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Civilian Trauma Care - Learning From The Military Experience, Vivian C. Mcalister

Vivian C. McAlister

In the 21st century, military and civilian trauma surgeons bring similar solutions to similar problems, learning one from another. The objective of this presentation is to review military trauma care in Afghanistan for aspects that may influence civilian practice at home.

• Comprehensive trauma care system: guidelines,

registry, review

• Protocols for care: damage control; massive

blood transfusion policy; mass casualty care

• Techniques: resuscitative thoracotomy;

decompressive craniectomy; pelvic-gluteal

hemorrhage control

• Rehabilitation: Mild traumatic brain injury

• Delegated medical acts: medics / PAs

1 Canadian Field Hospital In Haiti: Surgical Experience In Earthquake Relief, Max Talbot, Bethann Meunier, Vincent Trottier, Michael Christian, Tracey Hillier, Chris Berger, Vivian Mcalister, Scott Taylor

Vivian C. McAlister

The Canadian Forces’ (CF) deployable hospital, 1 Canadian Field Hospital, was deployed to Haiti after an earthquake that caused massive devastation. Two surgical teams performed 167 operations over a 39-day period starting 17 days after the index event. Most operations were unrelated to the earthquake. Replacing or supplementing the destroyed local surgical capacity for a brief period after a disaster can be a valuable contribution to relief efforts. For future humanitarian operations/disaster response missions, the CF will study the feasibility of accelerating the deployment of surgical capabilities. L’hôpital déployable des Forces canadiennes, le 1er Hôpital de campagne du Canada, a …

Grand Rounds: Psoas Abscess With Group B Streptococcus, Adina Feinberg, Vivian C. Mcalister

Vivian C. McAlister

Case Report: A 43-year-old woman presented to the emergency room at University Hospital, London Health Sciences Centre with an eight-day history of lower back pain. She had presented one-week prior with similar symptoms and was treated conservatively for sciatica. Since then, her pain had progressively increased

The Life Of John Wishart (1850-1926): Study Of An Academic Surgical Career Prior To The Flexner Report., Emily Claydon, Vivian C. Mcalister

Vivian C. McAlister

BACKGROUND: The 1910 Flexner Report on Medical Education in the United States and Canada is often taken as the point when medical schools in North America took on their modern form. However, many fundamental advances in surgery, such as anesthesia and asepsis, predated the report by decades. To understand the contribution of educators in this earlier period, we investigated the forgotten career of John Wishart, founding Professor of Surgery at Western University, London Ontario.

METHODS: Archives at the University of Western Ontario, University of Toronto, London City Library, and Wellington County Museum were searched for material about Wishart and his …