Carlos Lam

Carlos Lam
Wan Fang Hospital-Taipei Medical University · Department of Critical and Emergency Medicine

Doctor of Medicine, PhD. ( Public Health)

About

29
Publications
1,200
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151
Citations
Introduction
Carlos Shu Kei Lam currently works at the Department of Emergency and Critical Medicine, Wan Fang Hospital of Taipei Medical University. Carlos is also a PhD. in public health and an associate professor in Medical School, Taipei Medical University. Carlos does research in disaster medicine, road traffic injury, spinal cord injury, and emergency medicine. The current project is 'Improving the timeliness and accuracy of data in road traffic injury severity in an emerging economy setting'.

Publications

Publications (29)
Article
Full-text available
University neighborhoods in Taiwan have high-volume traffic, which may increase motorcyclists’ risk of injury. However, few studies have analyzed the environmental factors affecting motorcycle crash injury severity in university neighborhoods. In this multicenter cross-sectional study, we explored the factors that increase the severity of such inju...
Article
Full-text available
Exposure to air pollutants may elevate the injury severity scores (ISSs) for road traffic injuries (RTIs). This multicenter cross-sectional study aimed to investigate the associations between air pollution, weather conditions, and RTI severity. This retrospective study was performed in Taiwan in 2018. The location of each road traffic accident (RTA...
Conference Paper
Background University students accounted for 61% of road traffic fatalities in Taiwan, and 93% were motorcyclists. University neighborhoods are usually crowded with restaurants and small stores. The high volume of customers mixed with different types of road users may increase the risk of severe injury after a motorcycle crash. The study aimed to e...
Article
Full-text available
The coronavirus disease 2019 (COVID-19) pandemic has impacted emergency department (ED) practice, including the treatment of traumatic brain injury (TBI), which is commonly encountered in the ED. Our study aimed to evaluate TBI treatment efficiency in the ED during the COVID-19 pandemic. A retrospective observational study was conducted using the e...
Article
Full-text available
Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As man...
Conference Paper
Background: Light motorcycles (LMCs, with cylinder capacities between 50 to 250cc) are popular for commuting in developing countries. Objectives: With increasing LMC casualties in Taiwan, we conducted a multicenter study to analyze the effects of riders’ psycho-cognitive factors on injury severity. Methods: Riders who were hospitalized upon LMC cra...
Article
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Objective: In Taiwan, light motorcycles (LMCs) with cylinder capacities between 50 and 250 cc are widely used for daily commute. These vehicles are operated in a mixed traffic environment and prohibited on highways. In light of increasing motorcycle casualties, we conducted a multicentre study to analyse rider factors affecting injury severity. Met...
Article
Full-text available
Road traffic injuries (RTIs) are among the leading causes of injury and fatality worldwide. RTI casualties are continually increasing in Taiwan; however, because of a lack of an advanced method for classifying RTI severity data, as well as the fragmentation of data sources, road traffic safety and health agencies encounter difficulties in analyzing...
Conference Paper
Road traffic accidents (RTAs) are among the leading causes of injury and fatality worldwide. Currently, the casualty of RTAs is continuously increasing in Taiwan; however, because of the lack of an advanced method to classify data regarding the injury severity in RTAs and the fragmentation of the original sources of these data, the road traffic saf...
Conference Paper
Objectives: Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator. Methods: We conducted a nested case–control study by using the data of pat...
Article
Full-text available
OBJECTIVES: Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator. METHODS: We conducted a nested case-control study by using the data of pa...
Article
Full-text available
OBJECTIVES: Recurrent falls not only have risk factors different from those of single falls but also have less favorable outcomes. The aim of our study was to determine the association between the injury characteristics of a first fall and the likelihood of recurrent injurious falls in a cohort of hospitalized patients. METHODS: We designed a natio...
Conference Paper
Introduction: There is lack of article reviewing the predicted effect of injury characteristics of first fall on recurrent fall. Our aim was to evaluate the predicted effect of injury severity and anatomical location of the first fall on recurrent fall among general population in Taiwan. Methods: We conducted a nested case-control study among hospi...
Article
Full-text available
Introduction. The relationship between cervical spine injury (CSI) and helmet in head injury (HI) patients following motorcycle crashes is crucial. Controversy still exists; therefore we evaluated the effect of various types of helmets on CSI in HI patients following motorcycle crashes and researched the mechanism of this effect. Patients and Metho...
Article
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BACKGROUND AND OBJECTIVE: Patients who visit emergency department (ED) may have symptoms of occult cancers. METHODS: We studied a random cohort of one million subjects from Taiwan National Health Insurance Research Database between 2000 and 2008 to evaluate the ED utilization of individuals who were subsequently diagnosed with digestive tract cance...
Article
Full-text available
This study determined the prevalence of medical conditions in patients with cancer and their impact on outcome. We evaluated a cohort of 37 411 patients diagnosed with cancer between 2000 and 2008 in Taiwan, collecting the cancer diagnosis and chronic disease diagnoses. The severity of the comorbid condition was correlated with the cancer diagnosis...
Article
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BACKGROUND: Familial hemiplegic migraine (FHM) is a rare type of migraine. Correct diagnosis is challenging for emergency physicians (EPs) due to its variable clinical picture, as well as its lack of diagnostic biological markers. OBJECTIVES: To raise awareness among EPs regarding FHM's diverse clinical picture, and to highlight FHM's diagnostic cr...
Article
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Harlequin syndrome is rare and typically characterized by asymmetric flushing and sweating. Although it is usually considered idiopathic, literature review shows that it may be caused by lesion over lung apex or after central venous catheterization in the internal jugular vein. We present a 74-year-old woman who had been experiencing recurrent ches...
Article
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BACKGROUND: Traffic accidents and falls are the major causes of spinal trauma, which result in serious personal and social loss. A comparison between causes and patients' characteristics can be important. METHODS: A total of 681 spinal trauma patients were compared for differences, and the effects of age stratification of the differences are discus...
Article
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Background/Purpose Urban and rural regions have different levels of medical resources. This study aimed to compare the length of stay (LOS) in hospital of spinal trauma patients between the city of Taipei (urban region) and Hualien County (rural region). Methods Demographic and clinical variables of spinal trauma patients were collected. Patients'...
Article
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Non-typhoid salmonella infection of a mycotic aortic aneurysm is rare, but it is fatal when diagnosis is delayed. The clinical presentation is often nonspecific and varies widely, with fryer being the initial common initial presentation. Early diagnosis requires a high level of alertness and a detailed history. We report a 77 year-old man who visit...
Article
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Local residents may have different views on disaster-response modes depending on their cultural and socioeconomic background. The purpose of this study was to examine Taiwan residents' opinions on the Incident Command System (ICS). We performed a structured survey through face-to-face interviews in mudslide-affected communities. Quantitative analys...
Article
Brazilin, the main constituent of Caesalpinia sappan L., is a natural red pigment that has been reported to possess anti-inflammatory properties. This study aimed to identify a novel anti-inflammatory mechanism of brazilin. We found that brazilin did not cause cytotoxicity below 300 μM, and activated heme oxygenase-1 (HO-1) protein synthesis in a c...
Article
Sanguis Draconis (SD) is a kind of dragon's blood resin that is obtained from Daemomorops draco (Palmae). It is used in traditional medicine and has shown anti-inflammatory activity in some diseases. In this study, we examined the effects of Sanguis Dranonis ethanol extract (SDEE) on LPS-induced inflammation using RAW 264.7 cells. Our data indicate...
Article
Full-text available
The integration of community resources is critical for emergency response. A thorough understanding of a community's requirements in advance is essential. This study examines communities that suffered mudslide disasters, and discusses expectations of the emergency medical response provided to the community from the perspectives of residents and res...
Article
Full-text available
Objective: The value of methylprednisolone (MP) treatment in acute traumatic spinal cord injury (SCI) remains controversial. We attempted to evaluate the utilization of resources, motor function recovery and adverse effect after the use of MP. Methods: We compared 13 demographic and clinical characteristics between MP and non-MP treatment groups in...
Article
Objective: Follicular dendritic cells (FDCs) play important roles in the human microbial defense mechanism. In early HIV infection, FDCs trap HIV viral particles rapidly and prolong their life during HIV's highly infectious period. However, whether HIV actually infects the FDCs is controversial. Methods: In this study, we examined the pathological...

Questions

Questions (2)
Question
I have a questionnaire data set of 700 patients hospitalized due to motorcycle injuries, and linked to hospital data.
When we explored the association between daily riding behaviors and injury indicators which include ISS and length of hospitalization, we found many unusual results. For example, riders used to tailgating a big vehicle and used to riding into the “No Motorcycle Lane” when encountering parking buses/cars were less likely to have a serious injury.
I would like to know what the possible problem with the methodology is or how can I interpret these results.
Question
Does the France government use a regional trauma registry to perform this national estimate?

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