ORCID Profile
0000-0002-6710-2584
Current Organisations
Canberra Hospital
,
Australian National University
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Publisher: Wiley
Date: 25-07-2016
Abstract: When compared to an Australasian ED, the two major differences in the emergency medicine practice at Teaching Hospital Karapitiya are which patients are selected at triage and how those selected present. These differences have caused me to reflect on emergency medicine practice in Australasia and wonder if this practice is sustainable.
Publisher: Sri Lanka Journals Online (JOL)
Date: 14-11-2017
Publisher: SAGE Publications
Date: 04-02-2013
DOI: 10.33151/AJP.10.1.46
Abstract: Introduction To describe injury type and frequency, and the factors influencing these, in endurance mountain bike riders. Methods This study used a cross-sectional retrospective audit of patient report forms, prospective meteorological information and race data over an eight-year period. The Australian twenty-four hour mountain bike ch ionships is held annually in Canberra, Australia. All riders who presented to a first aid station for treatment during the race from 2000-2007, were included. Studied factors influencing injury were race time, ambient temperature and rider gender. Studied outcome measures were injury frequency, location, type and management. Results Of the 14,777 riders over the eight years, 596 required first aid treatment for injuries (4.03%), the majority for minor injuries to extremities. Only 0.25% of riders were referred to hospital, 0.06% by ambulance. The injury incidence was 8.4/1000 bike hours with a race-ending presentation (a patient referred to hospital) incidence of 0.5/1000 bike hours. Patient presentation rates were highest in the first eight hours of a race. Higher average temperatures per year were associated with a greater risk of injury. Females were more likely to be injured. Conclusion This mountain bike competition was safe with minor injuries to extremities predominating and low referral rates to hospital. Higher injury rates should be anticipated in hotter weather and during the first third of the race. The first aid service organisation provided adequate clinical care at this event.
Publisher: JMIR Publications Inc.
Date: 04-09-2018
Abstract: eterotopic ossification (HO) is a significant complication for wounded warriors with traumatic limb loss. Although this pathologic condition negatively impacts the general population, ectopic bone has been observed with higher frequency for service members injured in Iraq and Afghanistan due to blast injuries. Several factors, including a traumatic insult, bioburden, tourniquet and wound vacuum usage, and bone fractures or fragments have been associated with increased HO for service members. A large combat-relevant animal model is needed to further understand ectopic bone etiology and develop new pragmatic solutions for reducing HO formation and recurrence. his study outlines the optimization of a blast system that may be used to simulate combat-relevant trauma for HO and replicate percussion blast experienced in theater. e tested the repeatability and reproducibility of an air impact device (AID) at various pressure settings and compared it with a model of blunt force trauma for HO induction. Furthermore, we assessed the ability of the higher-power air delivery system to injure host tissue, displace metal particulate, and disperse bone chips in cadaveric sheep limbs. ata demonstrated that the air delivery setup generated battlefield-relevant blast forces. When the AID was charged to 40, 80, and 100 psi, the outputs were 229 (SD 13) N, 778 (SD 50) N, and 1085 (SD 114) N, respectively, compared with the blunt force model which proposed only 168 (SD 11) N. For the 100-psi AID setup, the force equaled a 5.8-kg charge weight of trinitrotoluene at a standoff distance of approximately 2.62 m, which would replicate a dismounted improvised explosive device blast in theater. Dispersion data showed that the delivery system would have the ability to cause host tissue trauma and effectively disperse metal particulate and host bone chips in local musculature compared with the standard blunt force model (13 mm vs 2 mm). ur data showed that a high-pressure AID was repeatable or reproducible, had the ability to function as a simulated battlefield blast that can model military HO scenarios, and will allow for factors including blast trauma to translate toward a large animal model.
Publisher: Wiley
Date: 13-09-2023
Publisher: Wiley
Date: 07-02-2021
Abstract: There are increasing numbers of shark attacks in Australasian waters, with death commonly resulting from uncontrolled lower limb bleeding. The present study aims to determine the most effective first aid method using immediately available resources for controlling lower limb haemorrhage, which could be provided by single unsupported rescuer. The present study was a clinical trial performed at a single tertiary referral hospital. Healthy volunteers who completed a screening questionnaire, a baseline popliteal velocity measurement and then consented were eligible. The present study used Doppler ultrasound to record the reduction in popliteal artery peak systolic velocity created by surfboard leg rope tourniquet and by inguinal region external compression in healthy volunteer subjects with and without a wetsuit. Leg circumference and sex data were also collected. Pooled data from each intervention without and with a wetsuit showed that inguinal compression resulted in a mean reduction of popliteal artery peak systolic velocity of 89.7% (95% CI 83.9%, 95.5%) compared to leg rope application 43.8% (95% CI 34.5%, 53.1% P ≤ 0.001). There was no significant influence by the wetsuit on effectiveness of either intervention technique. The present study has shown that manual inguinal compression, an easily taught first aid technique, can reliably completely stop or substantially reduce blood loss in the setting of a lower limb injury and is superior to an improvised tourniquet.
Publisher: JMIR Publications Inc.
Date: 22-02-2019
DOI: 10.2196/12107
Publisher: Wiley
Date: 08-11-2013
No related grants have been discovered for Nicholas Taylor.