A5041452727- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Central Venous Catheters and Hemodialysis
- Cardiac Arrest and Resuscitation
- Pneumonia and Respiratory Infections
- Patient Safety and Medication Errors
- Sepsis Diagnosis and Treatment
- Respiratory viral infections research
- Hemodynamic Monitoring and Therapy
- Acute Myocardial Infarction Research
- Disaster Response and Management
- Airway Management and Intubation Techniques
- COVID-19 and healthcare impacts
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- Global Cancer Incidence and Screening
- Ultrasound in Clinical Applications
- Disaster Management and Resilience
- Hip and Femur Fractures
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Hospital Admissions and Outcomes
- Bacterial Infections and Vaccines
- Vascular Procedures and Complications
- Cancer Risks and Factors
- Travel-related health issues
Gold Coast Hospital
2012-2024
Griffith University
2019-2024
Bond University
2021-2024
Gold Coast Health
2017-2024
Williams (United States)
2022
Samueli Institute
2022
King Khaled Hospital
2022
Queensland Emergency Medicine Research Foundation
2018-2019
Franciscan Health
2000
Cancer Council NSW
1999
Objective: To examine whether there are sex differences in the characteristics, management, and clinical outcomes of patients with an ST-elevation myocardial infarction (STEMI). Design, setting: Cohort study; analysis data collected prospectively by CONCORDANCE acute coronary syndrome registry from 41 Australian hospitals between February 2009 May 2016. Participants: 2898 (2183 men, 715 women) STEMI. Main outcome measures: Rates revascularisation (percutaneous intervention [PCI],...
In Brief Objective To determine the effects of elective induction on risk cesarean delivery in a cohort women with low-risk term pregnancies and to evaluate costs services within our hospital system. Methods Records 1135 eligible low-risk, singleton, vertex at 38–41 weeks' gestation who were for vaginal analyzed retrospectively after (n = 263) or spontaneous labor 872). Outcome measures included direct costs. Variables evaluated parity, maternal age, estimated gestational birth weight, prior...
Objectives To assess emergency department (ED) presentation numbers in Queensland during the coronavirus disease 2019 (COVID-19) pandemic to mid-2021, a period of relatively low COVID-19 case numbers. Design Interrupted time series analysis. Setting All 105 public hospital EDs. Main outcome measures Numbers ED presentations lockdown (11 March 2020 – 30 June 2020) and easing restrictions (1 July 2021), compared with pre-pandemic January 2018 10 2020), overall (daily numbers) by Australasian...
Abstract Objectives The pericapsular nerve group ( PENG ) block was first described for analgesia of hip fracture in 2018. We hypothesised that the is safe and effective patients with when provided by emergency physicians trainees ED. Methods This an observational study routine care. Consecutive receiving regional anaesthesia at a single ED were prospectively enrolled. Pain scores assessed prior to then 15, 30 60 min after administration. Maximal reduction pain within using Visual Analogue...
ObjectiveCOVID-19 affected health care globally. The aim of this study was to investigate the impact COVID-19 on both public and private emergency departments (EDs).MethodsThis a retrospective cohort ED presentations made three two hospital EDs located in one region Queensland. Presentation rates per 1000 population incident rate ratios (IRR) for time periods: T1: pre-pandemic (March-June 2018/2019), T2: initial restrictions 2020), T3: easing 2021) were calculated. Linear trends produced...
Abstract Objective ED staff are subject to many stressors, but there few descriptions of collective approaches enhancing wellness in this setting. We aim describe a programme developed address these issues at department level, report the feasibility and sustainability programme, its impact on staff. Methods The oneED was delivered tertiary ED. included 1 day mindfulness workshop, followed by ongoing activities embedded clinical areas over subsequent 12 months. A mixed‐methods evaluation...
Abstract Background Dedicated geriatric models of care are becoming more prevalent due to the complexity of, and increase in, acute healthcare presentations for older patients. For people, a long stay in emergency department (ED) may reflect their presentation, or deficiencies systems that manage these complexities. Aims To identify predictors ED length (LLoS) patients ≥65 years old. Methods Linked hospital information data from large, public Australian were analysed this retrospective...
Abstract To examine the use of mammographic screening in women New South Wales (NSW), we measured uptake initial mammograms and estimated proportions breast cancers that were screen detected. see if has been associated with reductions advanced mortality from cancer, analyzed trends age-specific age-standardized cancer incidence 1972 to 1995 tumor size 1986, 1989, 1992 April September 1995. Between 1984 end 1995, an 72% NSW their 50s 67% 60s had at least 1 mammogram and, 39% invasive these...
Objectives Rates of unused ( ‘ idle’) peripheral intravenous catheters (PIVCs) are high but can vary per setting. Understanding factors that influence the decision-making doctors, nurses and paramedics in emergency setting regarding PIVC insertion, what may modify their decision is essential to identify opportunities reduce unnecessary cannulations improve patient-centred outcomes. This study aimed understand associated with clinicians’ on whether insert or use a care Design A qualitative...
Abstract Background Unused ('idle') peripheral intravenous catheters (PIVC) are those not used within 24 hours of insertion. There is little data on cannulation practices and idle PIVC rates in emergency settings, especially the pre-hospital environment. Methods This was an observational cohort study set south-east Queensland, Australia using from a large tertiary level department (ED) local statutory ambulance service. Demographic, clinical were collected over two periods; 9 February–18...
There is substantial practice variation in the management of cellulitis with limited prospective studies describing course after diagnosis. We aimed to describe demographics, clinical features (erythema, warmth, swelling and pain), patient-reported disease trajectory medium-term follow-up for ED patients cellulitis.
Aim To describe the diagnostic and management practice in children with acute otitis media (AOM) presenting to emergency department (ED) compare diagnosis against existing guidelines. Methods We performed a retrospective descriptive cohort study of patients ≤15 years age who presented two EDs Southeast Queensland between January 2016 June 2017 an ED AOM. Likelihood was based on medical records classified as likely, possible or unlikely using paediatric Appropriateness antibiotics...
Abstract Objective Rapid sequence intubation (RSI) is a core critical care skill. Emergency medicine trainees are exposed to relatively low numbers of RSIs. We aimed improve patient outcomes by implementing an RSI checklist, electronic learning and audit, in line with current best evidence. Methods Prospective observational study RSIs performed the EDs two Queensland hospitals between January 2014 December 2016. Data collected included: first‐pass success (FPS), predicted difficulty,...
Patients, families and community members would like emergency department wait time visibility. This improve patient journeys through medicine. The study objective was to derive, internally externally validate machine learning models predict times that are applicable a wide variety of departments.Twelve departments provided 3 years retrospective administrative data from Australia (2017-2019). Descriptive exploratory analyses were undertaken on the datasets. Statistical developed at each site...
Abstract Objective To describe the patterns of opioid use in patients presenting to emergency department (ED) with nontraumatic headache by severity and geography. Background International guidelines recognize opioids are ineffective treating primary disorders. Globally, many countries experiencing an crisis. The ED can be a point initial exposure leading tolerance for patients. More geographically diverse data required inform practice. Methods This was planned, multicenter, cross‐sectional,...
Abstract Introduction/Purpose Peripheral intravenous catheter (PIVC) insertion can be challenging in children, with point‐of‐care ultrasound (POCUS) known to increase success rates. The objective of this study was survey how emergency department (ED) clinicians identify and escalate paediatric patients difficult access (DIVA), specifically the use POCUS. Methods This cross‐sectional conducted an Australian academic mixed ED that surveyed resident medical officers (RMOs), registrars,...
To describe the characteristics of, and care provided to, older people who died within 48 h of ED presentation.
Abstract Background The COVID‐19 pandemic has been associated with detrimental effects on mental health and psychological well‐being. Although multiple studies have shown decreases in health‐related Emergency Department (ED) presentations early the pandemic, medium‐term ED remained less clear. This study aimed to evaluate effect of by comparing observed presentation numbers predictions from pre‐pandemic data. Methods retrospective cohort tallied weekly disorders a state‐wide minimum dataset....
Emergency department (ED) clinicians are more frequently providing care, including end-of-life to older people.