A5046425374- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Blood transfusion and management
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Traffic and Road Safety
- Blood donation and transfusion practices
- Intensive Care Unit Cognitive Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Family and Patient Care in Intensive Care Units
- Hemoglobinopathies and Related Disorders
- Pediatric Pain Management Techniques
- Healthcare Decision-Making and Restraints
- Neonatal Respiratory Health Research
- Anesthesia and Pain Management
- Respiratory Support and Mechanisms
- Hip and Femur Fractures
- Ultrasound in Clinical Applications
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hospital Admissions and Outcomes
- Non-Invasive Vital Sign Monitoring
- Anesthesia and Sedative Agents
- Sepsis Diagnosis and Treatment
James Cook University
2021-2025
Sunshine Coast University Hospital
2017-2023
Australian Institute of Tropical Health and Medicine
2023
University of Zurich
2023
Nambour General Hospital
2013-2019
The University of Queensland
2011-2019
Prince Charles Hospital
2013-2015
Princess Alexandra Hospital
2011-2015
Redcliffe Hospital
2011
Box Hill Hospital
2002-2010
We assess the efficacy and safety of tamsulosin compared with placebo as medical expulsive therapy in patients distal ureteric stones less than or equal to 10 mm diameter.This was a randomized, double-blind, placebo-controlled, multicenter trial adult participants calculus on computed tomography (CT). Patients were allocated 0.4 mg daily for 28 days. The primary outcomes stone expulsion CT at days time expulsion.There 403 81.4% men, median age 46 years. size 4.0 group 3.7 group. Of 316 who...
Brain death is associated with dramatic and serious pathophysiologic changes that adversely affect both the quantity quality of organs available for transplant. To fully optimise donor pool necessitates a more complete understanding underlying pathophysiology organ dysfunction transplantation. These injurious processes are initially triggered by catastrophic brain injury further enhanced during graft The activated inflammatory systems then contribute to in recipient. Inflammatory mediators...
Abstract Objective Clinical staff in EDs are subject to a range of stressors. The objective this study was describe and compare clinical perceptions their ED’s working environment across two different Australian EDs. Methods This cross‐sectional, descriptive, research design that included distribution three survey tools 2016. Descriptive statistics were reported characterise workplace stressors, coping styles the ED environment. These data compared by hospital employee’s role (nurse or...
Abstract Objectives The objective of this study was to describe demographic and clinical characteristics including features that were consistent with subarachnoid hemorrhage ( SAH ), use diagnostic tests, emergency department ED ) discharge diagnoses, disposition adult patients presenting an acute headache s statewide across Queensland, Australia. In addition, potential variations in the presentation workup between principal‐referral city‐regional hospitals examined. Methods A prospective...
Abstract Objective Clinical factors previously shown to independently predict safe discharge were applied at ED presentation determine whether we could identify a group of drowning patients who do not require treatment and are thus for rapid discharge. Method We conducted retrospective study presentations EDs the Sunshine Coast Hospital Health Service in Queensland, Australia between 1 January 2015 31 December 2022. Rapid criteria (RDC) defined as normal spontaneous respiratory rate...
Abstract Objective: To determine the nature, incidence and risk factors for sedation‐related events during ED procedural sedation, with particular focus on drugs administered. Methods: Eleven Australian EDs enrolled consecutive adult paediatric patients between January 2006 December 2008. Patients were included if a sedative drug was administered an procedure. Data collection prospective employed specifically designed form. Multivariate logistic regression to events. Results: Two thousand,...
Abstract Objective: For many years, ambulance services throughout Australia have been administering methoxyflurane as a first‐line analgesic agent. However, there is paucity of literature regarding its efficacy, safety and usage profile. The present study was designed to examine the efficacy in adults. Methods: An observational case series conducted over 10 month period. Adults whom administered while traveling by an urban teaching hospital were enrolled. Data analysed included indications...
Introduction Over 70% of all hospital admissions have a peripheral intravenous device (PIV) inserted; however, the failure rate PIVs is unacceptably high, with up to 69% these devices failing before treatment complete. Failure can be due dislodgement, phlebitis, occlusion/infiltration and/or infection. This results in interrupted medical therapy; painful phlebitis and reinsertions; increased length stay, morbidity mortality from infections; wasted medical/nursing time. Appropriate PIV...
Abstract Objectives We aimed to provide ‘adequate analgesia’ (which decreases the pain score by ≥2 and <4 [0–10 scale]) determine effect on patient satisfaction. Methods undertook a multicentre, cluster‐randomised, controlled, intervention trial in nine EDs. Patients with moderate (pain of ≥4) were eligible for inclusion. The was range educational activities encourage staff analgesia’. It introduced into five early EDs between 0 6 months time points at four late 3 months. At 0, months,...
<h3>Background</h3> Occult hypoperfusion (OH) is defined as in the presence of normal vital signs. It associated with increased length stay (LOS) and mortality. <h3>Objectives</h3> To compare four methods detecting OH adult major trauma patients at a level 1 centre—base excess (BE), non-invasive cardiac index (CI), shock (SI) rate over pressure evaluation (ROPE). <h3>Method</h3> Patients meeting Victorian Trauma Registry entrance criteria who presented signs were enrolled. CI was obtained...
The aim of the present study was to describe procedural sedation practices undertaken in a spectrum Australian EDs.Eleven EDs enrolled consecutive adult and paediatric patients between January 2006 December 2008. Patients were included if sedative drug administered for an ED procedure. Data collection prospective used specifically designed data document.2623 enrolled. 1581 male (60.3%, 95% CI 58.4-62.2) mean patient age 39.2 (SD 25.2) years. Reductions fracture/dislocated shoulders (694...
Abstract Objective To determine the clinical research priorities of Fellows A ustralasian C ollege for E mergency M edicine ( ACEM ) in order to inform strategic agenda specific multicentre research. Methods An anonymous survey all FACEMs listed on researcher database was conducted between J anuary and arch 2013. Results Of 108 invited participate, 54 (50%) responded. Over half respondents (61%) had a higher degree but only minority (24%) funded positions. The top categories identified as...
Background and Objectives Transfusion of blood products in particular older is associated with patient morbidity. Previously, we demonstrated a higher incidence acute lung injury lipopolysaccharide‐treated sheep transfused stored products. As transfusion following haemorrhage more common, aimed to determine whether ‘first hit’ isolated would precipitate similar detrimental effects also disrupt haemostasis. Materials Methods Anaesthetized had 33% their total volume collected into Leukotrap...
Background and objectives: Ultrasound is a common necessary part of acute care medicine, but may present an infection risk to patients secondary transfer infectious agents between patients. Our primary objective was detect blood contamination on ultrasound equipment in emergency departments (EDs) intensive units. Secondary objectives included detection microbial determination factors associated with contamination. Design setting: We tested used five EDs ICUs for contamination, collated...
Abstract Objectives To describe the characteristics of patients who presented to ED from a ladder‐related fall and their injuries, highlight impact falls on , identify contributing factors ladder draw recommendations improve safety. Methods A prospective observational study was conducted in two EDs . Patients’ demographics services used were obtained medical records. 53‐item questionnaire gather information about type used, activity, circumstances fall, future recommendations. Results total...
Abstract Objective: To determine factors associated with failure to successfully complete a procedure during sedation in the ED. Methods: Eleven Australian EDs enrolled consecutive adult and paediatric patients between January 2006 December 2008. Patients were included if sedative drug was administered for an ED success or of recorded. Results: Data available 2567 patients. Of these, 1548 (60.3%, 95% CI 58.4–62.2) male 456 (17.8%, 16.3–19.3) age <16 years. The most common procedures...