A5081703310- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma and Emergency Care Studies
- Radiation Dose and Imaging
- Emergency and Acute Care Studies
- Traumatic Brain Injury Research
- Cardiac Arrest and Resuscitation
- Ultrasound in Clinical Applications
- Facial Nerve Paralysis Treatment and Research
- Orthopedic Surgery and Rehabilitation
- Child Abuse and Related Trauma
- Healthcare Policy and Management
- Spinal Fractures and Fixation Techniques
- Traumatic Ocular and Foreign Body Injuries
- Airway Management and Intubation Techniques
- Child and Adolescent Health
- Restraint-Related Deaths
- Pediatric Pain Management Techniques
- Family and Patient Care in Intensive Care Units
- Injury Epidemiology and Prevention
- Healthcare Systems and Technology
- Infectious Diseases and Tuberculosis
- Autopsy Techniques and Outcomes
- Pneumonia and Respiratory Infections
- Medical Malpractice and Liability Issues
- Healthcare cost, quality, practices
Royal Children's Hospital
2015-2024
Murdoch Children's Research Institute
2015-2024
Monash Medical Centre
2014-2024
The University of Melbourne
2018-2024
The University of Queensland
2022-2023
Princess Margaret Hospital for Children
2022-2023
Queensland Children’s Hospital
2022-2023
The University of Western Australia
2022-2023
Royal Ottawa Mental Health Centre
2023
Children's Hospital at Westmead
2022
Head injuries in children are responsible for a large number of emergency department visits. Failure to identify clinically significant intracranial injury timely fashion may result long term neurodisability and death. Whilst cranial computed tomography (CT) provides rapid definitive identification injuries, it is resource intensive associated with radiation induced cancer. Evidence based head clinical decision rules have been derived aid physicians identifying patients at risk having...
Objective To determine if changes to community-based services have effected paediatric ED attendances for mental health issues and neonates during the COVID-19 pandemic. Methods Analysis of total presentations, presentations with a diagnoses presentation early stages pandemic compared previous year four Victorian hospitals. Results There was 47.2% decrease in 2019, 35% increase 2% neonatal presentations. Conclusion Vulnerable patients are seeking care elsewhere because closure community services.
Bell’s palsy or acute idiopathic lower motor neurone facial paralysis is characterized by sudden onset weakness of the muscles to one side face controlled nerve. While there high level evidence in adults demonstrating an improvement rate complete recovery nerve function when treated with steroids compared placebo, similar studies on use children are not available. The aim this study assess utility a randomised placebo-controlled trial. We conducting randomised, triple-blinded, placebo trial...
Corticosteroids are used to treat the early stages of idiopathic facial paralysis (Bell palsy) in children, but their effectiveness is uncertain. We set out determine whether prednisolone improves proportion children with Bell palsy complete recovery at 1 month.We conducted a double-blind, placebo-controlled, randomized trial presenting emergency departments palsy. Patients aged 6 months younger than 18 years were recruited within 72 hours after symptom onset and randomly assigned receive 10...
Background The Paediatric Research in Emergency Departments International Collaborative (PREDICT) performs multicentre research Australia and New Zealand. priorities are difficult to determine, often relying on individual interests or prior work. Objective To identify the of paediatric emergency medicine (PEM) specialists working Methods Online surveys were administered a two-stage, modified Delphi study. Eligible participants PEM (consultants senior advanced trainees from 14 PREDICT sites)....
A patient with penicillin sensitivity, who had never received a cephalosporin antibiotic previously, developed anemia and spherocytosis following the administration of cefazolin. Hemolysis abated when drug was discontinued on fourth day, recurred day six cephalothin therapy begun. IgG complement components were present patient's erythrocytes, antibodies in her serum reacted normal red blood cells which been coated benzylpenicillin, cefazolin or cephalothin. Antibodies to cephalothin‐coated...
Background Clinical decision rules (CDRs) for paediatric head injury (HI) exist to identify children at risk of traumatic brain injury. Those the highest quality are Canadian assessment tomography childhood (CATCH), Children's algorithm prediction important clinical events (CHALICE) and Pediatric Emergency Care Applied Research Network (PECARN) CDRs. They target different cohorts with HI have not been compared in same setting. We set out quantify proportion which each CDR was applicable....
To determine the prevalence of traumatic brain injuries in children who vomit after head injury and identify variables from published clinical decision rules (CDRs) that predict increased risk.Secondary analysis Australasian Paediatric Head Injury Rule Study. Vomiting characteristics were assessed correlated with CDR predictors presence clinically important (ciTBI) or on computed tomography (TBI-CT). Isolated vomiting was defined as without other predictors.Of 19 920 enrolled, 3389 (17.0%)...
Undifferentiated abdominal pain is a common pediatric presentation to the emergency department (ED).The objective of this study was describe prevalence clinically significant pathology (CSAP) including appendicitis, patterns imaging and tests, management outcomes children with in ED.A prospective multicenter observational cohort pilot under age 16 years presenting 4 Australian EDs performed for 1-month period at each site. The primary outcome CSAP appendicitis. Age, sex, length stay, surgery...
Clinical decision rules (CDRs) aid in the management of children with traumatic brain injury (TBI). Recently, Scandinavian Neurotrauma Committee (SNC) has published practical, evidence-based guidelines for Glasgow Coma Scale (GCS) scores 9–15. This study aims to validate these and compare them other CDRs. A large prospective cohort (< 18 years) TBI all severities, from ten Australian New Zealand hospitals, was used assess SNC guidelines. Firstly, a validation performed according inclusion...
Objective To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical procedures. Methods Multicentre multicountry cross-sectional survey clinicians working in 96 EDs affiliated with Pediatric Emergency Research Network. Results 1332/2446 (54%) provided information suggested practice learning 18 Yearly was recommended six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal...
Objective The validated Predicting Abusive Head Trauma (PredAHT) clinical prediction tool calculates the probability of abusive head trauma (AHT) in children <3 years age who have sustained intracranial injuries (ICIs) identified on neuroimaging, based combinations six features: head/neck bruising, seizures, apnoea, rib fracture, long bone fracture and retinal haemorrhages. PredAHT version 2 enables a calculation when information regarding any features is absent. We aimed to externally...
Aim To compare the parental motivators and referring general practitioner's (GP's) reasons for advising emergency department (ED) attendance with assessment of ED medical staff. clinician opinion other published methods that have attempted to define ‘primary care suitable' presentations ED. Methods A prospective observational study series surveys regarding children presenting a single tertiary paediatric Surveys were distributed treating clinician, child's parent/guardian, GP. Results...
A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated children <3 years of age by Pediatric Brain Injury Research Network (PediBIRN). We aimed to externally validate PediBIRN as designed (PICU only) well using broader inclusion criteria (admitted with injuries).This a secondary analysis prospective multicenter study pediatric injuries at 5 Australian New Zealand tertiary centers. Possible AHT identified clinician suspicion,...
<h3>Background and Objectives:</h3> Bell's palsy is the third most frequent diagnosis in children with sudden onset neurological dysfunction. The cost-effectiveness of treating prednisolone unknown. We aimed to assess Palsy compared placebo. <h3>Methods:</h3> This economic evaluation was a prospectively planned secondary analysis double-blinded, randomized, placebo-controlled superiority trial (BellPIC) conducted from 2015 2020. Time horizon 6 months since randomization. Children aged <18...
Abstract Objective To determine the prevalence and nature of off‐label unlicenced (off‐label/unlicenced) medicine administration to paediatric ED patients. Methods We undertook a retrospective, observational study in six EDs ( J uly 2011 une 2012, inclusive). Patients, aged 0–17 years, who were administered included. At each site, 50 eligible patients randomly selected month period. An explicit review patient's records was undertaken. Medicines classified as on or off‐label/unlicenced...
Abstract Objectives The clean‐catch method of urine collection carries a high contamination rate. This study aims to evaluate the effects on rate providing parent handout and pre‐made pack for collection. Methods We conducted single‐centre prospective cohort interventional in tertiary paediatric ED . All children younger than 24 months who presented from April 2013 June 2014 requiring sample be obtained were included. intervention was provision including standardised information handout....
The Pediatric Emergency Care Applied Research Network (PECARN) head trauma clinical decision rules informed the development of algorithms that risk stratify management children based on their clinically important traumatic brain injury (ciTBI). We aimed to determine rate ciTBI for each PECARN algorithm group in an external cohort patients and associated with different combinations high- or intermediate-risk predictors.This study was a secondary analysis large multicenter prospective data...