Research Topics
| Debra KerrSummaryAffiliation: Victoria University Country: Australia Publications
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Detail Information
Publications
Adverse events associated with the use of intravenous epinephrine in emergency department patients presenting with severe asthmaMark Putland
Emergency Medicine, Western Health, Melbourne, Victoria, Australia
Ann Emerg Med 47:559-63. 2006..Further research investigating effectiveness, as well as safety, is warranted...
Randomized controlled trial comparing the effectiveness and safety of intranasal and intramuscular naloxone for the treatment of suspected heroin overdoseDebra Kerr
Victoria University, School of Nursing and Midwifery, St Albans, Victoria, Australia
Addiction 104:2067-74. 2009..n. administration might be effective, but suboptimal naloxone solutions were used. This study compared the effectiveness of concentrated (2 mg/ml) i.n. naloxone to intramuscular (i.m.) naloxone for suspected opiate overdose...- Examination of current handover practice: evidence to support changing the ritualDebra Kerr
Victoria University, St Albans, Victoria, Australia
Int J Nurs Pract 17:342-50. 2011..The majority (82%) expressed reluctance to change their current handover style. Modification of existing nursing handover is needed but might be challenging in view of the reluctance to change this ritual... - Improved response by peers after witnessed heroin overdose in MelbourneDebra Kerr
Department of Emergency Medicine, Joseph Epstein Centre for Emergency Medicine Research, Melbourne, Australia
Drug Alcohol Rev 28:327-30. 2009..The aim of this study was to examine reported overdose response by current injecting drug users (IDU) during overdose events, in comparison with previous studies... 
Attitudes of Australian heroin users to peer distribution of naloxone for heroin overdose: perspectives on intranasal administrationDebra Kerr
Joseph Epstein Centre for Emergency Medicine Research, Sunshine Hospital, 1st Floor, 176 Furlong Rd, St Albans, Victoria, 3021, Australia
J Urban Health 85:352-60. 2008..There was no association with age, sex, or heroin practice. There appears to be strong support among Australian IDU for naloxone distribution to peers. Intranasal spray is the preferred route of administration...- Parental weight estimation of their child's weight is more accurate than other weight estimation methods for determining children's weight in an emergency department?David Krieser
Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Victoria, Australia
Emerg Med J 24:756-9. 2007..To compare the various paediatric weight estimation methods (Advanced Pediatric Life Support, Broselow Tape, Argall, and Best Guess) and parental estimate to measured weight... - Intranasal naloxone for the treatment of suspected heroin overdoseDebra Kerr
Joseph Epstein Centre for Emergency Medicine Research, The University of Melbourne, Australia
Addiction 103:379-86. 2008..This paper reviews available literature regarding the effectiveness, safety and utility of intranasal (i.n.) naloxone for the treatment of heroin overdose... - External validation of the Best Guess formulae for paediatric weight estimationAnne Maree Kelly
Joseph Epstein Centre for Emergency Medicine Research, Victoria, Australia
Emerg Med Australas 19:543-6. 2007..A new method for estimation of weight in children based on their age has been proposed. The present study aims to validate the Best Guess formulae in a new population of children... - Is severity assessment after one hour of treatment better for predicting the need for admission in acute asthma?Anne Maree Kelly
Department of Emergency Medicine, Joseph Epstein Centre for Emergency Medicine Research, Western Hospital, Private Bag, Footscray 3011, Australia
Respir Med 98:777-81. 2004..To determine if severity assessment after 1 h of treatment is better than assessment at presentation for predicting the requirement for hospital admission for emergency department (ED) patients with acute asthma... - Call-to-needle times for thrombolysis in acute myocardial infarction in VictoriaAnne Maree Kelly
Joseph Epstein Centre for Emergency Medicine Research, Western Hospital, Private Bag, Footscray, Victoria 3011, Australia
Med J Aust 178:381-5. 2003.... - When continuity of care breaks down: a systems failure in identification of osteoporosis risk in older patients treated for minimal trauma fracturesAnne Maree Kelly
Joseph Epstein Centre for Emergency Medicine Research, Western Health, Melbourne, Vic
Med J Aust 188:389-91. 2008..Our aim was to determine the proportion of patients who underwent bone density testing for osteoporosis of those with a minimal trauma wrist fracture treated in the emergency department (ED)... - External validation of the San Francisco Syncope Rule in the Australian contextTeresa M Cosgriff
University of Melbourne, Melbourne, Australia
CJEM 9:157-61. 2007..It has been reported to have high sensitivity and the potential to decrease admission rates. The aim of this study was to validate the SFSR in the Australasian setting... - Failed validation of the Argall weight formula for estimating children's weight in an Australian emergency departmentKevin Nguyen
University of Melbourne, Victoria, Australia
Acad Emerg Med 14:486-8. 2007..Weight measurement is not always practical, so weight estimation methods are used. Recently, a new weight estimation formula was suggested. The Argall formula estimates weight in kilograms as follows: (age in years + 2) x 3... - Head computed tomography guidelines are being followedTim Brettig
Joseph Epstein Centre for Emergency Medicine Research, Footscray, Victoria, Australia
Emerg Med Australas 18:238-44. 2006..This suggests that the guideline is both clinically relevant and supported by ED doctors or conversely that the guideline is concordant with existing ordering practices of the ED... - Is cardiac monitoring during transport of low-risk chest pain patients from the emergency department necessary?Andrew Lin
The University of Melbourne, Melbourne, Victoria, Australia
Emerg Med Australas 19:229-33. 2007..These patients are often transported with cardiac monitoring by nurse escort from the ED. We aimed to show that this group of patients are at low risk of experiencing life-threatening arrhythmia disturbances... - Clinical significance of initial troponin I in the grey zone in emergency department chest pain patients: a retrospective pilot studyHwee Min Lee
Department of Emergency Medicine, Western Health, Footscray, Australia
Emerg Med J 27:302-4. 2010..We aimed to describe the characteristics and outcome of patients with an initial TnI level 1-5 times the upper limit of normal... - Implementation of the Canadian C-spine rule reduces cervical spine x-ray rate for alert patients with potential neck injuryDebra Kerr
Joseph Epstein Centre for Emergency Medicine Research, Western Health and The University of Melbourne, Melbourne, Australia
J Emerg Med 28:127-31. 2005..Time in hard collar was also reduced from a median of 128 min to a median of 103 min (effect size 25.5 min), but this did not reach statistical significance. Implementation of the Canadian C-spine rule reduced x-ray ordering by 25%... - Comparison of prognostic performance of scores to predict risk of stroke in ED patients with transient ischaemic attackHong Nguyen
Victoria University, Australia
Eur J Emerg Med 17:346-8. 2010..1% (ABCD) and 98.9% (ABCD2), respectively. All three risk scores predict short-term risk of stroke in patients with an ED diagnosis of transient ischaemic attack and could be an effective tool to guide clinical decision making... - What proportion of patients with chest pain are potentially suitable for computed tomography coronary angiography?Sulieman Hamid
Department of Emergency Medicine, Western Health, Footscray, Australia
Am J Emerg Med 28:494-8. 2010..We aimed to quantify the proportion of ED rule-out ACS patients suitable for MSCT-CA... - Does emergency department workload adversely influence timely analgesia?Rob Mitchell
Monash University, Melbourne, Victoria, Australia
Emerg Med Australas 21:52-8. 2009..The impact of ED overcrowding on delay to analgesia has not been well studied. Our objective was to determine if ED workload influenced time to analgesia (TTA)... - Medication administration by enrolled nurses: opinions of nurses in an Australian healthcare organizationDebra Kerr
School of Nursing and Midwifery, Victoria University, Melbourne, Victoria, Australia
Nurs Forum 47:203-9. 2012..This study examined the opinions of nurses about the introduction of enrolled nurse medication administration and analyzed its impact on the medication error rate... - Outcomes of emergency department patients treated for primary spontaneous pneumothoraxAnne Maree Kelly
Joseph Epstein Centre for Emergency Medicine Research, Western Health, St Albans, Vic, Australia
Chest 134:1033-6. 2008..There is little published evidence detailing the outcomes of emergency department (ED) patients who have been treated for PSP. The aim of this study was to describe the clinical outcomes for patients with PSP... - The quality of medical record review studies in the international emergency medicine literatureDiana Badcock
Department of Emergency Medicine, Western Hospital, Footscray, Victoria, Australia
Ann Emerg Med 45:444-7. 2005..CONCLUSION: Adherence to the quality criteria for medical record reviews was suboptimal, and there were significant differences among journals in overall methodologic quality... - One-handed versus two-handed chest compressions in paediatric cardio-pulmonary resuscitationEmil Peska
Joseph Epstein Centre for Emergency Medicine Research, The University of Melbourne, Western Hospital, Footscray, Melbourne, Australia
Resuscitation 71:65-9. 2006..The majority of staff preferred the two-handed compression technique for reasons of ease, control and uniformity with other CPR techniques... - Validation of venous pCO2 to screen for arterial hypercarbia in patients with chronic obstructive airways diseaseAnne-Maree Kelly
Joseph Epstein Centre for Emergency Medicine Research, Footscray, Victoria, Australia
J Emerg Med 28:377-9. 2005..In conclusion, pvCO2 can be used as a screening test for arterial hypercarbia, and if employed, can potentially reduce the requirement for ABG sampling... - Lack of agreement in classification of the severity of acute asthma between emergency physician assessment and classification using the National Asthma Council Australia guidelines (1998)Colin V E Powell
Department of Emergency Medicine and Pediatrics, Royal Children's Hospital, Melbourne, Australia
Emerg Med (Fremantle) 15:49-53. 2003..This may have implications in treatment and disposition. This also suggests that emergency physicians may be using other methods to classify acute asthma than the National Asthma Council Guidelines classification... - Validation of a tool to safely triage selected patients with chest pain to unmonitored bedsRonald V Sultana
Department of Emergency Medicine, The Royal Melbourne Hospital, Victoria, Australia
Emerg Med (Fremantle) 14:393-9. 2002..To externally validate a chest pain protocol that triages low risk patients with chest pain to an unmonitored bed...