A5023814360- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Emergency Medicine Education and Research
- Healthcare Policy and Management
- Nursing Roles and Practices
- Spinal Fractures and Fixation Techniques
- Healthcare Systems and Technology
- Sepsis Diagnosis and Treatment
- Hepatitis C virus research
- HIV/AIDS Research and Interventions
- Primary Care and Health Outcomes
- Health Sciences Research and Education
- Cardiac Arrest and Resuscitation
- Cardiovascular Syncope and Autonomic Disorders
- Heart Rate Variability and Autonomic Control
- Spine and Intervertebral Disc Pathology
- Psychosomatic Disorders and Their Treatments
- Anesthesia and Pain Management
- Airway Management and Intubation Techniques
- Pelvic and Acetabular Injuries
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Disaster Response and Management
- Hepatitis B Virus Studies
St. James's Hospital
2006-2021
Trinity College Dublin
1987-2020
European Writers' Council
2010
St. Patrick's Hospital
2005-2008
Wheeling Jesuit University
2007
Ollscoil na Gaillimhe – University of Galway
1999-2003
Royal College of Surgeons in Ireland
2003
University College Dublin
1995-2003
Stepping Hill Hospital
1987
Withington Community Hospital
1987
<h3>Abstract</h3> <b>Objective</b>: To see whether care provided by general practitioners to non-emergency patients in an accident and emergency department differs significantly from usual staff terms of process, outcome, comparative cost. <b>Design</b>: A randomised controlled trial. <b>Setting</b>: busy inner city hospital9s which employed three local on a sessional basis. <b>Patients</b>: All new attenders categorised the triage system as "semiurgent" or "delay acceptable." 66% all were...
The actual impact of emergency department (ED) 'wait' time on hospital mortality in patients admitted as a medical has often been debated. We have evaluated the such waits 30-day mortality, for all over 7-year period.All emergencies by ED between 2002 and 2008 were studied; we looked at to referral subsequent ward bed any inhospital death within 30 days. Significant univariate predictors outcome, including Charlson's comorbidity acute illness severity score, entered into multivariate...
Objectives Studies suggest 2 per 1000 people in Dublin are living with HIV, the level above which universal screening is advised. We aimed to assess feasibility and acceptability of a opt-out Hepatitis B C testing programme for Emergency Department patients describe incidence prevalence blood-borne viruses this population. Methods An ED blood borne virus was piloted from March 2014 January 2015. Patients undergoing sampling during routine clinical care were offered HIV 1&2 antibody/antigen...
To describe (1) the characteristics of attenders to an urban accident and emergency (A&E) department over a one year period according frequency their attendance (2) features attendances which patient attended during study period.A dataset containing information on all new A&E in 1995 was formed. For each following recorded: day week, hour attendance, referral source, triage category, disposal. A second dataset, consisting individuals ("attenders") who made visits ("attendances") also...
AimsThe aim of this study was to evaluate the effect introducing a European Society Cardiology guideline-based Integrated Care Plan (ICP) for Syncope on hospital admissions and referral patterns an outpatient Management Unit, patients presenting Emergency Department (ED) with syncopal episode determine underlying causes syncope.
Noncontrast CT (NCCT) has become the standard Imaging study in emergency department (ED) diagnosis of nephro- and ureterolithiasis. We undertook to audit results from first 500 NCCTs performed for patients presenting ED with suspected renal colic.In a retrospective at one institution October 2003 February 2006, stone disease were investigated. In study, NCCT findings, patient clinical records, urinary microscopy evaluated 166 women 334 men.Renal or ureteral calculi identified 279 (56%)...
To analyse the presence of women on editorial teams emergency medicine journals and potential relationship between pre-eminence journal their presence.In this cross-sectional study, we examined 10 cited under heading 'Emergency Medicine' by Thomson Scientific in Journal Citation Reports 14 additional not but which publish investigations medicine. We evaluated board posted websites, determining number men occupying executive tasks, as well sex editor-in-chief each journal.We identified 372...
<h3>Background</h3> In 1998 'Dubdoc', Ireland9s first out-of-hours general practice emergency service, opened in an outpatient suite St James9s Hospital with a separate entrance 300 m from the department (ED). Dubdoc was established aim of providing easy access service for ambulatory patients those doctors supplying service. <h3>Aim</h3> To determine whether ED attendances lower acuity triage categories 4 and 5 have changed since establishment 'Dubdoc'. <h3>Methods</h3> A retrospective...
Aim . To evaluate the utility of a seizure care pathway for presentations to emergency department (ED) in order safely avoid unnecessary admission and provide early diagnostic therapeutic guidance minimize length stay those admitted. Methods 3 studies were conducted, 2 baseline audits 12-month intervention study prospective data was collected over period (Nov 2008-09). Results Use Pathway resulted reduction number epilepsy related admissions from 341 2004 276 2009 (); median admittedfrom 4-5...
Background We initiated an emergency department (ED) opt-out screening programme for HIV, hepatitis B virus (HBV) and C (HCV) at our hospital in Dublin, Ireland. The objective of this study was to determine acceptance, yield the impact on follow-up care. Methods From July 2015 through June 2018, ED patients who underwent phlebotomy could consent testing were tested HBV HCV using approach. examined acceptance screening, linkage care, treatment viral suppression data electronic health records....
Using a detailed questionnaire, 126 patients attending an accident and emergency department were screened for drinking problems. Eleven per cent (14) identified as having established problems, but only two of these had received help from professional agencies. In all, 39% (50) being adversely affected by their habits. A breath alcohol test (BT) alone, on the same failed screening device hidden problems in circumstances, we do not recommend its use. The simple 'CAGE' questionnaire was little...
In May 2000, public health authorities in Dublin, Ireland, identified a cluster of unexplained severe illness among injecting drug users (IDUs). Similar clusters were also reported Scotland and England. Concurrent investigations undertaken to identify the aetiology source illnesses. 22 IDUs with injection-site inflammation resulting hospitalization or death; eight (36%) died. Common clinical findings patients systemic symptoms included leukaemoid reaction cardiogenic shock. Seventeen (77%)...
An effective method of providing pain relief in hydrofluoric acid burns is reported, using a Bier's block type technique and regional intravenous calcium gluconate. This allows satisfactory analgesia prevents further tissue destruction, without the risk added discomfort increased tensions associated with local infiltration calcium.
The Health (Out-Patient Charges) Regulations 1994 were designed to encourage those Irish patients liable for their own health care costs attend GP before local Accident and Emergency (A&E) department. Such are referred as General Medical Services (GMS)-ineligible. Prior the introduction of regulations in March 1994, there was a perverse financial incentive these directly A&E departments instead GP.The aim compare number GMS-ineligible by during year after implementation Regulations.This...