Research Topics
| Stephen BernardSummaryAffiliation: Monash Medical Centre Country: Australia Publications
| Collaborators
|
Detail Information
Publications
Paramedic intubation of patients with severe head injury: a review of current Australian practice and recommendations for changeStephen 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...- Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermiaStephen 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... 
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...
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...- 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... - 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... - 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... - 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... - 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... - Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective studyMichael 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... - 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.... - 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.... - 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... - 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... - 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... - 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... - 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... - 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..CONCLUSION: The MASS is simple to use, with accurate prehospital identification of stroke. It distinguishes stroke mimics, with good recognition of suitable patients for thrombolytic therapy... - Induced hypothermia in critical care medicine: a reviewStephen 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... - Therapeutic hypothermia after cardiac arrestStephen A Bernard
Med J Aust 181:468-9. 2004..Hypothermia is now standard care for some types of cardiac arrest... - Therapeutic hypothermia induced during cardiopulmonary resuscitation using large-volume, ice-cold intravenous fluidStephen 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... - Hypothermia for neuroprotection after cardiac arrest: systematic review and individual patient data meta-analysisMichael Holzer
Department of Emergency Medicine, General Hospital Vienna, Medical University of Vienna, Vienna, Austria
Crit Care Med 33:414-8. 2005..Its long-term effectiveness and feasibility at an organizational level need further research... - Prehospital prediction of the severity of blunt anatomic injuryStephen 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... - Cardiopulmonary resuscitation after traumatic cardiac arrest is not always futileCameron 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..Prehospital emergency personnel need to be aware of possible hypoxic and electrical causes for cardiac arrest appearing in combination with traumatic injuries... - Gender differences in outcome in patients with hypotension and severe traumatic brain injuryJennie 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... - Prehospital noninvasive ventilation: a viable treatment option in the urban settingDavid 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... - Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary studyMichael 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...