Grants Awarded

Describing health care use in a cohort of children 0-5 years in South East Queensland. Which socio-economic factors are associated with Emergency Department presentations, hospital admissions and medication use?

The Crystalloid versus Albumin in the Resuscitation of Emergency Department Patients with Septic Shock (CARESS) trial inflammatory marker pilot study.

A randomised controlled trial of interventional versus conservative treatment of primary spontaneous pneumothorax.

SWAMPED: State-wide Workforce and Activity-Based Funding (ABF) Modelling for Queensland Emergency Departments.

Adding “insult to injury’” – The effect of fresh and aged blood to oxygenation, metabolism and organ function in a clinically relevant trauma/sepsis model.

PhD Studies

To determine what factors inhibit interns from developing and/or recording their clinical impressions (diagnoses) and management plans following patient assessment.

Decimalate: Use of an on-line Smart Test and survey to determine whether comprehension of decimals is a barrier to interpretation of clinical chemistry results among Emergency Department staff.

The addition of skin glue to the insertion site of a routinely inserted peripheral intravenous line (IVL) will reduce the IVL failure rate, improve the patient’s perception of care and improve staff safety.

Single palmar injection versus double injection dorsal digital nerve block for finger injuries in the Emergency Department.  A Randomised Clinical Trial.

Capacity Building Grant to the Prince Charles Hospital.

Quality linking of health data to evaluate patient and health service outcomes and key performance indicators following the implementation of patient flow strategies.

Study 3:  A decision analytic cost-effectiveness model for chest pain pathways

The Australasian Paediatric Head Injury Rules Study: a prospective validation of 3 international clinical decision rules for acute head injury in children presenting to emergency departments.

Checking radiology reports and reviewing patient records: an IT solution for preventing missed limb fractures.

Effect of IV Fluid Therapy in Patients with Uncomplicated Acute Alcoholic Intoxication presenting to the Emergency Department, a randomised trial.

The Road Ambulance Matters to Patients experiencing delayed off-loading (RAMPing) study.

The utility of Ultrasound for distinguishing heart failure from other causes of dyspnoea in older persons.

A prospective, blinded evaluation of the sensitivity and specificity of pre-hospital Focused Abdominal Sonogram for Trauma (FAST) performed by paramedics and emergency physicians as part of an initial assessment, with comparison to CT or operative findings, in patients with blunt or penetrating trauma, treated by a road-based rapid emergency response team in the greater Brisbane area.

Prospective evaluation of an innovative system for online clinical assessment of practical skills (eCAPS) for Emergency Medicine residents and registrars.

EASI – Efforts to Attenuate the Spread of Infection: A prospective, multi-centre microbiological survey of Ultrasound Equipment in Australian Emergency Departments and Intensive Care units.

Comparing intern’s assessments using mini-Clinical Evaluation Exercise (mini-CEX) with existing workplace based assessments in the emergency medicine term.

Capacity Building Grant to the Townsville Hospital.

Capacity Building Grant to the Gold Coast Hospital.

Study 1:  Rapid assessment of cardiac chest pain:  The Australia and New Zealand Assessment of chest Pain Rule (ANZAP rule):  A prospective validation study.
Study 2:  Comparison of the Australia and New Zealand Assessment of chest Pain Rule (ANZAP rule) with NHF risk stratification:  Clinical outcomes.
Study 4:  Diagnostic accuracy of exercise stress test (EST) in intermediate risk chest pain patients.
Study 5:  Examining the role of anxiety in chest pain.
Study 6:  Pre-hospital transportation of patients with potential acute coronary syndrome.

Developing a quality framework for the care of older patients in the Emergency Department

Propofol or Ketofol for Emergency Medicine Procedural Sedation:  A Randomised Controlled Trial utilising eHealth methodology.

Prevalence and risk factors associated with CA-MRSA in a Queensland Urban Emergency Department:  A prospective study.

Is Helicopter Transport Safe for Divers with Decompression Illness?  A Prospective Simulation Study Evaluating Intravascular Bubble Formation in Healthy Volunteers Exposed to Vibration versus Stillness following a Table 14 Hyperbaric Treatment.

A comparison between Air and Nitrox gas for recreational scuba divers to 18 msw.

Randomised cross-over evaluation of therapeutic subclavian arterial compression (TSAC) for peripheral vascular stasis.

Capacity Building Grant to Cairns Base Hospital.

Capacity Building Grant to Princess Alexandra Hospital

Capacity Building Grant to Nambour Hospital

Noel Stevenson Fellowship: Master of Science in Clinical Trials (MSc) – London School of Hygiene and Tropical Medicine

Tamsulosin for the treatment of Distal Ureteric Calculi: A Double-Blinded, Placebo-Controlled, Randomised, Multi-Centre Trial (The TaRDUS Trial).

C.R.A.S.H. study: A randomised study of tissue oxygenation in an ovine model of haemorrhagic shock comparing the effect of colloid, fresh red cells, aged red cells and saline.

Optimisation of cardiac output in emergency patients through non invasive cardiac output monitoring in the acute resuscitation phase. What does it add?

The Queensland Aeromedical Retrieval System: A Review of Current Status and the Impact of Statewide System Developments.

Assessment of the microcirculation in shocked critically unwell patients during the first 24 hours of resuscitation.

A Comprehensive Evaluation of a Hospital In Nursing Home Program in Three Queensland Hospitals

A Comparison of the Implementation of Interventions for Controlling Laboratory Blood Tests Ordering in Four Queensland Teaching Hospital Emergency Departments.

Medication & Fluid orders in the Emergency Department: Examining the incidence of error and adverse events.

Examining Sepsis in the Emergency Department: A prospective program of research designed to characterise and facilitate improved outcome for admitted patients with community-acquired infection.

The “Skills Training Options for Resuscitation in Kids” (STORK) Program.

Development of a human cardiac myocyte assay for the production of lethal dose response curves for box jellyfish venoms:  Can heat and intralipids be used as a treatment for cubozoan?

Pharmacokinetic pharmacodynamic Understanding For Fentanyl Intra-Nasal for children in pain or during painful procedures: pilot study.

A randomized, unblinded trial of continuous infusion versus bolus dosing of Flucloxacillin for cellulitis.

(CT compare phase II) CT coronary angiography assessment of emergency patients presenting with undifferentiated chest pain and intermediate risk of coronary artery disease: A randomised prospective comparison with the Chest Pain Assessment Service TPCH

“Blind Prescribing” and the prescribing preparedness of doctors in emergency departments.

Noel Stevenson Fellowship:  DrPH through School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University Disaster Health Education in Australia – An Analysis of Current Status, Needs and Educational Strategies and the Development of Potential Future Models.

Frank Garlick Fellowship: Master of Science in Clinical Trials (MSc) – London School of Hygiene and Tropical Medicine.

The Sepsis Registry:  A prospective database to characterise and facilitate improved outcome for admitted patients with community-acquired infection

Accelerated pathway in the assessment of suspected acute coronary syndrome in the Emergency Department:  a diagnostic accuracy study.

Evaluation of the Emergency Department Patient Admissions Predictive Tool: assessing its impact on access block, cancellation of elective surgery, work practices and patient outcomes.

The Robina Emergency Department Impact (REDI) Study.  The impact of a new emergency department on patient presentations and ambulance service delivery in health service districts in Australia: a 12 month before and after study.

A randomized controlled trial comparing patient controlled versus physician controlled sedation with propofol in patients requiring procedural sedation in the Emergency Department.

Procedural Sedation Registry – Procedural Sedation in the Emergency Department: A comprehensive analysis of a prospective registry of 2000 consecutive procedural sedations and telephone follow-up from Redcliffe and Caboolture Hospital Emergency Departments.

Regulatory systems for occupational exposures in emergency health care: Contemporary challenges for the emergency physician in prevention, control and management.

The effects of implementation of a tertiary survey tool for multi-trauma patients.

Validation of CARING criteria: A diagnostic accuracy study for predicting who should have an Advance Health Directive (AHD).

End-of-Life Issues – Withdrawal of treatment/decision not to treat in the Emergency Department: A prospective multi-centre study.

Comparison of the quality and completeness of the medical record and the proportion of appropriate referrals for suspected abusive injury of young children presenting to two representative Qld Paediatric EDs using traditional ED worksheets and purpose designed pre-printed worksheets both computer generated in EDIS and manually distributed.

ABC’s (Armbanding, Barcoding, Compliance) of Patient Safety – Armbanding the Emergency Patient – does technology reduce patient misidentification of pathology specimens – a prospective interventional observational trial in a large tertiary Emergency Department.

Prospective cohort study of cardiac risk profile of Emergency Department patients with chest pain: a comparative analysis of risk stratification tools

The effect of consecutive night shifts on the psychomotor performance of registrars working in the emergency department.

Cost effectiveness and clinical outcomes of B-type Natriuretic Peptide (BNP) Point of Care Testing versus BNP Laboratory testing for Adults with Dyspnea in the Department of Emergency Medicine at Nambour Hospital.

Will a mandatory clinical debriefing program affect levels of psychological distress in Emergency Registrars?

Pilot project to assess measures of psychological impact of providing CPR on a related victim of cardiac arrest.

Placement of antiseptic solution and hand lotion as a factor influencing hand hygiene compliance in the emergency department.