Grant Outcomes

Publications 2010-2011

PROJECT GRANT:  QEMRF-PROJ-2008-002
Accelerated pathway in the assessment of suspected acute coronary syndrome in the Emergency Department: A diagnostic accuracy study.
Louise Cullen1,2,3, Anthony Brown1,2, Martin Than4, Jaimi Greenslade1,3, Christopher Hammet5, Xiang-Yu Hou1,2,3, Jacobus Ungerer6, Kevin Chu1,2,3, William Parsonage5
1 Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, 2 School of Population Health, Queensland University of Technology, 3 School of Medicine, University of Queensland, 4 Department of Emergency Medicine, Christchurch Public Hospital, 5 Department of Cardiology, Royal Brisbane and Women’s Hospital, 6 Department of Chemical Pathology, Pathology Queensland.

Than M, Cullen L, Reid CM, Lim SH, Aldous S, Ardagh MW, et al. A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet. 2011 Mar 22. Link

EM TRAINEE GRANT:  QEMRF-EMT-2008-008
Pilot project to assess measures of psychological impact of providing CPR on a related victim of cardiac arrest.
Iain McNiel1,2, Frances Williamson1, Leo Nunnink3
1 Department of Emergency Medicine, Princess Alexandra Hospital, 2 School of Medicine, University of Queensland, 3 Intensive Care Unit, Princess Alexandra Hospital

Nunnink L, Williams F, Broome A, McNeil I, P. Prospective evaluation of tools to assess the psychological response of CPR provision to a relative who has suffered a cardiac arrest: A pilot project. Resuscitation, (2011) 82(2), 160-166. Link

PROJECT GRANT:  QEMRF-PROJ-2008-006
Evaluation of the Emergency Department Patient Admissions Predictive Tool (EDPAPT): assessing its impact on access block, cancellation of elective surgery, work practices and patient outcomes.
David Green1, Marianne Wallis2, Gerry FitzGerald3, James Lind1, Julia Crilly4, Melanie Jessup2, Justin Boyle5, Peter Miller6
1 Department of Emergency Medicine, Gold Coast Hospital, 2 Research Centre for Clinical and Community Practice Innovation, Griffith University, 3 School of Public Health, Queensland University of Technology, 4 Southern Area Health Service Emergency Department Clinical Network, 5 The Australian E-Health Research Centre, CSIRO ICT Centre, 6 Department of Emergency Medicine, Toowoomba Hospital. Boyle JR, Sparks RS,

Keijzers GB, Crilly JL, Lind JF and Ryan LM. Predication and surveillance of influenza epidemics.  MJA, 2011 (194): S28–S33. Link

FELLOWSHIP:  QEMRF-FELL-2008-002
Noel Stevenson Fellowship, Doctorate of Public Health – Developing Disaster Health Education in Australia
Peter Aitken1
1 Eminent Senior Staff Specialist, The Townsville Hospital, 2 Associate Professor, Anton Breinl Centre, James Cook University.

Aitken P, Leggat PA, Robertson A, Harley H, Speare R, Leclerq M. Education and training of Australian Disaster Medical Assistance Team members: Results of a national survey. Prehospital and Disaster Medicine. 2011; 26(1): 41-48.

Aitken P, Leggat PA, Brown LH, Speare R. Preparedness for short-term isolation among Queensland residents: implications for pandemic and disaster planning. Emerg Med Australas. 2010 Oct;22(5):435-41. Link

Leggat PA, Brown LH, Aitken P, Speare R. Level of concern and precaution taking among Australians regarding travel during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey. J Travel Med. 2010 Sep;17(5):291-5. Link

Seidl IA, Johnson AJ, Mantel P, Aitken P. A strategy for real time improvement (RTI) in communication during the H1N1 emergency response. Aust Health Rev. 2010 Nov;34(4):493-8. Link (this Link only takes you to the journal then you need to search on contents)

Aitken P, Leggat PA, Robertson AG, Harley H, Spear R, Leclercq MG, Education and training of Australian disaster medical assistance team members: Results of a national survey. Prehosp Disaster Med 2011;26(1) online In Press.

Publications 2009-2010

STAFF SPECIALIST GRANT:  QEMRF-EMSS-2008-002
A Randomized controlled trial comparing patient controlled versus physician controlled sedation in the Emergency Department.
Anthony Bell1,2, Kevin Chu1,2, Trent Lipp1, Jaimi Greenslade1,2, Alison Duncan1, Sean Rothwell1,2
1 Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, 2 School of Medicine, University of Queensland.

Bell A, Lipp T, Greenslade J, Chu K, Rothwell S, Duncan A. A randomized controlled trial comparing patient-controlled and physician-controlled sedation in the emergency department. Annals of Emergency Medicine, 2010;56(5):502-508. Link

FELLOWSHIP:  QEMRF-FELL-2008-002
Noel Stevenson Fellowship, Doctorate of Public Health, Developing Disaster Health Education in Australia
Peter Aitken1
1 Eminent Senior Staff Specialist, The Townsville Hospital, 2 Associate Professor, Anton Breinl Centre, James Cook University

Aitken P, Leggat P, Robertson A, Harley H, Leclerq M, Speare R. Pre and post deployment health support provided to Australian Disaster Medical Assistance Team members: Results of a national survey. Travel Medicine and Infectious Disease, 2009; 7(5): 305-311. Link

Aitken P, Leggat P, Robertson A, Harley H, Leclerq M, Speare R. Health and safety aspects of deployment of Australian Disaster Medical Assistance Team members: Results of a national survey. Travel Medicine and Infectious Disease, 2009; 7: 284-290. Link

Fitzgerald G, Aitken P, Arbon P, Archer F, Cooper D, Leggat P, Myers C, Robertson A, Tarrant M, Davis E. A National Framework for Disaster Health Education in Australia. Prehospital and Disaster Medicine, 2010: 25(1):4-11 Link

Bradt DA, Aitken P, Fitzgerald G, Swift R, O’Reilly G, Bartley B. Emergency department surge capacity: Recommendations of the Australasian Surge Strategy Working Group. Academic Emergency Medicine, 2009;16:1350-1358. Link

Leggat P, Aitken P, Seidl I. Postgraduate education for health professional working in Defence. Journal of Military and Veterans Health. 2010; 17(4):4-7. Link

Robb M, Close B, Furyk J, Aitken P. Review article:  Emergency department implications of the Taser. Emergency Medicine Australasia, 2009; 21(4): 250-258. Link

McDonnell AC, Veitch C, Aitken P, Elcock M. The organisation of trauma services for rural Australia. Journal of Emergency Primary Health Care, 2009:7(2). Link

Leggat P, Speare R, Aitken P. Swine flu and travelers: An Australian Perspective. Journal of Travel Medicine, 2009;16(6):373-376. Link

Brown LH, Aitken P, Leggat PA, Speare R. Self-reported anticipated compliance with physician advice to stay home during pandemic (H1N1) 2009: Results from the 2009 Queensland Social Survey. BMC Public Health 2010;10:138. Link

Furyk JS, O’Kane CJ, Aitken PJ, Banks CJ, Kault DA. Fast versus slow bandaid removal: a randomised trial. Med J Aust. 2009 Dec 7-21;191(11-12):682-3. Link

DrPH related textbook chapters

Aitken P. “Utilising real life experience in disaster health education – providing vicarious experience through structured ‘war stories’” Chapter in Errington E (ed). “Exploring real world scenarios to promote authentic learning”. Teneriffe, Queensland: Post Pressed, 2010 Link

Fitzgerald G, Aitken P, Davis E. “Disaster Recovery”. Chapter in “International Disaster Nursing”. Powers R, Daily E. eds. Cambridge University Press. (2009) Link

 

Case studies of funding outcomes

STAFF SPECIALIST GRANT:  QEMRF-EMSS-2008-012
Distinguishing between abusive and accidental injury in children under 2: the role of the Injury Proforma
Ronald Clark1,Robyn Brady2, William Robert Pitt2, Michelle Thompson1, Jennifer Crimmins
3
1 Department of Emergency Medicine, Royal Children’s Hospital, 2 Department of Emergency Medicine, Mater Children’s Hospital, 3 Child Advocacy Service, Royal Children’s Hospital.

Outcomes summary:
The findings of this study supported a change in practice in the process of detection of possible abusive injury in children presenting to Queensland Emergency Departments.   When a child attends an emergency department with an injury related presentation, specific data should be sought to help clarify the possibility of abusive injury. The study showed that the use of an Injury Proforma with prompts dramatically (x4) increased documentation of this data, and that electronic linkage of the proforma to the Emergency Department Information System (EDIS) was superior to manual generation and also allowed electronic linking to aspects of the presentation and already available data such as previous Emergency Department presentations. These findings convinced the Queensland State Wide Emergency Department Network to recommend EDIS linkage of the proforma to Children’s injury presentations. As of December 2010 the mechanism and specifics of this linkage were being explored by the Qld EDIS reference group.  The study also showed that merely generating the form was not enough for data capture, and suggested that leadership and education would be required to ensure functionality.  The study has been presented in poster format at the 26th Annual Scientific Meeting of the Australasian College for Emergency Medicine, Melbourne Convention Centre, Victoria, Australia, 15-19 November 2009 and the Abstract for this was published in Emergency Medicine Australasia Volume 22, Issue Supplement s1, page A36, February 2010. Link

FELLOWSHIP:  QEMRF-SFEL-2008-001
Frank Garlick Fellowship – Master of Science (Clinical Trials)
Joseph Ting
1
1 Mater Public Hospital.

Outcomes summary:
This Fellowship enabled Dr Joseph Ting to complete the Master of Science (Clinical Trials) at the University of London.   This is a prestigious world class highly selective post-graduate degree that provides an in-depth and practical clinical methodology Masters.  Knowledge and experience gained will assist Dr Ting with future clinical and observational trials related to clinical, intervention, observational and epidemiological studies in emergency medicine. The Masters has provided Dr Ting with advanced training to conduct and critically appraise complex clinical studies.  This included development of a theoretical and practical understanding of the issues involved in the design, conduct, analysis and interpretation of randomised controlled trials of health interventions and skills to scrutinize information, to critically analyse and carry out research, and to communicate effectively.

Six advanced modules were successfully completed during the Fellowship in 2009 included Research Protocol Development, Trial Designs, Project management and research coordination, Advanced statistical methods in clinical trials, Economic evaluation of health care and Epidemiology of non-communicable diseases.

During his fellowship Dr Ting was listed in the top 50 reviewers of the Annals of Emergency Medicine.