Julian M. Williams

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STUDY HYPOTHESIS The American College of Surgeons teaches that "trauma occurring above the clavicle should raise a high suspicion for a potential cervical spine injury." In this study, we investigated the association of head, facial, and clavicular trauma with cervical-spine and cord injury. METHODS The records of 5,021 consecutive trauma patients(More)
STUDY OBJECTIVE To determine the degree of injury recidivism in our ED population and to identify indicators of injury recidivism. METHODS We conducted a retrospective review in a university-affiliated department of emergency medicine. The study participants were patients who presented for treatment of an injury. An injury recidivist was defined as a(More)
OBJECTIVES The objective was to determine whether prior statin use is associated with lower mortality in emergency patients admitted with infection. METHODS A prospective observational study was conducted at the emergency department (ED) of a tertiary adult hospital with an annual census of over 73,000 patients. Patients presenting to the ED who were(More)
STUDY OBJECTIVE We performed an assessment of hospital preparedness for weapons of mass destruction (WMD) incidents in Federal Emergency Management Agency (FEMA) Region III. METHODS Interviews of hospital personnel were completed in 30 hospitals. Data collected included level of preparedness, mass decontamination capabilities, training of hospital staff,(More)
STUDY OBJECTIVE To describe the development of an injury-surveillance system based on the emergency department log. SETTING An ED with 40,000 visits annually, tertiary care center. PARTICIPANTS All patients to our ED during a 6-month period. ED logs are used to collect basic information such as demographics, chief complaint, mode of arrival, and(More)
STUDY OBJECTIVE Previous studies have indicated a number of barriers to screening for domestic violence (DV) in an emergency department setting. These barriers result in inconsistencies which determine who is screened as well as the content and quality of the information obtained, and if uncontrolled they are likely to affect measurements of DV incidence in(More)
The delivery of high-quality emergency care in a rural setting requires a conceptual framework quite different from that required in urban and suburban environments, given that available resources are limited in the rural setting. The intermittent and episodic nature of seriously ill and injured patients who present to rural emergency departments makes it(More)
STUDY OBJECTIVE To assess the current morbidity and mortality of motorcycle trauma in the state of Illinois and, specifically, to assess the incidence and cost of head injury to motorcycle crash patients according to their helmet use. DESIGN Retrospective, cross-sectional examination of the Illinois Department of Public Health Trauma Registry, for which(More)
STUDY OBJECTIVE We assess the sensitivity and specificity of xanthochromia as adjudicated by visual inspection and spectrophotometry at predicting the presence of cerebral aneurysm in patients with suspected subarachnoid hemorrhage who have a normal computed tomography (CT) head scan result. METHODS A systematic review was performed. MEDLINE and EMBASE(More)
This study aimed to determine if performing cerebrospinal fluid spectrophotometry in addition to visual inspection detects more ruptured cerebral aneurysms than performing cerebrospinal fluid visual inspection alone in patients with a normal head CT scan but suspected of suffering an aneurysmal subarachnoid haemorrhage (SAH). We performed a single-centre(More)