A5028816509- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Cardiovascular Syncope and Autonomic Disorders
- COVID-19 Clinical Research Studies
- Musculoskeletal pain and rehabilitation
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Healthcare Policy and Management
- Radiation Dose and Imaging
- Cardiac Arrhythmias and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Ultrasound in Clinical Applications
- Healthcare cost, quality, practices
- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac electrophysiology and arrhythmias
- Hospital Admissions and Outcomes
- Clinical practice guidelines implementation
- Clinical Reasoning and Diagnostic Skills
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Acute Ischemic Stroke Management
- Medical Coding and Health Information
- SARS-CoV-2 and COVID-19 Research
- SARS-CoV-2 detection and testing
Eastern Health
2018-2025
Monash University
2018-2025
Box Hill Hospital
2007-2022
Deakin University
2021
Nutrition Sciences (Belgium)
2021
The Royal Melbourne Hospital
2009
Austin Health
2009
The University of Melbourne
2009
Northern Hospital
2009
Casey Hospital
2009
Objectives To examine the epidemiological and clinical characteristics of SARS-CoV-2-positive children in Australia during 2020. Design, setting Multicentre retrospective study 16 hospitals Paediatric Research Emergency Departments International Collaborative (PREDICT) network; eleven Victoria, five four other Australian states. Participants Children aged 0‒17 years who presented to hospital-based COVID-19 testing clinics, hospital wards, or emergency departments 1 February ‒ 30 September...
Emergency department pre-triage waiting periods have received limited attention. We aimed to explore the experiences and perspectives of consumers attending emergency departments. This mixed-methods cross-sectional study included 92 participants (patients, carers, guardians) who attended one three public hospital departments in metropolitan Melbourne (Victoria, Australia). Quantitative self-report outcomes were time (minutes) number previous visits. Qualitative (explored through content...
ABSTRACT Objectives Although child and adolescent mental health behavioural presentations to hospital emergency departments (EDs) increased during the first 2 years of COVID‐19 pandemic (2020 2021), little is known about characteristics these presentations. We aimed compare demographic, clinical psychosocial profiles paediatric Australian EDs before after onset pandemic. Methods conducted a retrospective observational study 100 randomly sampled by children (6–11‐year‐olds) adolescents...
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...
Large language models (LLMs) have demonstrated mixed results in their ability to pass various specialist medical examination and performance within the field of emergency medicine remains unknown.We explored three prevalent LLMs (OpenAI's GPT series, Google's Bard, Microsoft's Bing Chat) on a practice ACEM primary examination.All achieved passing score, with scores 4.0 outperforming average candidate.Large models, by examination, show potential as tools for education practice. However,...
Abstract Objective: For many years, ambulance services throughout Australia have been administering methoxyflurane as a first‐line analgesic agent. However, there is paucity of literature regarding its efficacy, safety and usage profile. The present study was designed to examine the efficacy in adults. Methods: An observational case series conducted over 10 month period. Adults whom administered while traveling by an urban teaching hospital were enrolled. Data analysed included indications...
Length of Stay (LOS) is an important performance metric in Australian Emergency Departments (EDs). Recent evidence suggests that LOS excess 4 h may be associated with increased mortality, but despite this, the average continues to remain greater than many EDs. Previous studies have found Data Mining (DM) can used help hospitals manage this and there continued research into identifying factors cause delays ED LOS. Despite still a lack specific how DM could use these This study adds emerging...
Caffeine, an adenosine receptor blocker, should theoretically reduce efficacy in the treatment of paroxysmal supraventricular tachycardia (SVT). We aimed to determine effect recent caffeine ingestion on likelihood reversion SVT with adenosine.This was a multicenter, case-control study adult patients treated between September 2007 and July 2008. The primary endpoint sinus rhythm (SR) after 6-mg bolus, as function (within 2, 4, 6, 8 hours) ingestion. Caffeine data were collected using...
Abstract Objective The aim of the present study was to describe epidemiology and clinical features patients presenting ED with suspected confirmed COVID‐19. Methods COVID‐19 (COVED) Project is an ongoing prospective cohort in Australian EDs. This analysis presents data from eight sites across Victoria Tasmania for July 2020 (during Australia's ‘second wave’). All adult who met criteria ‘suspected COVID‐19’ underwent testing SARS‐CoV‐2 were eligible inclusion. Study outcomes included a...
Abstract Objective Falls are the leading cause of hospital transfer from residential aged care homes (RACHs). However, many falls do not result in significant injury, and ageing patients exposed to complications while hospitalised. Inreach services designed reduce by providing care, support assessment residents at RACH. This study evaluated a pilot inreach program targeting following fall. Methods We conducted prospective, mixed methods evaluation 5‐month (May–September 2022) implementation...
Abstract Objective The aim of the present study was to describe epidemiology and clinical features patients presenting ED with suspected confirmed COVID‐19 during Australia's ‘second wave’. Methods (COVED) Project is an ongoing prospective cohort in Australian EDs. This analysis presents data from 12 sites across four states for period 1 July 31 August 2020. All adult who met criteria ‘suspected COVID‐19’ underwent testing SARS‐CoV‐2 were eligible inclusion. Study outcomes included a...
EDs have the potential ability to predict patient wait times and display this patients other stakeholders. Little is known about whether consumers stakeholders would want information how time predictions might be used. The aim of present study was gain perspectives from health services personnel regarding concept emergency visibility.We conducted a qualitative interview focus group in 2019. Participants included medicine patients, families, paramedics, well community members,...
BackgroundHealthcare workers (HCW) are exposed to an increased risk of COVID-19 through direct contact with patients and patient environments. We calculated the; seroprevalence SARS-CoV-2 in HCW at Eastern Health, a tertiary healthcare network Victoria, assessed associations demographics, work location role.MethodsA cross-sectional cohort study Health was conducted. Serum analysed for the presence antibodies SARS-CoV-2, all participants completed; online survey collecting information on...
Abstract Objectives To examine the clinical characteristics and short term outcomes for children with severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infections who presented to Australian hospitals during 2020 2021. Design, setting Retrospective case review study in nineteen of Paediatric Research Emergency Departments International Collaborative (PREDICT) network from all states territories, including seven major paediatric tertiary centres eight Victorian hospitals....
Abstract Objective To assess the association between use of a flowchart incorporating Wells score, PERC rule and age‐adjusted D‐dimer subsequent imaging yield rates computed tomography pulmonary angiogram nuclear medicine ventilation perfusion scans being ordered in ED for assessment embolism. Methods A governing embolism investigation was introduced across three EDs Melbourne, Australia 12 month period. Comparison with preceding months performed. Results total 1815 pre‐implementation were...
Abstract Background A large number of CT brain (CTB) scans are ordered in the ED for older patients with a confirmed or possible head strike but no ongoing symptoms injury. This study aimed to evaluate effect Canadian rule supplemented by original published minimum inclusion criteria assist clinician assessment need CTB following minimal trauma fall presenting from residential aged care facilities major metropolitan emergency department (ED). Methods was conducted as pre- and...
Effectiveness of implementing interventions to optimise guideline-recommended medical prescription in low back pain is not well established.A systematic review and random-effects meta-analyses for dichotomous outcomes with a Paule-Mandel estimator. Five databases reference lists were searched from inception 4th August 2021. Randomised controlled/clinical trials adults medication included. Cochrane Risk Bias 2 tool GRADE implemented. The was registered prospectively PROSPERO...
Objectives To determine the negative predictive value (NPV) of FebriDx point-of-care host response device in patients presenting with symptoms suggestive COVID-19 infection a mostly immunised Australian emergency department (ED) population during late 2021 phase pandemic. Design Observational diagnostic accuracy study comparing test to SARS-CoV-2 PCR. Setting An ED Melbourne, Australia, 63 000 annual presentations 2021. Participants Patients aged 16 and over who met Victorian Department...