hospital- and police-reported data.

Bicycle accident and injury data collected by two different samples of North Carolina hospital emergency rooms during the summers of 1985 and 1986 are examined and compared with state police-reported bicycle accident data for the same time periods. Of the 649 emergency room treated bicyclists, 62% were children aged 5-14 and 70% were male. Nineteen percent of the riders suffered moderate or worse injuries (AIS greater than or equal to 2), and 6% were hospitalized. In contrast, less than half of the police-reported accidents involved riders under 15 years of age, 85% of the riders were male, and two-thirds suffered moderate or worse injury. Whereas virtually all of the police-reported accidents involved a motor vehicle, less than a fifth of the emergency room cases did. Only 10% of the emergency room cases were duplicated on the state accident files. It is estimated that 800 children ages 0-19 are hospitalized annually in North Carolina for bicycle-related injuries, and an additional 13,300 children receive emergency room treatment.

Accidents

A required, combined ACLS/ATLS provider course for senior medical students at East Carolina University.

A course that combines advanced cardiac life support (ACLS) training with advanced trauma life support (ATLS) training for senior medical students was evaluated for its ability to integrate concepts of students' prior clinical experience and to stimulate achievement of provider certification. Since initiation of this program in 1982, students have uniformly praised the combined ACLS/ATLS provider course in anonymous, post-course evaluations. The experience was judged to integrate significantly concepts and principles acquired in students' previous 18 months of clinical training. The opportunity to apply these concepts in unique and challenging clinical simulations was noted by students. Evaluation of pretest and post-test data for the class of 1984 (n = 39) using a t test for matched pairs indicates a significant improvement in post-test examination performance (P less than .001). These data are supported by skills stations testing and achievement of provider certification. Ninety-five percent of student participants achieved provider certification in ACLS; 92% achieved provider certification in ATLS.

Certification

Fractures of the hand associated with riding the mechanical bull.

Presented are the cases of four patients who sustained similar dominant hand injuries while riding a mechanical bull apparatus. The injuries included fractures of the second metacarpals as well as of the index finger phalanges. The mechanism of injury in each case occurred not from striking or catching the injured hand on the bull or by falling off the apparatus, but secondary to the extreme torque forces applied to the extremity during the severe gyrations.

Adult