A5034036128- Ethics and Legal Issues in Pediatric Healthcare
- Ethics in medical practice
- Child and Adolescent Health
- Healthcare Decision-Making and Restraints
- Climate Change and Health Impacts
- Trauma and Emergency Care Studies
- Childhood Cancer Survivors' Quality of Life
- Traumatic Brain Injury and Neurovascular Disturbances
- Health and Conflict Studies
- Healthcare Systems and Challenges
- Social Media in Health Education
- Patient Dignity and Privacy
- Clinical Reasoning and Diagnostic Skills
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Global Health Workforce Issues
- Health Services Management and Policy
- Congenital Diaphragmatic Hernia Studies
- COVID-19 Impact on Reproduction
- Healthcare Systems and Technology
- Healthcare cost, quality, practices
- Zoonotic diseases and public health
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Global Maternal and Child Health
- Emergency and Acute Care Studies
The University of Notre Dame Australia
2019-2025
Sydney Children’s Hospitals Network
2018-2025
The University of Sydney
2019-2025
Children's Hospital at Westmead
2019-2022
Australian Communications and Media Authority
2022
Taronga Conservation Society Australia
2021
University of Notre Dame
2020
Royal Hospital for Women
2020
Sydney Children's Hospital
2019-2020
München Klinik Schwabing
1999
On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new were increasing at an exponential rate. In anticipation resource constraints arising clinical settings as a result the pandemic, working party ten ethicists (seven clinicians three full-time academics) was convened University Sydney to draft ethics framework support allocation decisions. The guides decision-makers using question-and-answer format, language that avoids philosophical medical...
In hospital, nurses are often the first to identify patients in cardiorespiratory arrest and must decide whether call a CODE BLUE commence cardiopulmonary resuscitation (CPR). Australia, there no legal or policy obligations CPR when unequivocal signs of death present. The use where it cannot provide any benefit patient raises profound questions about decision-making ethical practice. aim this empirical ethics study was describe hospital-based nurses' decision-making, perspectives,...
Current Australian resuscitation training focusses on the practical application of cardiopulmonary but lacks clarity when it is inappropriate. Nurses are often first responders to inpatient emergencies and may take different approaches due their views about its benefit. There a lack literature how absence Do Not Resuscitate orders affect nurses' decisions regarding in hospital settings. The aim this study was explore nurse's initiating inpatients with unequivocal signs death without order,...
Abstract Expertise in a medical specialty requires countless hours of learning and practice combination neural plasticity contextual case experience resulting advanced gestalt clinical reasoning. This holistic thinking assimilates complex segmented information is advantageous for timely decision‐making the emergency department paediatric or neonatal intensive care units. However, same agile reasoning that essential acutely may be at odds with slow deliberative thought required ethical...
In many of the more relaxed civilizations on Outer Eastern Rim Galaxy, Hitch-Hiker's Guide has already supplanted great Encyclopaedia Galactica as standard repository all knowledge and wisdom, for though it omissions contains much that is apocryphal, or at least wildly inaccurate, scores over older, pedestrian work in two important respects. First, slightly cheaper; secondly words DON'T PANIC inscribed large friendly letters its cover. (Douglas Adams, The Hitchhiker's to Galaxy) world been...
Children have not been severely affected by SARS-CoV-2-related illness but are vulnerable to the economic and social deprivation arising from pandemic.1 This document describes unique risks burdens for children their care givers during COVID-19 pandemic. The principles allocation of health-care resources apply whole population; however, there particular paediatric considerations. experience internationally is that intensive being utilised support adult services emergency. Ethical tensions...
Climate change represents one of the most significant health challenges and global inequities our generation. As a 'wicked' problem, climate imposes an involuntary exposure on vulnerable individuals societies that is regressive in its nature, with those least responsible for destroying planetary at greatest risk suffering direct indirect consequences unabated warming planet. The current future generations children are population to suffer effects change. By 2030, there will be 131 000...
14Th Bodensee Symposium On Microcirculation: Small Volume Resuscitation In Head Injury, Bodensee, Germany, June 14-16, 1996: Article
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...
Treatment of patients suffering from severe head injury is so far restricted to general procedures, whereas specific pharmacological agents neuroprotection including hypothermia have not been found improve the outcome in clinical trials. Albeit effective, symptomatic measures preclinical rescue (i.e. stabilization or reestablishment circulatory and respiratory system) early care (e.g. prompt diagnosis treatment an intracranial space occupying mass, maintenance a competent system, others) by...
Head injury with or without polytrauma is the most important cause of death and severe morbidity in an age bracket up to 45 years. Two major factors are determining its outcome, extent nature primary irreversible brain injury, subsequently developing manifestations secondary damage, which principle can be prevented by management procedures therapeutical interventions. Therefore, a better outcome from head depends exclusively on higher efficiency treatment order inhibit damage. In novel...
The paediatric intensive care unit (PICU) is a high-stress environment for parents, families and health professionals (HCPs) alike. Family members experiencing stress or grief related to the admission of their sick child may at times exhibit challenging behaviours; these exist on continuum from those that are anticipated in context, through unacceptable aggression. Rare, extreme behaviours include threats, verbal even physical abuse. Both recurrent ‘subthreshold’ can cause significant staff...
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...
In this paper, we nominally propose three dimensions of medical ethics, using the term ethics rather than clinical to focus on professional obligation paediatricians in and beyond ward clinic. We argue there exists a duty children along continuum all dimensions. taxonomy, first dimension is serve best interests their individual patients. The second involves public health aspects communitarian concerns with utilitarian principles, such as cost-effectiveness just resource allocation. third...
Abstract We describe the case of an eighty‐four‐year‐old man with disseminated lung cancer who had been receiving palliative care in hospital and was found by nursing staff unresponsive, clinically obvious signs death, including rigor mortis. Because there no documentation to contrary, nurses commenced cardiopulmonary resuscitation called a code blue, resulting resuscitative efforts that continued for around twenty minutes. In discussion ethicist, senior justified these actions, mainly...