Research Studies

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    A phase IV real world study on the use of low dose methoxyflurane (PENTHROX) for the treatment of moderate to severe trauma pain in the Canadian Emergency Department. 2019 - Active
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Thomas A, Chiasson D, Weimer H, DeMone CE.
  • Site: Halifax Infirmary
  • Are topical anesthestics safe and effective for short-term pain relief when prescribed from the Emergency Department for corneal abrasions? 2019 - Active
  • Co Investigator(s): Dalziel S.
  • Site: Halifax Infirmary
  • Does magnesium effectively treat acute migraine pain in the Emergency Department when compared to metoclopramide? 2019 - Active
  • Co Investigator(s): Gaidhu M.
  • Site: Halifax Infirmary
  • Does the use of steroids as an adjunct to the treatment of adults with septic shock improve mortality? 2019 - Active
  • Co Investigator(s): Lukanovic D.
  • Site: Halifax Infirmary
  • In patients with gross hematuria does the use of tranexamic acid (TXA) improve outcomes? 2019 - Active
  • Co Investigator(s): Dahn T.
  • Site: Halifax Infirmary
  • Influence of underlying palliative diagnosis on paramedic decision to treat in place versus transport. 2019 - Active
  • Co Investigator(s): Hiob J, Carter A.
  • Site: Halifax Infirmary
  • Is topical capsaicin cream effective in the treatment of cannabinoid hyperemesis syndrome (CHS) in the Emergency Department? 2019 - Active
  • Co Investigator(s): Foley S.
  • Site: Halifax Infirmary
  • National Study of Drug Impaired Driving in Canada. 2019 - Active
  • Principal Investigator(s): Clarke DB.
  • Co Investigator(s): Asbridge M, Vaillancourt C, Erdelyi S, Daoust R, Chan H, Mann RE, Magee K, Lee J, Emond M, Davis PJ, Mercier E.
  • Site: Halifax Infirmary
  • Reduction of anterior shoulder dislocation facilitated by inhaled low dose methoxyflurane - A pilot study. 2019 - Active
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Froese P, Carrier C, Thomas A, Hico P, Teed S, Belliveau J.
  • Site: Halifax Infirmary
  • The Epidemiology of Opioid Related Overdoses in a Provincial Prehospital Emergency Health Services System of Care: A Descriptive Study. 2019 - Active
  • Co Investigator(s): Eggink K, Travers A.
  • Site: Halifax Infirmary
  • Adherence to Canadian Cardiovascular Society Guidelines for Prescribing Oral Anticoagulants to Patients with Atrial Fibrillation in the Emergency Department - RIM Project. 2018 - Active
  • Principal Investigator(s): Campbell SG, Hung D.
  • Co Investigator(s): Sowers N, Butler M.
  • Site: Halifax Infirmary
  • Cadaver as practice: An ethnography. 2018 - Active
  • Principal Investigator(s): MacLeod A.
  • Co Investigator(s): Cameron P, Kits O, Kovacs G, Patrick L, Tummons J.
  • Site: Halifax Infirmary
  • CT Head Rule Adherence in the Emergency Department. 2018 - Active
  • Principal Investigator(s): LeBlanc C.
  • Co Investigator(s): Campbell SG, Sampalli A, Kang J.
  • Site: Halifax Infirmary
  • Does co-administrtaion of probiotics reduce the incidenece of C. Difficile diarrhea in adults prescribed antibiotics? 2018 - Closed
  • Co Investigator(s): LeClerc M.
  • Site: Halifax Infirmary
  • Emergency Department Adherence to Recent Transfusion Guidelines - RIM Project. 2018 - Active
  • Principal Investigator(s): Williams C.
  • Co Investigator(s): LeBlanc C.
  • Site: Halifax Infirmary
  • End of Life Care in the Emergency Department - Family Perspectives. 2018 - Active
  • Principal Investigator(s): Dahn T.
  • Co Investigator(s): Burge FI, Nason A, Kelly N, Crooks C, Marshall E, Lawson BJ, Dahn H.
  • Site: Halifax Infirmary
  • Hospital to Home (H2H): Supporting the transition from hospital to home for odler adults. 2018 - Active
  • Principal Investigator(s): Weeks L.
  • Co Investigator(s): Kelly N, Storey-MacDougall E, Stevens S, Bonnell J, Macdonald M, Gibson R, Warner G, Martin-Misener R, Barber B, Moody E.
  • Site: Halifax Infirmary
  • Optimizing antimicrobial stewardship interventions to improve management of urinary tract infections in hospitalized adults. 2018 - Active
  • Principal Investigator(s): Black E.
  • Co Investigator(s): Kent A, Coulson K, LeBlanc C, Murphy V, Zhang Y, Campbell SG, Sommers R, Johnston B, Helwig M, Kits O, Abbass K, Bonnar P, Neville H, Sketris I.
  • Site: Halifax Infirmary
  • The impacts of diagnostic imaging on Emergency Department management of low back pain. 2018 - Closed
  • Co Investigator(s): Leighton P.
  • Site: Halifax Infirmary
  • Variation in the triage CTAS score frequencies between paramedic and nursing triage staff in a Emergency Department. - RIM Project. 2018 - Active
  • Principal Investigator(s): Kovacs M.
  • Co Investigator(s): Campbell SG.
  • Site: Halifax Infirmary
  • What is the best diagnostic imaging test for suspected first presentation of nephrolothiasis in the Emergency Department: Computed tomography, ultrasound , x-ray, or MRI? 2018 - Closed
  • Co Investigator(s): Maher E.
  • Site: Halifax Infirmary
  • "Red Flags" in identifying serious sinal pathology in low back pain in the Emergency Department: A case-control study. RIM Project. 2017 - Active
  • Principal Investigator(s): Kiberd J.
  • Co Investigator(s): Magee K, Hayden JA.
  • Site: Halifax Infirmary
  • Interdisciplinary Attitudes Surrounding the Absolute Value of In-Situ Simulation in the Emergency Department. 2017 - Active
  • Principal Investigator(s): Cox C.
  • Co Investigator(s): Sowers N.
  • Site: Halifax Infirmary
  • Patient specific reasons for attending the Emergency Department in the setting of a background history of atrial fibrillation (AF ED Study). 2017 - Active
  • Principal Investigator(s): Magee K.
  • Co Investigator(s): Thomas A, McNally G, Eisner M.
  • Site: Halifax Infirmary
  • Potential candidates for Emergency Department initiated extracorporeal cardiopulmonary resuscitation (ECPR) in a Canadian institution. 2017 - Active
  • Co Investigator(s): Kovacs G, Travers A, Goldstein J, Carter A, Gould J, Swain J.
  • Site: Halifax Infirmary
  • Reducing inappropriate diagnostic imaging for low back pain in the QEII Emergency Department. 2017 - Active
  • Principal Investigator(s): Hayden JA.
  • Co Investigator(s): Magee K, Campbell SG, Barnes D, Delaney S, Slipp P, Smith A, Ogilvie R, Stewart S.
  • Site: Halifax Infirmary
  • The impact of provider characteristics on the management decisions in patients presenting to the Emergency Department with nonspecific low back pain. RIM Project. 2017 - Active
  • Principal Investigator(s): Arda S.
  • Co Investigator(s): Campbell SG, Hayden JA.
  • Site: Halifax Infirmary
  • There is nothing more deceptive than an obvious fact: Investigating the effect of promoting awareness of cognitive bias in the Emergency Department. 2017 - Active
  • Co Investigator(s): Wade L, LeBlanc C.
  • Site: Halifax Infirmary
  • Understanding the characteristics of the oldest, Old (85+) patients in the Emergency Department setting: A retrospective Cross-Sectional Study. 2017 - Active
  • Principal Investigator(s): Roda N.
  • Co Investigator(s): Ackroyd-Stolarz S.
  • Site: Halifax Infirmary
  • Willingness and Ability to Respond during Disasters: High Acuity Care vs In-Patient Care Personnel in Halifax, Nova Scotia. 2017 - Closed
  • Co Investigator(s): Armstrong J, Jarvis C, Hubloue I.
  • Site: Halifax Infirmary
  • Complications of peripheral vasopressor use in the pediatric population: A systematic review. 2016 - Active
  • Co Investigator(s): Sadoway R, Loubani O.
  • Site: Halifax Infirmary
  • Critical Care Transport On-Scene time in Nova Scotia: Establishing a benchmark and identifying key factors. 2016 - Active
  • Co Investigator(s): Kovacs G, Flemming H, Goldstein J, Fidgen D, Armstrong J, Stoica G.
  • Site: Halifax Infirmary
  • Current management practices for patients presenting with low back pain to a large emergency department in Canada. RIM Project. 2016 - Active
  • Principal Investigator(s): Nunn M.
  • Co Investigator(s): Magee K, Hayden JA.
  • Site: Halifax Infirmary
  • Emergency Department management pf patients with food and insect sting allergies: the 38th multicentre airway research collaboration (MARC-38) study. 2016 - Closed
  • Principal Investigator(s): Magee K.
  • Co Investigator(s): Greene J.
  • Site: Halifax Infirmary
  • Impact of the Simulation Leadership Instructors Course (SLIC): Knowledge Acquisition and Retention and Application of Skills. 2016 - Active
  • Principal Investigator(s): Greene J, Gardner K.
  • Co Investigator(s): Miller S.
  • Site: Halifax Infirmary
  • Investigation in inter-hospital variability in laboratory test ordering frequency in HRM. 2016 - Active
  • Principal Investigator(s): Delaney L.
  • Co Investigator(s): Campbell SG, Curran J.
  • Site: Halifax Infirmary
  • Non-steroidal anti-inflammatory drugs in the treatment of low back pain in the Emergency Department. RIM Project. 2016 - Active
  • Principal Investigator(s): Archibald D.
  • Co Investigator(s): Magee K, MacDonald N, Bortolussi B.
  • Site: Halifax Infirmary
  • Overview of Cochrane Reviews: Relevant treatments for management of low back pain in the Emergency Department. RIM Project. 2016 - Active
  • Principal Investigator(s): Bergusson B.
  • Co Investigator(s): Hayden JA, Magee K, Medard R.
  • Site: Halifax Infirmary
  • Patterns of use and wait times for homeless and housed patients in the Emergency Department. RIM Project. 2016 - Active
  • Principal Investigator(s): Boyle R.
  • Co Investigator(s): Campbell SG.
  • Site: Halifax Infirmary
  • Prospective study of patients who present to the Emergency Department with low back pain. 2016 - Active
  • Co Investigator(s): Magee K, Hayden JA, Jang-Stewart, Smith A, Ogilvie R, Kiberd J.
  • Site: Halifax Infirmary
  • Safety of Emergency Department procedural sedation in elderly patients. 2016 - Active
  • Co Investigator(s): Watson M, Harris A.
  • Site: Halifax Infirmary
  • The development and evaluation of a simulation based trauma education program for clerkship medical students. 2016 - Active
  • Co Investigator(s): Patrick L, Lackie K, Miller S.
  • Site: Halifax Infirmary
  • The Role of Critical Care Paramedics in the Emergency Department. RIM Project. 2016 - Closed
  • Principal Investigator(s): Clarke B.
  • Co Investigator(s): Campbell SG, Mann K, Froese P.
  • Site: Halifax Infirmary
  • Tissue and organ donation from poisoned patients in the emergency department and critical care. RIM Project. 2016 - Active
  • Principal Investigator(s): Staple L.
  • Co Investigator(s): LeBlanc C.
  • Site: Halifax Infirmary
  • A qualitative study of why low back pain patients visit the Emergency Department. 2015 - Active
  • Principal Investigator(s): Stathakis A.
  • Co Investigator(s): Magee K, MacDonald N, Bortolussi B.
  • Site: Halifax Infirmary
  • An uncommon approach to a common problem: Examining the prevalence and management of low back pain in the Emergency Department. 2015 - Active
  • Principal Investigator(s): Hayden JA.
  • Co Investigator(s): Magee K, Nunn M, Ogilvie R, Leighton P.
  • Site: Halifax Infirmary
  • An uncommon approach to a common problem: Why do low back pain patients present to the Emergency Department? 2015 - Active
  • Principal Investigator(s): Hayden JA.
  • Co Investigator(s): Magee K, Kitts O, Smith A, Ogilvie R, Stathakis A.
  • Site: Halifax Infirmary
  • Are patient demographics predictive of what tests will be ordered for them in Emergency Department in Halifax, NS? RIM Project. 2015 - Active
  • Principal Investigator(s): Morgan A.
  • Co Investigator(s): Campbell SG, Weerasinghe S.
  • Site: Halifax Infirmary
  • Comparing the atomic realism and response to airway maneuvers of selected airway manikins and clinical grade cadavers. 2015 - Active
  • Principal Investigator(s): Kovacs G.
  • Co Investigator(s): LeRoux Y.
  • Site: Halifax Infirmary
  • FLO on Flow: Front Line Ownership of Emergency Department, Hospital, and Health System Patient Flow - A Novel Approach to ED Overcrowding. 2015 - Active
  • Principal Investigator(s): Petrie DA.
  • Co Investigator(s): Ackroyd-Stolarz S, Mumford K, Comber S.
  • Site: Halifax Infirmary
  • HaliVax PIIE: Pharmacy Initiated Immunizations in the Emergency Department. 2015 - Closed
  • Co Investigator(s): Flemming H, Fry A, Fong K, Campbell SG, Van Zoost C.
  • Site: Halifax Infirmary
  • Pediatric ambulance patient transfer rates: A retrospective observational study. 2015 - Active
  • Co Investigator(s): Hurley K, Goldstein J, Carter A, LeRoux Y, DeMone CE, Cook J.
  • Site: Halifax Infirmary
  • Procedural sedation by advanced care paramedics for emergency gastrointestinal endoscopy. 2015 - Closed
  • Co Investigator(s): Wiemer H, Campbell SG, Froese P, Murray J, Jones J, Farina D, Butler M.
  • Site: Halifax Infirmary
  • SHoC-ED1: Sonography in Hypotension and Cardiac Arrest in the Emergency Department 1. 2015 - Closed
  • Principal Investigator(s): Henneberry R.
  • Co Investigator(s): Jarvis C, MacDonald S.
  • Site: Halifax Infirmary
  • The role of point of care ultrasound use in undifferentiated shock: A systematic review. 2015 - Active
  • Co Investigator(s): Richardson L, Atkinson P, Loubani O.
  • Site: Halifax Infirmary
  • A Description of Geriatric Content in Canadian Royal College Emergency Medicine Curricula. 2014 - Active
  • Principal Investigator(s): Johnston T.
  • Co Investigator(s): Ackroyd-Stolarz S, Miller S.
  • Site: Halifax Infirmary
  • An Observational Study assessing the management of gastrointestinal and urogenital bleeding events in patients with nonvalvular atrial fibrillation treated with dabigatran etexilate. 2014 - Closed
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Gorveatt J.
  • Site: Halifax Infirmary
  • Care and Respect of Elders in Emergencies (CARE) Program. 2014 - Active
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Janes SE, Kelly N, MacWilliams K, Naugler D, Kitts O, Campbell A, Crosbie C.
  • Site: Halifax Infirmary
  • Diagnosis and emergency department crowding in patients admitted to the internal medicine service. 2014 - Closed
  • Co Investigator(s): Ackroyd-Stolarz S, Tran A, Haroon B, Thompson K.
  • Site: Halifax Infirmary
  • Management of low back pain in the Capital Health Emergency Department. 2014 - Active
  • Principal Investigator(s): Hayden JA.
  • Co Investigator(s): Magee K, Campbell SG.
  • Site: Halifax Infirmary
  • Organ and Tissue Donations of Brain-Dead Poisoned Patients - A Canadian Perspective. 2014 - Active
  • Principal Investigator(s): LeBlanc C.
  • Site: Halifax Infirmary
  • Portable Sound Amplifiers in the ED for Hearing Impaired Patients. 2014 - Closed
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Fry A, Kelly N.
  • Site: Halifax Infirmary
  • Preparing Emergency Patients and Providers. 2014 - Active
  • Principal Investigator(s): Curran J, Chiasson D.
  • Co Investigator(s): Petrie DA, Parkash R, Cassidy C, Bergeron B, MacPhee S, Janes SE, Boliver D, Fitzpatrick EA, Clory M, Murphy A, Ritchie K.
  • Site: Halifax Infirmary
  • The Use of Machine Learning Algorithms to Aid in Clinical Diagnosis. 2014 - Closed
  • Principal Investigator(s): Butler M.
  • Co Investigator(s): Carter A.
  • Site: Halifax Infirmary
  • The Use of Return Visit Reports as Patient Outcome Feedback for Emergency Physicians. 2014 - Active
  • Principal Investigator(s): Gupta R.
  • Co Investigator(s): Campbell SG, Seimens I.
  • Site: Halifax Infirmary
  • Virtual Dementia Tour for geriatric simulation. 2014 - Closed
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Miller S.
  • Site: Halifax Infirmary
  • A Phase III, Randomized, Double-Blind, Placebo-Controlled, Multicenter Clinical Study Evaluating the Safety and Efficacy of Icatibant as a Treatment for Angiotensin-Converting Enzyme Inhibitor (ACE-I)-Induced Angioedema in Adults. 2013 - Closed
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Chiasson D.
  • Site: Halifax Infirmary
  • Comparing novice, junior and expert leadership behaviors in simulated resuscitation scenarios using eye-tracking technology. 2013 - Closed
  • Principal Investigator(s): LeRoux Y.
  • Co Investigator(s): Wall BF, Petrie DA.
  • Site: Halifax Infirmary
  • Detection and Reduction of Pressure Ulcers in Hospitalized Patients. 2013 - Closed
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Gaulton C, Moffat S, Fox N.
  • Site: Halifax Infirmary
  • Emergency Department Utilization by Older Adults: A Descriptive Study. 2013 - Closed
  • Principal Investigator(s): Latham L.
  • Co Investigator(s): Ackroyd-Stolarz S.
  • Site: Halifax Infirmary
  • Identifying Adverse Events Using Administrative Data: A Pilot Project. 2013 - Closed
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Murray M, MacKinnon N, Boliver D, Hiltz MA.
  • Site: Halifax Infirmary
  • Miscarriages in the Emergency Department: A Phenomenological Analysis. 2013 - Closed
  • Principal Investigator(s): MacWilliams K.
  • Co Investigator(s): Field S.
  • Site: Halifax Infirmary
  • Old and New Curricula: Comparison of Moral Development at Program Completion. 2013 - Active
  • Principal Investigator(s): LeBlanc C.
  • Site: Halifax Infirmary
  • Assessment of Extremity Injuries by Advanced Care Paramedics to Determine the Need for Diagnostic Imaging. 2012 - Closed
  • Principal Investigator(s): Froese P.
  • Co Investigator(s): Magee K, Campbell SG, MacKinley R.
  • Site: Halifax Infirmary
  • Assessment of the Burden of Dental Disease in a Network of Canadian Emergency Departments. 2012 - Closed
  • Principal Investigator(s): Murphy L.
  • Co Investigator(s): MacDonald S, Lee C.
  • Site: Halifax Infirmary
  • Blade Tip Location to Facilitate Endotracheal Intubation Using the King Vision Video Laryngoscope: A randomized trial using mannequins and lightly embalmed cadavers. 2012 - Closed
  • Principal Investigator(s): Meyer T.
  • Co Investigator(s): Kovacs G, Law AJ, Froese P.
  • Site: Halifax Infirmary
  • Can we safely reduce Diagnostic tests in patients presenting to the Emergency Department with Chest Pain? 2012 - Closed
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Magee K, Field S.
  • Site: Halifax Infirmary
  • Comparison of the King Vision Video Laryngoscope with the Macintosh Laryngoscope in Normal and Difficult Airway Simulations. 2012 - Closed
  • Principal Investigator(s): Murphy L.
  • Co Investigator(s): Kovacs G, Reardon P.
  • Site: Halifax Infirmary
  • Does PSA for Cardioversion in the ED differ from that performed for other reasons? 2012 - Closed
  • Principal Investigator(s): Campbell SG.
  • Co Investigator(s): Magee K, Kovacs G, Watson M, MacKinley R, Butler M.
  • Site: Halifax Infirmary
  • Improving the Experience of Care for Seniors in the Emergency Department. 2012 - Closed
  • Principal Investigator(s): Kelly N.
  • Co Investigator(s): Ackroyd-Stolarz S, Murphy N.
  • Site: Halifax Infirmary
  • The Use of Capnography in Emergency Department Procedural Sedation and Analgesia: A Systematic Review. 2012 - Closed
  • Principal Investigator(s): Wall BF.
  • Co Investigator(s): Magee K.
  • Site: Halifax Infirmary
  • Validation of Simulation-Based Assessment Methodology for Evaluating Resuscitation Skills in Emergency Medicine Postgraduate Trainees. 2012 - Closed
  • Principal Investigator(s): Ross J.
  • Co Investigator(s): McRae A, Woolfrey K, Davison C, McNeil G, Moore S, Hall A, Hicks C, Dagnone J.
  • Site: Halifax Infirmary
  • Education on Adverse Event Disclosure in Canadian Undergraduate and Postgraduate Medical Curricula. 2011 - Closed
  • Co Investigator(s): Ackroyd-Stolarz S, Ross E.
  • Site: Halifax Infirmary
  • Emergency Department Surges: Does Crowding Impact Decision Making and Clinical Outcomes. 2011 - Closed
  • Principal Investigator(s): Miller S.
  • Co Investigator(s): Szabo J.
  • Site: Halifax Infirmary
  • National Inventory of Organ and Tissue Donation in Poisoned Patients. 2011 - Active
  • Principal Investigator(s): Dixon A.
  • Co Investigator(s): LeBlanc C, MacIntyre J, Murphy N.
  • Site: Halifax Infirmary
  • The Care Imperative: Improving Patient Safety in an Aging Population. 2011 - Active
  • Principal Investigator(s): Ackroyd-Stolarz S.
  • Co Investigator(s): Gaulton C, Bowles S, Giffin L.
  • Site: Halifax Infirmary
  • Acute Research Unit: Innovation in Clinical Trial Research. 2010 - Closed
  • Principal Investigator(s): Campbell SG, Ackroyd-Stolarz S.
  • Co Investigator(s): Cain E, Anderson D, Murphy N, Underwood L.
  • Site: Halifax Infirmary
  • Barriers to the provision of effective feedback in teaching clinical medicine: What are they? 2010 - Closed
  • Principal Investigator(s): LeBlanc C.
  • Site: Halifax Infirmary
  • Communication in the emergency department: the physician and patient perspectives. 2010 - Closed
  • Principal Investigator(s): LeBlanc C.
  • Co Investigator(s): Dixon A.
  • Site: Halifax Infirmary
  • Current Management of Pharyngitis in the Emergency Department: A Retrospective Multi-center Observational Study. 2010 - Closed
  • Principal Investigator(s): MacDonald S.
  • Co Investigator(s): Nason A, Dong A, McIsaac W, Smith D, Gillis J.
  • Site: Halifax Infirmary
  • Development of a Clinical Grade Cadaver Program : A new patient safety standard for research and education allowing the study of clinically invasive procedures. 2010 - Closed
  • Principal Investigator(s): Kovacs G.
  • Co Investigator(s): Law AJ, Leslie R.
  • Site: Halifax Infirmary
  • Harm Reduction within mainstream services: What are the challenges and opportunities to reducing the harms for people who use illicit drugs? 2010 - Closed
  • Principal Investigator(s): Jackson L.
  • Co Investigator(s): Campbell SG, Gahagan J, Karabanow J, Fraser J, Dykeman M, Jahn C.
  • Site: Halifax Infirmary
  • Pain, Opioids and the Competence to Consent Revisited. 2010 - Active
  • Principal Investigator(s): Watson M.
  • Co Investigator(s): Martin D.
  • Site: Halifax Infirmary
  • Understanding and improving residents' feedback-seeking activities: Faculty and residents' perception. 2010 - Closed
  • Principal Investigator(s): Holland J.
  • Co Investigator(s): Miller S, Ledingham D, Delva D, LeBlanc C, Power M, Alexiadis Brown P, Sargeant J, Mann K, Cervin C.
  • Site: Halifax Infirmary