At A Glance How We Work The Environment
Is telehealth a safe alternative to face-to-face review?
A pilot study in an Australian Paediatric Emergency Centre.
Emergency Departments across Australia are being overwhelmed by patient demand1. Sunshine Children’s Emergency Department (ED) sees 25,000 sick and injured children every year. Most of the presentations are self-limiting illnesses and minor injuries, most of which can be safely managed with supportive care and community follow-up post-initial assessment in ED. Most of these patients require a rapid review within 48-72 hours of discharge. This rapid review is limited by GP and other outpatient services availability.
We are performing a qualitative study to survey clinicians’ and carers’ experience with face-to-face VS virtual reviews. Please click here (clinician; carers) for the surveillance link.
For further information and how to refer patients, please click here
**This project is currently on-hold due to staffing issue and high ED demand**
Paediatric Fracture Management In The ED
Time To Analgesia In Paediatric Patients Presenting to SHED
LEARNING POINTS
2023 May – Critical Croup
2022 July Q&S SHED MEWS letter
2022 June Q&S SHED MEWS letter
2022 March Q&S SHED MEWS letter
2021 December Q&S SHED MEWS letter
LEARNING POINTS
Concussion Essentials Study (commenced 10 May 2021)
Aim of the study?
The Concussion Essentials Study is run by the Take CARe (Concussion Assessment and Recovery) research team at the Royal Children’s Hospital and Murdoch Children’s Research Institute.
The overall focus of the Take CARe team is to improve treatment and recovery for children who have experienced a head injury.
Study team would like to find out whether treatment that is tailored to a child’s persisting post-concussion symptoms can help speed up their recovery.
Flyer link click Here
Referral link click Here
Further info here
Pharmacological Emergency management of Agitation in Children and Young People (PEAChY) – A randomised control trialled study of:
The aim of the PEAChY study is to investigate the most effective medication to give to people aged less than 18 years with acute severe behavioural disturbance (ASBD) who present to the ED.
Currently in Australia, a range of different medications are used in the management of ASBD. There have been no studies looking at which medication works best. In this study, we will compare:
PREDICT research team want to find out which medication works best for young people who present to the ED with ASBD. This research project will be the first to compare these two medications in young people.
“How-to” enroll a patient? short video
other education material link here
Pediatric Acute Asthma Management in the Emergency Department and Associated Outcomes: A Pediatric Emergency Research Network (PERN) Study
Study Design
A multi-center international retrospective cohort study of eligible children with acute moderate and severe asthma exacerbations in the tertiary-care pediatric EDs associated with the Pediatric Emergency Medicine Networks (PERN) network.
Study Population
Inclusion criteria:
Young people 5-17 years of age treated in the PERN-associated EDs for moderate and severe acute asthma during the calendar year of 2019 (1st January to 31st December). If there is an insufficient number of eligible charts, charts from the previous calendar year will also be reviewed.
Exclusion Criteria:
(1) Coexistent chronic pulmonary, neurologic, neuromuscular, cardiac, renal, systemic disease or complex care patients. These conditions may influence the study outcomes.
(2) Mild asthma presentation, defined pragmatically as ≤ 2 treatments with inhaled salbutamol at the index ED visit.
Primary objective:
In otherwise healthy children 5-17 years of age treated in the PERN-associated EDs for moderate and severe acute asthma, to examine the association between “required hospitalization” (defined below under Definitions) and receipt of all of the recommended ED therapies (see Definitions).
Hypothesis: we hypothesize that children with moderate or severe asthma receiving the full guideline-recommended ED asthma management will be hospitalized significantly less frequently at the index ED visit than those not treated this way, after adjustment for network, age, sex, past ICU admission for asthma, ED visits/hospitalizations for asthma within the past year, and the clinical patient-level characteristics
Primary Outcome
Required Hospitalization–
Secondary Outcomes:
Outcome of reduction of paediatric forearm fracture by emergency department clinicians
Jared Gursanscky MD, Anne-Maree Kelly MD, FACEM, Ahmad Hamad MD, Andrew Tagg MBBS, FRCSEd, FACEM, Sharon Klim BN, Peter Ritchie MBBS, MPH, FACEM, Ian Law RN, NP, DipNG (Children), MNursSci (NPrac), David Krieser FRACP
https://onlinelibrary.wiley.com/share/U8GZQTBS6QRXGCER3PJM?target=10.1111/1742-6723.14162
Mid-Arm Point in PAEDiatrics (MAPPAED): An effective procedural aid for safe pleural decompression in trauma
Nuala Quinn MBChB, FRCPI, Grantley Ward B-BMed, MD, Cyril Ong FRCR, FRANZCR, David Krieser MBBS, FRACP, Robert Melvin MBBS, FACEM, Allya Makhijani MBBS, MM (Paed), Joanne Grindlay MBBS, FACEM, Catherine Lynch MB, FRACP, Gabrielle Colleran MD, MB BCh, BAO, Victoria Perry BMedSci, MBBS, FRACP, Sinead M O’Donnell MB, MD, Ian Law Registered Nurse, Dinesh Varma MBBS, FRANZCR, John Fitzgerald BSc, BMedSci, MBBS, FRANZCR, Hannah J Mitchell PhD, Warwick J Teague DPhil, FRACS, FRCSEd
https://onlinelibrary.wiley.com/share/AVCZFNVRG32TAAFHW3CQ?target=10.1111/1742-6723.14141
The characteristics of SARS‐CoV‐2‐positive children who presented to Australian hospitals during 2020: a PREDICT network study
Laila F Ibrahim, Doris Tham, Vimuthi Chong, Mark Corden, Simon Craig, Paul Buntine, Shefali Jani, Michael Zhang, Shane George, Amit Kochar, Sharon O’Brien, Karen Robins‐Browne, Shidan Tosif, Andrew Daley, Sarah McNab, Nigel W Crawford, Catherine Wilson and Franz E Babl
Med J Aust 2021; 215 (5): 217-221. || doi: 10.5694/mja2.51207
Published online: 16 August 2021
2023 WH Research Training Workshop: Full program and registration link here
