A5016881932- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Travel-related health issues
- Cardiac Arrest and Resuscitation
- Disaster Response and Management
- Pharmaceutical Practices and Patient Outcomes
- Alcoholism and Thiamine Deficiency
- Homelessness and Social Issues
- HIV/AIDS Impact and Responses
- Pharmaceutical studies and practices
- Ethics and Legal Issues in Pediatric Healthcare
- Emergency Medicine Education and Research
- Opioid Use Disorder Treatment
- Healthcare Decision-Making and Restraints
- Injury Epidemiology and Prevention
- Medical Malpractice and Liability Issues
- Health and Conflict Studies
- Poisoning and overdose treatments
- Global Health Workforce Issues
- Radiation Dose and Imaging
- Pharmaceutical industry and healthcare
- Workplace Violence and Bullying
- Cardiac Health and Mental Health
- Diabetes and associated disorders
- Substance Abuse Treatment and Outcomes
St Vincent's Hospital Sydney
1992-2022
UNSW Sydney
2011-2022
St Vincent's Clinic
2019-2022
The University of Notre Dame Australia
2019-2022
University of Notre Dame
2011
St. Vincent's Birmingham
1992
Patient restraint in health care is currently under intense review. There are two disparate groups that should be considered. First, infants and young children commonly restrained while undergoing simple medical procedures such as venepuncture or immunisation, this practice may better framed 'hugging' not 'holding'. Second, there a distinct but significant group of adolescents with serious psychiatric organic illness behavioural disturbances necessitating restraint, who the primary focus...
Abstract Objective Equity and access to high‐quality healthcare for Aboriginal Torres Strait Islander (Aboriginal) people has remained refractory complex multifactorial reasons, there are sound ethical arguments addressing this urgently. In EDs all patients who ‘leave at own risk’ (LAOR) or ‘do not wait be seen’ (DNW) increased risk of readmission, morbidity death. This also incurs additional resource costs the health system. have high rates DNW LAOR. The Flexiclinic model care was...
Sharing anonymised ED data with community agencies to reduce alcohol-related injury and assaults has been found effective in the UK. This protocol document outlines design of an Australian multi-site trial using shared, harm.Nine hospitals will participate a 36 month stepped-wedge cluster randomised trial. After 9 baseline period, EDs be five groups, clustered on geographic proximity, commence intervention at 3 monthly intervals. 'Last-drinks' regarding alcohol use preceding 12 h, typical...
Objective To describe the planning and implementation of health care provision at a mass gathering, to conditions treated such an event. Setting When approximately 93 000 fans gathered outdoors in Sydney's Centennial Park, natural reserve, for Australasia's largest ever outdoor rock concert, there was obvious potential medical disaster. Patients At most disasters or gatherings, accurate patient numbers details are not available, but organised data collection system allowed case load this...
All healthcare workers, especially general practitioners and staff in emergency departments, are likely to encounter aggression violence.This behaviour may be caused by a medical illness, psychiatric illness or drug intoxication withdrawal.These problems can occur combination.it is important that diagnosis made, but some cases the patient need sedation before they examined.if non-drug management, such as de-escalation techniques, does not work, benzodiazepine antipsychotic considered.it...
Patients presenting with overdoses commonly receive computed tomography brain (CTB) scans in their assessment. There is no current guideline or validated decision support tool for neuroimaging overdose patients. We investigated the proportion of patients who received a CTB scan and its impact on management.A single site retrospective study was conducted to analyse drugs alcohol overdose-related presentations over 2 year period. Outcome measures were those had an associated change management....
Aim: To promote rational antibiotic and analgesic prescribing by junior medical officers (JMOs) for non‐inpatients attending an emergency department (ED). Method: JMOs were surveyed to determine factors influencing in the ED approach management of commonly encountered conditions that might require antibiotics or analgesics. The was supplied with a prescription pad included summary ‘clinical condition’ page be completed officer. A panel comprising physician, clinical pharmacologist,...
Black lives 'mattering' should mean intrinsically supporting feasible healthcare options for Aboriginal and Torres Strait Islander people. This requires reimagining outmoded, 'neo-colonial' type models of care with implicit prejudice in hospital emergency departments (EDs). Equitably serving the needs vulnerable cohorts like First Nations people that currently suffer most from lack access to suitable is incumbent on government society. To 'close gap' people, flexible treatment be designed...
The present study assessed the impact of changes to New South Wales Liquor Act in 2014 on assault-related presentations ED St Vincent's Hospital. This hospital is primary receiving for area affected by these laws.Patients presenting with an diagnosis were identified from and trauma registry databases 2009 2019 retrospectively reviewed. number 5 years prior introduction laws was compared occurring following this. Admission intensive care unit (ICU) in-hospital death used as markers severe...
Alcohol is the most widely consumed psychoactive substance in Australia and consequences of alcohol consumption have enormous personal social impacts. This study aimed to describe principal diagnoses emergency department (ED) presentations involving use previous 12 hours at eight hospitals Victoria Australian Capital Territory, Australia. Twelve months' data (1 July 2018 – 30 June 2019) were collected from EDs, including demographics, ICD‐10 codes, hospital location self‐reported drinking...
Over the past decade two interesting evolutions of attitude have occurred in parallel: medical community has accepted emergency medicine as an important and relevant specialty Australian business recognised importance emerging Asian economies. These developments opened up a number new opportunities for Australasian physicians. The practice requires expertise encompassing broad range clinical great depth knowledge skill pertaining to care critically ill. requirements working developing...
ABSTRACT Diabetic ketoacidosis is a common medical emergency and may represent up to 14% of all diabetic admissions with an annual incidence about 4.6 cases per 1,000 diabetics year. A spectrum disease encountered mortality rates vary in different series from 1.9% 15%. The pathogenesis discussed detail particular emphasis on interpretation biochemistry results fluid electrolyte resuscitation. flexible approach resuscitation, careful results, close monitoring should be combined other standard...
ABSTRACT Objectives: To assess the uniformity of reporting and data collection for cardiac arrests in Australia. Methods: Twenty seven Australian teaching hospitals were surveyed. They asked whether they used specific CPR/arrest forms their content. Results:: The survey showed only 12 27 had recording arrests. Nine captured 25% or more essential as defined by “Utstein” conferences. A form is presented which based on a that has been successfully major over four years incorporates Utstein...
ABSTRACT Objectives: To evaluate the usefulness and practicality of clinicians performing rapid whole blood agglutination tests for detection HIV antibodies in a busy emergency department. Methods:: Seventy seven patients agreed to participate study. Specimens from each were tested separately reference laboratory as well Emergency Department. A different clinician performed test one who had collected specimen. No investigator knew status serum tested. Results:: those negative on both series...