title: Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand.

authors: Whitehead, Jesse

subjects: Humans

abstract: AIM: Pre-hospital triage strategies aim to identify the type and extent of patient injuries and ensure that they are transferred to the most appropriate trauma centres. Despite the importance of appropriate pre-hospital transport, there is little evidence base to assist medical staff on optimal destination policy for emergent pre-hospital transport. This paper explores the spatial relationship of patient transfers prior to the implementation of the Midland Pre-Hospital Trauma Destination Matrix in New Zealand, and is a retrospective view of practice against a destination policy that was applied after the study period. METHODS: We use data obtained from the Midland Trauma Registry merged with Global Positioning System (GPS) data from St John and Land Information New Zealand Data Service on major trauma occurring in 2014 and 2015. Using ArcGIS, data were analysed for spatial relationships between factors associated with major trauma events and pre-hospital transportation. RESULTS: In the retrospective analysis of 162 major trauma patients, 107 (66%) were transported to a hospital that matched the destination specified in the Matrix, and 55 (34%) were transported to a non-Matrix designated hospital. CONCLUSION: Approximately one-third of patients were not directly transported to the preferred definitive care hospital subsequently defined in the Midland Pre-Hospital Trauma Destination Matrix. Ongoing monitoring of the pre-hospital transportation system and the implementation of a formal pre-hospital transport policy may improve the efficiency of the Midland Trauma System. Future studies should examine the possible reasons for variations in triage decisions across the Midland Region.

text: Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand. AIM: Pre-hospital triage strategies aim to identify the type and extent of patient injuries and ensure that they are transferred to the most appropriate trauma centres. Despite the importance of appropriate pre-hospital transport, there is little evidence base to assist medical staff on optimal destination policy for emergent pre-hospital transport. This paper explores the spatial relationship of patient transfers prior to the implementation of the Midland Pre-Hospital Trauma Destination Matrix in New Zealand, and is a retrospective view of practice against a destination policy that was applied after the study period. METHODS: We use data obtained from the Midland Trauma Registry merged with Global Positioning System (GPS) data from St John and Land Information New Zealand Data Service on major trauma occurring in 2014 and 2015. Using ArcGIS, data were analysed for spatial relationships between factors associated with major trauma events and pre-hospital transportation. RESULTS: In the retrospective analysis of 162 major trauma patients, 107 (66%) were transported to a hospital that matched the destination specified in the Matrix, and 55 (34%) were transported to a non-Matrix designated hospital. CONCLUSION: Approximately one-third of patients were not directly transported to the preferred definitive care hospital subsequently defined in the Midland Pre-Hospital Trauma Destination Matrix. Ongoing monitoring of the pre-hospital transportation system and the implementation of a formal pre-hospital transport policy may improve the efficiency of the Midland Trauma System. Future studies should examine the possible reasons for variations in triage decisions across the Midland Region.

year: 2018

title: Physical stature in nineteenth-century New Zealand: A preliminary interpretation

authors: Inwood, Kris

subjects: anthropometric history

abstract: During the late nineteenth century, the physical stature of New Zealand-born men stagnated, despite an apparently beneficial public health environment and growth in per-capita incomes. We examine trends and differentials in male stature through World War I enlistment and casualty records. Stature varied by social class, with professionals and men in rural occupations substantially taller than their peers. There is not enough evidence to show that the indigenous Maori population differed in height from men of European descent. Stagnation in stature in late nineteenth-century New Zealand is consistent with patterns observed in Australia, North America, and Western Europe.

text: Physical stature in nineteenth-century New Zealand: A preliminary interpretation During the late nineteenth century, the physical stature of New Zealand-born men stagnated, despite an apparently beneficial public health environment and growth in per-capita incomes. We examine trends and differentials in male stature through World War I enlistment and casualty records. Stature varied by social class, with professionals and men in rural occupations substantially taller than their peers. There is not enough evidence to show that the indigenous Maori population differed in height from men of European descent. Stagnation in stature in late nineteenth-century New Zealand is consistent with patterns observed in Australia, North America, and Western Europe.

year: 2010

title: Maori internal and international migration at the turn of the century: An Australasian perspective

authors: Bedford, Richard

abstract: At the beginning of the twenty-first century there were two major national clusters of Maori: New Zealand, the ancestral home for Maori, and Australia, home to a much smaller Maori population from the early years of the nineteenth century. In the 2001 censuses of New Zealand and Australia, the usually resident Maori populations were, respectively, 526,281 (ethnic group classification) and 72,956 (ancestry classification). In this paper we examine four dimensions of Maori population movement between 1996 and 2001 using the census data from New Zealand and Australia: 1) internal migration between rural and urban areas in New Zealand; 2) internal migration between rural and urban areas in Australia; 3) migration into New Zealand of Maori resident overseas in 1996; 4) migration into Australia of Maori resident overseas in 1996. There has never been a comprehensive assessment of Maori migration in an Australasian context before, but in the light of developments in population exchanges between New Zealand and Australia this sort of analysis is critical if one wishes to understand contemporary Maori population dynamics.

text: Maori internal and international migration at the turn of the century: An Australasian perspective At the beginning of the twenty-first century there were two major national clusters of Maori: New Zealand, the ancestral home for Maori, and Australia, home to a much smaller Maori population from the early years of the nineteenth century. In the 2001 censuses of New Zealand and Australia, the usually resident Maori populations were, respectively, 526,281 (ethnic group classification) and 72,956 (ancestry classification). In this paper we examine four dimensions of Maori population movement between 1996 and 2001 using the census data from New Zealand and Australia: 1) internal migration between rural and urban areas in New Zealand; 2) internal migration between rural and urban areas in Australia; 3) migration into New Zealand of Maori resident overseas in 1996; 4) migration into Australia of Maori resident overseas in 1996. There has never been a comprehensive assessment of Maori migration in an Australasian context before, but in the light of developments in population exchanges between New Zealand and Australia this sort of analysis is critical if one wishes to understand contemporary Maori population dynamics.

year: 2004