Research focus

Current Research Funding:

 Dreyer JF (local PI). The Resuscitation Outcomes Consortium (ROC) Registry. CIHR $ 31,250

Edmonds ML (local PI). ACUTE Study: Acute Congestive Heart Failure Urgent and Transitional Care Evaluation. CIHR $161,084 (4 years)

Shepherd L, Richardson C, Innes M, Lingard L. Improving the Clinical Clerkship AMOSO Opportunity Fund $80,000

Accepted Manuscripts Awaiting Publication

Yip A, McLeod SL, McRae A, Xie B. The Influence of Electronically Available Wait-Time Data on Choice of Emergency Department for Patients with Non-Critical Medical Complaints. ACCEPTED CJEM 2011

Manuscripts in Preparation

Ahn J, Edmonds ML, McLeod SL, Dreyer JF. Ionizing radiation exposures in young adults: diagnostic imaging choices for investigating pulmonary embolism in an academic tertiary care emergency department.

Davis M, Lewell M, McLeod S, Dukelow A. A prospective evaluation of the utility of the prehospital 12-lead electrocardiogram to change the management of patients in the emergency department.

Krause J, McLeod SL, Fernandes CMB, Shah A, Jewell J. Reliability of the Canadian triage and acuity scale: Inter-rater and intra-rater agreement from a community and academic emergency department. Under review CJEM

Mal S, McLeod S, Dukelow A, Lewell M, Shepherd L, Rodriguez S. The Impact of Autopulse on the rate of return of spontaneous circulation in out of hospital cardiac arrest in Oxford County.

Woolfrey K, Meiwald A, McLeod SL. Ambulatory Visits to a Canadian Emergency Department (A.V.C.E.D.): Why Do Low Acuity Patients Come? Under review CJEM

 
Publications 2011-2012

Davis MT, Dukelow A, McLeod SL, Lewell MP. The utility of the pre-hospital electrocardiogram in the emergency department. CJEM 2011;13(6):372-77.

Hames H, McLeod SL, Millard W. Intraarticular Lidocaine vs. Intravenous Sedation for the Reduction of Anterior Shoulder Dislocations in the Emergency Department. CJEM 2011;13(6):378-83.

Hillier M, Mendelsohn D, McLeod SL, Smallfield A, Brown A, Moffatt B, Arab A, Sedran R. Emergency medicine training in Canada: a survey of medical students' knowledge, attitudes and preferences. CJEM 2011;13(4):251-258.

MacLean S, Mulla S, Jankowski M, Akl E, Vandvik P, Ebrahim S, McLeod S, Bhatnagar N, Guyatt G. Patient Values and Preferences for Decision Making in Antithrombotic Therapy: A Systematic Review: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: CHEST 2012; 141(2)(Suppl):e1S–e23S

Shah A, Mosdossy G, McLeod SL, Lehnhardt K, Peddle M, Rieder M. A Blinded, Randomized Controlled Trial to Evaluate Ketamine-Propofol vs. Ketamine alone for Procedural Sedation in Children. Ann Emerg Med. 2011 May;57(5):425-33.

 Freedman SB, Gouin S, Bhatt M, Black KJ, Johnson D, Guimont C, Joubert G, Porter R, Doan Q, van Wylick R, Schuh S, Atenafu E, Eltorky M, Cho D, Plint A; Pediatric Emergency Research Canada. Prospective assessment of practice pattern variations in the treatment of pediatric gastroenteritis. Pediatrics. 2011 Feb;127(2):e287-95.

Trojanowski J, MacDonald RD. Safe transport of patients with acute coronary syndrome or cardiogenic shock by skilled air medical crews. Prehosp Emerg Care. 2011 Apr-Jun;15(2):240-5.

Current Research Projects

Arbeau R, McLeod SL, Millard W. Ultrasound guided suprascapular nerve block for the reduction of anterior shoulder dislocation.

Baerg H, Poonai N, Lim R, McLeod SL, MacDonald C, McKillop S. Is radial metaphysis to capitellum distance in children aged 1-8 years associated with radial head subluxation?

Cram N, McLeod SL, Davis M, Lewell M, Dukelow A. The utility of the ambulance call report for emergency physicians: Is it useful?

Doran S, Syed S, Martin C, Strauss M, McLeod SL, Parry N, Young B. A comparison of outcomes in post-cardiac arrest patients with and without significant intracranial pathology on head CT.

Dreyer JF, McLeod SL (for the ROC study investigators). Prospective Observational Prehospital and Hospital Registry for Trauma (PROPHET) Study.

Dreyer JF, McLeod SL (for the ROC study investigators). The Resuscitation Outcomes Consortium (ROC) EPISTRY III.

Dreyer JF, McLeod SL (on behalf of the ROC Investigators): Resuscitation Outcomes Consortium (ROC) - Trial of Continuous Compressions versus Standard CPR in Patients with Out-of-Hospital Cardiac Arrest (ROC CCC)

Edmonds ME, Dreyer JF, McLeod SL (for the CHF study investigators). Acute Congestive Heart Failure Urgent and Transitional Care Evaluation (ACUTE) study.

Edmonds ME, Dreyer JF, McLeod SL (for the CHF study investigators). Emergency department Heart failure Mortality Risk (EHMR) Study.

Gagnier R, McLeod SL, Richardson C. What is the current initial LHSC emergency physician assessment and management of stable patients with first trimester bleeding?

Garnett M, Ng V, McLeod SL, Millard W. Prevalence of pulmonary embolism in new-onset atrial fibrillation in a tertiary care emergency department: A retrospective chart review.

Hayman K, Lewell M, Dukelow A, McLeod S, Rodriguez S. Can Primary Care Paramedics Safely Transport Patients with ST segment myocardial infarction (STEMI) to a PCI-Capable Center Within a 45 Minute Transport Window?

Keeler A, McLeod SL, Mann M. A novel approach to patient care using medical directives in a small community emergency department: A retrospective review of the use of a strep throat checklist that allows patient discharge from triage.

Lane S, Pinto F, McLeod SL, Sedran R. Obtaining patient outcome feedback in the emergency department.

Lee C, McLeiod SL, Peddle MP. First-responder accuracy using Sort-Assess-Life-saving interventions-Treatment and/or Transport (SALT) after brief initial training.

Lewell M, McLeod SL, Bradford P. Pre-hospital pain control for trauma patients.

Mal S, McLeod SL. Does the use of CPAP in the pre-hospital setting for acute exacerbation of COPD or acute cardiogenic pulmonary edema in adult patients reduce in-hospital mortality and hospital length of stay compared to standard therapy?

Meiwald A, McLeod SL, Leung A, Cooper P, Pelz D, Gulka I, Theakston K. MRI Abnormalities in ED Patients with a Diagnosis of TIA: A Pilot Study.

Mian A, McLeod SL, Dreyer JF. In patients ultimately diagnosed with intestinal (bowel) ischemia is the initial lactate value indicative of the likelihood of disease?

Peterson D, McLeod SL, McRae A, Woolfrey K. Predictors of standard cellulitis treatment failure in London emergency departments.

Peterson D, Arntfield R, McLeod SL. Assessing LV function using ultrasound.

Riggan M, McLeod SL, Ouellette D. Frequent users of the emergency department on London, Ontario.

Shah A, McLeod SL, Theakston K. Abscess management in the emergency department: Packing vs. no packing.

Sharma M, McLeod SL, Shah A. The use of antibiotics in corneal abrasion and corneal foreign bodies in the emergency department.

Syed S, Doran S, McLeod SL, Martin C, Strauss M, Young B. Initial rhythm, therapeutic hypothermia and patient outcomes in cardiac arrest patients.

Tillman B, Joubert G, McLeod SL, Baker S. Can emergency physicians correctly identify palliative care patients?

Yan J, Theakston K, Sedran R, McLeod SL, Edmonds ML. Outcomes and intervention rates of emergency department patients with suspected renal colic: a comprehensive renal colic database.

Research abstracts presented at NAEMSP (National Association of EMS Physicians) annual conference Tucson, Arizona Jan 2012

Davis M, Lewell M, McLeod S, Dukelow A. A prospective evaluation of the utility of the prehospital 12-lead electrocardiogram to change the management of patients in the emergency department.

Davis M, Levy M. Proportion of emergency department medical records containing the electronic prehospital care record (ePCR) after the implementation ePCR "pull" system.

Hayman K, McLeod SL, Allegretti M, Dukelow A, Lewell. Can paramedics safely transport patients with ST-segment elevation myocardial infarction (STEMI) directly to a PCI-capable centre?

Mal S, McLeod S, Dukelow A, Lewell M, Shepherd L, Rodriguez S. The Impact of Autopulse on the rate of return of spontaneous circulation in out of hospital cardiac arrest in Oxford County.

Ahmed A, Rice A, Mal S, McLeod S, Bradford P, Eby D. Frequency and description of documentation error types by electronic vs paper ambulance call reports.

Research Abstracts Accepted for Presentation at the Annual Conference of the Society of Academic Emergency Medicine (SAEM) in Chicago May 2012

Doran S, Syed S, Martin C, Strauss M, McLeod SL, Parry N, Young B. A comparison of outcomes in post-cardiac arrest patients with and without significant intracranial pathology on head CT.

Peterson D, McLeod SL, McRae A, Woolfrey K. Predictors of standard cellulitis treatment failure in London emergency departments.

Syed S, Doran S, McLeod SL, Martin C, Strauss M, Young B. Initial rhythm, therapeutic hypothermia and patient outcomes in cardiac arrest patients.

Yan JW, Edmonds ML, McLeod SL, Sedran RJ, Theakston KD. Delayed Outcomes For Patients With Suspected Renal Colic After Discharge From The Emergency Department (oral presentation).

Yan JW, McLeod SL, Edmonds ML, Theakston KD and RJ Sedran. Analgesic Use For The Management Of Suspected Acute Renal Colic In The Emergency Department

Research Abstracts Presented at the Annual Conference of the Canadian Association of Emergency Physicians (CAEP) June 2012

2012 Scientific Committee Chair: Dr. Karen Woolfrey

CAEP 2012 TRACK CHAIRS

Advocacy - Patient Safety

Dr. David Ouellette

Disaster Medicine

Dr. Michael Peddle

Knowledge Translation

Dr. Christopher Fernandes

Medical Simulation

Dr. Damon Dagnone and Dr. Karen Woolfrey

Paediatrics

Dr. Gary Joubert

Ultrasound

Dr. Robert Arntfield

ORAL PRESENTATIONS:

Davis M*, Lewell M, McLeod SL, Dukelow A. A prospective evaluation of the utility of the prehospital 12-lead electrocardiogram to change the management of patients in the emergency department

* Winner of Top-8 Canadian Resident Research Award.

Meiwald A*, Theakston K, McLeod SL, Cooper P, Pelz D, Gulka I, Leung A, Lee D. MRI abnormalities in ED patients with a diagnosis of TIA: A pilot study.

* Winner of Top-8 Canadian Resident Research Award.

Peterson DR*, McLeod SL, McRae A, Woolfrey KGH. Predictors of failure of empiric outpatient antibiotic therapy in emergency department patients with uncomplicated cellulitis.

* Winner of Top-8 Canadian Resident Research Award.

 Yan JW*, McLeod SL, Edmonds ML, Sedran RJ, Theakston KD. Normal renal ultrasound identifies renal colic patients at low risk for urologic intervention: A prospective study.

* Winner of Top-8 Canadian Resident Research Award.

Yan JW*, McLeod SL, Edmonds ML, Sedran RJ, Theakston KD. Risk factors associated with the need for urologic intervention in emergency department patients with suspected renal colic.

* Winner of Top-8 Canadian Resident Research Award.

MODERATED POSTERS:

Chuang E, McLeod SL, Richardson CA. Do emergency physicians know the costs of commonly ordered emergency department investigations?

Gregory J, Lim R, Van Osch S, Andrusiak T, Mekhaiel S, Joubert G, Poonai N. Does Pelvic Ultrasound Lead to a Significant Delay in Management of Acute Pediatric Appendicitis?

Joffe R, McLeod SL, Edmonds ML. Extending the hours of Doppler ultrasound availability to rule out deep vein thrombosis in the emergency department.    

McNeil CJ, McLeod SL, Dukelow A, Lewell MP. Demographic Predictors of Poor Performance on the National Registry of Emergency Medical Technicians Exam by Southwest Ontario Paramedics.

Syed S, Doran S, McLeod SL, Martin C, Strauss M, Young B. Initial rhythm, therapeutic hypothermia and patient outcomes in cardiac arrest patients.

Wishlow KA, McLeod SL, Millard W. Assessment of emergency department timeliness to remove cervical spine immobilized patients from rigid backboards.

Yan JW, McLeod SL, Edmonds ML, Sedran RJ, Theakston KD. Factors affecting choice of imaging investigations for patients with suspected renal colic in the emergency department.

POSTERS:

Ahmed A, Rice A, Mal S, McLeod SL, Bradford P, Eby D. Frequency and description of documentation error types by electronic vs paper ambulance call reports.        

Ahn JS, Edmonds ML, McLeod SL, Dreyer JF. Do emergency physicians consider radiation doses when investigating for acute pulmonary embolism?

Arbeau RP, McLeod SL, Doran S, Sedran RJ. Sepsis and cultures, what are we looking for? A retrospective review of patient mortality and culture results.

Davis M & Levy MK. Proportion of emergency department medical records containing the electronic prehospital care record (ePCR) after the implementation ePCR "pull" system.

Doran S, Syed S, Martin C, Strauss M, McLeod SL, Parry N, Young B. Outcomes in post-cardiac arrest patients with and without significant intracranial pathology on head CT.

Hayman K, McLeod SL, Allegretti M, Dukelow A, Lewell M. Can paramedics safely transport patients with ST-segment elevation myocardial infarction (STEMI) directly to a PCI-capable centre?

Marchie A, McLeod SL, Shah A. The incidence of acute myocardial infarction following a previous discharge within 30 days from the emergency department.

Melnychuck D, MacDonald C, McLeod SL. Pain Management of Ankle Fractures in the Emergency Department.

Pinto F, Carter K, Bhimani M. Procedural Sedation use in Rural and Regional Emergency Departments.

Yathindra YK, McLeod SL, Regan K. Are CT scans routinely done before lumbar puncture in suspected cases of meningitis?

 
Resident Research Day 2012

Ahn JS and Kendall JL. Does ultrasound-supplemented teaching enhance medical student competency in examining the femoral vasculature?

Arbeau RP, McLeod SL, Doran S, Sedran RJ. Sepsis and cultures, what are we looking for?  A retrospective review of patient mortality and culture results.

Cram N, Davis M, Dukelow A, McLeod SL, Lewell M. A prospective evaluation of the utility of the Ambulance Call Record to change the management of patient care in the emergency department

Doran S, Syed S, Martin C, Strauss M, McLeod SL, Parry N, Young B.

Outcomes in post-cardiac arrest patients with and without significant intracranial pathology on head CT

Gagnier RM, Richardson CA, McLeod SL. Initial assessment and Disposition for the Stable Patient with First Trimester Bleeding in the London Health Sciences Centre Emergency Departments.

Garnett M, Ng V, McLeod SL, Millard W. Prevalence of pulmonary embolism in new-onset atrial fibrillation in a tertiary care centre emergency department: A retrospective chart review

Gladwell H*, MacDonald C, McKillop S, Lim R, McLeod SL, Poonai N. Is increased radial metaphysis to capitellum distance in children aged 1-8 years associated with radial head subluxation?

* Runner-Up Best CCFP-EM Presentation

Hayman K, McLeod SL, Allegretti M, Dukelow A, Lewell MP. Can paramedics safely transport patients with ST-segment elevation myocardial infarction (STEMI) directly to a PCI-capable centre?

Keeler A*, McLeod SL, Mann M. A novel approach to patient care using medical directives in a moderate-sized community emergency department: A retrospective review of the use of a strep throat checklist that allows patient discharge from triage.

* Winner Best CCFP-EM Presentation

Krause J, McLeod SL, Sedran RJ. Caring for Disadvantaged Populations in the Emergency Department.

Lee CWC, McLeod SL, Peddle M. First-Responder Accuracy Using SALT After Brief Initial Training.

Mal S, McLeod SL, Iansavitchene A, Lewell M, Dukelow A. The impact of pre-hospital non-invasive positive pressure support ventilation in adult patients with acute respiratory distress: A systematic review and meta-analysis.

Mian A, McLeod SL, Schappert A, Dreyer JF. The utility of serum lactate ordered in the emergency department  in diagnosing mesenteric ischemia:  A 3-year retrospective review.

Riggan M, McLeod SL, Fielding K, Tran A, Ouellette D. Demographic characteristics and resource utilization of emergency department frequent users.

Sharma M, Shah A, McLeod SL. The use of antibiotics in corneal abrasion and corneal foreign bodies in the emergency department.

Tillmann B, Baker S, McLeod SL, Joubert G. Identification of Palliative Care Patients in the Emergency Department

Peterson DR*, McLeod SL, McRae A, Woolfrey KGH. Predictors of failure of empiric outpatient antibiotic therapy in emergency department patients with uncomplicated cellulitis.

* Winner Best FRCP Presentation

Yan JW*, McLeod SL, Edmonds ML, Sedran RJ, Theakston KD. Risk factors associated with the need for urologic intervention in emergency department patients with suspected renal colic.

* Winner Best FRCP Presentation