David Clark

Clinical Research Fellow in Global Neurotrauma at @CUH_NHS. Co-PI GNOS study. PI Lusaka Urban TBI Epidemiology Study (LUTE). Views my own.

[David Clark @djcsd]

Frances Mwila summarising some of the key deficiencies in rehab care for TBI typical in low resource settings. #globalneurotrauma

[David Clark @djcsd]

Francis Mwila, Chief Physiotherapist at UTH Lusaka, giving an excellent overview of physio for TBI in Lusaka. #globalneurotrauma

[David Clark @djcsd]

Interesting discussion with general surgeons from every province in Zambia speaking on exploratory burr holes for TBI in their hospitals when CT is unavailable - extremely prevalent practise. #globalneurotrauma #globalneurosurgery

[David Clark @djcsd]

#globalneurotrauma #globalsurgery

[David Clark @djcsd]

Emmanuel Makasa presenting on the NSOASP in Zambia at the first national neurotrauma course in Lusaka

[David Clark @djcsd]

Karol Budohoski from Cambridge talking on the acute management of the TBI. #globalsurgery #globalneurotrauma

[David Clark @djcsd]

Emergency Response Zambia (with Craig Oranmore-Brown) demonstrating the prehospital management of TBI at the first national neurotrauma course in Lusaka! #globalsurgery #globalneurotrauma

[David Clark @djcsd]

Emmanuel Makasa presenting on the NSOASP in Zambia at the first national neurotrauma course in Lusaka

[David Clark @djcsd]

@ag_kolias They were indeed! Very grateful for the interest and support from @heyneurosurgeon.

[David Clark @djcsd]

@WorldNeurosurg @FaithCRobertson @global_neuro @ag_kolias @WFNSHQ @realbrainbook @GlobalNeuroSurg @AlexAlamri @SpineTharin @StudentSurgNet To help centres with this process, the full study protocol and an example participant information sheet and consent form (if needed) can be found at https://t.co/DQ8KeHxr1V, as well as the UK ethical waiver.

[David Clark @djcsd]

@WorldNeurosurg @FaithCRobertson @global_neuro @ag_kolias @WFNSHQ @realbrainbook @GlobalNeuroSurg @AlexAlamri @SpineTharin @StudentSurgNet As we are only collecting anonymised, routine clinical data and the study involves no changes to routine clinical care, the study may not need formal ethical approval but as @FaithCRobertson says institutions should check their local policy.

[Faith Robertson MD PhD MBA @FaithCRobertson]

@WorldNeurosurg @global_neuro @ag_kolias @WFNSHQ @realbrainbook @djcsd @GlobalNeuroSurg @AlexAlamri @SpineTharin @StudentSurgNet Researchers should contact their local institution to see whether this project is considered research, audit or service evaluation & obtain appropriate approval. For those who approve #gnos as an #audit we have a UK ethical waiver

#WorldNeurosurgeryWithAliyu #globalneurosurgery

[David Clark @djcsd]

@WorldNeurosurg @FaithCRobertson @global_neuro @ag_kolias @realbrainbook @AlexAlamri @SpineTharin @GlobalNeuroSurg @WFNSHQ @StudentSurgNet Participation in #GNOS involves forming a local team of 2 to 4 people, obtaining local approvals and selecting a 30 day study period between 1st October 2018 and 1st April 2019.

[David Clark @djcsd]

@WorldNeurosurg @FaithCRobertson @global_neuro @ag_kolias @realbrainbook @AlexAlamri @SpineTharin @GlobalNeuroSurg @WFNSHQ @StudentSurgNet Thanks again, @AliyuNdajiwo. Prospective participants can sign up to https://t.co/xLHe2kRgNz #GNOS at https://t.co/eaZoZvVCkr or https://t.co/xLHe2kRgNz.

[David Clark @djcsd]

@WorldNeurosurg @realbrainbook @global_neuro @GlobalNeuroSurg @FaithCRobertson @WFNSHQ @AlexAlamri @ag_kolias @SpineTharin @AliyuNdajiwo We are particularly looking for involvement of centres in LMICs in #GNOS, where the burden of disease from #TBI is greatest.

[David Clark @djcsd]

@WorldNeurosurg @realbrainbook @global_neuro @GlobalNeuroSurg @FaithCRobertson @WFNSHQ @AlexAlamri @ag_kolias @SpineTharin @AliyuNdajiwo ANY hospital performing emergency surgery for #TBI can participate in #GNOS. Surgeons, physicians, anaesthetists, intensivists and other healthcare professionals can also participate. Participation by trainees and students is strongly welcomed.

[David Clark @djcsd]

@FaithCRobertson @WorldNeurosurg @global_neuro @AlexAlamri @ag_kolias @realbrainbook @gsurgstudents @SpineTharin @GlobalNeuroSurg @2018Caans @keepark @BWHCNOC Trauma accounts for about 10% of all deaths globally annually and up to 50% of these are due to #TBI. Moreover, 90% of deaths due to trauma occur in LMICs yet reported outcomes following #TBI are worse in many LMICs - the reasons for this remain unclear.

[Faith Robertson MD PhD MBA @FaithCRobertson]

@djcsd @WorldNeurosurg @global_neuro @ag_kolias @realbrainbook @AliyuNdajiwo @AlexAlamri @SpineTharin Exactly @djcsd. Since #TBI accounts for a significant amount of death & disability worldwide, the #GNOS study will help us better understand how patients do after such injuries. This can inform future planning for healthcare resources and #treatment

#worldneurosurgerywithAliyu

[David Clark @djcsd]

@WorldNeurosurg @global_neuro @ag_kolias @FaithCRobertson @realbrainbook @AliyuNdajiwo @AlexAlamri @SpineTharin Any unit performing emergency surgery for #TBI worldwide can participate in #GNOS. Participation from those in LMICs as well as trainees and medical students is highly encouraged.

[David Clark @djcsd]

@WorldNeurosurg @global_neuro @ag_kolias @FaithCRobertson @realbrainbook @AliyuNdajiwo @AlexAlamri @SpineTharin Thanks, @AliyuNdajiwo. The Global Neurotrauma Outcomes Study is a prospective, multi-centre, international cohort study of outcomes following emergency surgery for traumatic brain injury run by the @global_neuro.

[David Clark @djcsd]

@_pvijo @global_neuro @WFNSHQ @GlobalNeuroOrg @EANSonline @CambGHP @GlobalNeuroSurg @drwaltjohnson @CenterTBI @The_SBNS @youngCAANS @realbrainbook Hey Pablo, sign up here: https://t.co/xLHe2kRgNz. Looking forward to having you on board!