STUDY OBJECTIVE: The first hour after the onset of out-of-hospital traumatic injury is referred
to as the “golden hour,” yet the relationship between time and outcome remains unclear. …

… MD MHSc (Epid), FRCPC; Yelle, Jean-Denis MD FRCSC; Hodder, Richard V. MD
FRCPC; McGowan, Jessie MLIS … Garber, Hebert, Yelle, and Hodder), General Surgery (Drs …

Objectives The objective of this study was to determine the feasibility and acceptability of a
structured morbidity and mortality (M&M) rounds model through an innovative educational …

Importance Unstable chest wall injuries have high rates of mortality and morbidity. In the last
decade, multiple studies have reported improved outcomes with operative compared with …

Background In damage-control surgery, definitive abdominal closure may not be possible for
several days or weeks after laparotomy until the patient has stabilized. Methods We present …

Background Optimal timing for surgical stabilization of the fractured spine is controversial.
Early stabilization facilitates mobilization and theoretically reduces associated complications. …

Iatrogenic injury to the hepatic or cystic arteries can occur during laparoscopic cholecystectomy
and can be seen in isolation or in association with bile-duct injury. The most common …

Objectives To determine the population-based incidence of splenic injuries in the Province
of Ontario, the proportion of splenic injuries treated by observation, splenectomy and …

Background: The laparoscopic approach to adrenal malignancy remains a topic of debate.
Methods: A retrospective analysis of patients who had an open or laparoscopic …

Objective To compare outcomes in blunt trauma by using Trauma and Injury Severity Score (TRISS)
models derived from the Major Trauma Outcome Study (MTOS) and the Ontario …