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Cellulitis in the emergency department

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Team members:

Cellulitis is an infection of the skin and underlying soft tissues and leads to redness, pain and sometimes fever. Once diagnosed, the emergency doctor needs to decide an appropriate type and dose of antibiotic and decide to give it orally (tables/capsules) or intravenously (via a drip).

Despite this being a common diagnosis in the ED, guidelines are not based on high-quality evidence making it difficult for doctors to make evidence-based choices and there is wide variation in how cellulitis is treated. This prospective cohort management study aims to describe the ED management and clinical outcomes of adult patients with cellulitis.

Grants Awarded

Emergency Medicine Foundation Grants
$39,792


Extent of self-harm behaviour presenting to Queensland ED with mental health problems

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Principal investigator:
Team members:

In 2018, there were 3046 deaths by suicide in Australia. Suicide was the leading cause of death among people age 15-44 in 2016-2018. In Queensland, rates remain highest in young men, particularly in rural areas.

The emergency department (ED) can be the only option for people in a mental health crisis. Presentations with self-harm and attempted suicide are recognised high-risk events for subsequent suicide.

This data-linkage study is the first of its kind in Queensland, examining ED presentations with self-harm between 2012 and 2017, utilising data from a collaboration examining broader mental health presentations. This ED data will be ‘linked’ to inpatient admissions and death records, allowing insight into the patient journey over several years.

Aligning with national and international calls to make suicide and self-harm a priority for research and policy innovation, the study will examine the demographics, co-morbidities and characteristics of these patients, and factors predictive of hospital admission to improve care and recognition around those presenting to ED with self-harm.

Grants Awarded

Emergency Medicine Foundation Grants
$37,816


3D volume rendered Computed Tomography application for follow up fracture healing and volume measurements pre and post SRF.

Campbell, D., Arnold, N., Wake, E., Grieve, J., Provenzano, S., Wullschleger, M. and Patel, B. 2021. 3D volume rendered Computed Tomography application for follow up fracture healing and volume measurements pre and post SRF. Journal of Trauma and Acute Care Surgery.

Emergency medicine patient wait time multivariable prediction models: a multicentre derivation and validation study.

Walker K, Jiarpakdee J, Loupis A, Tantithamthavorn C, Joe K, Ben-Meir M, Akhlaghi H, Hutton J, Wang W,  Stephenson M, Blecher G, Buntine P, Sweeny A, Turhan B. 2021. Emergency medicine patient wait time multivariable prediction models: a multicentre derivation and validation study. Emergency Medicine Journal.

Simulation exercises increase staff confidence, knowledge and skills in managing mass casualty incidents: a pre-test-posttest study.

Sweeny A, Lui Y, Watkins N, McNamee P, Samsuddin A, Huang C, Henry S, Johnston A. 2021.  Simulation exercises increase staff confidence, knowledge and skills in managing mass casualty incidents: a pre-test-posttest study. Tasman Medical Journal.

Who is eligible for voluntary assisted dying? Nine medical conditions assessed against five legal frameworks.

White, B., Willmott, L., Del Villar, K., Hewitt, J., Close, E., Ley Greaves, L., Cameron, J., Meehan, R. and Downie, J. 2021. Who is eligible for voluntary assisted dying? Nine medical conditions assessed against five legal frameworks. University of New South Wales Law Journal.

Resuscitation in Paediatric Sepsis Using Metabolic Resuscitation–A Pilot Randomized Controlled Pilot Study in the Paediatric Intensive Care Unit (RESPOND PICU): Study Protocol and Analysis Plan.

Schlapbach, L.J., Gibbons, K., Ridolfi, R., Harley, A., Cree, M., Long, D., Buckley, D., Erickson, S., Festa, M., George, S. and King, M. 2021. Resuscitation in Paediatric Sepsis Using Metabolic Resuscitation–A Pilot Randomized Controlled Pilot Study in the Paediatric Intensive Care Unit (RESPOND PICU): Study Protocol and Analysis Plan. Frontiers in pediatrics, 9, p.379.

Fibrinogen early in severe trauma study (feisty): Results from an Australian multicentre randomised controlled pilot trial.

Winearls, J., Wullschleger, M., Wake, E., McQuilten, Z., Reade, M., Hurn, C., Ryan, G., Trout, M., Walsham, J., Holley, A. and George, S. 2021. Fibrinogen early in severe trauma study (feisty): Results from an Australian multicentre randomised controlled pilot trial. Critical Care and Resuscitation, 23(1), pp.32-46.

The characteristics of SARS‐CoV‐2‐positive children who presented to Australian hospitals during 2020: a PREDICT network study.

Ibrahim, L.F., Tham, D., Chong, V., Corden, M., Craig, S., Buntine, P., Jani, S., Zhang, M., George, S., Kochar, A. and O’Brien, S. 2021. The characteristics of SARS‐CoV‐2‐positive children who presented to Australian hospitals during 2020: a PREDICT network study. Medical Journal of Australia.

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