AcademyHealth's Delivery System Science Fellowship: Training Embedded Researchers to Design, Implement, and Evaluate New Models of Care.

AcademyHealth's Delivery System Science Fellowship (DSSF) provides a paid postdoctoral pragmatic learning experience to build capacity within learning healthcare systems to conduct research in applied settings. The fellowship provides hands-on training and professional leadership opportunities for researchers. Since its inception in 2012, the program has grown rapidly, with 16 health systems participating in the DSSF to date.

Case report: transfusion-related acute lung injury (TRALI) - a clear and present danger.

Purpose: To describe a case of transfusion-related acute lung injury (TRALI) after platelet transfusion immediately following cardiac surgery, and to review the clinical features, pathophysiology, management, and morbidity and mortality associated with such an event.

Clinical Features: A 62-yr-old man was transferred to our centre for urgent coronary artery bypass grafting in the setting of recent anti-platelet medication use. Soon after surgery he received platelet transfusions despite having only moderate blood loss.

Postpartum rupture of an intracranial aneurysm.

Background: The relative risk of intracerebral hemorrhage during pregnancy and 6 weeks postpartum is higher than that of the nongravid population.

Case: A 37-year-old multiparous, previously healthy woman appeared to have had a seizure on emergence from general anesthesia for cesarean delivery. Subsequent neuro-imaging revealed a giant unruptured internal carotid artery aneurysm.