Implementation of the Canadian syncope pathway: a pilot non-randomized stepped wedge trial.

Background: We developed the Canadian Syncope Pathway (CSP) based on the Canadian Syncope Risk Score (CSRS) to aid emergency department (ED) syncope management. This pilot implementation study assessed patient inclusion, length of transition period, as well as process measures (engagement, reach, adoption, and fidelity) to prepare for multicenter implementation.

Methods: A non-randomized stepped wedge trial at two hospitals was conducted over a 7-month period.

Dedicated orthopedic trauma theatres: effect on morbidity and mortality in a single trauma centre.

Background: A general trend in orthopedic traumatology is the advent of daily, dedicated orthopedic trauma theatres. Availability of trauma theatres is believed to decrease morbidity and mortality, but this remains unproven. We performed a retrospective review comparing morbidity and mortality outcomes at a single institution before and after the establishment of a dedicated trauma room.