A5035675744- Ultrasound in Clinical Applications
- Radiation Dose and Imaging
- Radiology practices and education
- Hemodynamic Monitoring and Therapy
- Emergency and Acute Care Studies
- Phonocardiography and Auscultation Techniques
- Venous Thromboembolism Diagnosis and Management
- Musculoskeletal pain and rehabilitation
- Lung Cancer Diagnosis and Treatment
- Pediatric Pain Management Techniques
- Neuroendocrine Tumor Research Advances
- Respiratory Support and Mechanisms
- Gender Politics and Representation
- Nursing education and management
- Healthcare innovation and challenges
- Coronary Artery Anomalies
- South Asian Cinema and Culture
- Growth and nutrition in plants
- Palliative Care and End-of-Life Issues
- Kawasaki Disease and Coronary Complications
- Genomic variations and chromosomal abnormalities
- Medical Coding and Health Information
- Healthcare professionals’ stress and burnout
- Pain Mechanisms and Treatments
- Airway Management and Intubation Techniques
Ipswich Hospital
2005-2022
The University of Queensland
2012-2022
University Hospital of Wales
2001
University of Auckland
2001
Southmead Hospital
2001
University of Wales
2001
Introduction Overuse of CT Pulmonary Angiograms (CTPA) for diagnosing pulmonary embolism (PE), particularly in Emergency Departments (ED), is considered problematic. Marked variations positive CTPA rates are reported, with American 4–10% yields driving most concerns. Higher resolution may increase sub-segmental PE (SSPE) diagnoses, which be up to 40% false positive. Excessive use and positives could harm vs. benefit. These issues have not been systematically examined outside America. Aims To...
Abstract Objective: To determine the accuracy and usefulness of National Emergency Department Overcrowding Study (NEDOCS) tool in an urban hospital ED Australia by direct comparison with subjective assessment senior staff. Method: A sample simultaneous objective data pairs were collected six times a day for period 3 weeks. All medical staff answered brief questionnaire along charge nurse ED. Simultaneously, also documented total number patients ED, awaiting admission, on ventilators, longest...
Abstract Background Lung ultrasound experts claim that ‘B line’ artefacts herald pulmonary oedema, but links between early recognition and improved outcome are unconfirmed, particularly for non‐expert clinicians. Objective Assess individual system impacts of early, lung (LUS) in breathless older patients. Methods Prospective single‐blinded randomised controlled trial point care LUS by clinicians, augmenting ED assessment patients over 60 years, presenting with dyspnoea. After brief training,...
Abstract Introduction : Brief lung scan protocols have been recommended as a useful adjunct to identify pulmonary oedema in the breathless elderly patient. Some papers quote diagnostic accuracies above that of chest x‐ray. Method We recruited prospective convenience sample patients over sixty years age reporting any breathlessness on presentation emergency department. Those who received both bedside and x‐ray later had their case notes audited by an expert cardiologist for cause at...
Abstract Introduction : Bedside lung ultrasound is increasingly performed in the Emergency Department to assess dyspnoeic patients. Quantifying number of B‐lines (a vertical short path reverberation artefact caused by presence interstitial fluid) can help clinicians differentiate ‘wet lung’ – pulmonary oedema, from ‘dry not oedema. The aim this study was determine inter‐rater agreement for simple bedside investigation, comparing relative novices with more experienced personnel. After...
Lung ultrasound can detect B-lines in both disease states and normal patients. are sensitive indicators for interstitial oedema, but research is limited terms of what a 'normal' amount healthy adults. Current belief that 3 laterobasal areas be normal. We aimed to determine patients different ages. hypothesised older with the previous history lung or smoking would have more B-lines.We performed cross-sectional study on convenience sample 200 volunteers: 100 aged 18-49 (median age 33.5) 50-91...
This is an opinion piece on the role of POCUS in COVID-19, with a focus lung ultrasound. It not instructional essay. Crisis management medicine has often been likened to crisis aviation industry. The important difference between pilots and clinicians that clinician's life was imminent danger, should one fail. clinician did have same emotional urgency as pilot. COVID-19 pandemic changed this, are now faced need make urgent decisions whilst exposed some personal risk. Whether embrace...
To alter staff perceptions, and to examine alternative management processes for intoxicated patients brought Ipswich ED under mental health emergency examination orders by comparing disposition outcomes with non-intoxicated patients.Consultation-Liaison nursing completed surveys on all assessed over a 6 month period in 2008. Patients were classified as if they recorded alcometer readings of greater than 0.05%, or self-reported drug use during the events leading their transport ED. Outcomes...
Section:ChooseTop of pageAbstract <<PrefaceIntroductionAbiding AbnormalityPragmatic PracticeCalming PresenceRisk ToleranceTreading Lightly, but Swi...Avoiding and Alleviating ...EssentialismThe Way Forward: An Agend...ReferencesCITING ARTICLES
To use a qualitative track of the effects two fractured neck femur careplans (1 & 2) implemented at Ipswich Emergency Department in 2002 and 2003 order to comment on reasons for comparative successes failures as instruments change clinical practice. Careplan 1 was initiated by local clinicians 2002, rescinded make way system wide careplan 2, then informally restituted 2004 after 2 withdrawn. did not articulate specific ED management plans.Biennial retrospective chart audits newly introduced...
Background: Lung ultrasound is frequently used to identify pulmonary oedema, using the 'B line' artefact. A small study in 2011 suggested that novice sonologists had a potential diagnostic accuracy of 85%, when performing test without reference other patient information. Aim: We aimed overall clinician incorporating protocol into routine assessment patient. Method: prospective convenience sample breathless older patients presenting ED received an 8-view lung scan early management. Initial...
Abstract Background Current nursing and midwifery rosters are based on guidelines which may no longer adequately meet the needs of health services or staff often result in decreased job satisfaction, poor wellbeing, high turnover. Little is known about rostering preferences contemporary nurses midwives Australia. The aim this study was to identify concerns, midwives, co-design acceptable, equitable feasible principles. Methods A mixed-methods design using a approach with three components:...
Abstract Introduction : Emergency department differentiation of pulmonary oedema from chronic obstructive airways disease causing acute breathlessness is inaccurate 25% the time despite clinical acumen, clinician‐reported chest x‐ray and ECG. This research investigates whether a basic lung ultrasound protocol (LUS) could improve identification in breathless elderly patients. Method Researchers prospectively sampled patients over 60 years, describing any on presentation to suburban emergency...
Emergency Medicine AustralasiaVolume 31, Issue 5 p. 863-868 Clinical Procedure How to use humidified high-flow nasal cannula in breathless adults the emergency department Kylie Baker, Corresponding Author Baker kylie.baker@health.qld.gov.au orcid.org/0000-0002-6665-3739 Department, Ipswich Hospital, Ipswich, Queensland, AustraliaCorrespondence: Dr Chelmsford Avenue, QLD 4305, Australia. Email: kylie.baker@health.qld.gov.auSearch for more papers by this authorTanya Greaves, Tanya Greaves...
Abstract Introduction : In the setting of patients presenting with shortness breath to an Emergency Department a simple lung ultrasound protocol aimed at detecting pulmonary oedema has been shown have diagnostic accuracy 85%. This article reviews data from original study, in attempt determine whether adjusting and/or interpretive criteria would improve results. Method A large project provided dataset. Inter‐rater and intertest discrepancies were reviewed. Then stored images comments...