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ambulance victoria

Victoria J Ganem, Alejandra G Mora, Nina Nnamani, Vikhyat S Bebarta
BACKGROUND: Drug overdose has become a leading cause of death in the United States and is a growing issue in civilian and military populations. Increasing prescription drug misuse and poisonings translate into greater utilization of medical resources. Our objective was to describe the incidences of overdoses and their associated events and outcomes following emergency department consult. METHODS: We performed a retrospective cohort study on cases evaluated in 2 military hospital emergency departments over 3 years...
October 2016: Military Medicine
Ala'a O Oteir, Karen Smith, Johannes U Stoelwinder, Shelley Cox, James W Middleton, Paul A Jennings
BACKGROUND: Traumatic Spinal Cord Injury (TSCI) is relatively uncommon, yet a devastating and costly condition. Despite the human and social impacts, studies describing patients with potential TSCI in the pre-hospital setting are scarce. This paper aims to describe the epidemiology of patients potentially at risk of or suspected to have a TSCI by paramedics, with a view to providing a better understanding of factors associated with potential TSCI. METHODS: This is a retrospective cohort study of all adult patients managed and transported by Ambulance Victoria (AV) between 01 January 2007 and 31 December 2012 who, based on meeting pre-hospital triage protocols and criteria for spinal clearance, paramedic suspicion or spinal immobilisation, were classified to be at risk of or suspected to have a TSCI...
December 2016: Injury Epidemiology
Ben Beck, Janet E Bray, Karen Smith, Tony Walker, Hugh Grantham, Cindy Hein, Melanie Thorrowgood, Anthony Smith, Madoka Inoue, Tony Smith, Bridget Dicker, Andy Swain, Emma Bosley, Katherine Pemberton, Michael Mckay, Malcolm Johnston-Leek, Peter Cameron, Gavin D Perkins, Judith Finn
OBJECTIVE: The present study aimed to describe and examine similarities and differences in the current service provision and resuscitation protocols of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest (OHCA) Epistry. Understanding these similarities and differences is important in identifying ambulance service factors that might explain regional variation in survival of OHCA in the Aus-ROC Epistry. METHODS: A structured questionnaire was completed by each of the ambulance services participating in the Aus-ROC Epistry...
October 11, 2016: Emergency Medicine Australasia: EMA
Victoria Tchaikovski, Jean-Michel Gracies, Emilie Hutin, Nicolas Bayle, Caroline Radot
OBJECTIVE: Micrographia and bradygraphia are classic features of Parkinson's disease (PD). However, the relevance of quantifying them in the clinical exam with pen and paper is unclear. MATERIALS/PATIENTS AND METHODS: Twenty-five patients with PD (72±8 years, 8F; time since diagnosis 9.8±5.1 years; Hoehn and Yahr 2.5±0.6) and 26 age-matched healthy controls (HC, 71±16years, 8F) wrote three times the same standard sentence in the OFF state. We measured changes from sentence 1 (S1) to sentence 3 (S3), in writing speed (WS), sentence length (SL), heights of first and last Ps (H1P, H3P), mean inter-words interval (IWI) and ratio total inter-word interval/sentence length (TIWI/SL)...
September 2016: Annals of Physical and Rehabilitation Medicine
Lenore Beddoes-Ley, Damien Khaw, Maxine Duke, Mari Botti
BACKGROUND: There are limited published data reporting Australian hospitalized elders' vulnerability to functional decline to guide best practice interventions. The objectives of this study were to describe the prevalence of vulnerability to functional decline and explore profiles of vulnerability related to the performance of physical activity in a representative group of elders in a single centre in Victoria, Australia. METHODS: A cross-sectional survey of patients aged ≥ 70 years (Mean age 82...
2016: BMC Geriatrics
Linda Ross, Paul Andrew Jennings, Karen Smith, Brett Williams
OBJECTIVE: This study aims to determine the number and reasons for emergency paramedic attendances to older adults in Victoria, Australia. A second aim is to investigate the prevalence of psychosocial factors that may contribute to older patients requiring emergency paramedic attendance. METHODS: This descriptive retrospective study analyzed all emergency paramedic attendances to patients aged 65 or older between July 1, 2011 and June 30, 2014 in Victoria, Australia...
July 20, 2016: Prehospital Emergency Care
Dan I Lubman, Joshua B B Garfield, Victoria Manning, Lynda Berends, David Best, Janette M Mugavin, Tina Lam, Penny Buykx, Andrew Larner, Belinda Lloyd, Robin Room, Steve Allsop
BACKGROUND: People seeking treatment for substance use disorders often have additional health and social issues. Although individuals presenting with alcohol as the primary drug of concern (PDOC) account for nearly half of all treatment episodes to the Australian alcohol and other drug (AOD) service system, previous treatment cohort studies have focused only on the profile of Australian heroin or methamphetamine users. While studies overseas indicate that clients seeking treatment primarily for their drinking are less likely to experience social and economic marginalisation than those seeking treatment primarily for illicit or pharmaceutical drug use, very little research has directly compared individuals presenting with alcohol as the PDOC to those primarily presenting with other drugs as their PDOC...
2016: BMC Psychiatry
Seth E Frndak, Audrey M Smerbeck, Lauren N Irwin, Allison S Drake, Victoria M Kordovski, Katrina A Kunker, Anjum L Khan, Ralph H B Benedict
OBJECTIVE: We endeavored to clarify how distinct co-occurring symptoms relate to the presence of negative work events in employed multiple sclerosis (MS) patients. Latent profile analysis (LPA) was utilized to elucidate common disability patterns by isolating patient subpopulations. METHOD: Samples of 272 employed MS patients and 209 healthy controls (HC) were administered neuroperformance tests of ambulation, hand dexterity, processing speed, and memory. Regression-based norms were created from the HC sample...
October 2016: Clinical Neuropsychologist
Bernadette L Matthews, Emily Andrew, Robert Andronaco, Shelley Cox, Karen Smith
Drowning is a major cause of injury and death worldwide. This study aims to expand the evidence in fatal and non-fatal drowning. A retrospective study was conducted to investigate fatal and non-fatal drowning incidents attended by ambulance paramedics in Victoria (Australia) from 2007 to 2012. A total of 509 drowning incidents were identified, 339 (66.6%) were non-fatal, with 170 (33.4%) resulting in death. Children aged 0-4 years had the highest crude drowning rate (7.95 per 100,000 persons). Non-fatal incidents were more likely to be witnessed by a bystander when compared with fatal incidents (43...
May 11, 2016: International Journal of Injury Control and Safety Promotion
Bill Lord, Paul A Jennings, Karen Smith
OBJECTIVES: The present study aimed to describe paramedic assessment and management of pain in children in a large state-wide ambulance service. METHODS: A retrospective cohort study included paediatric patients (aged less than 15 years) treated and transported by paramedics in the Australian state of Victoria between 1 January 2008 and 31 December 2011. Primary outcome measures were the frequency of analgesic administration and odds of receiving any analgesic (morphine, fentanyl or methoxyflurane)...
June 2016: Emergency Medicine Australasia: EMA
Behrooz Hassani-Mahmooei, Janneke Berecki-Gisolf, Youjin Hahn, Roderick J McClure
BACKGROUND: Comorbidity is known to affect length of hospital stay and mortality after trauma but less is known about its impact on recovery beyond the immediate post-accident care period. The aim of this study was to investigate the role of pre-existing health conditions in the cost of recovery from road traffic injury using health service use records for 1 year before and after the injury. METHODS: Individuals who claimed Transport Accident Commission (TAC) compensation for a non-catastrophic injury that occurred between 2010 and 2012 in Victoria, Australia and who provided consent for Pharmaceutical Benefits Scheme (PBS) and Medicare Benefits Schedule (MBS) linkage were included (n = 738) in the analysis...
2016: BMC Health Services Research
Ben Beck, Janet Bray, Karen Smith, Tony Walker, Hugh Grantham, Cindy Hein, Melanie Thorrowgood, Anthony Smith, Tony Smith, Bridget Dicker, Andy Swain, Mark Bailey, Emma Bosley, Katherine Pemberton, Peter Cameron, Graham Nichol, Judith Finn
INTRODUCTION: Out-of-hospital cardiac arrest (OHCA) is a global health problem with low survival. Regional variation in survival has heightened interest in combining cardiac arrest registries to understand and improve OHCA outcomes. While individual OHCA registries exist in Australian and New Zealand ambulance services, until recently these registries have not been combined. The aim of this protocol paper is to describe the rationale and methods of the Australian Resuscitation Outcomes Consortium (Aus-ROC) OHCA epidemiological registry (Epistry)...
2016: BMJ Open
Christopher Morrison, William R Ponicki, Paul J Gruenewald, Douglas J Wiebe, Karen Smith
BACKGROUND: This study examines spatial relationships between alcohol outlet density and the incidence of alcohol-related crashes. The few prior studies conducted in this area used relatively large spatial units; here we use highly resolved units from Melbourne, Australia (Statistical Area level 1 [SA1] units: mean land area=0.5 km(2); SD=2.2 km(2)), in order to assess different micro-scale spatial relationships for on- and off-premise outlets. METHODS: Bayesian conditional autoregressive Poisson models were used to assess cross-sectional relationships of three-year counts of alcohol-related crashes (2010-2012) attended by Ambulance Victoria paramedics to densities of bars, restaurants, and off-premise outlets controlling for other land use, demographic and roadway characteristics...
May 1, 2016: Drug and Alcohol Dependence
Gayle McLelland, Lisa McKenna, Amee Morgans, Karen Smith
OBJECTIVE: to report findings from a study performed prior to the introduction of publicly funded home birth programmes in Victoria, Australia, that investigated the incidence of planned home births attended by paramedics and explored the clinical support they provided as well as the implications for education and practice. METHODS: retrospective data previously collected via an in-field electronic patient care record (VACIS(®)) was provided by a state-wide ambulance service...
July 2016: Midwifery
Kate Kloot, Scott Salzman, Sue Kilpatrick, Tim Baker, Susan A Brumby
OBJECTIVE: The objective of this present study was to describe the initial destination hospital of paediatric patients transported by Ambulance Victoria paramedics within the South Western area of Victoria to determine the proportion of patients that bypassed their closest hospital. METHODS: All Ambulance Victoria primary ambulance transports for paediatric patients aged 1 month to 14 years in the Barwon South West region between 1 April 2008 and 28 February 2011 were reviewed...
April 2016: Emergency Medicine Australasia: EMA
Gayle McLelland, Lisa McKenna, Amee Morgans, Karen Smith
OBJECTIVE: To report on clinical and socio-demographic factors of a one-year caseload of women attended by a statewide ambulance service in Australia, who presented during pregnancy, prior to the commencement of labor. METHODS: Retrospective clinical data collected via in-field electronic patient care record (VACIS®) by paramedics during clinical management was provided by Ambulance Victoria. Cases were electronically extracted from the Ambulance Victoria Clinical Data Warehouse via comprehensive filtering followed by case review...
July 2016: Prehospital Emergency Care
David O'Keeffe, Martine Dennekamp, Lahn Straney, Mahjabeen Mazhar, Tom O'Dwyer, Anjali Haikerwal, Fabienne Reisen, Michael J Abramson, Fay Johnston
BACKGROUND: Large populations are exposed to smoke from bushfires and planned burns. Studies investigating the association between bushfire smoke and health have typically used hospital or ambulance data and been done retrospectively on large populations. The present study is designed to prospectively assess the association between individual level health outcomes and exposure to smoke from planned burns. METHODS/DESIGN: A prospective cohort study will be conducted during a planned burn season in three locations in Victoria (Australia) involving 50 adult participants who undergo three rounds of cardiorespiratory medical tests, including measurements for lung inflammation, endothelial function, heart rate variability and markers of inflammation...
2016: BMC Public Health
Kylie Dyson, Janet E Bray, Karen Smith, Stephen Bernard, Lahn Straney, Judith Finn
BACKGROUND: Although out-of-hospital cardiac arrest (OHCA) is a major public health problem, individual paramedics are rarely exposed to these cases. In this study, we examined whether previous paramedic exposure to OHCA resuscitation is associated with patient survival. METHODS AND RESULTS: For the period 2003 to 2012, we linked data from the Victorian Ambulance Cardiac Arrest Registry to Ambulance Victoria's employment data set. We defined exposure as the number of times a paramedic attended an OHCA where resuscitation was attempted in the 3 years preceding each case...
March 2016: Circulation. Cardiovascular Quality and Outcomes
Annika Willems, Thomas A W Paulson, Mhairi Keil, Katherine Brooke-Wavell, Victoria L Goosey-Tolfrey
Field-based assessments provide a cost-effective and accessible alternative to dual-energy X-ray absorptiometry (DXA) for practitioners determining body composition in athletic populations. It remains unclear how the range of physical impairments classifiable in wheelchair sports may affect the utility of field-based body composition techniques. The present study assessed body composition using DXA in 14 wheelchair games players who were either wheelchair dependent (non-walkers; n = 7) or relied on a wheelchair for sports participation only (walkers; n = 7)...
2015: Frontiers in Physiology
Kathryn Eastwood, Amee Morgans, Karen Smith, Angela Hodgkinson, Gareth Becker, Johannes Stoelwinder
Objective The aim of the present study was to describe the Ambulance Victoria (AV) secondary telephone triage service, called the Referral Service (RS), for low-priority patients calling triple zero. This service provides alternatives to ambulance dispatch, such as doctor or nurse home visits.Methods A descriptive epidemiological review of all the cases managed between 2009 and 2012 was conducted, using data from AV case records, the Victorian Admitted Episodes Dataset and the Australian Bureau of Statistics...
November 9, 2015: Australian Health Review: a Publication of the Australian Hospital Association
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