Daniel W. Howes

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Simple reaction time is significantly increased in patients with unilateral lesions of either cerebral hemisphere responding with the hand ipsilateral to the lesion, but the effect is much greater when the lesion is in the non-dominant hemisphere. This difference cannot be attributed to asymmetries in the size or type of lesion. It applies over the complete(More)
INTRODUCTION Optimal management of severe sepsis in the ED has evolved rapidly. The purpose of these guidelines is to review key management principles for Canadian emergency physicians, utilizing an evidence-based grading system. METHODS Key areas in the management of septic patents were determined by members of the CAEP Critical Care Interest Group (C4).(More)
OBJECTIVE Residents must become proficient in a variety of procedures. The practice of learning procedural skills on patients has come under ethical scrutiny, giving rise to the concept of simulation-based medical education. Resident training in a simulated environment allows skill acquisition without compromising patient safety. We assessed the impact of a(More)
Development of the CAEP therapeutic hypothermia position statement In April 2004, the Canadian Association of Emergency Physicians (CAEP) Critical Care Committee committed to examine the evidence for therapeutic hypothermia after cardiac arrest and make recommendations on its use in the emergency department. The primary review committee (PRC) was made up of(More)
Lateral canthotomy and cantholysis is a simple procedure that can be performed by emergency physicians. It has the potential to save vision, particularly in cases of blunt ocular trauma. The case of a 37-year-old man with blunt ocular trauma, a retrobulbar hemorrhage and rapidly increasing orbital pressure requiring an urgent lateral canthotomy and(More)
Balancing the continuous supply of domestic wastewater from effluent treatment plants with fluctuating crop water demands requires unique irrigation design strategies. A key design consideration when utilizing disinfected secondary treated city water is to maximize the re-use of effluent in winter months, when forage crop water demands are low, yet still(More)
OBJECTIVE The Canadian Association of Emergency Physicians (CAEP) sepsis guidelines created by the CAEP Critical Care Practice Committee (C4) and published in the Canadian Journal of Emergency Medicine (CJEM) form the most definitive publication on Canadian emergency department (ED) sepsis care to date. Our intention was to identify which of the care items(More)
BACKGROUND Delirium is common in critically ill patients and its presence is associated with increased mortality and increased likelihood of poor cognitive function among survivors. However, the cause of delirium is unknown. The purpose of this study was to demonstrate the feasibility of using near-infrared spectroscopy (NIRS) to assess brain tissue(More)
  • Luis Obispo, Harry Riordan Ferdon, +4 authors Joseph McIlvaine
  • 2017
California state officials have continued to warn and encourage preparedness for the growing threats of water scarcity. This puts pressure on water suppliers to develop technological and managerial solutions to alleviate the problems associated with scarcity. A recent popular management strategy for distributing water is encouraging water transfers. While(More)
In general, researchers attempt to quantify cognitive load using physiologic and psychometric measures. Although the construct measured by both of these metrics is thought to represent overall cognitive load, there is a paucity of studies that compares these techniques to one another. The authors compared data obtained from one physiologic tool(More)