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Ultrasound pillar

The ultrasound pillar has been developing for the promotion and improvement of diagnostic and procedural safety for the last 5 years. It’s focus has been on the review if current practices of focused ultrasound (PoCUS-Point of Care Ultrasound) and developing a practical teaching program with a focus on ultrasound guided vascular access. Collaborations with university and other HHS units in the latter are developing with a recent joint successful NHMRC grant to enhance the program further.
The team consisting of consultants, an ultrasound fellow (12 months), special skills terms for registrars (6 month terms) and students has had several articles published in recent years, received grants from NHMRC, Emergency Medicine Foundation and SERTA.
Research focus –
Lung – evaluation of pleural based diseases and role of lung ultrasound in diagnosis
Biliary – development of clinical pathways including focused ultrasound in the evaluation of right upper quadrant pain
Focused ECHO is life support – improving recognition, diagnosis and management of cardiac arrest patients
Procedural safety – role of ultrasound in emergency procedures to improve accuracy and success
Peripheral IV cannulation – improve the identification of the difficult IV access patient (DIVA), optimise conditions for improvement to first pass cannulation rates.
Fractures – identification and management of forearm buckle fractures in children

The Team

Name Job Title
Dr Stuart Watkins Program lead – Senior Emergency Physician
Dr Peter Snelling Program lead – Paediatric Emergency Physician
Dr Amy Archer-Jones Emergency Physician – Vascular access project
Dr Balvinder Grewal Emergency Physician – Focused ECHO in cardiac arrest
Dr Tasha Power  Emergency Physician
Dr Alan Gillespie Emergency Physician
Dr Tarek El-Sayed Fellow – 2020
Dr Alex Joyce Registrar – SST (Feb-Aug 2020)
Dr Sarah Stoneman Registrar – SST (Aug-Feb 2020/1)
Mr Michael Summers Research Nurse – BUCKLE fractures project

 

Research Themes-

To demonstrate the safe and effective practice of focused ultrasound in emergency medicine to enhance diagnostic accuracy, risk stratification, appropriate resource utilisation and improvements to disposition decision making. The role focused ultrasound can play in the Choosing Wisely program and demonstrated improvements in our procedural skills with particular focus on the commonest procedure of them all, the insertion of a peripheral IV cannula.
Collaborations and partnerships
AVATAR – Alliance for Vascular Access Training and Research – Griffith University
BOND University – final year medical student MD program
AIU – Australasian Institute of Ultrasound – Training facility and research partner, Broadbeach
 


Current projects

Most patients need intravenous cannula (a small plastic tube, inserted into the vein) in the…

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Children frequently present to the emergency department with forearm injuries and often have an…

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Children frequently present to the emergency department with forearm injuries and often have an…

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Publications

Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study

Snelling, P.J., Jones, P., Keijzers, G., Bade, D., Herd, D.W. and Ware, R.S., 2020. Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study. Emergency Medicine Journal. Sept 2020

Background: Paediatric distal forearm fractures are a common ED presentation. They can be diagnosed with point-of-care ultrasound (POCUS) as an alternative to X-rays. Given that ED nurse practitioners (NPs) are relied on for the diagnosis of paediatric fractures, it is important to describe the diagnostic accuracy of NP-conducted POCUS versus X-ray.


Evaluating an ultrasound-guided peripheral intravenous cannulation training program for emergency clinicians: An Australian perspective. Australasian Emergency Care.

Archer-Jones, A., Sweeny, A., Schults, J.A., Rickard, C.M., Johnson, L., Gunter, A. and Watkins, S., 2020. Evaluating an ultrasound-guided peripheral intravenous cannulation training program for emergency clinicians: An Australian perspective. Australasian Emergency Care


BUCKLED: Bedside ultrasound conducted in kids with distal upper limb fractures in the emergency department (observational trial).

Snelling, P., 2019. BUCKLED: Bedside ultrasound conducted in kids with distal upper limb fractures in the emergency department (observational trial). Ultrasound in Medicine and Biology, 45, pp.S64-S65.



Last updated 03 Mar 2020