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Out-of-hospital cardiac arrest is fatal without immediate resuscitation. Paramedic competency in resuscitation has been shown to influence cardiac arrest survival. Through my doctoral research I aim to investigate: how paramedic exposure to cardiac arrest can influence patient survival; the practices emergency medical services currently use to develop and maintain paramedic competency in resuscitation; and the confidence and perceived competency of paramedics responding to cardiac arrests.
Centre Of Research Excellence In Prehospital Emergency Care
Funder
National Health and Medical Research Council
Funding Amount
$2,499,626.00
Summary
The Prehospital Emergency Care - Centre for Research Excellence (PEC-CRE) will build capacity in prehospital research in Australia through the conduct of collaborative research projects between academic researchers, clinicians and ambulance service providers. The overarching goal of the PEC-CRE will be to strengthen the evidence base underpinning prehospital emergency care policy and practice, to ensure that ambulance patients receive ‘the right care, in the right place, at the right time’.
Reduction Of Oxygen After Cardiac Arrest: The EXACT Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,891,021.00
Summary
We aim to conduct a Phase 3 multi-centre, randomised, controlled trial to determine whether reducing oxygen administration to target a normal level as soon as possible following successful resuscitation from out-of-hospital cardiac arrest, compared to current practice of maintaining 100% oxygen, improves patient survival at hospital discharge.
Feasibility Of Using Pre-hospital Point-of-care Troponin And Paramedic Risk Assessment In Patients With Chest Pain Without ST-elevation
Funder
National Health and Medical Research Council
Funding Amount
$132,743.00
Summary
Non-traumatic chest pain is the leading cause of ambulance services use in Victoria. Currently, there is no protocol for paramedics to determine which patients are high risk and suffering a minor heart attack, which results in delays in treatment. The aim of this project is to assess the feasibility of a risk assessment tool, including the use of point-of-care blood testing to detect heart attacks, to accurately risk stratify chest pain patients in the pre-hospital setting.
Improving Ambulance Dispatch To Time-critical Emergencies
Funder
National Health and Medical Research Council
Funding Amount
$493,872.00
Summary
Ambulance Services in Australia use the same emergency medical dispatch system to prioritise ambulance dispatch, based on information provided during the '000' emergency phone call. The optimum method of handling calls and dispatching ambulances remains largely unknown. This partnership project brings together an interdisciplinary team to work collaboratively with St John Ambulance Service Western Australia to investigate strategies to improve the accuracy of emergency medical dispatch.
Investigating Rising Demand For Emergency Health Care With An Ageing Population
Funder
National Health and Medical Research Council
Funding Amount
$311,860.00
Summary
The increase and acceleration in demand for emergency healthcare by the elderly is a key issue facing health policy makers. This fellowship will compare utilisation of emergency health services by elderly populations of two large Australian cities, Perth and Melbourne; and test whether an Emergency Department (ED)-based intervention reduces the likelihood of re-presentation to ED and/or hospital admission to hospital. The results will provide valuable information for service providers and policy ....The increase and acceleration in demand for emergency healthcare by the elderly is a key issue facing health policy makers. This fellowship will compare utilisation of emergency health services by elderly populations of two large Australian cities, Perth and Melbourne; and test whether an Emergency Department (ED)-based intervention reduces the likelihood of re-presentation to ED and/or hospital admission to hospital. The results will provide valuable information for service providers and policy makers.Read moreRead less
A Randomised Control Trial Evaluating Outcomes Of An Emergency Nurse Practitioner Service.
Funder
National Health and Medical Research Council
Funding Amount
$83,149.00
Summary
This proposed research will provide much needed evidence on this reform model. Health services research struggles to establish an inquiry context that is flexible to study service-level interventions using the gold standard of a randomised controlled trail (RCT). This proposed research will be conducted in a health service environment with a stable E-NP service innovation and capacity to randomise patient participants.
The RINSE Trial: The Rapid Infusion Of Cold Normal SalinE By Paramedics During CPR
Funder
National Health and Medical Research Council
Funding Amount
$708,241.00
Summary
Sudden cardiac arrest is a common event in the community. Therapeutic hypothermia decreases the brain injury caused by the cardiac arrest and is currently used in the hospital after successful resuscitation. However, there may be better outcomes if the brain is cooled by paramedics during resuscitation. We will compare survival rates for those patients cooled early by paramedics using an infusion of ice-saline during cardiac arrest with those patients who are later cooled by the hospital.
Prospective Study Of Medical Emergency Team Calls To Define Issues Of End Of Life Decision Making
Funder
National Health and Medical Research Council
Funding Amount
$48,700.00
Summary
A Medical Emergency Team (MET) is a specialised team of doctors and nurses from the Intensive Care Unit who urgently come to patients on the general wards whose medical condition is very unstable. They have to make crucial decisions about their treatment in a very short time. The previous research in this area has been focussed on improving medical outcomes, however it is also apparent that the patients having MET calls are often seriously ill with life limiting illnesses. This study aims to exp ....A Medical Emergency Team (MET) is a specialised team of doctors and nurses from the Intensive Care Unit who urgently come to patients on the general wards whose medical condition is very unstable. They have to make crucial decisions about their treatment in a very short time. The previous research in this area has been focussed on improving medical outcomes, however it is also apparent that the patients having MET calls are often seriously ill with life limiting illnesses. This study aims to explore the broader aspects of care at this time, which are of paramount importance to patients and their families, such as various aspects of communication, particularly focusing on changing goals of care; and also the symptoms that may be causing significant distress for the patient. This project will provide information that will assist development of interventions that will both aim to improve quality of life and also communication in the setting of medical emergencies in patients with life limiting illness.Read moreRead less
Reducing Alcohol Use And Related Harm In Young People
Funder
National Health and Medical Research Council
Funding Amount
$702,462.00
Summary
Nationally, 10,000 young Australians present to emergency departments with alcohol-related injuries and illnesses each month. Much of this adversity could be prevented if more young people had access to effective brief interventions (BIs) for alcohol use. Telephone-delivered BIs provide an innovative, youth friendly and accessible way of delivering treatment. This is the first clinical trial to compare the efficacy and cost-effectiveness of telephone-delivered BIs for reducing alcohol use and re ....Nationally, 10,000 young Australians present to emergency departments with alcohol-related injuries and illnesses each month. Much of this adversity could be prevented if more young people had access to effective brief interventions (BIs) for alcohol use. Telephone-delivered BIs provide an innovative, youth friendly and accessible way of delivering treatment. This is the first clinical trial to compare the efficacy and cost-effectiveness of telephone-delivered BIs for reducing alcohol use and related harm in young people.Read moreRead less