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D J O'Brien

Publications and source records attributed to D J O'Brien.

52 records · Page 3Linked to original sources
PubMed1986

Use of a colouring agent in approved dips as an aid in identifying dipped sheep.

A fat soluble dye was identified as a suitable colourant for mixing with approved dips during the statutory winter dipping period. The optimum concentration of the dye was 0.4 per cent. It uniformly dyed the sheep and depending on the breed persisted on the fleece for three to six months. Any dye that remained on the wool at shearing (six to eight months after dipping) was washed out by scouring solutions containing non-ionic and anionic detergents. The dye did not alter the efficacy of the commonly used insecticides.

Animal Identification Systems↗
PubMed1986

The impact of aeromedical helicopter programs on emergency medicine resident training: resident attitudes, perceived risks, and benefits.

Using emergency medicine residents as helicopter flight physicians is a recent evolution in residency training. In an effort to study the impact such a system has on residents in emergency medicine, residents participating in helicopter transport were surveyed at 10 programs in the United States. The potential survey field was 118 residents with (81%) responding. Generally helicopter transport was perceived to be educational (80%), enjoyable (88%), and safe (74%). A total of 75% felt that benefits of transport outweighed the risks, despite an increase in aeromedical helicopter fatalities in 1985. In six of ten programs residents wore shoulder restraints, in two they wore helmets, and in no program were fire-retardant clothing worn on a regular basis. Of the 72 residents involved in mandatory participation, 69% would continue flying in a voluntary system. Although it is clear that selected patients benefit from aeromedical transports, refined triage protocols as well as further studies to identify the costs and benefits of such transport programs to participating emergency medicine residents are needed. Flight safety equipment including helmets, shoulder-harness restraints, and fire-retardant suits are underutilized at all programs surveyed.

Aircraft↗
PubMed1979

Influence of fulvic acid on bacteriophage adsorption and complexation in soil.

The effect of fulvic acid, the major fraction of natural soluble organic matter, on the adsorption of MS2 bacteriophage to soil was investigated in controlled laboratory experiments. Batch experiments together with scanning electron microscopy-energy-dispersive X-ray analysis showed that fulvic acid complexed phage, which prevented its adsorption to soil. Phage strongly adsorbed to soil in the absence of fulvic acid. Phage which was complexed with fulvic acid was not irreversibly inactivated and could become viable under proper conditions, illustrating the importance of assay and elution procedures in the recovery of virus from aqueous solutions.

Adsorption↗
PubMedDate not supplied

Airway management of aeromedically transported trauma patients.

The airway management of 176 consecutive traumatized patients aeromedically transported from the scene of injury was reviewed. In particular, the frequency of performance and time requirements for both blind nasotracheal intubation and cricothyrotomy were analyzed. Airway control was attempted in 70 (39.5%) patients and successful in 67 (95.7%). The average scene Glasgow Coma Scale (GCS) score of these 70 patients was 7.16 (SD = 3.94) and ranged from 3 to 15. For the remaining 106 patients the average GCS was 14.3 (SD = 1.36) and ranged from 6 to 15 (P less than .0005). The scene trauma score (TS) of the two groups was 10.2 (SD = 3.11) and 15.2 (SD = 1.38), respectively (P less than .0005). In the field, blind nasotracheal intubation by an emergency physician (n = 59) or paramedic (n = 3) was successful in 62 of 65 cases (95.1%). The complication rate for this procedure was 4.6%. Cricothyrotomy was performed in two patients. Only three orotracheal intubations were performed. The remaining three patients were nasotracheally intubated in the emergency department. Neuromuscular blockade was not used in either setting. Despite the difference in patient acuity, there was no statistically significant difference in scene or transport times between those patients emergently intubated and those who were not (P greater than .05).

Aircraft↗
PubMedDate not supplied

The evolution of air transport systems: a pictorial review.

The air transport of patients began over seventy years ago in primitive biplanes. The ability to fly over the obstacles of the battlefield created enthusiasm in both the military and the medical communities. With the advent of vertical flight, the need for conventional runways was obviated allowing for casualties to be transported directly from the site of injury. After their introduction as air ambulances in 1945, helicopters soon supplanted ground ambulances with their speed and versatility. By the mid-1960s, civilian casualties were being transported by helicopter as regional trauma care developed in the United States. Today aeromedical programs continue to expand rapidly, even as closer scrutiny of their efficacy, cost, and safety are explored. A pictorial review highlighting the evolution of air transport systems is presented.

Aircraft↗
PubMedDate not supplied

Respiratory rates in emergency department patients.

The respiratory rate is a sensitive and nonspecific indicator of respiratory dysfunction. Establishing a "normal" respiratory rate has mainly been arbitrary. This study evaluated "normal" respiratory rates in 110 emergency department patients. The mean respiratory rate was 20.1 (+/- 4.0). Women had a more rapid respiratory rate 20.9 (+/- 3.9) than men 19.4 (+/- 4.0) (p less than .04). Smokers had a higher respiratory rate 20.5 (+/- 4.0) than nonsmokers 19.3 (+/- 4.0), but this was not statistically significant (P = 0.124). It was also noted that the respiratory rate measured by the nurse was almost always different from that measured by the medical student (P less than 0.0001). Based on a review of the literature concerning what constitutes a "normal" respiratory rate, we conclude that the "normal" respiratory rate may be higher than that suggested in the medical literature.

Adult↗
PubMedDate not supplied

The effectiveness of lights and siren use during ambulance transport by paramedics.

OBJECTIVES: To determine whether lights and siren (L&S) use during transport in the authors' EMS system results in reduced transport time to the hospital. Second, to determine whether L&S use results in any emergency department critical interventions in the time saved. METHOD: A convenience sample of transport times were measured for 75 ambulances traveling to the hospital with L&S and compared with measured simultaneous transport times for a personal observer vehicle traveling the same route as the ambulance. Upon hospital arrival, the driver of the observer vehicle proceeded to the patients' locations and noted the medical interventions accomplished at the hospital prior to his arrival. Interventions were reviewed to identify time-critical interventions that would have been delayed without L&S use. RESULTS: The mean ambulance transit time was 666 seconds and the mean observer transit time was 896 seconds. The mean difference in ambulance (L&S) transit time and the observer (no L&S) transit time was 230 seconds (3 min, 50 sec). There was a statistically significant correlation between transit time difference and number of stoplights encountered, traffic intensity, and distance traveled. Of the 75 patients transported, four patients were felt to have benefited clinically by the time saved. CONCLUSIONS: Use of L&S significantly shortens transport time. In this series of patients transported under the care of a paramedic, the time saved by the use of L&S was not usually associated with immediately apparent clinical significance.

Ambulances↗