Stephen Bernard

Summary

Country: Australia

Publications

  1. ncbi request reprint Therapeutic hypothermia after cardiac arrest
    Stephen Bernard
    Intensive Care Unit, Dandenong Hospital, David Street, Dandenong, Victoria 3175, Australia
    Neurol Clin 24:61-71. 2006
  2. ncbi request reprint Induced hypothermia using large volume, ice-cold intravenous fluid in comatose survivors of out-of-hospital cardiac arrest: a preliminary report
    Stephen Bernard
    The Intensive Care Unit, Dandenong Hospital, David St, Victoria 3175, Dandenong, Australia
    Resuscitation 56:9-13. 2003
  3. ncbi request reprint The use of rapid sequence intubation by ambulance paramedics for patients with severe head injury
    Stephen Bernard
    Air Ambulance Victoria, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    Emerg Med (Fremantle) 14:406-11. 2002
  4. doi request reprint Induction of therapeutic hypothermia by paramedics after resuscitation from out-of-hospital ventricular fibrillation cardiac arrest: a randomized controlled trial
    Stephen A Bernard
    The Intensive Care Unit, The Alfred Hospital, Commercial Rd, Prahran, VIC 3118, Australia
    Circulation 122:737-42. 2010
  5. doi request reprint Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial
    Paul A Jennings
    Ambulance Victoria, Melbourne, Victoria, Australia
    Ann Emerg Med 59:497-503. 2012
  6. doi request reprint Challenging issues in randomised controlled trials
    A D Nichol
    Australian and New Zealand Intensive Care, Research Centre, Monash University, Melbourne, Victoria 3004, Australia
    Injury 41:S20-3. 2010
  7. ncbi request reprint An interventional study to improve paramedic diagnosis of stroke
    Janet E Bray
    Eastern Melbourne Neurosciences, Deakin University, Victoria, Australia
    Prehosp Emerg Care 9:297-302. 2005
  8. doi request reprint Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction
    Dion Stub
    From The Alfred Hospital, Melbourne, Australia D S, S B, J E B, A H E, A J T, D M K Baker IDI Heart and Diabetes Institute, Melbourne, Australia D S, A H E, A J T, D M K Western Health, Melbourne, Australia D S Ambulance Victoria, Melbourne, Australia K S, S B, Z N, M S, B B Monash University, Melbourne, Australia K S, S B, Z N, M S, M E B, P C, I T M, D M K University of Western Australia, Western Australia, Australia K S and Monash Medical Centre, Melbourne, Australia I T M
    Circulation 131:2143-50. 2015
  9. ncbi request reprint Trends in intensive care unit cardiac arrest admissions and mortality in Australia and New Zealand
    Lahn D Straney
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia
    Crit Care Resusc 16:104-11. 2014
  10. doi request reprint Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest
    Conor Deasy
    Research and Strategy, Ambulance Victoria, Melbourne, Australia
    Emerg Med J 30:532-7. 2013

Detail Information

Publications41

  1. ncbi request reprint Therapeutic hypothermia after cardiac arrest
    Stephen 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...
  2. ncbi request reprint Induced hypothermia using large volume, ice-cold intravenous fluid in comatose survivors of out-of-hospital cardiac arrest: a preliminary report
    Stephen Bernard
    The Intensive Care Unit, Dandenong Hospital, David St, Victoria 3175, Dandenong, Australia
    Resuscitation 56:9-13. 2003
    ....
  3. ncbi request reprint The use of rapid sequence intubation by ambulance paramedics for patients with severe head injury
    Stephen 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...
  4. doi request reprint Induction of therapeutic hypothermia by paramedics after resuscitation from out-of-hospital ventricular fibrillation cardiac arrest: a randomized controlled trial
    Stephen 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...
  5. doi request reprint Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial
    Paul 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...
  6. doi request reprint Challenging issues in randomised controlled trials
    A 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...
  7. ncbi request reprint An interventional study to improve paramedic diagnosis of stroke
    Janet 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...
  8. doi request reprint Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction
    Dion Stub
    From The Alfred Hospital, Melbourne, Australia D S, S B, J E B, A H E, A J T, D M K Baker IDI Heart and Diabetes Institute, Melbourne, Australia D S, A H E, A J T, D M K Western Health, Melbourne, Australia D S Ambulance Victoria, Melbourne, Australia K S, S B, Z N, M S, B B Monash University, Melbourne, Australia K S, S B, Z N, M S, M E B, P C, I T M, D M K University of Western Australia, Western Australia, Australia K S and Monash Medical Centre, Melbourne, Australia I T M
    Circulation 131:2143-50. 2015
    ..Oxygen is commonly administered to patients with ST-elevation-myocardial infarction despite previous studies suggesting a possible increase in myocardial injury as a result of coronary vasoconstriction and heightened oxidative stress...
  9. ncbi request reprint Trends in intensive care unit cardiac arrest admissions and mortality in Australia and New Zealand
    Lahn D Straney
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia
    Crit Care Resusc 16:104-11. 2014
    ....
  10. doi request reprint Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest
    Conor 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...
  11. doi request reprint Long-term pain prevalence and health-related quality of life outcomes for patients enrolled in a ketamine versus morphine for prehospital traumatic pain randomised controlled trial
    Paul A Jennings
    Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, Victoria, Australia Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia Ambulance Victoria, Melbourne, Victoria, Australia
    Emerg Med J 31:840-3. 2014
    ..In this follow-up study, we sought to determine the prevalence of persistent pain and whether there were differences in patients who received ketamine or morphine...
  12. doi request reprint Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia
    Conor 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...
  13. doi request reprint 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...
  14. pmc Design of the RINSE trial: the rapid infusion of cold normal saline by paramedics during CPR
    Conor 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...
  15. ncbi request reprint A model of survival following pre-hospital cardiac arrest based on the Victorian Ambulance Cardiac Arrest Register
    Masha 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...
  16. doi request reprint 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...
  17. doi request reprint Using a cardiac arrest registry to measure the quality of emergency medical service care: decade of findings from the Victorian Ambulance Cardiac Arrest Registry
    Ziad Nehme
    From the Department of Research and Evaluation, Ambulance Victoria, Melbourne, Australia Z N, S B, M L, K S Department of Epidemiology and Preventive Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Australia Z N, S B, P C, J E B, M L, K S Intensive Care Department, The Alfred Hospital, Melbourne, Australia S B Department of Cardiology, MonashHeart, Monash Medical Centre, Melbourne, Australia I T M and Discipline of Emergency Medicine, School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Western Australia, Australia K S
    Circ Cardiovasc Qual Outcomes 8:56-66. 2015
    ..We report the methodology and findings of a statewide emergency medical service surveillance initiative, which is used to measure the quality of systems of care for patients with out-of-hospital cardiac arrest...
  18. doi request reprint Determinants of clinically important pain severity reduction in the prehospital setting
    Paul 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...
  19. doi request reprint Hypothermia after cardiac arrest: expanding the therapeutic scope
    Stephen Bernard
    Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia
    Crit Care Med 37:S227-33. 2009
    ....
  20. doi request reprint Paramedic exposure to out-of-hospital cardiac arrest is rare and declining in Victoria, Australia
    Kylie Dyson
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia Ambulance Victoria, Victoria, Australia Electronic address
    Resuscitation 89:93-8. 2015
    ..Paramedic exposure to out-of-hospital cardiac arrest (OHCA) may be an important factor in skill maintenance and quality of care. We aimed to describe the annual exposure rates of paramedics in the state of Victoria, Australia...
  21. ncbi request reprint Hyperoxia in the intensive care unit and outcome after out-of-hospital ventricular fibrillation cardiac arrest
    Joshua F Ihle
    The Alfred Hospital, Melbourne, Vic, Australia
    Crit Care Resusc 15:186-90. 2013
    ....
  22. doi request reprint Epidemiology of prehospital pain: an opportunity for improvement
    Paul 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...
  23. ncbi request reprint Out-of-hospital cardiac arrest in Victoria: rural and urban outcomes
    Paul A Jennings
    Rural Ambulance Victoria, Geelong, Victoria
    Med J Aust 185:135-9. 2006
    ..To compare the survival rate from out-of-hospital cardiac arrest in rural and urban areas of Victoria, and to investigate the factors associated with these differences...
  24. ncbi request reprint Protocol for a multicentre randomised controlled trial of early and sustained prophylactic hypothermia in the management of traumatic brain injury
    Alistair Nichol
    Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Vic, Australia
    Crit Care Resusc 17:92-100. 2015
    ..We describe our study protocol and the challenges in conducting prophylactic hypothermia research in TBI...
  25. doi request reprint A systematic review of the effect of emergency medical service practitioners' experience and exposure to out-of-hospital cardiac arrest on patient survival and procedural performance
    Kylie Dyson
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia Operations Department, Ambulance Victoria, Victoria, Australia Electronic address
    Resuscitation 85:1134-41. 2014
    ..We systematically reviewed the literature to examine these associations...
  26. doi request reprint The association between systolic blood pressure on arrival at hospital and outcome in adults surviving from out-of-hospital cardiac arrests of presumed cardiac aetiology
    Janet 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...
  27. doi request reprint Traumatic out-of-hospital cardiac arrests in Melbourne, Australia
    Conor 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...
  28. ncbi request reprint Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study
    Michael Buist
    Department of Intensive Care, Dandenong Hospital, P O Box 478, Dandenong, VIC 3175, Australia
    Resuscitation 62:137-41. 2004
    ..The aim of this study was to determine the predictive value of selected abnormal clinical observations in a ward population for subsequent in-hospital mortality...
  29. ncbi request reprint 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...
  30. ncbi request reprint "After-hours" staffing of trauma centres and outcomes among patients presenting with acute traumatic coagulopathy
    Biswadev Mitra
    The Alfred Hospital, Melbourne, Vic, Australia
    Med J Aust 201:588-91. 2014
    ..To examine the effect of the "after-hours" (18:00-07:00) model of trauma care on a high-risk subgroup - patients presenting with acute traumatic coagulopathy (ATC)...
  31. doi request reprint Tranexamic acid for trauma: filling the 'GAP' in evidence
    Biswadev 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. ..
  32. pmc New indications for the use of therapeutic hypothermia
    Stephen 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...
  33. doi request reprint Usefulness of cooling and coronary catheterization to improve survival in out-of-hospital cardiac arrest
    Dion 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...
  34. ncbi request reprint Prehospital analgesia in adults using inhaled methoxyflurane
    Paul 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...
  35. doi request reprint Quality of life and functional outcomes 12 months after out-of-hospital cardiac arrest
    Karen Smith
    From Ambulance Victoria, Melbourne, Victoria, Australia K S, E A, M L, Z N, S B Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia K S, E A, M L, Z N, S B School of Primary, Aboriginal, and Rural Health Care, University of Western Australia, Perth, Western Australia, Australia K S and Alfred Hospital, Melbourne, Victoria, Australia S B
    Circulation 131:174-81. 2015
    ..However, concern remains that survivors have a poor quality of life. This study describes the quality of life of OHCA survivors at 1-year postarrest in Victoria, Australia...
  36. ncbi request reprint Paramedic identification of stroke: community validation of the melbourne ambulance stroke screen
    Janet E Bray
    Eastern Melbourne Neurosciences, Melbourne, Australia
    Cerebrovasc Dis 20:28-33. 2005
    ....
  37. ncbi request reprint The patient with shock: is there any role for the non-invasive monitoring of cardiac output?
    Stephen Bernard
    Emerg Med Australas 17:189-90. 2005
  38. ncbi request reprint Therapeutic hypothermia after cardiac arrest: now a standard of care
    Stephen Bernard
    Crit Care Med 34:923-4. 2006
  39. ncbi request reprint Inhaled methoxyflurane as a prehospital analgesic in children
    Franz E Babl
    Emergency Department, Royal Children s Hospital, Parkville, Vic 3055, Australia
    Emerg Med Australas 18:404-10. 2006
    ..We set out to characterize methoxyflurane use in children in the prehospital setting...
  40. ncbi request reprint Validation of the palliative performance scale in the acute tertiary care hospital setting
    Oludamilola Olajide
    Division of Hematology and Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    J Palliat Med 10:111-7. 2007
    ..The Palliative Performance Scale (PPS) was designed to assess functional status and measure progressive decline in palliative care patients, yet it has not been validated within hospital health care settings...
  41. ncbi request reprint Hypothermia after cardiac arrest: how to cool and for how long?
    Stephen Bernard
    Crit Care Med 32:897-9. 2004