Paul Middleton

ORCID: 0000-0003-0760-1098
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About
Contact & Profiles
Research Areas
  • Emergency and Acute Care Studies
  • Hemodynamic Monitoring and Therapy
  • Trauma and Emergency Care Studies
  • Cardiac Arrest and Resuscitation
  • Non-Invasive Vital Sign Monitoring
  • Heart Rate Variability and Autonomic Control
  • Orthopedic Surgery and Rehabilitation
  • Sports injuries and prevention
  • Pediatric Pain Management Techniques
  • Cardiac, Anesthesia and Surgical Outcomes
  • Shoulder Injury and Treatment
  • Tendon Structure and Treatment
  • Anesthesia and Pain Management
  • Injury Epidemiology and Prevention
  • Healthcare Policy and Management
  • Liver Disease Diagnosis and Treatment
  • Renal function and acid-base balance
  • Sepsis Diagnosis and Treatment
  • Child and Adolescent Health
  • Airway Management and Intubation Techniques
  • Knee injuries and reconstruction techniques
  • Disaster Response and Management
  • Interpreting and Communication in Healthcare
  • Hepatitis B Virus Studies
  • Acute Myocardial Infarction Research

UNSW Sydney
2013-2025

Ingham Institute
2019-2025

South Western Sydney Local Health District
2018-2025

Liverpool Hospital
2018-2025

Imperial College London
2002-2024

The University of Sydney
2010-2024

Western Sydney University
2020-2024

Australasian College for Emergency Medicine
2003-2021

University of Chester
2020

Queen Elizabeth Hospital
2019

Laurie J. Morrison Charles D. Deakin Peter T. Morley Clifton W. Callaway Richard E. Kerber and 95 more Steven L. Kronick Eric J. Lavonas Mark S. Link Robert W. Neumar Charles W. Otto Michael Parr Michael Shüster Kjetil Sunde Mary Ann Peberdy Wanchun Tang Terry L. Vanden Hoek Bernd W. Böttiger Saúl Drajer Swee Han Lim Jerry P. Nolan Christophe Adrie Mohammed Alhelail Pavan Kumar Battu Wilhelm Behringer Lauren Berkow Richard A. Bernstein Sadiq Bhayani Blair L. Bigham Jeff Boyd Barry E. Brenner Eric Bruder Hermann Brugger Ian L. Cash Maaret Castrén Michael N. Cocchi Gregory Comadira Kate Crewdson Michael Czekajło Suzanne Davies Harinder Dhindsa Deborah Diercks C. Jessica Dine Csaba Diószeghy Michael W. Donnino Joel Dunning Nabil El Sanadi Heather Farley Peter Fenici V. Ramana Feeser Jane A.H. Foster Hans Friberg Michael Fries Francisco Javier García-Vega Romergryko G. Geocadin Μάριος Γεωργίου Jaspinder Ghuman Melissa Givens Colin A. Graham David M. Greer Henry R. Halperin Amanda Hanson Michael Hölzer Elizabeth A. Hunt Masami Ishikawa Marios Ioannides Farida M. Jeejeebhoy Paul Jennings Hitoshi Kano Karl B. Kern Fulvio Kette Peter J. Kudenchuk Douglas F. Kupas Giuseppe La Torre Todd M. Larabee Marion Leary John M. Litell Charles Little David Lobel Timothy J. Mader James J. McCarthy Michael C. McCrory James J. Menegazzi William J. Meurer Paul Middleton Allan R. Mottram Eliano Pio Navarese Thomas Nguyen Marcus Eng Hock Ong A. Padkin Edison Ferreira de Paiva Rod Passman Tommaso Pellis John Picard Rachel Prout Morten Pytte Renee Reid Jon C. Rittenberger Will Ross Sten Rubertsson Malin Rundgren

Throughout this article, the reader will notice combinations of superscripted letters and numbers (eg, "Cricoid Pressure ALS-CPR&A-007B ").These callouts are hyperlinked to evidence-based worksheets, which were used in development article.An appendix applicable is located at end text.The worksheets available PDF format open access.The topics reviewed by International Liaison Committee on Resuscitation (ILCOR) Advanced Life Support Task Force grouped as follows: (1) airway ventilation, (2)...

10.1161/circulationaha.110.971051 article EN Circulation 2010-10-18

Abstract Objective To assess potential feasibility of a targeted music intervention trial in older ED patients and association with clinical outcomes. Methods Prospective pragmatic adults aged ≥65 years the ED, prevalent delirium or increased risk incident delirium, receiving either 2‐h via headphones usual care. The primary outcomes were (i) as assessed by actual use (target 70% offered patients) (ii) delirium‐free patients. Results Among 211 initially screened patients, 44 included....

10.1111/1742-6723.70004 article EN cc-by-nc-nd Emergency Medicine Australasia 2025-02-01

<b>Objective:</b> This study aimed to determine the extent of agreement between central venous and arterial values for pH, bicarbonate, base excess, lactate in a group intensive care unit (ICU) patients. <b>Methods:</b> A prospective convenience sample patients deemed by their treating doctor require blood gas analysis as part clinical ICU. It compared excess on samples taken within five minutes each other. Data were analysed using bias (Bland–Altman) methods. <b>Results:</b> total 168...

10.1136/emj.2006.035915 article EN Emergency Medicine Journal 2006-07-20

ACADEMIC EMERGENCY MEDICINE 2011; 18:890–897 © 2011 by the Society for Academic Emergency Medicine Disease-based registries can form basis of comparative research to improve and inform policy optimizing outcomes, example, in out-of-hospital cardiac arrest (OHCA). Such are often lacking resource-limited countries settings. Anecdotally, survival rates OHCA Asia low compared those North America or Europe, a regional registry is needed. The Pan-Asian Resuscitation Outcomes Study (PAROS) network...

10.1111/j.1553-2712.2011.01132.x article EN Academic Emergency Medicine 2011-08-01

Background Information communicated by ambulance paramedics to Emergency Department (ED) staff during handover of patients has been found be inconsistent and incomplete, yet major implications for patients' subsequent hospital treatment trajectory care. Aim The study's aims were to: (1) identify the existing structure paramedic-to-emergency handovers video recording analysing them; (2) involve practitioners in reflecting on practice using footage; (3) combine those reflections with formal...

10.1136/bmjqs-2011-000766 article EN BMJ Quality & Safety 2012-05-23

Objective. To compare the effectiveness of intravenous (IV) morphine, intranasal (IN) fentanyl, and inhaled methoxyflurane when administered by paramedics to patients with moderate severe pain. Methods. We conducted a retrospective comparative study adult pain treated from Ambulance Service New South Wales who received IV IN or either alone in combination between January 1, 2004, November 30, 2006. used multivariate logistic regression analyze data extracted clinical database containing...

10.3109/10903127.2010.497896 article EN Prehospital Emergency Care 2010-08-01

Objectives. To compare the effectiveness of intravenous morphine, intranasal (IN) fentanyl, and inhaled methoxyflurane for managing moderate to severe pain in pediatric patients out-of-hospital setting. Methods. We conducted a retrospective comparative study 3,312 aged between 5 15 years who had (pain score ≥5) received IN or methoxyflurane, either alone combination, January 1, 2004, November 30, 2006. Multivariate logistic regression was used analyze data extracted from clinical database...

10.3109/10903127.2010.541980 article EN Prehospital Emergency Care 2011-02-04

Delirium is a common complication following hip fracture surgery. We introduced peri-operative care bundle that standardised management in the emergency department, operating theatre and ward. This incorporated: use of fascia iliaca blocks; rationalisation analgesia; avoidance drugs known to trigger delirium; regular education program for staff; continuous auditing compliance. The study was conducted between June 2017 December 2018. recruited 150 patients before (control group) after (care...

10.1111/anae.14840 article EN Anaesthesia 2019-09-23

Short-term mortality in alcohol-related hepatitis (AH) is high, and no current therapy results durable benefit. A role for interleukin (IL)-1β has been demonstrated the pathogenesis of alcohol-induced steatohepatitis. This study explored safety efficacy canakinumab (CAN), a monoclonal antibody targeting IL-1β, treatment patients with AH.

10.1016/j.cgh.2024.07.025 article EN cc-by Clinical Gastroenterology and Hepatology 2024-08-01

Abstract Introduction: With at least 20% of ambulance patients reporting pain moderate to severe intensity, management has become a primary function modern services. The objective this study was describe the use intravenous morphine, inhaled methoxyflurane, and intranasal fentanyl when administered in out-of-hospital setting by paramedics within large Australian service. Methods: A retrospective analysis conducted using data from patient health care records (PHCR) for all cases 01 July 2007...

10.1017/s1049023x12000180 article EN Prehospital and Disaster Medicine 2011-12-01

Viscoelastic thromboelastography tests such as TEG™ are now routine for assessing the coagulation status of cardiac surgery patients. We compared with a new technology, sonic estimation elasticity via resonance (SEER) sonorheometry, to compare measures dynamics whole blood and assess its potential rapid, near-point-of-care monitoring hemostasis during surgery.Whole assessment prospective cohort 50 patients was performed using SEER sonorheometry samples collected at 4 time points surgery:...

10.1213/ane.0000000000001362 article EN Anesthesia & Analgesia 2016-05-12

Sepsis has been defined as the systemic response to infection in critically ill patients, with severe sepsis and septic shock representing increasingly stages of same disease. Based on non-invasive cardiovascular spectrum analysis, this paper presents a pilot study potential use nonlinear support vector machine (SVM) classification continuum into inflammatory syndrome (SIRS) groups. 28 consecutive eligible patients attending emergency department presumptive diagnoses have participated study....

10.1088/0967-3334/31/6/004 article EN Physiological Measurement 2010-05-07

10.1016/0009-2509(71)86084-0 article EN Chemical Engineering Science 1971-01-01

Objective: This study aimed to investigate the help-seeking behaviours among children and young people (CYP) from culturally linguistically diverse (CALD) backgrounds for mental health (MH) needs in a multicultural Australian population. Methods: We analysed electronic medical records (eMR) of 8135 MH-related emergency department (ED) encounters CYP aged up 18 years across six public hospitals South Western Sydney Local Health District, Australia, January 2016 April 2022. Urgency MH care was...

10.1177/00048674241310702 article EN cc-by-nc Australian & New Zealand Journal of Psychiatry 2025-01-10

Abstract Objective This study aimed to determine the factors associated with extended length of stay (LOS) for paediatric mental health (MH)‐related presentations EDs in South Western Sydney (SWS). Methods We analysed electronic medical records (eMRs) 7444 MH‐related ED encounters children and young people (CYP) aged up 18 years from all six public hospitals SWS January 2016 April 2022. Extended LOS was defined as more than 4 h. assessed using a multi‐level logistic regression model,...

10.1111/1742-6723.70003 article EN cc-by Emergency Medicine Australasia 2025-02-01
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