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Section 1

About the Emergency Medicine Research Program (EMRP)

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

http://www.emergpa.net/wp/research

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.

5Research is encouraged from non-clinical disciplines, such as Operational Research and Health Economics, in

order to expand the research program within the Department.

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]



mailto:[email protected]


Section 4

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



http://www.som.uq.edu.au/about/campuses-and-teaching-sites/clinical-schools/pa-southside-clinical-school.aspx

http://www.som.uq.edu.au/about/campuses-and-teaching-sites/clinical-schools/pa-southside-clinical-school.aspx

http://www.som.uq.edu.au/home.aspx

http://www.qemrf.org.au/

Section 5

Research Projects 2014

Please note that this is not an all-inclusive list but summarises project which are on-going (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 EvaluationShort name / Number ARISE / PAH 05Principal PAH researcher(s) Lawrence, SeanCoordinating 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 87Principal PAH researcher(s) Eley, RCollaborators CARRS-Q (QUT); Vallmuur, KirstenSummary 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 studyShort name / number Brittle Discharges / PAH 25Principal PAH researcher(s) Burkett, EllenCollaborators UQ Centre for Research in Geriatric Medicine (Prof Len

Gray)Funding source Private Practice Trust FundSummary 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



http://arise.org.au/home

Principal PAH researcher(s) Sinnott, Michael; Spencer, LyndallCollaborators QUT - Wong, Andy; Kozan, ErhanFunding source Private Practice Trust FundSummary 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 56Principal PAH researcher(s) Mahmoud, ICollaborators QUTSummary 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 2013Publication Mahmoud et al. Academic Emergency Medicine (in press)

Name of Project Tamsulosin for the treatment of Distal Ureteric CalculiShort name / number DUST / PAH 2Principal PAH researcher(s) Thom, Ogilvie & Dux, CarlCollaborators TownsvilleFunding source QEMRFSummary 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 12Principal PAH researcher Burkett, EllenCollaborators Anne-Maree Kelly (Western Health)Funding source Queensland Emergency Medicine Research FundSummary 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



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 38Principal PAH researcher(s) Eley, Rob; Sinnott, MichaelCollaborators Steinle, Vicki (University of Melbourne)Funding source QEMRFSummary 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) CompletedPublications Sinnott et al. Journal of Clinical Pathology 2014; 67.179-

181Eley et al. Emergency Medicine Australasia (in press)

Name of Project Droperidol for rapid sedation of acute behavioural disturbance

Short name / Number DORM II / PAH 08Principal PAH researcher(s) Page, ColinCollaborators Isbister, Geoffrey (Newcastle)Funding source Queensland Emergency Medicine Research FundSummary 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) OngoingPosters Calver et al. Society for Academic Emergency Medicine

Annual Meeting, Chicago.

Name of Project Tamsulosin for the treatment of Distal Ureteric CalculiShort name / Number DUST / PAH 02Principal PAH researcher(s) Thom, OgilvieCollaborators Furyk, Jeremy (Townsville)Funding source Queensland Emergency Medicine Research FundSummary 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



less than 10mm in diameter, whether the drug has any effect on pain experienced by the patients, their need for surgery and complications.


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 EASIPrincipal PAH researcher(s) Thom, OgilvieCollaborators John Fraser, Prince Charles HospitalFunding source Queensland Emergency Medicine Research FundSummary 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) CompletedPublication 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 04Principal PAH researcher(s) Burkett, EllenCollaborators UQ Centre for Research in Geriatric Medicine (Prof Len

Gray)Funding source Queensland Emergency Medicine Research FundSummary 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) OngoingPublications 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 EDShort name Frequent FlyersPrincipal PAH researcher(s) Fugelli, Peter; Eley, RobSummary 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.




Name of Project Is communication an issue in the collection of MSU in an Emergency Department Environment

Short name Mid Steam UrinePrincipal PAH researcher(s) Eley, RCollaboratorsFunding source Queensland Emergency Medicine Research FundSummary 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.


Name of Project Mindfulness intervention for internsShort name / Number Mindfulness / PAH 54Principal PAH researcher(s) Nicholls, KimCollaborators 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.


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 48Principal PAH researcher(s) Isoardi, Jon; Spencer, Lyndall, Sinnott, MichaelFunding source QEMRFSummary 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) OngoingPublication Isoardi et al. Emergency Medicine Australasia 25(4), 302-

307

Name of Project Hypothermia in a traumatic brain injuryShort name POLARPrincipal PAH researcher(s) Fuentes, HectorCollaborators Monash, ANZICSFunding source NH&MRC



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.


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

Short name / Number Prescribing / PAH 17Principal PAH researcher(s) Katrina Starmer, Sinnott, Michael, Eley RobCollaborators Shaban, (Griffith)Funding source QEMRFSummary 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 ReferralShort name / Number Referrals / PAH 58Principal PAH researcher(s) Lawrence, SeanSummary 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.


Name of Project Securing All Intravenous devices Effectively in hospitals: The SAVE Trial

Short name / Number SAVE / PAH 30Principal PAH researcher(s) Thom, OgilvieCollaborators Fraser, John (Prince Charles Hospital), Rickard, Claire

(Griffith Univ)Funding source NH&MRCSummary 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.



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.


Name of Project Skin Emergency Telemedicine StudyShort name / Number SETS / PAH 23Principal PAH researcher(s) Sinnott, MichaelCollaborators Soyer, Peter (Dermatology UQ); Muir, Jim; Collier, James;

Staib, Andrew; McNeill, IainSummary 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) CompletedPublication 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 AnalgesiaShort name / Number Time to Analgesia / PAH 67Principal PAH researcher(s) Hughes, JamesCollaborators 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) OngoingPresentation 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 74Principal PAH researcher(s) Staib, Andrew; Collier, JamesCollaborators John Fraser (UQ)Funding source QEMRFSummary 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)



Section 6

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



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.



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.



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)



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



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



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.



Section 7

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?

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.

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


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

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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.

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

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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

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


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

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

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(2005). Witnessing invasive paediatric procedures, including resuscitation, in the

emergency department: A parental perspective. EMA - Emergency Medicine


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 -


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 -


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.

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


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

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 -


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.

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


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 -


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.

92. Thomas P. (1991). A case of missed foreign body. Australian family physician 20,

1760.

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

106. Winch, S., & Sinnott, M. (2013). Consenting to a good death? Introducing the

Level 2 Consent Form. ANZ Journal of Surgery, 83(11), 803-804. doi:

10.1111/ans.12335Winch S, Sinnott M. (2011). Toward a Sociology of Conflict of

Interest in Medical Research. Journal of Bioethical Inquiry 8, 389-391.

107. Wong A, Kozan E, Sinnott M, Spencer L, Eley R. Tracking the patient journey

by combining multiple hospital database systems. Australian Health Review. 2014.



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.

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.

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.

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

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


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


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

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.

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



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



UQ – PAH EMRP

The University of Queensland of Queensland - Princess Alexandra Hospital

Emergency Medicine Research Programme

Procedure for undertaking research

Original and collaborative research (internal) Facilitated research (external)

The research is either developed by an ED staff member(s) or ED staff member(s) are major collaborators to the study.1

Definition Involvement by ED staff member(s) in the research project may be minimal, but there will be some required access to resources such as space, patients or records.2

1. Initial communication among co-investigators and the ED Academic Research Manager (ARM) or Nurse Researcher (NR) to discuss methodology, ethics, funding, resources etc. is strongly recommended prior to submission of any formal documentation.

2. Submission of Internal Research Summary sheet (Appendix1) and full research proposal to ARM. The

Process before any study may commence

1. Initial communication with ED staff and with the ED Academic Research Manager (ARM) or Nurse Researcher (NR) to discuss the process and associated costs is strongly recommended prior to submission of any formal documentation.

2. Submission of External Research Summary sheet (Appendix 2) to ARM for initial screening and

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.

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ARM and NR will assist in proposal writing if required.3. Review of request by the Research Coordination

Committee (RCC).4. Presentation to the Emergency Medicine Research

Programme Monthly Meeting3.5. Submission of National Ethics Application Form

(NEAF) to Metro South Health Service District Human Research Ethics Committee (HREC). Information on this process will be offered if required.4

6. Endorsement of Site Specific Assessment (SSA) form by the Departmental Head and Financial 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 Research Manager for final approval and confirmation of the date of commencement5.

response.3. Submission of research proposal (or parts which

contain detailed information of the activities to be undertaken in, and requirements requested of, ED).

4. Review of request by Research Coordination Committee (RCC).

5. Endorsement of Site Specific Assessment (SSA)3 by the Departmental Head and Financial Delegate following recommendation by RCC.

6. The National Ethics Application Form (NEAF) and Governance (SSA) form should be submitted at this time to the Metro South Health Service District Human Research Ethics Committee.

Note: While the NEAF could be submitted prior to Step 3 above the SSA cannot be submitted until Step 5 is completed.

7. Ethics and Governance6 approvals presented to Academic Research Manager for confirmation of the date the study may begin.

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/auIf 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.asp5 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.

37

http://www.ethicsform.org/au

http://www.health.qld.gov.au/pahospital/research/gov/hrec.asp

Note regarding Governance.

i. For Governance (i.e. SSA) all non-PAH employed investigators require agreements between their home organisation and the PAH. Upon receipt of the SSA the Governance office will contact the Principal Investigator with details of this process.

Notes for external researchers:

i. For Governance (i.e. SSA) all non-PAH employed investigators require agreements between their home organisation and the PAH. Upon receipt of the SSA the Governance office will contact the Principal Investigator with details of this process.

ii. Researchers will be invited to make a short presentation to the Emergency Medicine Research Programme Monthly Meeting.

iii. Following approval researchers are encouraged to meet with medical, nursing and administrative staff as appropriate to reaffirm the process of support.

iv. ED requests a copy of the final results and publications.

Note for research for which a research assistant will be employed.

i. Research assistant employment for internal staff (e.g. a PAH employed nurse working part-time) is relatively 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

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

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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 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

39

assessed against the eligibility and submission requirements for that source of funding. Amendments to the application may be requested, so 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.

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Internal Research - Summary sheet

Title of projectName of applicantCollaborator(s) and their institutionsProposed duration (from – to)Part of multisite study (yes/no)Other sitesFunding detailsHREC submitted (yes/no) / numberED 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 projectName of applicantPosition

OrganisationDepartmentContact phoneContact emailNames (and institution) of other principal and co-investigatorsPAH 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 sitesHREC submitted (yes/no)If approved, HREC numberPAH ED resources requested (yes/no)(If Yes please detail)

EDIS data

Staff Finance

Equipment Desk space / computer

Patientso 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]

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