A5027765703- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Mechanical Circulatory Support Devices
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Restraint-Related Deaths
- Heart Failure Treatment and Management
- Cardiac Structural Anomalies and Repair
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Hemodynamic Monitoring and Therapy
- Biomedical and Chemical Research
- Renal function and acid-base balance
- Pulmonary Hypertension Research and Treatments
- Occupational Health and Performance
- Infrared Thermography in Medicine
- Pain Management and Opioid Use
- Neuropeptides and Animal Physiology
- Abdominal Surgery and Complications
- Intestinal and Peritoneal Adhesions
- Case Reports on Hematomas
Royal Prince Alfred Hospital
2013-2025
The University of Sydney
2017-2025
Alfred University
2022
University of Arizona
2022
Royal College of Surgeons of England
2021
London School of Hygiene & Tropical Medicine
2021
University of Southern California
2010-2012
Los Angeles Medical Center
2010-2011
American College of Surgeons
2011
LAC+USC Medical Center
2010
Importance Rib fractures secondary to blunt thoracic trauma typically result in severe pain that is notoriously difficult manage. The serratus anterior plane block (SAPB) a regional anesthesia technique provides analgesia most of the hemithorax; however, SAPB has limited evidence for analgesic benefits rib fractures. Objective To determine whether addition an protocolized care bundles increases likelihood early favorable outcomes and reduces opioid requirements patients with Design, Setting,...
Low-molecular-weight heparins (LMWHs) are effective in preventing thromboembolic complications after trauma. In the nonoperative management (NOM) of blunt solid abdominal organ injuries, timing administration LMWH remains controversial because unknown risk for bleeding.Retrospective study including patients aged 15 years or older who sustained splenic, liver, and/or kidney injuries from January 2005 to December 2008. Patients were stratified according type and severity injuries. NOM failure...
To compare the frequency of clinically significant missed injuries in stable trauma patients undergoing initial whole-body computed tomography (WBCT) versus selective imaging. Secondary objectives include comparisons radiation exposure, incidental findings, ED length stay (LOS), hospital LOS and mortality.
Abstract Objective The present study describes patients with acute behavioural disturbance presenting to the ED, impact they have on department and any complications that occur. Methods We performed a prospective observational of adult (>17 years old) requiring parenteral sedation for over 13 month period. Demographic data, mode arrival, indication, drug type dosing used were collected. Departmental data recorded including staff numbers involved condition department. main outcomes from...
The primary objective was to determine the proportion of hospitals that administered norepinephrine peripheral vasopressor infusions (PVIs) in critically ill adult patients. Secondary objectives were describe how is used such as maximum duration, infusion rate and concentration, most common first-line PVI by country. An international multi-centre cross-sectional survey study conducted intensive care units Australia, US, UK, Canada, Saudi Arabia. Critical pharmacists from 132 institutions...
To evaluate the performance of a newly implemented prehospital trauma triage (T1) protocol in New South Wales for patients transported to an inner city major centre.An observational study was conducted over 1 year. Prehospital data and injury characteristics were collected prospectively all hospital team activations presentations by Ambulance Service Wales. Univariate comparison T1- non-T1-transported performed sensitivity, specificity, overtriage undertriage rates calculated. The outcomes...
Describe the level of agreement between prehospital (emergency medical service [EMS]) and ED vital signs in a group trauma patients transported to an inner city Major Trauma Centre. We also sought determine factors associated with differences recorded sign measurements.All adult meeting triage criteria directly from scene injury by New South Wales Ambulance our institution were included. The primary outcome was difference signs: heart rate (HR), systolic blood pressure (SBP), respiratory...
The purpose of this study was to examine the incidence and risk factors in-hospital small bowel obstruction (SBO) after exploratory laparotomy for trauma.A retrospective review patients surviving over 72 hours an trauma. Patients with intestinal obstructive symptoms were reviewed by a consensus panel, which evaluated clinical, laboratory, radiologic findings validate diagnosis SBO.A total 571 met inclusion criteria. early SBO 3.9%, 22.7% these requiring surgical intervention....
Abstract Background End‐tidal oxygen (ETO 2 ) monitoring is used by anesthesiologists to quantify the efficacy of preoxygenation before intubation but generally not in emergency departments (EDs). We have previously published our findings describing practices ED during blinded use ETO . The purpose this investigation determine whether unblinded led improvements rapid sequence and also device or technique changes that were achieve higher levels. Methods conducted an interventional study at...
Abstract Background Past studies have highlighted variation in in-hospital mortality rates among hospitals performing emergency laparotomy for large bowel perforation. The aim of this study was to investigate whether failure rescue (FTR) contributes variability. Methods Patients aged 18 years or over requiring surgery perforation between 2013 and 2016 were extracted from the National Emergency Laparotomy Audit (NELA) database. Information on complications identified using linked Hospital...
<h3>Objective</h3> There is limited evidence to support metaraminol use in critically ill patients. Metaraminol not included as a vasopressor choice international guidelines for the management of shock. Nevertheless, used rates up 42% this patient population. The objective study was investigate effectiveness treatment patients with <h3>Methods</h3> A single-centre retrospective matched observational conducted 54-bed intensive care unit tertiary hospital. Patients aged 16 years or older who...
Abstract Objective To investigate the feasibility of a Virtual Trauma Clinic (VTC) for patients with minor to moderate trauma, and evaluate patient satisfaction outcomes. Methods One hundred VTC were matched 1:1 historical from hospital trauma registry who received conventional care. Matching was based on age ± 5 years, sex, mechanism injury, Injury Severity Score 2, team activation day week presentation. sent surveys experience outcome measures. Results associated reduced average length...
The use of extracorporeal membrane oxygenation (ECMO) for cardiorespiratory failure and during cardiopulmonary resuscitation has increased significantly is resource intensive. High-quality evidence to guide management patients on ECMO limited. objective this study was determine the research priorities clinicians Extracorporeal Membrane Oxygenation Cardiopulmonary Resusciation (ECPR) in Australia New Zealand. A prospective, binational survey conducted May 2022. There were 133 respondents; 110...