A5074229780- Climate Change and Health Impacts
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare and Environmental Waste Management
- Global Health Care Issues
- Air Quality and Health Impacts
- Dialysis and Renal Disease Management
- Environmental Impact and Sustainability
- Respiratory Support and Mechanisms
- Radiation Dose and Imaging
- Renal function and acid-base balance
- Diversity and Career in Medicine
- Chemistry and Chemical Engineering
- Airway Management and Intubation Techniques
- COVID-19 and healthcare impacts
- Electrolyte and hormonal disorders
- Global Healthcare and Medical Tourism
- Wastewater Treatment and Reuse
- Agriculture Sustainability and Environmental Impact
- Anesthesia and Sedative Agents
- Transport and Economic Policies
- Clinical Nutrition and Gastroenterology
- Healthcare Operations and Scheduling Optimization
- Medical Device Sterilization and Disinfection
- Anesthesia and Neurotoxicity Research
The University of Melbourne
2018-2024
Clinical Trials New Zealand
2024
The University of Sydney
2022-2024
Australian and New Zealand College of Anaesthetists
2021
Quantum (Australia)
2018
Reef Ecologic
2012-2017
Footscray Hospital
2017
Life Cycle Engineering (United States)
2016
Western Health
2012
Western Hospital
2010
BackgroundCarbon footprints stemming from health care have been found to be variable, 3% of the total national CO2 equivalent (CO2e) emissions in England 10% CO2e USA. We aimed measure carbon footprint Australia's health-care system.MethodsWe did an observational economic input–output lifecycle assessment system. All expenditure data were obtained 15 sectors Australian Institute Health and Welfare for financial year 2014–15. The Industrial Ecology Virtual Laboratory (IELab) used obtain per...
Pathology testing and diagnostic imaging together contribute 9% of healthcare's carbon footprint. Whilst the footprint pathology has been undertaken, to date, four most common modalities is unclear.We performed a prospective life cycle assessment at two Australian university-affiliated health services five modalities: chest X-ray (CXR), mobile (MCXR), computerised tomography (CT), magnetic resonance (MRI) ultrasound (US). We included scanner electricity use all consumables associated waste,...
Objectives To estimate the carbon footprint of five common hospital pathology tests: full blood examination; urea and electrolyte levels; coagulation profile; C-reactive protein concentration; arterial gases. Design, setting Prospective life cycle assessment tests in two university-affiliated health services Melbourne. We included all consumables associated waste for venepuncture laboratory analyses, electricity water use analyses. Main outcome measure Greenhouse gas footprint, measured...
Background Health care itself contributes to climate change. Anesthesia is a “carbon hotspot,” yet few data exist compare anesthetic choices. The authors examined the carbon dioxide equivalent emissions associated with general anesthesia, spinal and combined (general anesthesia) during total knee replacement. Methods A prospective life cycle assessment of 10 patients in each three groups undergoing replacements was conducted Melbourne, Australia. collected input for items, gases, drugs,...
To use life cycle assessment to determine the environmental footprint of care patients with septic shock in intensive unit (ICU).Prospective, observational examining energy for heating, ventilation and air conditioning; lighting; machines; all consumables waste associated treating ten ICU at BarnesJewish Hospital, St. Louis, MO, United States (US-ICU) Footscray Melbourne, Vic, Australia (Aus-ICU).Environmental footprint, particularly greenhouse gas emissions.Energy per patient averaged 272...
Key Points Automated peritoneal dialysis (APD) had a higher carbon impact than continuous ambulatory (CAPD). This was due to emissions from the manufacture and disposal of APD consumables, their weight, meaning greater transport emissions. Polyvinyl chloride recycling can partially mitigate dialysis–associated Background As climate change escalates with increasing health impacts, care must address its footprint. The first critical step is understanding sources extent commonly utilized...
In Brief BACKGROUND: For most items used in operating rooms, it is unclear whether reusable are environmentally and financially advantageous comparison with single-use variants. We examined the life cycles of central venous catheter kits to aid insertion single-use, catheters rooms. did not examine actual disposable sets themselves. assessed entire financial environmental costs for kits, including influence energy source sterilization. METHODS: kit, we performed a “time-in-motion” study...
We modelled the financial and environmental costs of two commonly used anaesthetic plastic drug trays. proposed that, compared with single-use trays, reusable trays are less expensive, consume water produce carbon dioxide, that routinely adding cotton paper increases costs. life cycle assessment to model From our modelling, tray cost (Australian dollars) $0.23 (95% confidence interval [CI] $0.21 $0.25) while alone $0.47 (price range $0.42 $0.52) gauze added was $0.90 (no price in Melbourne)....
To examine the environmental life cycle from poppy farming through to production of 100 mg in mL intravenous morphine (standard infusion bag).'Cradle-to-grave' process-based assessment (observational).Australian opium farms, and facilities for pelletising, manufacturing morphine, sterilising packaging bags morphine.The effects (eg, CO2 equivalent ('CO2 e') emissions water use) producing morphine. All aspects farming, bulk manufacture final formulation. Industry-sourced inventory-sourced...
“The earth is in the midst of an environmental crisis, driven largely by human activity. In our work and personal lives, we all bear responsibility for this, harm it causes to others.”1 Sustainable practices can be maintained well into future conserving ecological balance that avoids depleting natural resources or irreversibly disrupting ecosystems. The importance health care improving sustainability has been illustrated audits finding over 8% United States' total CO2 emissions2 originates...
Hypophosphatemia occurs frequently. Enteral, rather than IV, phosphate replacement may reduce fluid replacement, cost, and waste.
As healthcare is responsible for 7% of Australia's carbon emissions, it was recognised that a policy implemented at St George Hospital, Sydney, to reduce non-urgent pathology testing 2 days per week and, on other only if essential, would also result in reduction emissions. The aim the study measure impact this intervention collections and associated emissions costs.To an unnecessary costs.The difference number collections, dioxide equivalents (CO2 e) five common blood tests cost admission...