Rory Rickard
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View article: Optimising the educational utility of live tissue training in trauma surgery
Optimising the educational utility of live tissue training in trauma surgery Open
Background Live tissue training (LTT) refers to the use of live anaesthetised animals for the purpose of medical education. It is a type of simulation training that is contentious, and there is an ethical imperative for educators to justif…
View article: Considering the ethics of live tissue training in trauma surgery
Considering the ethics of live tissue training in trauma surgery Open
‘Live tissue training’, using an anaesthetised live animal substituted for a human patient for the practice of surgical skills, is a controversial topic. Although simulator technologies have developed significantly for inclusion in many ar…
View article: Community perspectives on barriers to injury care in Northern Malawi: a three delays framed assessment using focus groups and photovoice
Community perspectives on barriers to injury care in Northern Malawi: a three delays framed assessment using focus groups and photovoice Open
Introduction The global burden of injury is huge, falling disproportionately on poorer populations. The benefits of qualitative research in injury care are recognised and its application is growing. We used a novel application of focus gro…
View article: Exploring the Scientific Conversation Regarding Live Tissue Training in Trauma Surgery: A Bibliometric Analysis
Exploring the Scientific Conversation Regarding Live Tissue Training in Trauma Surgery: A Bibliometric Analysis Open
There is academic conversation apparent within the literature, in the form of citations, although this is used to affirm or rebuke a given perspective, rather than engage with, or learn from, the content. There is potential benefit to incr…
View article: Identifying and prioritising barriers to injury care in Northern Malawi, results of a multifacility multidisciplinary health facility staff survey
Identifying and prioritising barriers to injury care in Northern Malawi, results of a multifacility multidisciplinary health facility staff survey Open
Introduction The burden of injuries globally and in Malawi is substantial. Optimising both access to, and quality of, care in health systems requires attention. We aimed to establish how health facility staff in Karonga, Malawi, perceive b…
View article: Understanding the health system utilisation and reasons for avoidable mortality after fatal injury within a Three-Delays framework in Karonga, Northern Malawi: a retrospective analysis of verbal autopsy data
Understanding the health system utilisation and reasons for avoidable mortality after fatal injury within a Three-Delays framework in Karonga, Northern Malawi: a retrospective analysis of verbal autopsy data Open
Objectives To use verbal autopsy (VA) data to understand health system utilisation and the potential avoidability associated with fatal injury. Then to categorise any evident barriers driving avoidable delays to care within a Three-Delays …
View article: Health system assessment for access to care after injury in low- or middle-income countries: A mixed methods study from Northern Malawi
Health system assessment for access to care after injury in low- or middle-income countries: A mixed methods study from Northern Malawi Open
Background Injuries represent a vast and relatively neglected burden of disease affecting low- and middle-income countries (LMICs). While many health systems underperform in treating injured patients, most assessments have not considered t…
View article: Exploring the global health and defence engagement interface
Exploring the global health and defence engagement interface Open
Militaries have an important and inevitable role in global health and will interface with existing health systems on deployments. While the primary concern of militaries is not global health, there are clear, and increasingly frequent, cir…
View article: Understanding progressive tissue loss and wound burden in combat casualties: lessons learnt for future operational capability
Understanding progressive tissue loss and wound burden in combat casualties: lessons learnt for future operational capability Open
Understanding tissue loss following injury is important due to its prevalence among the war-wounded and the impact it has on subsequent treatment and rehabilitation. Progressive tissue loss is a type of tissue loss that has complicated ext…
View article: A Systematic Review of Live Animal Use as a Simulation Modality (“Live Tissue Training”) in the Emergency Management of Trauma
A Systematic Review of Live Animal Use as a Simulation Modality (“Live Tissue Training”) in the Emergency Management of Trauma Open
Thematic analysis of published literature suggests that there may be educational benefit in the use of live tissue models due to time criticality and bleeding, which creates a real-life event. LTT also invokes an emotional response, and le…
View article: Novel application of multi-facility process map analysis for rapid injury care health system assessment in Northern Malawi
Novel application of multi-facility process map analysis for rapid injury care health system assessment in Northern Malawi Open
Objectives We used the process mapping method and Three Delays framework, to identify and visually represent the relationship between critical actions, decisions and barriers to access to care following injury in the Karonga health system,…
View article: Letter to the Editor: Comments on “There Is No Role for Damage Control Orthopedics Within the Golden Hour”
Letter to the Editor: Comments on “There Is No Role for Damage Control Orthopedics Within the Golden Hour” Open
Comments on "There Is No Role for Damage Control Orthopedics Within the Golden Hour"We enjoyed reading the authors' opinion piece about the delivery of Damage Control Orthopaedics (DCO) in the deployed environment.Their paper synthesizes e…
View article: Intraoperative fluid irrigation for traumatic wounds
Intraoperative fluid irrigation for traumatic wounds Open
This protocol has been withdrawn from publication as progress with the review stalled.
View article: O3: EVALUATION OF A 3D PRINTED BIO-ARTIFICIAL MUSCLE-ORGANOID FOR TRAUMA RESEARCH
O3: EVALUATION OF A 3D PRINTED BIO-ARTIFICIAL MUSCLE-ORGANOID FOR TRAUMA RESEARCH Open
Introduction Organoid models serve as a robust platform for investigating injury and disease in vitro. Currently, representative models of injury are lacking to investigate the effects of traumatic damage to organs and tissues. Here we des…
View article: Predicting the Outcome of Limb Revascularization in Patients With Lower-extremity Arterial Trauma
Predicting the Outcome of Limb Revascularization in Patients With Lower-extremity Arterial Trauma Open
Objectives: Estimating the likely success of limb revascularization in patients with lower-extremity arterial trauma is central to decisions between attempting limb salvage and amputation. However, the projected outcome is often unclear at…
View article: Survival after traumatic brain injury improves with deployment of neurosurgeons: a comparison of US and UK military treatment facilities during the Iraq and Afghanistan conflicts
Survival after traumatic brain injury improves with deployment of neurosurgeons: a comparison of US and UK military treatment facilities during the Iraq and Afghanistan conflicts Open
Introduction Traumatic brain injury (TBI) is the most common cause of death on the modern battlefield. In recent conflicts in Iraq and Afghanistan, the US typically deployed neurosurgeons to medical treatment facilities (MTFs), while the U…
View article: Facial injury management undertaken at US and UK medical treatment facilities during the Iraq and Afghanistan conflicts: a retrospective cohort study
Facial injury management undertaken at US and UK medical treatment facilities during the Iraq and Afghanistan conflicts: a retrospective cohort study Open
Objectives To perform the first direct comparison of the facial injuries sustained and treatment performed at USA and UK deployed medical treatment facilities (MTFs) in support of the military campaigns in Iraq and Afghanistan. Setting The…
Bethune Round Table 2019 Conference on Global SurgeryCauses of delay in the management of surgical conditions at Tamale Teaching Hospital in GhanaBloodless obstetric surgery in University of Calabar Teaching Hospital (UCTH)Innovative strategies to improve the quality of surgical care services in Abim Hospital in UgandaInnovative mobile solutions for ambulances in low-resource settingsCost-effectiveness analysis of cesarean delivery rates and accessCapacity and averted surgical burden in the North Kivu Province of the Democratic Republic of the CongoTrauma and Disaster Team Response course as a means to improve interprofessional care delivery in resource-limited settingsAssessing surgical quality in a low-resource setting with a novel hospital assessment tool: a pilot study in BrazilSingle v. extended antibiotic for prevention of surgical infection in emergent cesarean deliveryImpact of a medical information form on anxiety level of patients before elective surgery in a sub-Saharan African hospitalGlobal health electives: ethical engagement in building global health capacityThe contribution of the University of Cape Town to the training of African surgeonsStrengths, weaknesses, opportunities and threats of the postgraduate surgical training in East, Central and Southern African regions: a survey conducted among COSECSA surgeons and traineesAnesthesiology training in Ethiopia: a cross-sectional study of factors influencing career choice in anesthesiology and the challenges faced during residency training in EthiopiaWhat we’ve learned from sending residents abroad: how to prepare residents for international rotationsFirst Trauma and Disaster Team Response course in Mongolia: creation of low-fidelity simulation modelsThe challenges of surgical ethics in Nigeria: doing a lot without knowing a lotSelf-testing for cervical cancer using minimally invasive ddPCR-based swabs in Kenya: a feasibility and proof-of-concept studyThe burden of and attitude toward female genital mutilation in Enugu State, Nigeria — our women’s perspectiveDomestic violence is an important cause of intentional injury at Mbarara Regional Referral Hospital, UgandaThe high burden of unmet pediatric surgical needs in SomalilandImproving obstetrics care practices in rural areas of Uganda using spatial modellingPrevalence and outcome of chronic malnutrition in pediatric surgical patients at Kigali University Teaching Hospital, RwandaAbdominal trauma outcomes at a tertiary hospital in Soroti, Uganda: a retrospective analysisA systematic review of the global burden of congenital surgical disabling impairmentsClinical and microbiologic profile of chronic osteomyelitis among children in Western UgandaThe contribution of pediatric surgery to poverty trajectories in SomalilandValidation of the “Lusaka formula,” a novel weight-estimation formula in children presenting for surgery in a lower-middle-income country: a prospective, observational studyTrauma registry implementation: understanding trauma in Western KenyaAnalysis of maternal mortality cases in a tertiary teaching hospital in RwandaEthical framework for global humanitarian surgical missionsAn ethical framework for international socioeconomic-development partnerships in surgical innovationCheaper local outreach surgical service in Ghana: patient experience and outcomes of the locally organized Apridec Medical Outreach GroupLaparoscopic cholecystectomy outcomes: a comparison between public community hospitals in South Africa and CanadaIndications for limb amputation in humanitarian surgery: a descriptive study from Médecins Sans FrontièresManagement and outcomes following surgery for gastrointestinal typhoid: an international multicentre prospective cohort studySuccessful academic collaborations in global health: a systematic reviewGenerating Recruiters for randomized triaLs in surgEry (GRANULE): improving quality of research consent through a structured 1-day training courseNeeds assessment of rural providers for the development of a pediatric emergency surgical care course in UgandaATLS protocol adherence is low among Brazilian providers of pediatric trauma careOrthopedic trauma and triage: a retrospective analysis in rural UgandaMesh versus suture repair of primary inguinal hernia in GhanaProvision of surgical care for children across Somaliland: challenges and policy guidanceObstetric admissions to intensive care unit of tertiary hospitals in Rwanda: prevalence and outcomeDeveloping a UK framework for ethical principles in global reconstructive surgeryEmergency obstetric care in the prehospital setting: the SAMU experience in Kigali, RwandaCleft lip and palate procedures in the Democratic Republic of the Congo, 2007–2018: identifying an area of unmet needEvaluation of the impact for practitioners of Canadian Network for International Surgery (CNIS) structured clinical training in Tanga, TanzaniaSpatial analysis of traumatic injuries in Uganda using a hospital-based registryAssessment of postgra Open
# Causes of delay in the management of surgical conditions at Tamale Teaching Hospital in Ghana {#article-title-2} Improving access to surgical services and understanding the barriers to receiving timely care are necessary to save lives. T…
View article: Graft-implanted, enzyme responsive, tacrolimus-eluting hydrogel enables long-term survival of orthotopic porcine limb vascularized composite allografts: A proof of concept study
Graft-implanted, enzyme responsive, tacrolimus-eluting hydrogel enables long-term survival of orthotopic porcine limb vascularized composite allografts: A proof of concept study Open
Graft-implanted TAC-loaded hydrogel delays the onset of Grade IV AR of mismatched porcine forelimb VCA grafts, resulting in long term graft survival and demonstrates dose-dependent tolerability.
View article: Mineral Inclusions in Diamonds from Jagersfontein Mine
Mineral Inclusions in Diamonds from Jagersfontein Mine Open
A total of 33 inclusions have been recovered from 28 diamonds from the now defunct Jagersfontein mine.Despite the small suite of minerals studied, the results are noteworthy because of the high proportion of unusual features exhibited with…
View article: The occurrence of moissanite and ferro-periclase as inclusions in diamond
The occurrence of moissanite and ferro-periclase as inclusions in diamond Open
Moissanite (SiG) has been reported from a wide variety of geological environments, including a number Soviet kimberlites (e.g.Marshintsev et al., 1984).However, the validity of the numerous documentations of "natural" SiC have been serious…
View article: Regenerative medicine and war: a front-line focus for UK defence
Regenerative medicine and war: a front-line focus for UK defence Open
The recent prolonged conflicts in Iraq and Afghanistan saw the advancement of deployed trauma care to a point never before seen in war. The rapid translation of lessons from combat casualty care research, facilitated by an appetite for ris…
View article: Trauma Hemostasis and Oxygenation Research Network position paper on the role of hypotensive resuscitation as part of remote damage control resuscitation
Trauma Hemostasis and Oxygenation Research Network position paper on the role of hypotensive resuscitation as part of remote damage control resuscitation Open
The Trauma Hemostasis and Oxygenation Research (THOR) Network has developed a consensus statement on the role of permissive hypotension in remote damage control resuscitation (RDCR). A summary of the evidence on permissive hypotension foll…
View article: Skill sets required for the management of military head, face and neck trauma: a multidisciplinary consensus statement
Skill sets required for the management of military head, face and neck trauma: a multidisciplinary consensus statement Open
Introduction The evolution of medical practice is resulting in increasing subspecialisation, with head, face and neck (HFN) trauma in a civilian environment usually managed by a combination of surgical specialties working as a team. Howeve…
View article: Systematic review of the use of endo-luminal topical negative pressure in oesophageal leaks and perforations
Systematic review of the use of endo-luminal topical negative pressure in oesophageal leaks and perforations Open
Topical negative pressure is widely used in the management of superficial wounds. The use of this technology in the management of oesophageal perforations is becoming increasingly common. This systematic review aims to capture available ev…
View article: ATMS-Oral Papers
ATMS-Oral Papers Open
Aims: A Trauma damage control laparotomy (DCL) entails immediate control of haemorrhage and contamination, laparostomy and physiological stabilisation, then completion of surgery and early primary closure (EPC).Failing early primary closur…