A5085492368- Climate Change and Health Impacts
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Infection Control and Ventilation
- Healthcare and Environmental Waste Management
- COVID-19 and healthcare impacts
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Global Health Care Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Neurotoxicity Research
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Air Quality and Health Impacts
- Infection Control in Healthcare
- COVID-19 and Mental Health
- Cardiac Arrest and Resuscitation
- Dialysis and Renal Disease Management
- Spaceflight effects on biology
- Renal function and acid-base balance
- Delphi Technique in Research
- Acute Kidney Injury Research
- Airway Management and Intubation Techniques
- Energy and Environment Impacts
- Chronic Kidney Disease and Diabetes
The University of Melbourne
2006-2025
Western Health
2016-2025
Footscray Hospital
2016-2025
The University of Sydney
2018-2024
University of Alberta
2022
Alberta Health Services
2022
Fiona Stanley Hospital
2021
Western Sydney University
2019
Royal Children's Hospital
2015
Western Hospital
2008-2015
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...
It is unclear whether vitamin C, hydrocortisone, and thiamine are more effective than hydrocortisone alone in expediting resolution of septic shock. To determine the combination thiamine, compared with alone, improves duration time alive free vasopressor administration patients Multicenter, open-label, randomized clinical trial conducted 10 intensive care units Australia, New Zealand, Brazil that recruited 216 fulfilling Sepsis-3 definition The first patient was enrolled on May 8, 2018, last...
BackgroundA multidisciplinary collaboration investigated the world's largest, most catastrophic epidemic thunderstorm asthma event that took place in Melbourne, Australia, on Nov 21, 2016, to inform mechanisms and preventive strategies.MethodsMeteorological airborne pollen data, satellite-derived vegetation index, ambulance callouts, emergency department presentations, data hospital admissions for as well leading up following were collected between March 31, 2017, analysed. We contacted...
A circular economy involves maintaining manufactured products in circulation, distributing resource and environmental costs over time with repeated use. In a linear supply chain, are used once discarded. high-income nations, health care systems increasingly rely on chains composed of single-use disposable medical devices. This has resulted increased expenditures care–generated waste pollution, associated public damage. It also caused the chain to be vulnerable disruption demand fluctuations....
The Earth's mean surface temperature is already approximately 1.1°C higher than pre-industrial levels. Exceeding a 1.5°C rise by 2050 will make global adaptation to the consequences of climate change less possible. To protect public health, anaesthesia providers need reduce contribution their practice makes warming. We convened Working Group 45 with recognised interest in sustainability, and used three-stage modified Delphi consensus process agree on principles environmentally sustainable...
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,...
Summary Climate change is a real and accelerating existential danger. Urgent action required to halt its progression, everyone can contribute. Pollution mitigation represents an important opportunity for much needed leadership from the health community, addressing threat that will directly seriously impact well‐being of current future generations. Inhalational anaesthetics are significant contributor healthcare‐related greenhouse gas emissions minimising their climate meaningful achievable...
Importance Whether selective decontamination of the digestive tract (SDD) reduces mortality in critically ill patients remains uncertain. Objective To determine whether SDD in-hospital adults. Design, Setting, and Participants A cluster, crossover, randomized clinical trial that recruited 5982 mechanically ventilated adults from 19 intensive care units (ICUs) Australia between April 2018 May 2021 (final follow-up, August 2021). contemporaneous ecological assessment 8599 participating ICUs...
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...
Health professionals are well positioned to effect change by reshaping individual practice, influencing healthcare organisations, and setting clinical standards, argue <b>Jodi Sherman colleagues</b>
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...
Objective: To describe the quality of postoperative documentation vital signs and medical nursing review to identify patient hospital factors associated with incomplete documentation. Design, setting participants: Retrospective audit records 211 adult patients following major surgery in five Australian hospitals, August 2003 – July 2005. Main outcome measures: Proportion complete (each day) (heart rate, blood pressure, respiratory temperature oxygen saturation) shift), proportion available...
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)....