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  1. A case of missed blunt traumatic aortic injury (BTAI)
    Nik Azlan NM, Rossman H
    Med J Malaysia, 2017 06;72(3):193-194.
    PMID: 28733569 MyJurnal
    We are reporting a case of missed blunt traumatic aortic injury (BTAI). A 28 year male presented with chest pain following a motor vehicle accident. He was discharged following normal clinical signs and chest radiograph. The following day he complained of lower limb weakness. Traumatic aortic dissection was revealed via computer tomography (CT) of the thorax. BTAI cannot be ruled out with normal clinical signs and chest radiograph alone. CT thorax is mandatory to rule out BTAI in high impact chest injury.
  2. Evaluation of door to operation theatre time following activation of trauma team
    Nik Azlan NM, Ong SF
    Med J Malaysia, 2019 04;74(2):116-120.
    PMID: 31079121
    INTRODUCTION: This study evaluates factors that influence door to operation theatre (OT) time in a tertiary referral centre following activation of trauma team. Specific factors observed in this study were association of the injury severity score (ISS), activation of trauma team and the number of referred specialty to door to operation theatre time.

    METHODS: Retrospective chart review that evaluates all trauma patients which required immediate operative intervention from January 2011 to December 2015. Trauma patients were selected from the resuscitation log book and data were collected by chart review of selected patients.

    RESULTS: Only 5 out of 279 patients (1.8%) achieved optimal door to OT time. (<60 minutes) Mean door to OT time was 299.27 minutes (95% CI: 280.52, 318.52). Trauma team activation has shown significant improvement in door to OT time (p=0.047). Time of multiple team referrals (p=0.023) and time of operative decision (p<0.001) both had significant impact on door to OT time. Other factors included were demographics, ISS score, Glasgow Coma Scale (GCS), mechanism of injury and systolic blood pressure on arrival all which showed no significance.

    CONCLUSION: Trauma team activation in a tertiary centre improved trauma care by reducing door to OT time to less than 60 minutes. Implementation of an effective trauma team activation system in all hospitals throughout Malaysia is recommended.

  3. Fulltext Asscociation of Risk Factors and Its Bleeding Complication for Tenecteplase Administered in Acute Myocardial Infarction (AMI)
    Nik Azlan NM, Mohamad Shazwan A, Nurul Amirah M, Ting SL, Ong TS
    Med J Malaysia, 2013 Oct;68(5):381-3.
    PMID: 24632865 MyJurnal
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