Crilly, J., Ranse, J., Bost, N., Donnelly, T., Timms, J., Gilmour, K., Aitken, M. and Johnston, A., 2019. The Impact on Local Emergency Departments During a “Schoolies Week” Youth Mass Gathering. Prehospital and Disaster Medicine, 34(s1), pp.s39-s39.
Samsuddin, A., Sweeny, A., Watkins, N., McNamee, P., Muter, N., Li, Y.L. and Huang, C., 2019. The Quest for Quality and Performance Indicators in Mass Disasters. Prehospital and Disaster Medicine, 34(s1), pp.s76-s76.
Johnston A, Wadham J, Polong-Brown J, Aitken M, Ranse J, Hutton A, Richards B, Crilly J. (2019). Health care provision during a sporting mass gathering: A structure and process description of on-site care delivery. Prehospital and Disaster Medicine.
Johnston A, Wadham J, Polong-Brown J, Aitken M, Ranse J, Hutton A, Richards B, Crilly J. (2019). Health care provision during a sporting mass gathering: A structure and process description of on-site care delivery. Prehospital and Disaster Medicine.
The overarching aim of this study is to estimate the magnitude of the need for care at the end of life care in the emergency department, and to describe care delivery practices, processes and outcomes for older people who present to the emergency department requiring end of life care.
Australians aged 65 years and over account for 22% of emergency department presentations. Currently, this group makes up 15% of the population, but this predicted to rise to 20% by 2037.
There are two trajectories of end of life in the emergency department: ‘unexpected’ and ‘expected’ deaths. Unexpected deaths stem from acute illness or sudden, traumatic events. Expected deaths stem from deterioration of chronic illnesses.
When expected deaths occur in the emergency department, staff dissatisfaction and distress as well as frustration for patients and their families can result. In Singapore, around 50% of deaths in people aged ≥ 65 who died in one emergency department were considered ‘expected’. This highlights the need to understand if the situation is the same here in Australia and to what extent quality end of life care is provided for both trajectories of dying (i.e. expected and unexpected). Our study will identify the ‘unexpected’ and the ‘expected’ deaths among people aged ≥ 65 who die within 48 hours of emergency department presentation.
Bost N, Johnston A, Broadbent M, Crilly J. (2018). Collegian
Marsden E, Craswell A, Taylor A, Coates K, Crilly J, Broadbent M, Glenwright G, Johnston C, & Wallis M. (2018). Australasian Journal on Ageing.
Young, J.T., Heffernan, E., Borschmann, R., Ogloff, J.R., Spittal, M.J., Kouyoumdjian, F.G., Preen, D.B., Butler, A., Brophy, L., Crilly, J. and Kinner, S.A., 2018. Dual diagnosis of mental illness and substance use disorder and injury in adults recently released from prison: a prospective cohort study. The Lancet Public Health, 3(5), pp.e237-e248.
Wallis M, Marsden EJ, Taylor A, Craswell A, Broadbent M, Barnett A, Nguyen K-H, Johnston C, Glenwright A, Crilly J. (2018). BMC Geriatrics.
Johnston A, Wadham J, Polong-Brown J, Aitken M, Ranse J, Hutton A, Richards B, Crilly J. (2019). Prehosptial Disaster Medicine.
