Affiliation: Alfred Hospital
- Hypothermia after cardiac arrest: expanding the therapeutic scopeStephen Bernard
Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia
Crit Care Med 37:S227-33. 2009....
- Induction of prehospital therapeutic hypothermia after resuscitation from nonventricular fibrillation cardiac arrest*Stephen A Bernard
Ambulance Victoria, Monash University, The Alfred Hospital, Melbourne, Australia
Crit Care Med 40:747-53. 2012....
- Induction of therapeutic hypothermia by paramedics after resuscitation from out-of-hospital ventricular fibrillation cardiac arrest: a randomized controlled trialStephen A Bernard
The Intensive Care Unit, The Alfred Hospital, Commercial Rd, Prahran, VIC 3118, Australia
Circulation 122:737-42. 2010..Laboratory studies have suggested that earlier cooling may be associated with improved neurological outcomes. We hypothesized that induction of therapeutic hypothermia by paramedics before hospital arrival would improve outcome...
- An automated CPR device compared with standard chest compressions for out-of-hospital resuscitationPaul A Jennings
Ambulance Victoria, Manningham Road, Doncaster, Australia
BMC Emerg Med 12:8. 2012..This study aimed to compare the rates of survival between conventional cardiopulmonary resuscitation (C-CPR) and automated CPR (A-CPR) using AutoPulse™ in adults following out-of-hospital cardiac arrest (OHCA)...
- Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trialPaul A Jennings
Ambulance Victoria, Melbourne, Victoria, Australia
Ann Emerg Med 59:497-503. 2012..We assess the efficacy of intravenous ketamine compared with intravenous morphine in reducing pain in adults with significant out-of-hospital traumatic pain...
- Traumatic out-of-hospital cardiac arrests in Melbourne, AustraliaConor Deasy
Ambulance Victoria, Australia
Resuscitation 83:465-70. 2012..Many consider attempted resuscitation for traumatic out-of-hospital cardiac arrest (OHCA) futile. This study aims to describe the characteristics and profile of adult traumatic OHCA...
- An interventional study to improve paramedic diagnosis of strokeJanet E Bray
Eastern Melbourne Neurosciences, Deakin University, Victoria, Australia
Prehosp Emerg Care 9:297-302. 2005..The aim of the Faster Access to Stroke Therapy (FAST) study was to determine the effect of educational intervention and the use of a prehospital stroke tool on the paramedic diagnosis of stroke...
- Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrestConor Deasy
Research and Strategy, Ambulance Victoria, Melbourne, Australia
Emerg Med J 30:532-7. 2013..The aim of this study was to assess their functional and quality of life outcomes...
- A model of survival following pre-hospital cardiac arrest based on the Victorian Ambulance Cardiac Arrest RegisterMasha Fridman
Strategic Planning Department, Metropolitan Ambulance Service, 375 Manningham Road, Doncaster 3108, Victoria, Australia
Resuscitation 75:311-22. 2007..We used the VACAR data to construct a new model of out-of-hospital cardiac arrest (OHCA), which was specified in accordance with observed trends...
- Challenging issues in randomised controlled trialsA D Nichol
Australian and New Zealand Intensive Care, Research Centre, Monash University, Melbourne, Victoria 3004, Australia
Injury 41:S20-3. 2010..TIPS FOR RESEARCHERS: The RCTs most likely to be funded and/or be of high quality always address these issues...
- Trends in intensive care unit cardiac arrest admissions and mortality in Australia and New ZealandLahn D Straney
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia
Crit Care Resusc 16:104-11. 2014....
- Exploring gender differences and the "oestrogen effect" in an Australian out-of-hospital cardiac arrest populationJanet E Bray
Ambulance Victoria, 375 Manningham Road, Doncaster, Victoria 3108, Australia
Resuscitation 84:957-63. 2013..We aimed to investigate these findings in an Australian OHCA population using the Victorian Ambulance Cardiac Arrest Registry (VACAR)...
- Hanging-associated out-of-hospital cardiac arrests in Melbourne, AustraliaConor Deasy
Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Centre, 5 Floor, 99 Commercial Road, Melbourne 3004, Australia
Emerg Med J 30:38-42. 2013..Hanging is an infrequent but devastating cause of out-of-hospital cardiac arrest (OHCA). We determine the characteristics and outcomes of hanging-associated OHCA in Melbourne Australia...
- Determinants of clinically important pain severity reduction in the prehospital settingPaul A Jennings
Ambulance Victoria, Melbourne, Victoria, Australia
Emerg Med J 29:333-4. 2012..These included age, time criticality of the patient, pain aetiology, initial pain severity, analgesic agent or combination administered to the patient and prehospital time...
- A randomized controlled trial of oxygen therapy in acute myocardial infarction Air Verses Oxygen In myocarDial infarction study (AVOID Study)Dion Stub
Alfred Hospital, Melbourne, Australia
Am Heart J 163:339-345.e1. 2012..The few clinical trials examining the role of oxygen in AMI were performed prior to the modern approach of emergent reperfusion and advanced medical management...
- Design of the RINSE trial: the rapid infusion of cold normal saline by paramedics during CPRConor Deasy
Ambulance Victoria, Victoria, Australia
BMC Emerg Med 11:17. 2011..This study aims to determine whether paramedic cooling during CPR improves outcome compared standard treatment in patients who are being resuscitated from out-of-hospital cardiac arrest...
- Can we improve neurological outcomes in severe traumatic brain injury? Something old (early prophylactic hypothermia) and something new (erythropoietin)Alistair D Nichol
Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Alfred Hospital Campus, Commercial Road, Melbourne, Australia
Injury 40:471-8. 2009..Nevertheless the high morbidity and mortality associated with severe traumatic brain injury (TBI) demands that we investigate the safety and efficacy of these promising potential therapies as a matter of urgency...
- Could bystander first-aid prevent trauma deaths at the scene of injury?Amer Ashour
Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia
Emerg Med Australas 19:163-8. 2007..To identify potentially preventable prehospital deaths following traumatic cardiac arrest...
- Induced hypothermia using large volume, ice-cold intravenous fluid in comatose survivors of out-of-hospital cardiac arrest: a preliminary reportStephen Bernard
The Intensive Care Unit, Dandenong Hospital, David St, Victoria 3175, Dandenong, Australia
Resuscitation 56:9-13. 2003....
- Epidemiology of prehospital pain: an opportunity for improvementPaul Andrew Jennings
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Emerg Med J 28:530-1. 2011..Those with the most severe pain had pain reduction that was clinically significant. Further research is needed to provide optimal pain relief in the prehospital setting...
- The association between systolic blood pressure on arrival at hospital and outcome in adults surviving from out-of-hospital cardiac arrests of presumed cardiac aetiologyJanet E Bray
Department of Epidemiology and Preventive Medicine, Monash University, Level 5, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria 3004, Australia Electronic address
Resuscitation 85:509-15. 2014..This study aimed to explore the association between level of systolic blood pressure (SBP) on arrival at hospital and survival to hospital discharge...
- Hyperoxia in the intensive care unit and outcome after out-of-hospital ventricular fibrillation cardiac arrestJoshua F Ihle
The Alfred Hospital, Melbourne, Vic, Australia
Crit Care Resusc 15:186-90. 2013....
- New indications for the use of therapeutic hypothermiaStephen Bernard
The Intensive Care Unit, Dandenong Hospital, Melbourne, Australia
Crit Care 8:E1. 2004..However, given the strong theoretical benefit and the minimal adverse side-effects, it is reasonable for clinicians to consider the use of therapeutic hypothermia in such cases...
- Tranexamic acid for trauma: Filling the 'GAP' in evidenceBiswadev Mitra
National Trauma Research Institute, The Alfred Hospital, Melbourne, Victoria, Australia Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Emerg Med Australas 26:194-7. 2014..This and further trials involving appropriate sample populations are required before evidence based guidelines on TxA use during trauma resuscitation can be developed. ..
- Therapeutic hypothermia after cardiac arrestStephen Bernard
Intensive Care Unit, Dandenong Hospital, David Street, Dandenong, Victoria 3175, Australia
Neurol Clin 24:61-71. 2006..Hypothermia (33 degrees C) should be maintained for 24 hours, followed by rewarming over 12 hours. Particular attention must be paid to potassium and glucose levels during hypothermia...
- Prehospital analgesia in adults using inhaled methoxyfluranePaul Buntine
Emergency Department, Box Hill Hospital, Box Hill, Victoria, Australia
Emerg Med Australas 19:509-14. 2007..However, there is a paucity of literature regarding its efficacy, safety and usage profile. The present study was designed to examine the efficacy of methoxyflurane in adults...
- Usefulness of cooling and coronary catheterization to improve survival in out-of-hospital cardiac arrestDion Stub
Alfred Hospital Heart Centre, Melbourne, Victoria, Australia
Am J Cardiol 107:522-7. 2011..In conclusion, modern management of OHCA, including therapeutic hypothermia and early coronary angiography is associated with significant improvement in survival to hospital discharge and neurologic recovery...
- Paramedic identification of stroke: community validation of the melbourne ambulance stroke screenJanet E Bray
Eastern Melbourne Neurosciences, Melbourne, Australia
Cerebrovasc Dis 20:28-33. 2005....
- The use of rapid sequence intubation by ambulance paramedics for patients with severe head injuryStephen Bernard
Air Ambulance Victoria, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Emerg Med (Fremantle) 14:406-11. 2002..To determine the effects of rapid sequence intubation in patients with severe head injury performed by paramedics on a helicopter emergency medical service...