Papers by Rafael Consunji
Qatar Foundation Annual Research Forum Proceedings, 2011
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Qatar Foundation Annual Research Forum Proceedings, 2013
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Qatar Foundation Annual Research Forum Proceedings, 2013
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Http Dx Doi Org 10 1089 Sur 2010 005, Feb 1, 2011
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Surgical Infections, 2011
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Journal of Local and Global Health Science, 2015
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Journal of Local and Global Health Science, 2015
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Journal of Local and Global Health Science, 2015
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Journal of the American College of Surgeons, 2015
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Introduction: The Alcohol Screening and Brief Intervention [ASBI] program for trauma patients is ... more Introduction: The Alcohol Screening and Brief Intervention [ASBI] program for trauma patients is a standard component of Level I Trauma Centers and previous analysis of our ASBI identified challenges and opportunities for such an intervention in the Middle East. This study will describe the process evaluation of a new ASBI program in a Trauma Center serving a culturally diverse population. Materials and methods: A process evaluation of the initial implementation of the ASBI program was conducted using data from the trauma registry. The characteristics of non-compliance with each segment of the ASBI were identified and compared with those of compliant patients for the first 6 months of the program. Results: 132 patients [17.1 %] were not subjected to a blood alcohol concentration [BAC] test; predictors of this non-compliance included: female gender, occupational injury mechanism and lower level of trauma activation [Level 2]. Of the 81 BAC (?) patients, only 17 met criteria [AUDIT Zo...
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Introduction: We aimed to study time-based mortality in traumatic chest injury (TCI) over a 3-yea... more Introduction: We aimed to study time-based mortality in traumatic chest injury (TCI) over a 3-year period in a fast developing country. Materials and methods: We conducted a retrospective observational study for TCI patients admitted between 2008 and 2010 in Qatar.Patients were classified according to time of death postinjury into 3 groups (group1:within 24 h, group2 between 2nd –7th day, and group3:[7 days). Results: Of 5,118 cases admitted to the Trauma section, 1,355 (26.5 %) had TCI. Blunt trauma constituted the major mechanism of injuries (96 %) in terms of traffic-related (63 %), fall (24 %), and others(13 %). The main traffic-related injuries included MVCs, followed by pedestrians. Victims of MVCs were drivers (60 %), followed by front and back-seat passengers. The mean ISS was 17.5 ± 11. Seatbelt use was reported in only 19 % of MVC cases. Overall mortality was 13 % (n = 177). The death rate was higher in pedestrians, followed by MVCs and fall (24 vs 13 vs 7 %, respectively,...
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Introduction: Motor vehicle crashes (MVC) are the leading cause of morbidity and mortality in Qat... more Introduction: Motor vehicle crashes (MVC) are the leading cause of morbidity and mortality in Qatar among young age population. We aimed to evaluate the impact of seatbelt use on the injury pattern and outcome of vehicle occupants involved in MVC. Materials and methods: It is a retrospective analysis of all trauma patients who sustained MVC-related injuries and need admission (2011–2014). Results: Of the total 2730 MVC, 1830 (67 %) cases sustained MVC-related injuries; majority was young males (88 %) and twothird was expatriates. Fifty five percent of the victims were drivers; only 26.3 % used seat belt and airbag was found in 2.5 % cases. Higher proportion of unbelted passengers were nationals, younger in age, and had higher incidence head, chest and upper extremities injuries than belted passengers (P = 0.001). Belted passengers sustained more bowel (P = 0.001) and lower extremities injuries (P = 0.01). Unbelted passengers sustained higher injury severity (ISS, GCS and chest AIS),...
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OBJECTIVE: This paper reviews the available evidence to determine the contribution of maritime di... more OBJECTIVE: This paper reviews the available evidence to determine the contribution of maritime disasters to the burden of drowning injury in the country to guide the development of policies directed towards prevention of this condition. METHODOLOGY: A review of reported casualty figures from maritime disasters was obtained from the Maritime Industry Authority (MARINA) and Philippine Coast Guard (PCG), as well as articles published in periodicals. Data on drowning mortality in the Philippines was extracted from data published in the World Health Statistics Annual (1980-1995) and the Department of Health National Epidemiology Center (DOH-NEC) database (1996-2003). RESULTS: Twenty two maritime disaster incidents were reported from 1980 to 2003, resulting to 3,453 casualties, or 10.50% of the total drowning deaths over the same period. Published casualty accounts only presented aggregate sums for all ages, hindering identification of the contribution of maritime disasters to deaths for ...
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Critical Care Medicine
Introduction: There is a growing debate surrounding the optimal ratio of FFP:RBC in massive trans... more Introduction: There is a growing debate surrounding the optimal ratio of FFP:RBC in massive transfusion protocols [MTP] for patients with massive traumatic hemorrhage. The discussion has evolved to include the time at which the appropriate ratio is achieved and its effect on mortality, both within and beyond 4 hours. This report aimed to describe the effect of attaining a high FFP:RBC ratio [FFP:RBC >= 1-1.5] [HMTP] within 4 hours on a trauma population receiving MTP. Methods: Data were obtained from the trauma registry of the Hamad Trauma Center in Doha, Qatar. All adult [>= 18 years] patients with traumatic injury who received a massive blood transfusion [>=10 U of PRBC over the initial 24 hours post injury] from 1st January 2010 to 31st December 2012 were included. A low ratio MTP [LMTP] was FFP:RBC <= 1-1.5 at 4 hours post-injury. One MTP shipment was defined as infusion of >= 6 units of PRBC. Patients were followed up to 30 days, hospital discharge or death. Outc...
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World Journal of Emergency Surgery, 2015
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Traffic injury prevention, Jan 13, 2015
Restraint systems (seatbelts and airbags) are important tools that improve vehicle occupant's... more Restraint systems (seatbelts and airbags) are important tools that improve vehicle occupant's safety during motor vehicle crashes (MVC). We aimed to identify the pattern and impact of the utilization of passenger restraint systems on the outcomes of MVCs victims in Qatar. A retrospective study was conducted for all admitted patients who sustained MVC-related injuries between March 2011 and March 2014 inclusive. Out of 2730 road traffic injury cases, 1830 (67%) sustained MVC-related injuries; of whom 88% were young males, 70% were expatriates and 53% were drivers. The use of seatbelts and airbags were documented in 26% and 2.5% of cases, respectively. Unrestrained passengers had greater injury severity scores, longer hospital stays and higher rates of pneumonia and mortality compared to restrained passengers (p=0.001 for all). There were 311(17%) ejected cases. Seatbelt use was significantly lower and the mortality rate was 3-fold higher in the ejected as compared to the non-ejec...
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Injury Prevention, 2015
ABSTRACT sec&gt; Introduction Motor vehicle crashes (MVC) are the leading cause of morbidity ... more ABSTRACT sec&gt; Introduction Motor vehicle crashes (MVC) are the leading cause of morbidity and mortality across the globe. Seat belt is an important protective device which improves occupant’s safety during MVC. Herein, we aimed to evaluate the impact of protective devices used (seatbelt/airbag) on the injury pattern and outcome of vehicle occupants involved in MVC. Methods It is a retrospective analysis of all trauma patients who sustained MVC-related injuries and need admission in Qatar between 2011 and 2014. Results Of the total 2730 MVC, 1830 (67%) cases sustained MVC-related injuries; majority was young males (87.7%) and two-third was expatriates. Fifty five percent of the victims were drivers; only 26.3% used seat belt and airbag was found in 2.5% cases. Higher proportion of unbelted passengers were nationals, younger in age, and had higher incidence head, chest and upper extremities injuries than belted passengers (P = 0.001). Belted passengers sustained more bowl (P = 0.001) and lower extremities injuries (P = 0.01). Unbelted passengers sustained higher injury severity (ISS, GCS and chest AIS), stayed longer in the hospital and had higher rate of pneumonia and mortality compared to belted patients (P = 0.001). Compliance of seatbelt (P = 0.001) and air bag (P = 0.008) was significantly lower in the ejected group. Also, ejected patients had prolonged hospital stay and developed significantly higher proportion of pneumonia and sepsis (P = 0.001). The overall mortality was 8.3% and three fold higher in the ejected group as compared to non-ejected group (18% vs. 6.3%; P = 0.001). Conclusion Use of protective devices improves occupant’s safety and potentially prevents ejection during MVCs. Our study highlighted a lower rate of seatbelt compliance among young population which resulted in severe injuries, greater need of hospital resources and mortality. Therefore, community education, strict rules and more attention for legislative implementation are need focusing high-risk groups. &lt;/sec
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Acta medica Philippina
OBJECTIVE: To discuss the various factors contributory to the fatalities that resulted from the s... more OBJECTIVE: To discuss the various factors contributory to the fatalities that resulted from the sinking of the MV Doña Paz. METHODOLOGY: Review of the pre-disaster, disaster and post- disaster events surrounding the sinking of the MV Doña Paz, as well as the subsequent response by the government and responsible agencies to the disaster. RESULTS: The Sinking of the Dona Paz, along with the loss of more than 4000 precious lives, is but a footnote in the long litany of misfortunes plaguing the Philippine maritime industry . A closer look into the events and circumstances leading to this tragedy will demonstrate a confluence of equipment and system inadequacy on one hand and human error and lack of preparedness on the other. CONCLUSION: Multiple factors account for the occurrence of this tragedy, along with other maritime disaster incidents dotting the long maritime history of the Philippines. A cursory analysis of these factors may lead to recommendations which will prevent similar occ...
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Acta medica Philippina
OBJECTIVE: To discuss the various factors contributory to maritime disater preparedness in the Ph... more OBJECTIVE: To discuss the various factors contributory to maritime disater preparedness in the Philippines, in the context of the sinking of the MV Doña Paz. METHODOLOGY: Review of state of maritime preparedness in the pre-disaster setting, and post- disaster response following the sinking of the MV Doña Paz, by the government and responsible agencies. A scrutiny of the state of preparedness of concerned agencies and subsequent response to the disaster was conducted with the objective of formulating recommendations which may lead to prevention and mitigate loss of lives. RESULTS : Multiple factors accounted for the occurrence of this tragedy. These factors include an inherent risk due to the geography of shipping lanes in the Philippines, the economic problems besetting the shipping industry and its labor force and systems inadequacies of the disaster response mechanism. CONCLUSIONS: Many of the factors contributing to the disproportionately high incidence of maritime disasters are ...
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Injury, 2015
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Papers by Rafael Consunji