About the Emergency Medicine Research Program (EMRP)

Section 1

The first peer-reviewed research publication from the Emergency Department at the Princess Alexandra Hospital appeared in the literature in 1983. Over the 20 year period to 2003 there were 30 more publications, with the balance of the 200 papers in the last decade.

In 2011 the research structure within the Department was enhanced by the introduction of dedicated research staff; a full-time Nurse Researcher (Dr. Lyndall Spencer) and a full-time Academic Research Manager (Dr. Rob Eley) employed by The University of Queensland School of Medicine. These positions are complemented by a 0.6 FTE Nurse Researcher (Ms. Cara Caliban) and two clinical nurses from the Department employed at 0.3 FTE each to participate in research projects as a capacity building activity.

Establishing those positions has allowed a more structured approach to Departmental research and the opportunity to develop its research capacity. This includes research training and support to staff within the medical, nursing and allied health disciplines. Twenty five peer reviewed publications have been published in the two years to December 2013, and as of the end of January 2014 a further 10 are in press.

Web Page http://www.emergpa.net/wp/research updated January 2014 Section 2

Research within the Emergency Department

Notes:

1The Academic Research Manager (ARM) is a University of Queensland School of Medicine (UQ-SOM) staff member based full-time in the Princess Alexandra Hospital Emergency Department (PAH-ED). The position is jointly funded by UQ-SOM and the Queensland Emergency Medicine Research Foundation (QEMRF).

2The Nurse Researcher (NR) and Research Officer (RO, .6 FTE) are Queensland Health positions based at the Princess Alexandra Hospital. They are attached to the Nurse Practice and Development Unit but located in ED.

3The two arms of the research team work collaboratively to provide support and guidance to researchers from conception of research areas through to publication.

4Most of the recent research funding has been sourced from the QEMRF and the Princess Alexandra Research Foundation. For the former the Principal Investigator must be a FACEM (Fellow of the Australian College of Emergency Medicine. The Research Team is supporting researchers in applications not only to these sources of funding but is also identifying additional funding sources.

Web Page http://www.emergpa.net/wp/research updated January 2014 5Research is encouraged from non-clinical disciplines, such as Operational Research and Health Economics, in order to expand the research program within the Department.

Web Page http://www.emergpa.net/wp/research updated January 2014 6Research may be undertaken by PAH-ED alone or in collaboration with external researchers from other departments within the PAH and from other locations, e.g. other Queensland Health hospitals, UQ,

QUT.Section 3

Research Co-ordination Committee (RCC)

The RCC was established within the context of the EMRP to review research proposals, provide feedback to researchers and make recommendations to the Medical and Nursing Directors. Current members of the RCC are Rob Eley (Academic Research Manager), Lyndall Spencer (Nurse Researcher), Michael Sinnott (Senior Staff Specialist), Carl Dux (Specialist) James Hughes (Clinical Nurse Consultant), Mary Boyde (Nurse Researcher and Educator), Rachel Walker (Research Fellow) and Pete Fugelli (EDIS Manager).

EMRP Monthly Meeting

The EMRP holds a research meeting in the Departmental Office Training Room 1 (Room 1AC.22.1) on the 4th Thursday of every month from 1300 to 1400 hrs.

The meeting provides the opportunity for Departmental staff to discuss current and proposed research and topics of interest and relevancy. Areas of interest are also presented by external speakers from within the health service or university system. Researchers from other departments and external institutions are welcome to attend and those with proposed collaborative research projects are requested to make short presentations.

Use the contact details below if you wish to be notified of the meeting and/or receive an agenda for the next meeting.

Contact Rob Eley (Academic Research Manager): 3176 3672; [email protected] Lyndall Spencer (Nurse Researcher): 3176 7879; [email protected]

Key Partners

The EMRP has several key partners:

Queensland Emergency Research Collaborative (QERC) QERC succeeded the State Wide Emergency Department Research Network (SWEDRN) when the latter was disbanded. QERC aims to improve the quality and impact of emergency health research activities by supporting multicentre research and facilitate collaboration between institutions, health care providers, researchers and industry partners involved in the delivery of and advancement to emergency health care. The ARM and Nurse Researcher represent the PAH on QERC.

Queensland Emergency Medicine Research Foundation (QEMRF) QEMRF was established with the support of Queensland Health and the Queensland Government to support high quality research directed at improving the care of patients in Emergency Departments and to develop Emergency Medicine research capacity in Queensland. QEMRF allocates competitive grants and fellowships to support research relating to the practice of Emergency Medicine in Queensland. Dr Michael Sinnott, Senior Staff Specialist at PAH-ED was a Director of QEMRF since its establishment in 2007 to December 2013. http://www.qemrf.org.au/

The University of Queensland’s School of Medicine (UQ-SOM) UQ SOM is a leading provider of medical education and research with Australia’s largest medical degree program. The School operates over multiple sites with Queensland Health a major partner. http://www.som.uq.edu.au/home.aspx The PAH falls within the PA-Southside Clinical School of the SOM http://www.som.uq.edu.au/about/campuses-and-teaching-sites/clinical- schools/pa-southside-clinical-school.aspx

Research Projects 2014

Please note that this is not an all-inclusive list but summarises project which are ongoing (as of Feb 2014) or were completed in 2013. For further details of these and earlier projects please contact the Research Manager.

Name of Project Australasian Resuscitation In Sepsis Evaluation Short name / Number ARISE / PAH 05 Principal PAH researcher(s) Lawrence, Sean Coordinating Centre The Australian & New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University Funding source National Health and Medical Research Council (NHMRC) Summary The purpose of this multi-centre randomised controlled trial which began in 2008 is to find out if a treatment plan known as “Early Goal Directed Therapy” is different from standard treatment for patients with severe sepsis. http://arise.org.au/home Status (as of 1.1.14) Ongoing

Name of Project Gap Analysis for Prevention and Treatment of Bicycle Injuries Short name / number Bicycle Trauma / PAH 87 Principal PAH researcher(s) Eley, R Collaborators CARRS-Q (QUT); Vallmuur, Kirsten Summary Working within the Diamantina Health Partners theme of Integrative Trauma and Rehabilitation this projects is determining the gaps in data around bicycle accidents which result in traumatic injury. Status (as of 1.1.14) Ongoing.

Name of Project Identifying brittle discharges from ED: A prospective study Short name / number Brittle Discharges / PAH 25 Principal PAH researcher(s) Burkett, Ellen Collaborators UQ Centre for Research in Geriatric Medicine (Prof Len Gray) Funding source Private Practice Trust Fund Summary The aim of this study is to improve the safety and efficiency of discharge of frail older patients from the ED, in an effort to reduce hospital access block and improve the quality of care for this complex patient group. An international arm of this study involves 16 emergency departments in 10 countries, from Canada to India. Status (as of 1.1.14) Local study completed.

Name of Project The Bed Unit Day Investigation and Implementation Platform Short name / Number BUDII / PAH 03

Web Page http://www.emergpa.net/wp/research updated January 2014 Principal PAH researcher(s) Sinnott, Michael; Spencer, Lyndall Collaborators QUT - Wong, Andy; Kozan, Erhan Funding source Private Practice Trust Fund Summary BUDII tool enable examination of the bed requirements for all patients, elective and emergency, on the day of their admission and for the duration of their predicted stay. The ongoing study has developed a technique to combine data from the four data management systems in operation in Princess Alexandra Hospital. Status (as of 1.1.14) Ongoing. Publication Wong et al. Australian Health Review (in press).

Name of Project Foreign Language Speaking Patients’ Satisfaction with Emergency Department Service Short name / number CALD-NESB / PAH 56 Principal PAH researcher(s) Mahmoud, I Collaborators QUT Summary This study formed part of a PhD. Patients who presented to the ED were interviewed to determine their satisfaction with services. The results of non-English speaking patients were compared with those for whom English was their mother tongue. Status (as of 1.1.14) Completed in 2013 Publication Mahmoud et al. Academic Emergency Medicine (in press)

Name of Project Tamsulosin for the treatment of Distal Ureteric Calculi Short name / number DUST / PAH 2 Principal PAH researcher(s) Thom, Ogilvie & Dux, Carl Collaborators Townsville Funding source QEMRF Summary This study aims to determine if the addition of the drug Tamsulosin, in addition to usual standard care, will a) improve the rates of spontaneously passing stones <10mm in diameter, b) has any effect on pain experienced by the patients, or their need for surgery. Status (as of 1.1.14) Ongoing.

Name of Project Prospective cohort study of cardiac risk profile of emergency department patients with chest pain: a comparative analysis of risk stratification tools. Short name / Number CREDIT / PAH 12 Principal PAH researcher Burkett, Ellen Collaborators Anne-Maree Kelly (Western Health) Funding source Queensland Emergency Medicine Research Fund Summary Chest pain remains one of the most common complaints in patients presenting to Australian emergency departments. The study aims firstly, to assess and describe in detail the risk profile of patients presenting to a major Australian hospital Emergency Department with non-traumatic chest pain. Secondly, to compare the National Heart Foundation of Australia Risk Rules to two other already proven methods to determine the best predictor of risk of death or

Web Page http://www.emergpa.net/wp/research updated January 2014 heart-related complications at 72 hours and 30 days. Status (as of 1.1.14) Ongoing. Publication Burkett et al International Journal of Emergency Medicine 2014 7:10.doi:10.1186/1865-1380-7-10

Name of Project 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. Short name / Number Decimalate / PAH 38 Principal PAH researcher(s) Eley, Rob; Sinnott, Michael Collaborators Steinle, Vicki (University of Melbourne) Funding source QEMRF Summary The study of doctors and nurses demonstrated that clinicians have difficulty with the interpretation of clinical chemistry results that are presented as decimals and in order to facilitate diagnosis and treatment would prefer the presentation of results without them. A recommendation has been made that all results should be presented as whole numbers. Status (as of 1.1.14) Completed Publications Sinnott et al. Journal of Clinical Pathology 2014; 67.179- 181 Eley et al. Emergency Medicine Australasia (in press)

Name of Project Droperidol for rapid sedation of acute behavioural disturbance Short name / Number DORM II / PAH 08 Principal PAH researcher(s) Page, Colin Collaborators Isbister, Geoffrey (Newcastle) Funding source Queensland Emergency Medicine Research Fund Summary An RCT showed that Droperidol was as effective at sedation as Midazolam for acute behaviour disturbance but with significantly less adverse effects. An extension to this trial introduced droperidol in a set dose and route as an observational study in the emergency department. This extension of the original trial has resulted in positive outcome for both patients and staff. The study is now being extended to include rural regional and metropolitan hospitals to increase the sample size of the safety study. Status (as of 1.1.14) Ongoing Posters Calver et al. Society for Academic Emergency Medicine Annual Meeting, Chicago.

Name of Project Tamsulosin for the treatment of Distal Ureteric Calculi Short name / Number DUST / PAH 02 Principal PAH researcher(s) Thom, Ogilvie Collaborators Furyk, Jeremy (Townsville) Funding source Queensland Emergency Medicine Research Fund Summary This study aims to determine if the addition of the drug Tamsulosin 0.4mg daily, in addition to usual standard care, will improve the rates of spontaneously passing stones

Web Page http://www.emergpa.net/wp/research updated January 2014 less than 10mm in diameter, whether the drug has any effect on pain experienced by the patients, their need for surgery and complications. Status (as of 1.1.14) Ongoing

Name of Project Efforts to Attenuate the Spread of Infection: A prospective, multi-centre microbiological survey of Ultrasound Equipment in Australian Emergency Departments and Intensive Care units. Short name EASI Principal PAH researcher(s) Thom, Ogilvie Collaborators John Fraser, Prince Charles Hospital Funding source Queensland Emergency Medicine Research Fund Summary EASI investigated the bacterial colonization and blood contamination on ultrasound probes in Emergency Departments and Intensive Care Units across hospitals in South East Queensland. The amount and type of bacteria and the amount of blood contamination was investigated and reported. This study has the potential to demonstrate possible contamination of our sickest patients by blood and pathogenic bacteria from ultrasound probes used by the clinicians who are caring for them. Status (as of 1.1.14) Completed Publication Keys et al. Emergency Medicine Australasia (in press)

Name of Project Developing a quality framework for the care of older patients in the Emergency Department. Short name / Number EDQI / PAH 04 Principal PAH researcher(s) Burkett, Ellen Collaborators UQ Centre for Research in Geriatric Medicine (Prof Len Gray) Funding source Queensland Emergency Medicine Research Fund Summary The aim of this study is to improve the safety and efficiency of discharge of frail older patients from the ED, in an effort to improve the quality of care for this complex patient group. An international arm of this study funded by the NH&MRC involves 16 emergency departments in 10 countries, from Canada to India. Status (as of 1.1.14) Ongoing Publications Gray et al. Annals of Emergency Medicine 62(5), 467-474 Schnitker et al. Journal of Gerontilogical Nursing 39(3), 34- 40

Name of Project Frequent Users to ED Short name Frequent Flyers Principal PAH researcher(s) Fugelli, Peter; Eley, Rob Summary This is a retrospective study using routinely collected health information systems data from the EDIS database to characterise Frequent Users of the ED from the perspective of time interval between their visits rather than the absolute number of visits which is the usual manner of review. The objective of the study is to determine characteristics which may result in improved management.

Web Page http://www.emergpa.net/wp/research updated January 2014 Status (as of 1.1.14) Ongoing

Name of Project Is communication an issue in the collection of MSU in an Emergency Department Environment Short name Mid Steam Urine Principal PAH researcher(s) Eley, R Collaborators Funding source Queensland Emergency Medicine Research Fund Summary Over 1000 urine samples per month are analysed from the PAH ED. Contaminated urine may lead to false positive or uninterpretable results, inappropriate diagnosis and medication. Currently there is no standardised practice for instructions to patients on how to collect their sample, with reliance on the experience and communication skills of the health professional. It is hypothesised that improved instruction would be beneficial. The benefit of written instruction on contamination rates is being evaluated. Status (as of 1.1.14) Ongoing

Name of Project Mindfulness intervention for interns Short name / Number Mindfulness / PAH 54 Principal PAH researcher(s) Nicholls, Kim Collaborators Ireland, Michael (USQ) Summary The Mindfulness intervention will improve Intern performance during the emergency medicine rotation, as measured by the mid-term and end of term assessment process. In addition the intervention with improve self- reported confidence and wellbeing for the interns. Status (as of 1.1.14) Ongoing

Name of Project To determine what factors inhibit interns from developing and/or recording their clinical impressions (diagnoses) and management plans following patient assessment Short name / Number MoLIE / PAH 48 Principal PAH researcher(s) Isoardi, Jon; Spencer, Lyndall, Sinnott, Michael Funding source QEMRF Summary This study learned what factors influence emergency medicine intern note-taking. Interviews conducted with senior medical staff identified their expectations about intern documentation. The information obtained was utilised to modify the education program known as More Learning for Interns in Emergency (MOLIE). Status (as of 1.1.14) Ongoing Publication Isoardi et al. Emergency Medicine Australasia 25(4), 302- 307

Name of Project Hypothermia in a traumatic brain injury Short name POLAR Principal PAH researcher(s) Fuentes, Hector Collaborators Monash, ANZICS Funding source NH&MRC

Web Page http://www.emergpa.net/wp/research updated January 2014 Summary The POLAR trial is a multicentre randomised controlled trial of early and sustained prophylactic hypothermia in 512 patients with severe traumatic brain injury. The primary aim of the study is to determine whether early and sustained prophylactic hypothermia, compared to standard normothermic care, is associated with an increased proportion of favourable neurological outcomes six months after severe traumatic brain injury. Status (as of 1.1.14) Ongoing

Name of Project “Blind Prescribing” and the prescribing preparedness of doctors in emergency departments Short name / Number Prescribing / PAH 17 Principal PAH researcher(s) Katrina Starmer, Sinnott, Michael, Eley Rob Collaborators Shaban, (Griffith) Funding source QEMRF Summary Blind Prescribing describes the situation where a medical practitioner prescribes a medication they have little knowledge of. Theoretically, it could lead to higher rates of medication error and unsafe medical practice. The project set out to: determine if blind prescribing occurs in emergency medicine; identify the prevalence of the practice; and propose situational and contextual factors pertinent to emergency medicine that are thought to enable this practice. Status (as of 1.1.14) The study was completed. A second phase involving nurses will begin in 2014. Publication Starmer et al. Emergency Medicine Australasia 25(2), 147- 153

Name of Project Clinical Referral Short name / Number Referrals / PAH 58 Principal PAH researcher(s) Lawrence, Sean Summary This study aims to identify the characteristics of an optimal patient referral from the perspective of both emergency department senior doctors and in-patient senior doctors in both the Division of Surgery and the Division of Medicine. Status (as of 1.1.14) Ongoing

Name of Project Securing All Intravenous devices Effectively in hospitals: The SAVE Trial Short name / Number SAVE / PAH 30 Principal PAH researcher(s) Thom, Ogilvie Collaborators Fraser, John (Prince Charles Hospital), Rickard, Claire (Griffith Univ) Funding source NH&MRC Summary Going to hospital usually means having an intravascular device (“IV drip”) in your vein or artery. Almost half of all IV drips fall out or fail because they are not well secured to the skin. This means patients miss out on treatment and have extra painful needle sticks to insert new devices.

Web Page http://www.emergpa.net/wp/research updated January 2014 Serious infections can also occur. This study will find the best dressings to use on IV drips. Patients will have their drips glued in with medical superglue, or have one of two new dressings, compared with current usual care. Status (as of 1.1.14) Ongoing

Name of Project Skin Emergency Telemedicine Study Short name / Number SETS / PAH 23 Principal PAH researcher(s) Sinnott, Michael Collaborators Soyer, Peter (Dermatology UQ); Muir, Jim; Collier, James; Staib, Andrew; McNeill, Iain Summary The Skin Emergency Telemedicine Service was rolled out as standard practise within the PAH Emergency Department following positive outcome data from a research project performed within the department in 2009. This audit completed in 2013 determined the effectiveness and efficiency of this service. Status (as of 1.1.14) Completed Publication Muir et al. Emergency Medicine Australasia 23, 562-568 Biscak et al. Journal of Telemedicine and Telehealth 19:362-366

Name of Project Time to Analgesia Short name / Number Time to Analgesia / PAH 67 Principal PAH researcher(s) Hughes, James Collaborators Yates, Patsie (QUT), Spencer, Lyndall (PAH) Summary The aim of James Hughes’ PhD research is to examine the relationship between client demographic factors, emergency department workload factors to the time taken to administer analgesia and opioid analgesia in the adult emergency population. Status (as of 1.9.13) Ongoing Presentation Hughes et al. 10th International Conference for Emergency Nursing

Name of Project Adding “Insult to Injury” – The effect of fresh and aged blood to oxygenation, metabolism and organ function in a clinically relevant trauma/sepsis model Short name / Number Trauma and Sepsis / PAH 74 Principal PAH researcher(s) Staib, Andrew; Collier, James Collaborators John Fraser (UQ) Funding source QEMRF Summary This project is the continuation of past studies which investigated the ability of typical fluids used in haemorrhagic shock in ED departments to improve oxygen delivery to vital organs following severe haemorrhage. The results of these studies will provide important evidence which the ED physician can use in determining how to manage a shock patient in a typical resuscitation. Status (as of 1.1.14) Ongoing. Publications Fung, Y. et al Vox Sanguinis (Online Feb 2013)

Our people

Research team

Lyndall Spencer PhD, MPH, BA (Hons.1), RN is a Nurse Researcher. She has 25 years of experience in applied research working in three Australian states in urban and regional settings as well as in London and Hong Kong. Her primary speciality is related to quantitative research focused on data collection and analysis, using statistical software packages such as SPSS. However, she is also familiar with and highly experienced in qualitative techniques, adult education & workshop facilitation, project management and implementation. In 2010 she returned from three years in the Kimberley where she acquired an understanding and mastery of the pleasures and pain of working and living in remote environments.

Rob Eley BSc (Hons), MSc, PhD, FSB, CIBiol, CSci is the Academic Research Manager. He has a background in animal production, physiology and endocrinology. After attaining his PhD from the University of Florida in 1980 he worked for 21 years in Kenya as a lecturer in veterinary physiology, scientist at the Institute of Primate Research and education officer for the International Livestock Research Institute. Between 2002 and 2004 Rob was employed at Loughborough University (UK) within the UK-wide Learning and Teaching Support Network and then from 2004 until 2012 he was Senior Research Fellow at the Centre for Rural and Remote Area Health at the University of Southern Queensland. In early 2012 he joined the University of Queensland in his current position. Rob has an extensive publication record including books, book chapters and peer reviewed articles and he is a regular reviewer for nursing and health journals.

CJ Cabilan RN, Grad Cert Acute Care Nursing, is a Research Officer. CJ has a 5-year experience as a registered nurse in general surgery, mainly providing care for patients undergoing colorectal, breast, upper GI and hepatobiliary surgery. She is also working as a clinical research nurse at Mater’s Nursing

Web Page http://www.emergpa.net/wp/research updated January 2014 Research Centre. Her research interests include evidence-based nursing, physical activity, quality of life and functional status after surgery. Lastly, she is currently working towards achieving Master of Applied Science (Research) through Queensland University of Technology.

Angela Doolan (BN, RN) is a Clinical Nurse Researcher at Princess Alexandra’s Emergency Department. Angela’s interest in research started when she was chosen to participate in the Vacation Research Experience Scheme Scholarship (VRES) at Queensland University of Technology during her undergraduate degree. Since completing her Bachelor of Nursing (with Distinction), she has gained valuable experience in emergency nursing and has developed a keen interest in infection control. She is currently studying her Master of Emergency Nursing through Griffith University.

Chantelle Judge (RN BN, Grad Cert (Emerg Nurs), MAdv Prac (Emerg Nurs) is a Clinical Nurse Researcher as well as a Registered Nurse in the Princess Alexandra Emergency Department. She had 11 years Nursing Experience which has predominantly been in Emergency. Having completed the Masters of Advance Practice in Emergency Nursing she gained an interest in research after completing a literature review on previous research that has been conducted on Out of Hospital Cardiac Arrests and inducing hypothermia and the correlation in reducing morbidity and mortality.

Web Page http://www.emergpa.net/wp/research updated January 2014 Members of the Research Coordination Committee

Michael Sinnott FRACP, FACEM, MBBS is a Senior Staff Specialist within the Emergency Department at the Princess Alexandra Hospital. He holds an adjunct position as Clinical Senior Lecturer with UQ. Michael’s specialisation in emergency medicine began in 1984 and he has held clinical positions in several of Brisbane’s hospitals. He has a particular interest in staff and patient safety and has been awarded $1 million in research grants. Michael is founder and Managing Director of Qlicksmart Pty Ltd.

Carl Dux FACEM, MBBS is a Staff Specialist within the Emergency Department at the Princess Alexandra Hospital. Carl completed his medical degree after attaining an undergraduate degree in engineering. He became a FACEM in 2013 at which time he joined the PAH-ED.

Georgia Livesay FACEM MBBS PhD BVetMed is a Staff Specialist within the Emergency Department at the Princess Alexandra Hospital, and is currently Acting Deputy Director of the Medical Education Unit. Her current research interests include pre-hospital care, diagnostic use of ultrasound and health and welfare of doctors in the emergency environment.

Mary Boyde RN, BN, MN, MEd, PhD, MACN is a Nurse Researcher in the Cardiology Department and Nurse Educator with the Nursing Practice Development Unit at the PAH. Mary has an adjunct position as a Lecturer with UQ School of Nursing and Midwifery. Mary’s past experience in cardiovascular nursing and education has led to an interest in patient education. Mary’s current research focuses on multimedia educational interventions for cardiovascular patients.

Web Page http://www.emergpa.net/wp/research updated January 2014 Rachel Walker RN, BN, BA, MA, PhD is a Research Fellow within the NHMRC Centre of Research Excellence in Nursing, Centre for Health Practice Innovation, Griffith University and is affiliated with the Nursing Practice Development Unit at the PAH. Rachel clinical research interests are in acute and critical care health settings. Her research include RCTs, pilot studies and systematic reviews (Cochrane), with a focus on skin integrity (pressure injury), symptom management (clinical deterioration leading to adverse events) and knowledge translation.

Leanne Trenning, RN is Nurse Educator within the PAH-ED with qualifications in Clinical Education, Assessment and Training, Critical Care Nursing and Emergency Nursing. Her role provides leadership in the provision of both theoretical knowledge and clinical education to ensure a high standard of clinical care. Lee is on secondment with the Emergency Coordination Team at Kedron.

James Hughes, RN BN Grad Cert MAdvPrac(Emer Nurs) is a Clinical Nurse Consultant with a long history in tertiary emergent care in Queensland. His current role provides expert clinical and management support to the nursing staff of the department. He has a keen interest in nursing research, currently studying a PhD (QUT). He also has interests in nursing education at both the undergraduate and post graduate level and holds a Sessional Academic position at QUT.

Pete Fugelli BSc (Hons) was the Emergency Department Data Manager at the Princess Alexandra Hospital. In mid-2013 he moved to the Decision Support Team in the hospital. Trained in marine biology Pete has over 15 years of experience in scientific research working in Moreton Bay, Heron, One Tree and Orpheus research stations in Australia, as well as the Lerang Aquaculture research station and Skretting Biotech research laboratory in Norway.

Lyndall Spencer is the Nurse Researcher (see Section 6)

Web Page http://www.emergpa.net/wp/research updated January 2014 Rob Eley is the Academic Research Manager (see Section 6) Clinical Researchers

Staff Specialists

Ellen Burkett FACEM, MBBS (PhD Candidate)

Marianne Cannon FACEM, MBBS

James Collier FACEM, MBBS

Carl Dux FACEM, MBBS

Jon Isoardi FACEM, MBBS

Katherine Isoardi FACEM, MBBS

Web Page http://www.emergpa.net/wp/research updated January 2014 Sean Lawrence FACEM, MBBS

Georgia Livesay FACEM, BVSc, MBBS, PhD

Iain McNeil FACEM, MBBS

Kim Nicholls FACEM, MBBS

Colin Page FACEM, MBBS

Darren Powrie FACEM, MBBS

Michael Sinnott FRACP, FACEM, MBBS

Andrew Staib FACEM, MBBS

Web Page http://www.emergpa.net/wp/research updated January 2014 Ogilvie Thom FACEM, MBBS (PhD Candidate)

Nursing staff

Sue Galbraith, RN is the Equipment Emergency Department and ED NO2 Commissioning Project Officer. She has extensive clinical experience in; Emergency and Trauma nursing; Frontline Ambulance work; Intensive Care / Coronary Care nursing; After-hours Management; Operating Theatre nursing. From 1981 to 2001 Sue worked in New Zealand hospitals and she has been at PAH since 2004.

Visiting Research Fellow

Ramon Shaban BSc, PhD, BN, RN, FRCNA, has has held clinical, management, education and research roles for more than two decades in emergency care and infection prevention and control. Ramon is currently Director of Postgraduate Coursework Programs within the School of Nursing and Midwifery at Griffith University and Director of the Griffith Graduate Infection Prevention and Control Program. He is an active member of variety of professional groups and committees including the Australian Commission on Safety and Quality in Heath Care, the College of Emergency Nursing Australasia and the Australasian College for Infection Prevention and Control. He is Editor-in-Chief of the Australasian Emergency Nursing Journal and Associate Editor of Healthcare Infection.

Do you want to do research with us?

If you are interested in undertaking research at the PAH – ED please check out the Process Documentation and the Summary Forms or contact a member of the research team.

Contact us

Academic Research Manager – 07 3176 3672 [email protected]

Nurse Researcher – 07 3176 7879 [email protected]

Where do you find us?

Web Page http://www.emergpa.net/wp/research updated January 2014 The research team is located in the ED offices on the first floor at the PAH next

to Emergency. Section 8

All ED staff publications to December 2013 (alphabetical).

1. Allen GE, Brown S, Buckley NA, O'Leary MA, Page CB, Currie BJ, White J, Isbister GK. 2012. Clinical Effects and Antivenom Dosing in Brown Snake (Pseudonaja spp.) Envenoming — Australian Snakebite Project (ASP-14). PLOS ONE 7 (12) e53188

2. Biscak, T., Eley, R., Sinnott, M., & Soyer, H. (2013). Audit of a State-wide store and forward teledermatology service in Australia Journal of Telemedicine and Telehealth, 19(7), 362-366. doi: 10.1177/1357633X13506509

3. Baldwin LN, Henderson A, Thomas P, Wright M. (1993). Acute bacterial meningitis in young adults mistaken for substance abuse. British Medical Journal 306, 775-776.

4. Bell A, Taylor D, Holdgate A, MacBean C, Huynh T, Thom O, Augello M, Millar R, Day R, Williams A, Ritchie P, Pasco J. (2011). Procedural sedation practices in Australian Emergency Departments. EMA - Emergency Medicine Australasia 23, 458-465.

5. Binder A, Parr G, Thomas PP, Hazleman B. (1983). A clinical and thermographic study of lateral epicondylitis. British Journal of Rheumatology 22, 77-81.

6. Bodnar, D., Rashford, S., Hurn, C., Quinn, J., Parker, L., Isoardi, K., & Williams, S. (2013). Characteristics and outcomes of patients administered blood in the prehospital environment by a road based trauma response team. Emergency Medicine Journal emermed-2013-202395Published Online First: 5 May 2013 doi:10.1136/emermed-2013-202395

7. Buntine P, Thom O, Babl F, Bailey M, Bernard S. (2007). Prehospital analgesia in adults using inhaled methoxyflurane. EMA - Emergency Medicine Australasia 19, 509-514.

8. Burkett E, Keijzers G, Lind J. (2009). The relationship between blood glucose level and QTc duration in the critically ill. Critical care and resuscitation. Critical Care and Resuscitation 11, 8-13.

9. Calver L, Downes M, Page C, Bryant J, Isbister G. (2010). The impact of a standardised intramuscular sedation protocol for acute behavioural disturbance in the emergency department. BMC Emergency Medicine 10, 14.

10.Cannon M. (2003). Humanitarian and human rights issues [1]. Emergency Medicine 15, 528.

Web Page http://www.emergpa.net/wp/research updated January 2014 11.Cannon M. (2005). Flying doctor. Emergency medicine Australasia: EMA 17, 284.

12.Cannon M. (2006). On burnout and other demons. EMA - Emergency Medicine Australasia 18, 510-512.

13.Cannon M. (2011). Pervasive influence of commercial interests. EMA - Emergency Medicine Australasia 23, 382.

14.Cannon ME, McCarthy JS. (1999). Human immunodeficiency virus seroconversion illness in the emergency department: A review. Emergency Medicine 11, 22-27.

15.Cannon ME, Cooke CT, McCarthy JS. (2001). Caffeine-induced cardiac arrhythmia: An unrecognised danger of health food products. Medical Journal of Australia 174, 520-521.

16.Cannon ME, Sprivulis P, McCarthy J. (2001). Restraint practices in Australasian emergency departments. Australian and New Zealand Journal of Psychiatry 35, 464- 467.

17.Casey SJ, De Alwis WD. (2010). Review article: Emergency department assessment and management of stab wounds to the neck. EMA - Emergency Medicine Australasia 22, 201-210.

18.Churchman A, O'Leary M, Buckley N, Page C, Tankel A, Gavaghan C, Holdgate A, Brown S, Isbister G. (2010). Clinical effects of Red-Bellied Black Snake (Pseudechis porphyriacus). envenoming and correlation with venom concentrations: Australian Snakebite Project (ASP-11). Medical Journal of Australia 193, 696-700.

19.Clarke B, Ryan G, Fraser J, Francis L. (2007). Uncommon cause of cardiac arrest in the emergency department. EMA - Emergency Medicine Australasia 19, 169-172.

20.Collier J (2013) Accreditation, specialist training and recognition in Australasia. In Adult Emergency Medicine, fourth edn (Cameron P, Jelinek G, Kelly A-M, Brown A & Little M eds.). Elsevier

21.Considine J, Shaban RZ, Patrick J, Holzhauser K, Aitken P, Clark M, Fielding E FitzGerald G. (2011). Pandemic (H1N1). 2009 Influenza in Australia: Absenteeism and redeployment of emergency medicine and nursing staff. EMA - Emergency Medicine Australasia 23, 615-623.

22.Downes M, Page C, Isbister G. (2008). Response to "Use of Lipid Emulsion in the Resuscitation of a Patient with Prolonged Cardiovascular Collapse After Overdose of Bupropion and Lamotrigine". Annals of Emergency Medicine 51, 794-795.

Web Page http://www.emergpa.net/wp/research updated January 2014 23.Downes MA, Healy P, Page CB, Bryant JL, Isbister GK. (2009). Structured team approach to the agitated patient in the emergency department: Original Research. EMA - Emergency Medicine Australasia 21, 196-202.

24.Driscoll P, Gwinnutt C, McNeill I. (1999).. Controversies in advanced trauma life support. Trauma 1,171

25.Eley R. (2013). The Potential Effects of the Didgeridoo as an Indigenous Intervention for Australian Aborigines: A Post Analysis. Music and Medicine 5, 84-92

26.Eley R & Henshaw R (2012) Walking paths and fitness stations in a rural Australian town. In Partyline – The Magazine of the National Rural Health Alliance, pp. 24-25.

27.Eley R & Rogers-Clark C (2012): Consumer perceptions of the effectiveness of a breast care nurse in providing holistic, coordinated care to women with breast cancer. Australian Journal of Advanced Nursing 59, 56-61.

28.Eley, R., Hegney, D., & Francis, K. (2013). Nursing and the nursing workplace in Queensland, 2001-2010: what the nurses think. International Journal of Nursing Practice. Published online 13 Sept 2013. doi: 10.1111/ijn.12182

29.Eley R, Hegney D Francis K. 2013. Career progression – The views of Queensland’s nurses. Australian Journal of Advanced Nursing 30(4): 23-31

30.Fitzgerald G, Codd C, Aitken P, Sinnott M. (2012). Queensland Emergency Medicine Research Foundation: Special report. EMA - Emergency Medicine Australasia 24, 37-42.

31.Foot C, Staib A. (2001). How valuable is a lumbar puncture in the management of patients with suspected subarachnoid haemorrhage? Emergency Medicine 13 (3), 326-332.

32.Fuentes H, Collier J, Sinnott M, Whitby M. (2008). "Scalpel safety": Modeling the effectiveness of different safety devices' ability to reduce scalpel blade injuries. International Journal of Risk and Safety in Medicine 20, 83-89.

33.Fung, Y., Tung, J., Foley, S., Simonova, G., Thom, O., Staib, A., Collier, J., Dunster, KR., Solano, C., Shekar, K., Chew, MS. & Fraser, J. (2013). Stored blood transfusion induces transient pulmonary arterial hypertension without impairing coagulation in an ovine model of non-traumatic haemorrhage. Vox Sanguinis, 105, 150-158. doi: 10.1111/vox.12032

34.Gray, L., Peel, N., Costa, A., Burkett, E., Dey, A., Jonsson, P., Lakhan, P., Ljunggren, G., Sjostrand, F., Swoboda, W., Wellens, N. & Hirdes, J. (2013). Profiles of Older Patients in the Emergency Department: Findings From the interRAI

Web Page http://www.emergpa.net/wp/research updated January 2014 Multinational Emergency Department Study. Annals of Emergency Medicine, 62(5), 467-474. doi: 10.1016/j.annemergmed.2013.05.008

35.Hammond E, Holzhauser K, Shaban R, Melton N. (2009). An exploratory study to examine the phenomenon and practice of ‘Ambulance Ramping’ at hospitals within the Southern Health Service Districts of Queensland and Queensland Ambulance Service. Australasian Emergency Nursing Journal 12, 170-170.

36.Hansen K, Thom O, Rodda H, Price M, Jackson C, Bennetts S, Doherty S, Bartlett H. (2012). Impact of pain location, organ system and treating speciality on timely delivery of analgesia in emergency departments. EMA - Emergency Medicine Australasia 24, 64-71.

37.Hazleman BL, Thomas PP. (1987). Single-blind comparative study of nabumetone (relafen). versus naproxen in the treatment of rheumatoid arthritis. American Journal of Medicine 83, 60-64.

38.Hegney D, Eley R and Francis K. 2013 Queensland Nurses Perceptions of the Preparation for Practice of Student Registered and Enrolled Nurses. Nurse Education Today 33: 1148-1152 doi 10.1016/j.nedt.2012.11.023

39.Henderson, A., Schoonbeek, S. & Auditore, A. (2013). Processes to engage and moticate staff. Nursing Management, 20(8), 18-24. doi: 10.7748/nm2013.12.20.8.18.e1150.

40.Holdgate A, Taylor D, Bell A, MacBean C, Huynh T, Thom O, Augello M, Millar R, Day R, Williams A, Ritchie P, Pasco J. (2011). Factors associated with failure to successfully complete a procedure during Emergency Department sedation. EMA - Emergency Medicine Australasia 23, 474-478.

41.Isbister GK, Calver L, Van Gorp F, Stokes B, Page CB. (2009). Inter-rater reliability of manual QT measurement and prediction of abnormal QT, HR pairs Manual measurement of the QT interval. Clinical Toxicology 47, 884-888.

42.Isbister GK, Calver LA, Page CB, Stokes B, Bryant JL, Downes MA. (2010). Randomized controlled trial of intramuscular droperidol versus midazolam for violence and acute behavioral disturbance: The DORM study. Annals of Emergency Medicine 56, 392-401.

43.Isbister GK, Page CB. (2011). Early endoscopy or CT in caustic injuries: A re- evaluation of clinical practice. Clinical Toxicology 49, 641-642.

44.Isbister G, Buckley N, Page C, Scorgie F, Lincz L, Seldon M, Brown S & al e (2013): A randomized controlled trial of fresh frozen plasma for treating venom-induced

Web Page http://www.emergpa.net/wp/research updated January 2014 consumption coagulopathy in cases of Australian snakebite (ASP-18). Journal of Thrombosis and Haemostasis 11, 1310-1318.

45.Isbister, G., & Page, C. (2013). Drug induced QT prolongation: the measurement and assessment of the QT interval in clinical practice. British Journal of Clinical Pharmacology, 76(1), 48-57. doi: 10.1111/bcp.12040Isoardi J, Slabbert N, Treston G. (2005). Witnessing invasive paediatric procedures, including resuscitation, in the emergency department: A parental perspective. EMA - Emergency Medicine Australasia 17, 244-248.

46.Isoardi, J., Spencer, L., Sinnott, M., Nicholls, K., O'Connor, A., & Jones, F. (2013). Exploration of the perceptions of emergency physicians and interns regarding the medical documentation practices of interns. Emergency Medicine Australasia, 25(4), 302-307. doi:10.1111/1742-6723.12096

47.Isoardi K. (2009). Review article: The use of pelvic examination within the emergency department in the assessment of early pregnancy bleeding. EMA - Emergency Medicine Australasia 21, 440-448.

48.Keys M, Sim BZ, Tunbridge MJ, Thom O, Fraser J, et al. (2013) EASI - Efforts to attenuate the spread of infection: a prospective observational multi-centre survey of ultrasound equipment in Australian emergency departments and intensive care units. Emergency Medicine Australasia (in press)

49.Lawrence SG. (2007). Laryngeal dyskinesia: An under-recognized condition. EMA - Emergency Medicine Australasia 19, 96-104.

50.Lawrence S, Willmott L, Milligan E, Winch S, White B Parker M. (2012). Autonomy versus futility? Barriers to good clinical bowel practice in end-of-life care: a Queensland case. Medical Journal of Australia 196, 404-405.

51.Lowe BM, Stephenson M. (1994). Are general practitioners really prepared? An audit of emergency equipment in general practice. New Zealand Medical Journal 107, 486- 487.

52.Lowe BM, Brown A. (1998). The emergency management of facial fractures. Emergency Medicine 10, 240-250.

53.Mahmoud I, Hou X-Y, Clark M, Chu K & Eley R (2013): Foreign Language Speaking Patients’ Satisfaction with Emergency Department Service. Academic Emergency Medicine (in press).

54.Malone TM, Lisle DA, McNabb C, Ryan GE. (2009). Traumatic Rupture of an Augmented Bladder: Computed Tomography Appearances. The Journal of trauma 67, E85-87.

Web Page http://www.emergpa.net/wp/research updated January 2014 55.McCarthy A, Shaban R, Boys J, Winch S. (2010). Compliance, normality and the peritoneal dialysis patient. The Nurse Nephrology Journal 37, 243-250.

56.McCarthy A, Shaban R, Fairweather C. (2010). Compliance, peritoneal dialysis and chronic kidney disease: lessons from the literature. Renal Society of Australia 6, 55- 66.

57.Muir J, Xu C, Paul S, Staib A, McNeill I, Singh P, Davidson S, Soyer H, Sinnott M. (2011). Incorporating teledermatology into emergency medicine. EMA - Emergency Medicine Australasia 23, 562-568.

58.Nunnink L, Williamson F, Broome A, McNeill I. (2011). 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 82, 160-166.

59.Page CB. (1996). Right Ventricular Infarction. Emergency Medicine 8(4)., 246-52

60.Page C, Isbister G. (2008). Dolasetron and QT interval. Emergency Medicine Journal 25, 706.

61.Page CB, Duffull SB, Whyte IM, Isbister GK. (2009). Promethazine overdose: Clinical effects, predicting delirium and the effect of charcoal. QJM 102, 123-131.

62.Page CB, Hacket LP, Isbister GK. (2009). The Use of High-Dose insulin-glucose euglycemia in beta-blocker overdose: A case report. Journal of Medical Toxicology 5, 139-143.

63.Page CB, Calver LA, Isbister GK. (2010). Risperidone overdose causes extrapyramidal effects but not cardiac toxicity. Journal of Clinical Psychopharmacology 30, 387-390.

64.Page C, Wilson P, Foy A, Downes M, Whyte I, Isbister G. (2011). Life-threatening hypokalaemia associated with ibuprofen-induced renal tubular acidosis. Medical Journal of Australia 194, 613-614.

65.Pandie Z, Shepherd M, Lamont T, Walsh M, Phillips M, Page C. (2010). Achieving a neutral cervical spine position in suspected spinal cord injury in children: Analysing the use of a thoracic elevation device for imaging the cervical spine in paediatric patients. Emergency Medicine Journal 27, 573-576.

66.Parker, S., de Gioannis, A., & Page, C. (2013). Chronic promethazine misuse and the possibility of dependence: a brief review of antihistamine abuse and dependence. Journal of Substance Use, 18(3), 238-241. doi:10.3109/14659891.2012.707285

Web Page http://www.emergpa.net/wp/research updated January 2014 67.Rashford S, Isoardi K. (2010). Optimizing the appropriate use of the emergency call system, and dealing with hoax callers. EMA - Emergency Medicine Australasia 22, 366-367.

68.Ryan G, Treston G. (2007). Do family members interfere in the delivery of care when present during invasive paediatric procedures in the emergency department? EMA - Emergency Medicine Australasia 19, 234-240.

69.Schnitker, L., Martin-Khan, M., Burkett, E., Beattie, E., & Gray, L. (2013). Appraisal of the quality of care of older adults with cognitive impairment in the emergency department. Journal of Gerontilogical Nursing, 39(3), 34-40. doi: 10.3928/00989134- 20130131-03

70.Shaban R, Hotzhauser K, Gillespie K, Huckson, Bennett S. (2012). Characteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory study. Australasian Emergency Nursing Journal 15, 23- 30.

71.Simonova G, Tung J, Fraser J, Do H, Staib A, Chew M, Dunster K, Glenister K, Jackson D & Fung Y (2013): A comprehensive ovine model of blood transfusion Transfusion.

72.Sinnott M, Eley R, Boyde M, Steinle V & Trenning L (2013): Evidence for presenting chemical pathology results as whole numbers. Journal of Clinical Pathology 67: 179- 181

73.Sinnott MJ. (1990). An aid to the management of pediatric trauma in peripheral centers - A proposal for a pediatric trauma board. Journal of Emergency Medicine 8, 413-417.

74.Sinnott MJ, Wittmann B. (2001). An introduction to indigenous health and culture: the first tier of the Three Tiered Plan. The Australian Journal of Rural Health 9, 116-120.

75.Sinnott MJ. (2004). Access block viewed as a medical model [3]. Medical Journal of Australia 181, 172-173.

76.Sinnott M, Wall D. (2008). "SCALPEL SAFETY": How safe (or dangerous). are safety scalpels? International Journal of Surgery 6, 176-177.

77.Sinnott M, Shaban R. (2010). "Scalpel Safety," not "Safety Scalpel": A New Paradigm in Staff Safety. Perioperative Nursing Clinics 5, 59-67.

78.Sinnott M, Shaban R. (2011). Can we have a culture of patient safety without one of staff safety? BMJ 342, c6171-c6171.

Web Page http://www.emergpa.net/wp/research updated January 2014 79.Sinnott, M., & Winch, S. (2013). Consenting to a good death? Introducing the Level 2 Consent Form. Australian and New Zealand Journal of Surgery, 83(11), 803-804. doi: 10.1111/ans.12335

80.Stackelroth J, Shaban R. (2011). The challenges of implementing a national hand hygiene initiative in rural and remote areas: Is it time for a new approach to auditing? Healthcare Infection 16, 63-70.

81.Starmer, K., Sinnott, M., Shaban, R., Donegan, E., & Kapitzke, D. (2013). Blind prescribing: A study of junior doctors’ prescribing preparedness in an Australian emergency department. Emergency Medicine Australasia, 25(2), 147-153. doi:10.1111/1742-6723.12061

82.Stathakis T, Acworth J, Barnett A. (2007). Prediction tool for bacteraemia in children aged 3-36 months. Emergency Medicine Australasia 19, 353-358

83.Stokes P, Walters B. (2009). Spotted fever rickettsiosis infection in a traveller from Sri Lanka. Journal of Travel Medicine, 16, 4360438.

84.Stuart K, Kozan E, Sinnott M, Collier J. (2010). An innovative robust reactive surgery assignment model. ASOR Bulletin 29, 48-58.

85.Taylor DM, Bell A, Holdgate A, MacBean C, Huynh T, Thom O, Augello M, Millar R, Day R, Williams A, Ritchie P, Pasco J. (2011). Risk factors for sedation-related events during procedural sedation in the emergency department. EMA - Emergency Medicine Australasia 23, 466-473.

86.Thom O, Lugg DJ. (2002). Cell mediated immunity and alcohol intake in Antarctic wintering personnel. International journal of circumpolar health 61, 208-215.

87.Thom O, Taylor D. (2005). Transthoracic electrical bioimpedance: A means of filling the void? EMA - Emergency Medicine Australasia 17, 249-262.

88.Thom O. (2008). Search for a non-invasive cardiac output monitor. EMA - Emergency Medicine Australasia 20, 199-200.

89.Thom O, Taylor DM, Wolfe RE, Cade J, Myles P, Krum H, Wolfe R. (2009). Comparison of a supra-sternal cardiac output monitor (USCOM). with the pulmonary artery catheter. British Journal of Anaesthesia 103, 800-804.

90.Thom O, Taylor DM, Wolfe RE, Myles P, Krum H, Wolfe R. (2010). Pilot study of the prevalence, outcomes and detection of occult hypoperfusion in trauma patients. Emergency Medicine Journal 27, 470-472.

91.Thomas P, Jacob J. (1985). Randomised trial of antivenom in snake envenomation with prolonged clotting time. British Medical Journal 291, 177-178.

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93.Thomas P. (1992). A case of human bite. Australian family physician 21, 1359.

94.Thomas P. (1993). A case of unilateral painful eye. Australian family physician 22, 195.

95.Thomas P. (1993). "He's probably overdosed on something!". Australian family physician 22, 1091-1093.

96.Thomas P. (1994). Beware the demented patient. Australian family physician 23, 694-695.

97.Thomas P. (1997). Acute facial and upper respiratory tract swelling. Australian family physician 26, 1419-1420.

98.Thomas P. (1997). What would you do next? Chest pain and arrhythmia. Australian family physician 26, 1334-1335.

99.Thomas P (1998). Oleander ingestion in a child. Australian family physician 27, 90- 91.

100. Thomas P (2001). Acute asthma. Emergency management in the community. Australian family physician 30, 100-105.

101. Thomas P. (2005). "I can't breathe"--assessment and emergency management of acute dyspnoea. Australian family physician 34, 523-529.

102. Vivanti A, McDonald C, Palmer M, Sinnott M. (2009). Malnutrition associated with increased risk of frail mechanical falls among older people presenting to an emergency department. EMA - Emergency Medicine Australasia 21, 386-394.

103. Watt AM, Patkin M, Sinnott MJ, Black RJ, Maddern GJ. (2008). Scalpel injuries in the operating theatre. BMJ 336, 1031.

104. Watt A, Patkin M, Sinnott M, Black R, Maddern G. (2010). Scalpel safety in the operative setting: A systematic review. Surgery 147, 98-106.

105. Watts, R., Thom, O., & Fraser, J. (2013). Inflammatory signalling association with brain dead organ donation: from brain injury to brain stem death and post- transplant ischaemia reperfusion injury. Journal of Transplantation, 2013, 19 pages. doi: 10.1155/2013/314239

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Conference Posters and Presentations

1. Biscak T, Eley R, Sinnott M & Soyer H (2013) Demonstration of the effectiveness of a State-wide store and forward Teledermatology service in Australia. In Successes and Failures in Telehealth. 4th Annual Meeting of the Australasian Telehealth Society, Brisbane.

2. Bitmead D, Fuentes H, Page C. (2007). Improving time to definitive care in rotary- wing inter-hospital transport; the impact of an on-site doctor/paramedic retrieval team. Presented ACEM Annual Scientific Meeting Gold Coast November 2007.

3. Burston, A., Tuckett, A., Parker, D., & Eley, R. (2013). Moral distress and the Australian Aged Care Nurse: Improving workplace satisfaction and staff retention. UnitingCare Queensland Conference.

4. Burston A, Tuckett A, Parker D & Eley R (2013) Validation of an Instrument to Measure Moral Distress in the Australian Aged Care Workforce. Oral. In Australian Nursing & Midwifery Conference, Brisbane

5. Calleja P, Aitken L, Cooke M. (2012). An intervention to improve information transfer for multi-trauma patients on discharge from the Emergency Department. In The 10th International Conference for Emergency Nursing. College of Emergency Australasia Hobart, Tasmania.

6. Calleja P, Alexander B, Finucane J, Trenning L, Grose R, Allen J. (2012). Changing trauma education approaches for the contemporary adult learner: new directions for the College of Emergency Nursing Trauma Nursing Program. In 10th International Conference for Emergency Nursing. College of Emergency Nursing Australasia, Hobart, Tasmania.

7. Calver L, Downes M, Page C, Chan B, Isbister G (2012). Droperidol for sedation of acute behavioural disturbance. In Society for Academic Emergency Medicine Annual Meeting, Chicago.

8. Calver L, Downes M, Page C, Chan B, Isbister G. (2012). Safety of Droperidol for Sedation of Acute Behavioural Disturbance. In Society for Academic Emergency Medicine Annual Meeting, Chicago.

Web Page http://www.emergpa.net/wp/research updated January 2014 9. Cartner M, Collier J, Page C. (2004). The Traffic Light System for Pathology Requests. The impact of the institution of guidelines for pathology requesting in an Emergency Department. Presented Autumn Symposium Queensland Faculty ACEM April 2004.

10.Churchman A. (2010). Clinical effects of Red-Bellied Black Snake (Pseudechis porphyriacus). envenoming and correlation with venom concentrations. Australasian College for Emergency Medicine 27th Annual Scientific Meeting, Canberra, 21-25 November.

11.Dalmaso K & Weber S (2013) Trauma Nursing Rounds to enhance clinical practice: do emergency nurses think that Trauma Nursing Rounds improve clinical practice. In College of Emergency Nursing Australia - ICN 25th Quadrennial Congress Melbourne.

12.Eley R & Henshaw R (2013) Walking paths and fitness stations in a rural Australian town. In Congress of the American Psychological Association, Honolulu.

13.Eley R, Sinnott M, Trenning L & Steinle V (2013) Whole numbers please! PA Health Week.

14.Fitzgerald, G., Codd, C., Aitken, P. & Sinnott, M. 2012. Queensland Emergency Medicine Research Foundation: Special report. Emergency Medicine Australasia, 24, 37-42.

15.Fung Y, Foley S, Simonova G, Varzeshi M, Manning M, Dunster K, Staib A, Fraser J (2011). Red Cell and Albumin Resuscitation Following Acute Massive Haemorrhage Alters Haemostasis. In 22nd Regional Congress of the International Society of Blood Transfusion. Vox Sanguinis, Taiwan, pp. Poster P-308.

16.Fung Y, McDonald C, Thom O, Fraser J. (2011). Transfusion of fresh or aged red cells after haemorrhagic shock reduces selenium and glutathione peroxidase. In 22nd Regional Congress of the International Society for Blood Transfusion. Vox Sanguinis, Taiwan, pp. Poster P-309.

17.Hammond E, Shaban R, Holzhauser K, Crillly J, Melton N, Tippett V, Fitzgerald G, Eeles D, Collier J, Finucane J. (2012). Ambulance ramping: Effects on Emergency Nurses and emergency health service function. 10th International Conference for Emergency Nursing 10-13 October 2012, Hobart, Tasmania.

18.Hansen K, Thom O, Rodda H, Price M, Jackson C, Bennetts S, Doherty S. (2012). Impact of pain location on timely delivery of analgesia in Emergency Departments. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia Sydney, p. 6.

Web Page http://www.emergpa.net/wp/research updated January 2014 19.Herbert, N., & Taurima, K. (2013). ED 'POD Project': Managing larger teams to achieve success ICEN 2013, 11th International Conference for Emergency Nurses, Melbourne.

20.Hughes J. (2012). Succession Planning in the Adult Emergency Department. In The 10th International Conference for Emergency Nursing. The College of Emergency Nursing Australasia Hobart, Tasmania.

21.Hughes J, Yates P, Calleja P. (2012). Patient Demographics affecting analgesia provision in the Adult Emergency Population – A Literature review. In The 10th International Conference for Emergency Nursing. The College of Emergency Nursing Australasia Hobart, Tasmania.

22.Isoardi K (2013) Let's review our pre-hospital spinal immobilisation: Changes in 2013. In Presentation to Queensland Trauma Symposium, Brisbane.

23.Jenkins K, Vitale M, Nuich K, O'Connor E, Richie J, Hughes J. (2012). To the rescue - the experience of the urban emergency nurses in a rural disaster setting.

24.McDonald C, Fung Y, Thom O, Fraser J. (2011). Oxidative stress and trace element levels after haemorrhagic shock and transfusion: A comparison of fresh vs. old PRBC. In Annual Scientific Meeting, College of Intensive Care Medicine, Brisbane.

25.Melton N, Crilly J, Mitchell M, Cooke M. (2012). To wait or not to wait: prevalence, characteristics and institutional factor of patients who "did not wait".

26.Nicholls K, Collier J, Page C. (2004). The Traffic Light System for Pathology Requests. The impact of the institution of guidelines for pathology requesting in an Emergency Department. Presented ACEM Annual Scientific Meeting Melbourne November.

27.Nowell R, Lawrence SG, Collier J, Page C. (2007). Comparison of Traditional Tutorial Teaching with Simulation Based Education. Autumn Symposium Queensland Faculty ACEM

28.Page C, Duffull S, Whyte I, Isbister G. (2008). Promethazine overdose: clinical effects, predicting delirium and the effect of charcoal. Presented ACEM Winter Symposium Newcastle.

29.Page C, Duffull S, Whyte I, Isbister G. (2008). Promethazine overdose: clinical effects, predicting delirium and the effect of charcoal. EAPCCT Annual Scientific Meeting, Seville, Spain.

30.Page C, Calver L, Isbister G. (2009). Risperidone overdose, clinical and cardiac effects. Poster – EAPCCT Annual Scientific Meeting, Stockholm, Sweden.

Web Page http://www.emergpa.net/wp/research updated January 2014 31.Pandi Z, Page C. (2008). Analysing thoracic elevation for imaging the cervical spine in paediatric patients. Presented ACEM Winter Symposium Newcastle

32.Powrie D, Collier J, Page C. (2005). Impact of a co-located after hours General Practice on Emergency Department activity. Presented Autumn Symposium Queensland Faculty ACEM June.

33.Schnitker, L., Martin-Khan, M., Burkett, E., Beattie, E., Jones, R., & Gray, L. (2013). Appraisal of the quality of care of older adults with cognitive impairment in the emergency department. ICEN 2013, 11th International Conference for Emergency Nurses, Melbourne.

34.Shaban, R., Hotzhauser, K., Gillespie, K., Huckson, S. & Bennett, S. 2012. Characteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory study. Australasian Emergency Nursing Journal 15, 23-30.

35.Sinnott, M., Eley, R., Shaban, R., London, M., & Penny, J. (2013). Staff Safety – Why Do We Ignore It At Our Own Peril? Association for PeriOperative Registered Nurses 60th Congress, San Diego.

36.Sinnott M, London M, Smalley P, Shaban R (2012). Using “Safety Scores” To Improve Compliance with Staff Safety Guidelines. In Association of periOperative Registered Nurses, New Orleans

37.Sinnott M, Stackelroth J, Shaban R (2012). Improving Hand Hygiene Compliance by Removing Obstructions. In Association of periOperative Registered Nurses, New Orleans.

38.Sinnott M, Winch S (2012). Conflict of Interest is a Modern Day Version of Doing a Pontius Pilot. In Australasian Association of Bioethics Health Law Conference. Australasian Association of Bioethics Health Law, Auckland.

39.Staib, A. (2010). ED Re-design from the Tertiary Perspective. Australasian College for Emergency Medicine 27th Annual Scientific Meeting, Canberra, 21-25 November.

40.Staib A, Collier J, Fung Y, Do H, Dunster K, Fraser J (2012). What are the best markers of essential tissue hypoperfusion in haemorrhagic shock. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 18.

41.Staib A, Collier J, Fung Y, Do H, Thom O, Dunster K, Fraser J. (2012). Crystalloid vs colloid at the cellular level of oxygenation: a randomised controlled study of haemorrhagic shock in an ovine model. In Australasian College for Emergency

Web Page http://www.emergpa.net/wp/research updated January 2014 Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 27.

42.Staib A, Foley S, Fung Y, Varzeshi M, Simanova G, Do H, Fraser J. (2012). Massive haemorrhage and transfusions each change coagulation plasma factor function. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 27.

43.Thom O, Taylor D McD, Wolfe RE, Cade J, Myles P, Krum H, Wolfe R. (2007). A comparative study of the USCOM cardiac output monitor and the pulmonary artery catheter. 24th Annual Scientific Meeting of the Australasian College for Emergency Medicine, Gold Coast, November

44.Thom O, Taylor D McD, Wolfe RE, Judson R, Myles P, Krum H, Wolfe R. (2008). A comparison of the USCOM cardiac output monitor with base excess for detecting occult hypoperfusion in Emergency Department trauma patients. 12th International Conference on Emergency Medicine, San Francisco April

45.Thom O, Taylor D McD, Wolfe RE. (2009). A comparison of four methods for detecting low perfusion states in Emergency Department trauma patients. Annual Scientific Meeting of the Australasian College for Emergency Medicine, Melbourne November

46.Thom O. (2011). Medicine in the Antarctic. Medicine on the Edge Emergency Medicine Update, Montana, Jan

47.Thom O, Cooney H, Fraser J, Taylor D. (2012). Pathophysiology of fluid responsiveness in the emergency department - preliminary results from the NICER trial. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, Emerg Med Australas, 24(Suppl 1).32.

48.Thom O, Fanning J, Staib A, Collier J, Fung YL, Dunster KD, Fraser J. (2012). Development of an ovine model of severe haemorrhagic shock. Emerg Med Australas, 24(Suppl 1).31.

49.Thom O, Staib A, Collier J, Dunster K, Fung Y, Fraser J. (2012). Successful development of an ovine model of prolonged Grade IV haemorrhagic shock. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, Emerg Med Australas 2012, 24(Suppl 1).27.

50.Voigt M, Fuentes H, Collier J, Page C. (2007). Which patients with a pelvic fracture require a retrograde urethrogram? Presented Autumn Symposium Queensland Faculty ACEM April

Web Page http://www.emergpa.net/wp/research updated January 2014 51.Wang C, Collier J, Page C. (2007). Comparative analysis of care provided to corridor versus cubicle patients in an emergency department. Presented ACEM Annual Scientific Meeting Gold Coast November.

52.Weber S. (2011) Lessons Learnt: Christchurch AusMAT. Passionate About Practice Conference, Brisbane. 8th/9th August

53.Weber S. (2012) Emergency Nurses in Disaster Health: Christchurch 2011. College of Emergency Nurses Australasia Conference, Hobart. 29th Sept - 1st October

54.Weber S. (2012) Pioneering disaster response surge capability: Nursing exchange rotation program at Royal Darwin Hospital. Resuscitation to Rehabilitation 2012 Trauma. Australasian Trauma Society Conference, Perth. 26-28th Oct 2012

55.Weber S (2013) Disaster Response Coordination In The Australian College of Critical Care Nurses, Critical Care Nursing Continuing Education, ICE Conference 2013 Brisbane.

56.Weber S & Trenning L (2013) The challenges and exhilarations of interdepartmental trauma simulation. In College of Emergency Nursing Australia - ICN 25th Quadrennial Congress, Melbourne.

57.Wong A, Koran E, Sinnott M, Spencer L & Eley R (2013) An analytical model for the performance of emergency departments. Paper for presentation to the Australian Society for Operations Research Adelaide.

58.Wu A, Thom O, Bridgford L, Goverwa L. (2012). The use of intravenous fluids in acute ureteric colic. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 6.

Reports

1. Fitzgerald G, Patrick J, Fielding E, Shaban R, Aitken P, Considine J, Clark M, Finucane J, McCarthy S, Cloughessy L, Holzhauser K. (2010). H1N1 Influenza 2009 outbreak in Australia: impact on Emergency Departments.

2. Hammond E, Shaban RZ, Holzhauser K, Crilly J, Melton M, Tippet V, FitzGerald G, Eeles D, Collier J, Finucane J. (2012). An Exploratory Study to Examine the Phenomenon and Practice of Ambulance Ramping at Hospitals within the Queensland Health Southern Districts and the Queensland Ambulance Service., Queensland Health Griffith University: Brisbane.

Web Page http://www.emergpa.net/wp/research updated January 2014 3. Sinnott M and Cullen L. (2009). Intern Modelling Tool. Report to the Medical Training Review Panel, National Priority Projects in Prevocational Medical Education and Training FIRE UP Coaching, Melbourne, Victoria

Web Page http://www.emergpa.net/wp/research updated January 2014 Section 9 - ATTACHMENTS

1. Procedure for undertaking research

2. Internal Research - Summary sheet

3. External Research - Summary sheet

4. Research for satisfying REGULATION 4.10

5. How to manage a trainee research project: a guide for trainees

Web Page http://www.emergpa.net/wp/research updated January 2014 UQ – PAH EMRP The University of Queensland of Queensland - Princess Alexandra Hospital Emergency Medicine Research Programme

Procedure for undertaking research

Original and collaborative research Facilitated research (external) (internal) The research is either developed by an ED Definition Involvement by ED staff member(s) in the research project staff member(s) or ED staff member(s) are may be minimal, but there will be some required access to major collaborators to the study.1 resources such as space, patients or records.2

1. Initial communication among co- 1. Initial communication with ED staff and with the ED investigators and the ED Academic Process before any study Academic Research Manager (ARM) or Nurse Research Manager (ARM) or Nurse may commence Researcher (NR) to discuss the process and Researcher (NR) to discuss associated costs is strongly recommended prior to methodology, ethics, funding, submission of any formal documentation. resources etc. is strongly 2. Submission of External Research Summary sheet recommended prior to submission of (Appendix 2) to ARM for initial screening and any formal documentation. response.

1 Collaboration is defined as involvement in significant aspects of treatment or study implementation, or one or more of the areas of concept, design, data collection, analysis, reporting and publication. Identification of patients alone is not generally considered collaboration. 2 Facilitated research will incur an overhead.

38 2. Submission of Internal Research 3. Submission of research proposal (or parts which Summary sheet (Appendix1) and full contain detailed information of the activities to be research proposal to ARM. The ARM undertaken in, and requirements requested of, ED). and NR will assist in proposal writing if required. 4. Review of request by Research Coordination Committee (RCC). 3. Review of request by the Research 3 Coordination Committee (RCC). 5. Endorsement of Site Specific Assessment (SSA) by the Departmental Head and Financial Delegate 4. Presentation to the Emergency following recommendation by RCC. Medicine Research Programme Monthly Meeting3. 6. The National Ethics Application Form (NEAF) and Governance (SSA) form should be submitted at this 5. Submission of National Ethics time to the Metro South Health Service District Application Form (NEAF) to Metro Human Research Ethics Committee. South Health Service District Human Research Ethics Committee (HREC). Note: While the NEAF could be submitted prior to Step 3 Information on this process will be above the SSA cannot be submitted until Step 5 is offered if required.4 completed. 6 6. Endorsement of Site Specific 7. Ethics and Governance approvals presented to Assessment (SSA) form by the Academic Research Manager for confirmation of the Departmental Head and Financial date the study may begin. Delegate following recommendation by RCC. 7. Submission of SSA form to HREC. Information on this process will be offered if required. 8. Ethics and Governance (SSA) approvals presented to Academic

3 Funding requests may be submitted at any time in the process; however may be best delayed until after step 4. The ARM can provide suggestions as to sources of funding and procedures. 4 Ethics and SSA forms for all Queensland Health research are now accessed via www.ethicsform.org/au If you are unsure whether you can submit a low risk form please discuss with the Research Team and/or the HREC in Building 35. http://www.health.qld.gov.au/pahospital/research/gov/hrec.asp

39 Research Manager for final approval and confirmation of the date of commencement5.

Note regarding Governance. Notes for external researchers: i. For Governance (i.e. SSA) all non- i. For Governance (i.e. SSA) all non-PAH employed PAH employed investigators require investigators require agreements between their agreements between their home home organisation and the PAH. Upon receipt of the organisation and the PAH. Upon SSA the Governance office will contact the Principal receipt of the SSA the Governance Investigator with details of this process. office will contact the Principal ii. Researchers will be invited to make a short Investigator with details of this presentation to the Emergency Medicine Research process. Programme Monthly Meeting. Note for research for which a research iii. Following approval researchers are encouraged to assistant will be employed. meet with medical, nursing and administrative staff i. Research assistant employment for as appropriate to reaffirm the process of support. internal staff (e.g. a PAH employed iv. ED requests a copy of the final results and nurse working part-time) is relatively publications. simple. For staff coming from outside, regardless of whether they are QH employees or not, the process is more complicated. For example RNs employed in PAH ED as RAs but recruited outside PAH will become part of the Nursing Practice Development Unit staff compliment through the following process

5 Date of commencement of the study will be agreed upon once the Medical Director and/or the DON have confirmed the availability of staff and resources. 6 For researcher involving an institution outside of the QH an agreement between the institute and the PAH will be required. This will be initiated by the Governance section at the PAH. Prior to the agreement being signed by the external institute all their requirements (e.g. proof of funding if applicable) may be required.

40  Receiving approval from the NPDU Director and the Executive Director of Nursing Services  Creation of a new position number or the RN RA needs to be slotted into an established position number  Funding agreement signed between the PAH Finance Manager and the study sponsoring organisation  Prior to commencing duty, the RN RA needs to demonstrate competency by completing PAH mandatory competencies under the supervision of the PAH Nurse Educator  Prior to commencing duty, the RN RA also needs to: a. complete a Commencement Details Employee form, b. supply 2 professional referees, c. provide authorisation for the NPDU Director or nominee to check the Police Criminal Check List

41 form This process can take two weeks if there are no complications and longer if problems arise. A potential RN RA may not commence data collection or other duties until all of the above steps have been completed satisfactorily.

Note for research involving University of Queensland staff Submit an ethics application to the UQ Human Ethics Unit Coordinator (3365 3924; [email protected] ) once approval has been received from PAH. Include:  Cover letter  PAH HREC approval letter  PAH-HREC NEAF and attached docs (x2)  Project proposal (x2) Notes for research involving UQ staff when external funds are being sought, and for both UQ and PAH staff when funds are to be administered by UQ i. Applications to external agencies must be reviewed by the UQ Research Office. The applications are assessed against the eligibility and submission requirements for that source of funding. Amendments to the application may be requested, so

42 ensure that submissions are made at least 10 days before the grant submission date. The final version must be returned to the UQ Research Office as it is that office that makes the submission. ii. A UQ funding application cover sheet must be completed, signed by the Head of the Southside Clinical School and submitted with the final version of the application. iii. Note that UQ charges overheads of up to 60%. Many funding organisations (e.g. QEMRF, PARF) have exemption by UQ from this charge and if not, a waiver may be applied for. The Academic Research Manager will support the UQ process.

43 Internal Research - Summary sheet

Title of project Name of applicant Collaborator(s) and their institutions Proposed duration (from – to) Part of multisite study (yes/no) Other sites Funding details HREC submitted (yes/no) / number ED resources required  EDIS data  Staff  Finance  Equipment  Desk space / computer  Patients o Number o Method of recruitment

Research aim, design

Any additional relevant information

Please return the form to: Dr. Rob Eley, Academic Research Manager, University of Queensland-Princess Alexander Hospital Emergency Medicine Research Program. Tel: 07 3176 3672; email: [email protected] External Research – Summary sheet

Title of project Name of applicant Position Organisation Department Contact phone Contact email Names (and institution) of other principal and co-investigators PAH ED collaborator(s) Brief nature of requested PAH involvement (e.g. patient identification, specimen collected, access to records) Summary (100 words) of research aim and design Proposed duration of ED involvement (from – to) Part of multisite study (yes/no) Other sites HREC submitted (yes/no) If approved, HREC number PAH ED resources requested (yes/no) (If Yes please detail)  EDIS data  Staff  Finance  Equipment  Desk space / computer  Patients o Number o Method of recruitment o Place of contact o Other relevant detail affecting patient flow Special requirements

Other details

Please return the form to: Dr. Rob Eley, Academic Research Manager, University of Queensland-Princess Alexander Hospital Emergency Medicine Research Program. Tel: 07 3176 3672; email: [email protected]