Stephen Bernard

Summary

Affiliation: Monash Medical Centre
Country: Australia

Publications

  1. ncbi Paramedic intubation of patients with severe head injury: a review of current Australian practice and recommendations for change
    Stephen A Bernard
    Metropolitan Ambulance Service, and Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    Emerg Med Australas 18:221-8. 2006
  2. ncbi Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia
    Stephen A Bernard
    Intensive Care Unit, Dandenong Hospital, Dandenong, Australia
    N Engl J Med 346:557-63. 2002
  3. pmc New indications for the use of therapeutic hypothermia
    Stephen Bernard
    The Intensive Care Unit, Dandenong Hospital, Melbourne, Australia
    Crit Care 8:E1. 2004
  4. doi 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 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 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. doi 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
  8. doi 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
  9. ncbi 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
  10. ncbi 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

Detail Information

Publications32

  1. ncbi Paramedic intubation of patients with severe head injury: a review of current Australian practice and recommendations for change
    Stephen A Bernard
    Metropolitan Ambulance Service, and Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    Emerg Med Australas 18:221-8. 2006
    ..For patients who are intubated, waveform capnography is essential to confirm tracheal placement and to prevent inadvertent hyperventilation...
  2. ncbi Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia
    Stephen A Bernard
    Intensive Care Unit, Dandenong Hospital, Dandenong, Australia
    N Engl J Med 346:557-63. 2002
    ..In a randomized, controlled trial, we compared the effects of moderate hypothermia and normothermia in patients who remained unconscious after resuscitation from out-of-hospital cardiac arrest...
  3. 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...
  4. doi 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 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 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. doi 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...
  8. doi 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...
  9. ncbi 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...
  10. ncbi 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
    ....
  11. ncbi 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
    ....
  12. doi 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...
  13. doi 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
    ....
  14. ncbi 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...
  15. ncbi 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
    ....
  16. doi 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...
  17. ncbi 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...
  18. ncbi 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. ..
  19. doi 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...
  20. ncbi 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...
  21. doi 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...
  22. ncbi 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...
  23. ncbi 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
    ....
  24. ncbi Therapeutic hypothermia after cardiac arrest
    Stephen A Bernard
    Med J Aust 181:468-9. 2004
    ..Hypothermia is now standard care for some types of cardiac arrest...
  25. ncbi Therapeutic hypothermia induced during cardiopulmonary resuscitation using large-volume, ice-cold intravenous fluid
    Stephen A Bernard
    The Intensive Care Unit, Knox Private Hospital, 262 Mountain Highway, Wantirna South, Victoria 3154, Australia
    Resuscitation 76:311-3. 2008
    ..We report a case where therapeutic hypothermia was induced during cardiopulmonary resuscitation using large-volume (40 mL/kg), ice-cold (4 degrees C) intravenous fluid...
  26. ncbi Hypothermia for neuroprotection after cardiac arrest: systematic review and individual patient data meta-analysis
    Michael Holzer
    Department of Emergency Medicine, General Hospital Vienna, Medical University of Vienna, Vienna, Austria
    Crit Care Med 33:414-8. 2005
    ..Only a few patients survive cardiac arrest with favorable neurologic recovery. Our objective was to assess whether induced hypothermia improves neurologic recovery in survivors of primary cardiac arrest...
  27. ncbi Induced hypothermia in critical care medicine: a review
    Stephen A Bernard
    Intensive Care Unit, Dandenong Hospital, Victoria, Australia
    Crit Care Med 31:2041-51. 2003
    ..Clinical trials of induced hypothermia have suggested that this treatment may be beneficial in selected patients with neurologic injury...
  28. doi Prehospital prediction of the severity of blunt anatomic injury
    Stephen A Mulholland
    Victoria Trauma Foundation Centre for Trauma Research and Practice, The Alfred Hospital, Melborne, Australia
    J Trauma 64:754-60. 2008
    ..To assess whether paramedic prediction of severity of injury to individual body regions is accurate and could add to overall paramedic prediction of injury severity...
  29. doi Prehospital noninvasive ventilation: a viable treatment option in the urban setting
    David McD Taylor
    Emergency Medicine Research, Austin Health, Heidelberg, Victoria Australia
    Prehosp Emerg Care 12:42-5. 2008
    ..To determine the viability of prehospital noninvasive ventilation (NIV) as a prelude to a definitive clinical trial...
  30. doi Gender differences in outcome in patients with hypotension and severe traumatic brain injury
    Jennie L Ponsford
    Monash Epworth Rehabilitation Research Centre, Epworth Hospital, Australia
    Injury 39:67-76. 2008
    ..Progesterone and oestrogen are thought to afford protection in the immediate post-injury period, suggesting females have an advantage, although there has been limited evidence of this in human outcome studies...
  31. ncbi Cardiopulmonary resuscitation after traumatic cardiac arrest is not always futile
    Cameron D Willis
    Department of Epidemiology and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia
    Injury 37:448-54. 2006
    ..This study aimed to describe the outcomes for victims of penetrating and blunt trauma who received prehospital CPR...
  32. pmc Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study
    Michael D Buist
    Department of Intensive Care, Dandenong Hospital, Dandenong, VIC 3175, Australia
    BMJ 324:387-90. 2002
    ..To determine whether earlier clinical intervention by a medical emergency team prompted by clinical instability in a patient could reduce the incidence of and mortality from unexpected cardiac arrest in hospital...