Regional Municipality of Niagara

Redesigning 9-1-1 Paramedic Pathways: Evaluation of the IMPACC Model of Care

OBJECTIVES Paramedic services remain organized around rapid response, time-sensitive events, and hospital conveyance despite increasing 9-1-1 use for lower-acuity and undifferentiated presentations. There is a need to improve the alignment of paramedic services for patients seeki...

Beyond the Bone Marrow: Aortic Inflammation in Waldenström’s Macroglobulinemia

Background Peri-aortitis is defined by inflammation of the adventitia layer of the aortic wall that can extend into the connective tissue surrounding the aorta. Primary peri-aortitis refers to IgG4-related or primary inflammatory diseases, whereas secondary causes can be non-infl...