A5068377600- Emergency and Acute Care Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Acute Myocardial Infarction Research
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma and Emergency Care Studies
- Migraine and Headache Studies
- Renal function and acid-base balance
- Cardiac Imaging and Diagnostics
- Hemodynamic Monitoring and Therapy
- Neurosurgical Procedures and Complications
- Cardiac Arrest and Resuscitation
- Chronic Disease Management Strategies
- Cerebral Venous Sinus Thrombosis
- Streptococcal Infections and Treatments
- Heart Failure Treatment and Management
- Venous Thromboembolism Diagnosis and Management
- Pneumonia and Respiratory Infections
- Hospital Admissions and Outcomes
- Asthma and respiratory diseases
- Cardiac electrophysiology and arrhythmias
- Patient Satisfaction in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Ischemic Stroke Management
Western Health
2015-2024
The University of Melbourne
2011-2023
Sunshine Hospital
2012-2022
Footscray Hospital
2013
To explore the intentions of Australian emergency nurses to remain in or leave nursing after first year SARS-CoV-2 (COVID-19) pandemic.Sub-study a survey about impact COVID-19 on their work, life and career. This sub-study focused future career intentions, especially nursing.There were 398 eligible responses. 48.2% respondents reported that they intended within 5 years. Nurses EDs who received COVID positive patients more likely express an intention ED (P = 0.016). Having directly cared for...
The primary objective of this study was to describe the epidemiology and management dyspneic patients presenting emergency departments (EDs) in an international patient population. Our secondary compare EURODEM AANZDEM populations.An observational prospective cohort carried out Europe Asia-Pacific region. included consecutive EDs with dyspnea as main complaint. Data were collected on demographics, comorbidities, chronic treatment, clinical signs investigations, treatment ED, diagnosis,...
Aims and objectives To explore emergency department ( ED ) nurses' perceptions of current practices essential components effective change shift nursing handover. Background Ineffective handover can negatively impact on patient outcomes. Evidence suggests that in is highly variable. Proposed models the literature are structured for inpatient settings may not be suitable settings. Design A mixed methods study (survey group interviews) was conducted a metropolitan M elbourne, ustralia. Methods...
This study aimed to determine epidemiology and outcome for patients presenting emergency departments (ED) with shortness of breath who were transported by ambulance.This was a planned sub-study prospective, interrupted time series cohort conducted at three points in 2014 which included consecutive adult the ED dyspnoea as main symptom. For this sub-study, additional inclusion criteria presentation an Australia or New Zealand transport ambulance. The primary outcomes interest are these...
Aims and objectives To explore patients' perspectives of bedside handover by nurses in the emergency department (ED). Background International guidelines promote standardisation clinical handover. Poor can lead to adverse incidents expose patients harm. Studies have shown that favourable opinions about is conducted at hospital wards; however, there a lack evidence for perspective nursing ED environment. Design Qualitative descriptive study. Methods Semi‐structured interviews with 30 occurred...
Abstract Objective To describe the epidemiology of nontraumatic headache in adults presenting to emergency departments (EDs). Background Headache is a common reason for presentation EDs. Little known about epidemiology, investigation, and treatment patients attending EDs internationally. Methods An international, multicenter, observational, cross‐sectional study was conducted over one calendar month 2019. Participants were (≥18 years) with as main complaint. Exclusion criteria recent head...
The aim of this study was to evaluate whether implementation a new nursing handover model led improved completion care activities and documentation. A pre‐ post‐implementation study, using survey document audit, conducted in hospital ED M elbourne. convenience sample nurses completed the at baseline ( n = 67) post‐intervention 59), audit both time points. Results showed significant improvements several processes: front patient P < 0.001), patients contributed and/or listened discussions...
ABSTRACT Background and objective Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common presentation to emergency departments (ED) but data regarding its epidemiology outcomes are scarce. We describe the epidemiology, clinical features, treatment outcome patients treated for AECOPD in ED. Methods This was planned sub‐study with an ED diagnosis identified Asia, Australia New Zealand Dyspnoea Emergency Departments (AANZDEM) study. The AANZDEM prospective, interrupted...
Objectives Only a small proportion of patients presenting to an ED with headache have serious cause. The SNNOOP10 criteria, which incorporates red and orange flags for causes, has been proposed but not well studied. This project aims compare the 10 commonly accepted flag criteria (singly in combination) between without diagnosis secondary large, multinational cohort headache. Methods Secondary analysis data obtained HEAD HEAD-Colombia studies. outcome interest was predictive performance from...
In 2018, we developed and implemented a novel approach to recognition response occupational violence aggression (OVA). It included routine use of the Brøset Violence Checklist for all ED patients integrated with score-based notification framework. The present study evaluated impact new process on staff knowledge, perceptions confidence regarding OVA in rate security events related OVA.The was conducted metropolitan hospital Australia. Evaluation by online before after survey nursing staff,...
Abstract Background Blood gas analysis is an important part of the assessment ventilatory function in patients with respiratory distress. Traditionally, arterial blood has been used, but recently, there a move towards venous for selected conditions. Arteriovenous agreement pH and pCO 2 adult undergoing non‐invasive ventilation ( NIV ) not explored to date. The aim this study was address question. Methods This prospective acute compromise ED . When required clinical purposes, staff also drew...
The aim of this study was to determine the prevalence and prognostic value troponin elevation at emergency department (ED) presentation in patients admitted with an exacerbation chronic obstructive pulmonary disease (COPD). A retrospective cohort ED acute exacerbations COPD who were hospital whom assayed presentation. Other data collected included demographics, clinical characteristics, test results, outcome. Outcome interest in-hospital mortality. total 252 studied, median age 73 years, 61%...
Abstract Objective To evaluate the safety and feasibility of vestibular physiotherapy in ED, its impact on adherence to evidence‐based clinical practice. Methods This prospective pre‐post implementation study adults presenting with dizziness symptoms potential aetiology measured proportion participants safely completing assessment treatment. Results A total 52 were recruited (20 usual care 32 physiotherapy). Thirty (93.8%) completed all components assessment, there no adverse events...
Venous blood gas (VBG) analysis is suggested as an alternative to arterial (ABG) analysis. In haemodynamically stable patients, there clinically acceptable arteriovenous (AV) agreement for pH and bicarbonate (HCO3-) concentration, but in unstable evidence conflicting. We aimed evaluate the level of AV values pH, PCO2, base excess, HCO3- lactate between ABGs VBGs critically ill patients with varying degrees hypotension.A prospective cohort study a convenience sample intensive care unit...
Abstract Background It has been reported that three criteria (size of calculus ≥6 mm, visual analogue scale pain score at discharge ≥2 cm and location above mid‐ureter; the P apa criteria) were sensitive for predicting patients who require intervention (surgery or lithotripsy) within 28 days index emergency department ( ED ) visit ureteric colic. was suggested absence these identified a group whom early follow‐up may not be needed. No validation reported. We aimed to validate criteria....
Abstract Objectives Shortness of breath is a common reason for ED attendance. This international study aims to describe the epidemiology dyspnoea presenting EDs in S outh E ast A sia‐ P acific region, compare disease patterns across regions, understand how conditions are investigated and treated, assess quality care. Methods/Design prospective, interrupted time series cohort conducted ustralia, N ew Z ealand, ingapore, H ong K M alaysia consecutive adult patients with as main symptom. Data...
Abstract Objective We investigated and compared the importance of considerations discussions when withdrawing withholding life‐sustaining healthcare between emergency physicians ( EP ) registrars ER ). Methods This was a sub‐study prospective cross‐sectional questionnaire‐based case series conducted in six EDs. Primary outcomes were, which discussion considerations, were rated most important by decision‐making process. Results studied responses relating to care 320 patients, 49.4% women...
Background Blood gas analysis is important for assessment of ventilatory function. Traditionally, arterial has been used. A method mathematically arterialising venous blood values developed. Our aim was to validate this in patients undergoing non-invasive ventilation (NIV) an emergency department (ED). Materials and methods This post hoc substudy a prospective cohort study included adult NIV acute respiratory compromise. When required clinical purposes, sample also drawn. Mathematically...
Recently there have been efforts to derive safe, efficient processes rule out acute coronary syndrome (ACS) in emergency department (ED) chest pain patients. We aimed prospectively validate an ACS assessment pathway (the 2-Hour Accelerated Diagnostic Protocol Assess Patients with Chest Pain Symptoms Using Contemporary Troponins as the Only Biomarker (ADAPT) pathway) under pragmatic ED working conditions. This prospective cohort study included patients atraumatic whom was suspected but who...
Objectives To describe demographic features, assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) a principal symptom dyspnoea. Design Planned substudy the prospective, descriptive cohort study: Asia, Australia New Zealand Dyspnoea in Emergency Departments (AANZDEM). Setting 46 EDs Australia, Zealand, Singapore, Hong Kong Malaysia collected data over 3 72-hour periods May, August October 2014. Participants...
Exacerbations of chronic obstructive pulmonary disease (COPD) are common in emergency departments (ED). Guidelines recommend administration inhaled bronchodilators, systemic corticosteroids and antibiotics along with non-invasive ventilation (NIV) for patients respiratory acidosis.To determine compliance guideline recommendations treated COPD ED Europe (EUR) South East Asia/Australasia (SEA) to compare management outcomes.In each region, an observational prospective cohort study was...
Migraine headache is commonly diagnosed in emergency departments (ED). There relatively little real-world information about the epidemiology, investigation, management, adherence to therapeutic guidelines and disposition of patients treated ED with a final diagnosis migraine. The primary aim current study get snapshot assessment management patterns acute migraine presentations different settings EDs view raise awareness.This planned sub-study prospective conducted 67 health services 10...
Abstract Objective It has been suggested that blood cultures drawn from vascular catheters have a higher false positive rate than those by venepuncture. In the face of institutionally imposed practice change prohibiting obtaining intravenous (i.v.) in ED , our aim was to compare contaminated between taken recently placed i.v. and direct Method Prospective, non‐randomised, observational study comparing for specimens (<1 h) venepuncture adult patients. Outcome interest cultures. Analysis...