A5060541750- Spinal Fractures and Fixation Techniques
- Trauma and Emergency Care Studies
- Radiation Dose and Imaging
- Pelvic and Acetabular Injuries
- Trauma Management and Diagnosis
- Traumatic Brain Injury and Neurovascular Disturbances
- Radiology practices and education
- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Spine and Intervertebral Disc Pathology
- Venous Thromboembolism Diagnosis and Management
- Abdominal Trauma and Injuries
- Traumatic Ocular and Foreign Body Injuries
- Pleural and Pulmonary Diseases
- Cervical and Thoracic Myelopathy
- Thermal Regulation in Medicine
- Appendicitis Diagnosis and Management
- Injury Epidemiology and Prevention
- Bone fractures and treatments
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Cerebral Venous Sinus Thrombosis
- Respiratory Support and Mechanisms
- Autopsy Techniques and Outcomes
Monash University
2015-2025
The Alfred Hospital
2015-2025
National Trauma Research Institute
2005-2024
Alfred Health
2011-2024
Post Graduate Institute of Medical Education and Research
2018-2024
Monash Medical Centre
2020
The University of Melbourne
2019
Royal New Zealand College of General Practitioners
2015
University of Utah
2015
Massachusetts General Hospital
2015
After severe traumatic brain injury, induction of prophylactic hypothermia has been suggested to be neuroprotective and improve long-term neurologic outcomes.To determine the effectiveness early compared with normothermic management patients after injury.The Prophylactic Hypothermia Trial Lessen Traumatic Brain Injury-Randomized Clinical (POLAR-RCT) was a multicenter randomized trial in 6 countries that recruited 511 both out-of-hospital emergency departments injury. The first patient...
In Brief Study Design. Retrospective case series of elderly patients with Type II odontoid fractures, prospective functional follow-up. Objective. We aimed to investigate the outcomes after nonoperative management fractures in at a Level 1 trauma center. Summary Background Data. Controversy exists regarding most appropriate method treatment population. The primary aim has generally been considered be achievement osseous fusion. Methods. Patients ≥65 years age presenting center were...
Surgical rib fixation (SRF) for severe fracture injuries is generating increasing interest in the medical literature. It well documented that poorly healed fractured ribs can lead to chronic pain, disability, and deformity. An unanswered question SRF flail chest injury whether it sufficient fix one per rib, on successive ribs, thus converting a into simple or both ends of floating segment wall should be fixed. This study aimed analyze injury, assessing 3-month outcomes nonfixed segment.This...
Abstract Purpose The aim of this study was to quantify the proportion chest x-rays (CXRs) for non-traumatic pain (NTCP) in emergency department (ED) that were abnormal and assess clinical significance these abnormalities. We also aimed explore variables associated with clinically significant CXRs, predict a population where CXRs can be safely avoided. Methods A single center retrospective cohort conducted including all adult patients presenting ED NTCP between 01 Jan 2022 31 Dec 2022....
The COVID-19 pandemic in 2020 has led to preparations within our hospital for an expected surge of patients. This included developing a technique perform mobile chest X-ray imaging through glass, allowing the unit remain outside patient's room, effectively reducing cleaning time associated with disinfecting equipment. also reduced infection risk radiographers. We assessed attenuation different types glass and parameters required account filtration additional source image distance (SID)....
injection of iodinated radiographic contrast media is generally safe, however with increased use adverse events are more likely to occur.The most important effects include hypersensitivity reactions, contrast-induced nephropathy and thyrotoxicosis.There no protocol that will prevent non-ige-mediated anaphylaxis.in patients moderate renal dysfunction, adequate hydration as little practical recommended.Contrast-induced often transient.Metformin has been associated lactic acidosis in receiving...
Recruitment maneuvers (RMs) can expand collapsed alveoli in ventilated patients. The optimal method for delivering RMs is unknown. Purpose: To evaluate the safety and respiratory hemodynamic effects of a staircase recruitment maneuver (SRM) with decremental positive end expiratory pressure (PEEP) titration consequences desaturation during SRM patients early acute lung injury (ALI). Methods: In total, 20 consecutive ALI were enrolled received an SRM. Patients given 15 ± 3 cm H 2 O...
Background: There is no consensus on the most appropriate method of cervical spine assessment in unconscious trauma patients. Passive flexion-extension imaging one option for further investigating patients whose plain radiographs yield normal findings. This study examines usefulness this passive occult injury. Methods: All admitted to The Alfred Trauma Intensive Care Unit over 1 year (January 1–December 31, 1998) who could not be clinically assessed within 48 hours regard were identified....
Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. Prophylactic hypothermia effective in laboratory models, but clinical studies to date have been inconclusive, partly because methodological limitations. Our Hypothermia Trial Lessen Brain Injury (POLAR) randomised controlled trial currently underway comparing early, sustained versus standard care patients with severe TBI. We describe our study protocol the challenges conducting prophylactic research TBI.We aim...
In Brief Study Design. Retrospective review using prospectively collected data. Objective. The purpose of the study was to investigate diagnostic properties cervical magnetic resonance imaging (MRI) in detecting surgically verified disruptions anterior longitudinal ligament (ALL), intervertebral disc, and posterior (PLL). Summary Background Data. Cervical MRI findings commonly provide basis for decision stabilize injury operatively. correlation with direct visualization discoligamentous...
To examine the effect of "after-hours" (18:00-07:00) model trauma care on a high-risk subgroup - patients presenting with acute traumatic coagulopathy (ATC).Retrospective analysis data from Alfred Trauma Registry for ATC between 1 January 2006 and 31 December 2011.Mortality at hospital discharge, adjusted potential confounders, describing association after-hours presentation mortality.There were 398 identified during study period, whom 197 (49.5%) presented after hours. Mortality among hours...