A5047667619- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Homelessness and Social Issues
- Nausea and vomiting management
- Substance Abuse Treatment and Outcomes
- Pathogenesis and Treatment of Hiccups
- Anesthesia and Pain Management
- Patient Safety and Medication Errors
- Trauma and Emergency Care Studies
- Alcohol Consumption and Health Effects
- Anesthesia and Sedative Agents
- Healthcare cost, quality, practices
- Cardiac Arrest and Resuscitation
- Pediatric Pain Management Techniques
- Clinical Reasoning and Diagnostic Skills
- Health Systems, Economic Evaluations, Quality of Life
- Pleural and Pulmonary Diseases
- Healthcare Policy and Management
- Nursing Roles and Practices
- Opioid Use Disorder Treatment
- Radiation Dose and Imaging
- Infection Control and Ventilation
- Ultrasound in Clinical Applications
- Sepsis Diagnosis and Treatment
- Occupational Health and Safety Research
Monash Health
2016-2025
Monash University
2016-2025
Monash Medical Centre
2014-2025
Australasian College for Emergency Medicine
1999-2024
Southern Health and Social Care Trust
2010
Whether conservative management is an acceptable alternative to interventional for uncomplicated, moderate-to-large primary spontaneous pneumothorax unknown.In this open-label, multicenter, noninferiority trial, we recruited patients 14 50 years of age with a first-known, unilateral, pneumothorax. Patients were randomly assigned immediate the (intervention group) or observational approach (conservative-management and followed 12 months. The outcome was lung reexpansion within 8 weeks.A total...
The aim of the current study was to review drug harms as they occur in Australia using Multi-criteria Decision Analysis (MCDA) methodology adopted earlier studies other jurisdictions.A facilitated workshop with 25 experts from across Australia, held score 22 drugs on 16 criteria: 9 related that a produces individual and 7 others. Participants were guided by facilitators through principles MCDA. In open discussion, each scored criterion. criteria then weighted process swing weighting. Scoring...
There are currently no studies assessing effectiveness of sub-dissociative intranasal (IN) ketamine as the initial analgesic for adult patients in ED.The study aims to examine IN a primary agent ED.This is prospective, observational ED presenting with severe pain (≥6 on 11-point scale at triage). dose was 0.7 mg/kg, secondary 0.5 mg/kg 15 min if did not improve. After 6 months, increased 1.0 same optional dose.The outcomes change VAS rating 30 min; percentage reporting clinically significant...
Objective: To determine the proportion of alcohol-related presentations to emergency departments (EDs) in Australia and New Zealand, at a single time point on weekend night shift.Design, setting participants: A prevalence survey ED patients either waiting be seen or currently being conducted 02:00 local 14 December 2013 106 EDs Zealand. Main outcome measures:The number that were alcoholrelated, defined using World Health Organization ICD-10 codes.Results: At hospitals (92 Australia, Zealand)...
Abstract Background and aims Alcohol's harm to others (AHTO) has become a key driver of national international alcohol policy. This study aimed produce contemporary, comprehensive estimate the correlates harms from others' drinking in 2021 Australia. Design, setting, participants measurements Across Australia, 2574 adults (1380 women; 1172 men) were sampled via two cross‐sectional survey modes: random‐digit dial mobile phone sample 1000 people 1574 Life Australia™ panel survey. In asked...
The Cardiff Model for Violence Prevention is a data sharing approach aiming to reduce violence-related presentations emergency departments (EDs). This model has not previously been tested with patients attending EDs in major Australian urban setting, nor the use of media reporting results and letters venues without local violence prevention board tested. To determine this approach's effect on alcohol-associated presentation rates during high-alcohol hours (HAHs) ED servicing nightlife...
To determine the extent of alcohol-related violence in EDs throughout Australia and New Zealand impact this has had on ED staff. A mixed methods, cross-sectional, online survey staff working conducted between 1 August 11 September 2022 measuring frequency physical or verbal aggression from patients their relatives/carers; changes to occupational over preceding 5 years; COVID-19 these presentations; perceived function well-being. total 1284 responded, with almost all (97.9%) reporting having...
ABSTRACT Background Management of primary spontaneous pneumothorax (PSP) has long been contentious. Aims To identify the factors influencing interventional versus conservative management and to assess current practice patterns for moderate‐to‐large PSP in emergency department (ED) patients. Methods Anonymous online survey medicine, respiratory medicine thoracic surgery specialists trainees Australia New Zealand. Data collected included rating decision‐making importance potential drivers PSP,...
Abstract Background and aims Emergency department (ED) alcohol‐related presentation data are not routinely collected in Australia New Zealand. It is likely that previous research has underestimated the numbers of patients presenting with conditions. This study aimed to quantify level alcohol harm EDs Zealand [Correction added on 23 Jan 2018, after first online publication: The ‘aims’ section was missing updated this version]. Design Multi‐centre, prospective study. Patients were screened...
Abstract Objectives The objective was to examine cannulation practice and effectiveness of a multimodal intervention reduce peripheral intravenous cannula ( PIVC ) insertion in emergency department ED patients. Methods A prospective before after study cost analysis conducted at single tertiary Australia. Data were collected 24 hours day for 2 weeks pre‐ post implementation intervention. placement utilization within evaluated all eligible Results total 4,173 participants included the...
Objectives: To survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. Design, setting and participants: A mixed methods online ED clinicians in Australia New Zealand, conducted from 30 May to 7 July 2014. Main outcome measures: The frequency aggression alcohol-affected patients or carers experienced by staff; the perceived impact presentations on function, waiting times, other staff. Results: In total, 2002 completed survey, including 904...
Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there that conservative may be effective safe, it also reduce the risk recurrence. Significant questions remain regarding optimal initial approach PSP.
Abstract Objective Compare pain relief from non‐opioid, codeine and oxycodone analgesic regimens in adults with moderate limb injury. Method Double‐blind, randomised, controlled, non‐inferiority trial. Three of six tablets, each included 2 × 500 mg paracetamol 200 ibuprofen 100 thiamine (non‐opioid), 30 (codeine) or 5 tablets (oxycodone). Primary outcome: difference mean visual analogue scale (VAS) change between groups at min, a limit inferiority 13. Secondary outcomes VAS rating baseline...
Abstract Objectives The objective was to investigate the correlation of visual analog scale ( VAS ) and numeric rating NRS for nausea severity measurement explore options improved reporting antiemetic efficacy trial results. Methods This a multicenter observational study adult emergency department ED patients with nausea. Participants rated at enrollment 30 minutes posttreatment using an adjectival scale, , . Posttreatment, described symptom change satisfaction. Results Ratings were...
Abstract It can be difficult to avoid unnecessary investigations and treatments, which are a form of low‐value care. Yet every intervention in medicine has potential harms, may outweigh the benefits. Deliberate clinical inertia is art doing nothing as positive response. This paper provides suggestions on how incorporate deliberate into our daily practice, gives an overview current initiatives such ‘Choosing Wisely’ ‘Right Care Alliance’. The decision ‘do nothing’ complex due competing...
To describe the treatment and assessment of emergency department nausea vomiting (EDNV) in Australasia by Fellows Australasian College for Emergency Medicine (FACEM). determine influence various factors on FACEM anti-emetic choice. compare drug effectiveness, side effects, cost pharmacy directives adult EDNV choice between choosing two most common first-line agents.A cross-sectional survey all practising ED was conducted mail-out February 2009.Of surveyed 48.7% (532/1092) responded. The...
Abstract Deliberate clinical inertia is the art of doing nothing as a positive response. To be able to apply this concept, individual clinicians need specifically focus on their decision‐making. The skill solving problems and making optimal decisions requires more attention in medical training should play prominent part curriculum. This paper provides suggestions how may achieved. Strategies mitigate common biases are outlined, with an emphasis reversing ‘more better’ culture towards...
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique verifying the placement a nasogastric tube: obtaining longitudinal view tube addition to transverse with ultrasoundYahya Salman, Erdem CevikA3 Pseudoaneurysm femoral artery after cannulation central venous line. Should we always use these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular...
To describe current practice of EDUS by ACEM Trainees and Fellows; to potential barriers US use in the Australasian setting; determine compliance with college guidelines regarding credentialing.Data were collected a cross-sectional online survey. Respondents Fellows ACEM. Outcome measures included percentage respondents currently undergoing or that had completed credentialing for Focused Assessment Sonography Trauma (FAST) assessment abdominal aortic aneurysm (AAA) scans. The perceived...
To estimate the total economic impact of peripheral intravenous catheter (PIVC) or cannula insertion and use in adult Australian EDs, including those cannulas that remain unused for therapeutic purposes.Searches on government websites were conducted to find rates insertion, complications cost cannula; following this, gaps national data sets filled with MEDLINE PubMed searches EDs. Once collected, totals combined establish an estimated listed categories.The cannulation Australia may be up...