The first peer-reviewed research publication from the Emergency Department at the
Princess Alexandra Hospital appeared in the literature in 1983. Over the 20 year period to
2003 there were 30 more publications, with the balance of the 200 papers in the last decade.
In 2011 the research structure within the Department was enhanced by the introduction of dedicated research staff; a full-time Nurse Researcher (Dr. Lyndall Spencer) and a full-time
Academic Research Manager (Dr. Rob Eley) employed by The University of Queensland
School of Medicine. These positions are complemented by a 0.6 FTE Nurse Researcher
(Ms. Cara Caliban) and two clinical nurses from the Department employed at 0.3 FTE each to participate in research projects as a capacity building activity.
Establishing those positions has allowed a more structured approach to Departmental research and the opportunity to develop its research capacity. This includes research training and support to staff within the medical, nursing and allied health disciplines. Twenty five peer reviewed publications have been published in the two years to December 2013, and as of the end of January 2014 a further 10 are in press.
Web Page http://www.emergpa.net/wp/research updated January 2014

Research within the Emergency Department
Notes :
1 The Academic Research Manager (ARM) is a University of Queensland School of Medicine (UQ-SOM) staff member based full-time in the Princess Alexandra Hospital Emergency Department (PAH-ED). The position is jointly funded by UQ-SOM and the Queensland Emergency Medicine Research Foundation (QEMRF).
2 The Nurse Researcher (NR) and Research Officer (RO, .6 FTE) are Queensland Health positions based at the
Princess Alexandra Hospital. They are attached to the Nurse Practice and Development Unit but located in ED.
3 The two arms of the research team work collaboratively to provide support and guidance to researchers from conception of research areas through to publication.
4 Most of the recent research funding has been sourced from the QEMRF and the Princess Alexandra Research
Foundation. For the former the Principal Investigator must be a FACEM (Fellow of the Australian College of
Emergency Medicine. The Research Team is supporting researchers in applications not only to these sources of funding but is also identifying additional funding sources.
5 Research is encouraged from non-clinical disciplines, such as Operational Research and Health Economics, in order to expand the research program within the Department.
6 Research may be undertaken by PAH-ED alone or in collaboration with external researchers from other departments within the PAH and from other locations, e.g. other Queensland Health hospitals, UQ, QUT.
updated January 2014 Web Page http://www.emergpa.net/wp/research

Research Co-ordination Committee (RCC)
The RCC was established within the context of the EMRP to review research proposals, provide feedback to researchers and make recommendations to the Medical and Nursing
Directors. Current members of the RCC are Rob Eley (Academic Research Manager),
Lyndall Spencer (Nurse Researcher), Michael Sinnott (Senior Staff Specialist), Carl Dux
(Specialist) James Hughes (Clinical Nurse Consultant), Mary Boyde (Nurse Researcher and
Educator), Rachel Walker (Research Fellow) and Pete Fugelli (EDIS Manager).
The EMRP holds a research meeting in the Departmental Office Training Room 1 (Room
1AC.22.1) on the 4 th Thursday of every month from 1300 to 1400 hrs.
The meeting provides the opportunity for Departmental staff to discuss current and proposed research and topics of interest and relevancy. Areas of interest are also presented by external speakers from within the health service or university system. Researchers from other departments and external institutions are welcome to attend and those with proposed collaborative research projects are requested to make short presentations.
Use the contact details below if you wish to be notified of the meeting and/or receive an agenda for the next meeting.
Contact
Rob Eley (Academic Research Manager): 3176 3672; r.eley@uq.edu.au
Lyndall Spencer (Nurse Researcher): 3176 7879; Lyndall_Spencer@health.qld.gov.au
Web Page http://www.emergpa.net/wp/research updated January 2014

The EMRP has several key partners:
Queensland Emergency Research Collaborative (QERC)
QERC succeeded the State Wide Emergency Department Research Network
(SWEDRN) when the latter was disbanded. QERC aims to improve the quality and impact of emergency health research activities by supporting multicentre research and facilitate collaboration between institutions, health care providers, researchers and industry partners involved in the delivery of and advancement to emergency health care. The ARM and Nurse Researcher represent the PAH on
QERC.
Queensland Emergency Medicine Research Foundation (QEMRF)
QEMRF was established with the support of Queensland Health and the
Queensland Government to support high quality research directed at improving the care of patients in Emergency Departments and to develop Emergency
Medicine research capacity in Queensland. QEMRF allocates competitive grants and fellowships to support research relating to the practice of Emergency
Medicine in Queensland. Dr Michael Sinnott, Senior Staff Specialist at PAH-ED was a Director of QEMRF since its establishment in 2007 to December 2013. http://www.qemrf.org.au/
The University of Queensland ’s School of Medicine (UQ-SOM)
UQ SOM is a leading provider of medical education and research with Australia’s largest medical degree program. The School operates over multiple sites with
Queensland Health a major partner. http://www.som.uq.edu.au/home.aspx
The PAH falls within the PA-Southside Clinical School of the SOM http://www.som.uq.edu.au/about/campuses-and-teaching-sites/clinicalschools/pa-southside-clinical-school.aspx
Web Page http://www.emergpa.net/wp/research updated January 2014

Please note that this is not an all-inclusive list but summarises project which are on-going
(as of Feb 2014) or were completed in 2013. For further details of these and earlier projects please contact the Research Manager.
Name of Project
Short name / Number
Australasian Resuscitation In Sepsis Evaluation
ARISE / PAH 05
Principal PAH researcher(s) Lawrence, Sean
Coordinating Centre The Australian & New Zealand Intensive Care Research
Centre, School of Public Health and Preventive Medicine,
Funding source
Summary
Status (as of 1.1.14)
Monash University
National Health and Medical Research Council (NHMRC)
The purpose of this multi-centre randomised controlled trial which began in 2008 is to find out if a treatment plan known as “Early Goal Directed Therapy” is different from standard treatment for patients with severe sepsis. http://arise.org.au/home
Ongoing
Name of Project Gap Analysis for Prevention and Treatment of Bicycle
Injuries
Short name / number Bicycle Trauma / PAH 87
Principal PAH researcher(s) Eley, R
Collaborators
Summary
Status (as of 1.1.14)
CARRS-Q (QUT); Vallmuur, Kirsten
Working within the Diamantina Health Partners theme of
Integrative Trauma and Rehabilitation this projects is determining the gaps in data around bicycle accidents which result in traumatic injury.
Ongoing.
Name of Project
Collaborators
Identifying brittle discharges from ED: A prospective study
Short name / number Brittle Discharges / PAH 25
Principal PAH researcher(s) Burkett, Ellen
UQ Centre for Research in Geriatric Medicine (Prof Len
Gray)
Funding source
Summary
Status (as of 1.1.14)
Private Practice Trust Fund
The aim of this study is to improve the safety and efficiency of discharge of frail older patients from the ED, in an effort to reduce hospital access block and improve the quality of care for this complex patient group. An international arm of this study involves 16 emergency departments in 10 countries, from Canada to India.
Local study completed.
Name of Project The Bed Unit Day Investigation and Implementation
Platform
Short name / Number BUDII / PAH 03
Principal PAH researcher(s) Sinnott, Michael; Spencer, Lyndall updated January 2014 Web Page http://www.emergpa.net/wp/research

Collaborators
Funding source
Summary
QUT - Wong, Andy; Kozan, Erhan
Private Practice Trust Fund
BUDII tool enable examination of the bed requirements for all patients, elective and emergency, on the day of their admission and for the duration of their predicted stay. The ongoing study has developed a technique to combine data from the four data management systems in operation in
Princess Alexandra Hospital.
Ongoing.
Wong et al. Australian Health Review (in press).
Status (as of 1.1.14)
Publication
Name of Project
Foreign Language Speaking Patients’ Satisfaction with
Emergency Department Service
Short name / number CALD-NESB / PAH 56
Principal PAH researcher(s) Mahmoud, I
Collaborators
Summary
QUT
This study formed part of a PhD. Patients who presented to the ED were interviewed to determine their satisfaction
Status (as of 1.1.14)
Publication with services. The results of non-English speaking patients were compared with those for whom English was their mother tongue.
Completed in 2013
Mahmoud et al. Academic Emergency Medicine (in press)
Name of Project Tamsulosin for the treatment of Distal Ureteric Calculi
Short name / number DUST / PAH 2
Principal PAH researcher(s) Thom, Ogilvie & Dux, Carl
Collaborators Townsville
Funding source
Summary
Status (as of 1.1.14)
QEMRF
This study aims to determine if the addition of the drug
Tamsulosin, in addition to usual standard care, will a) improve the rates of spontaneously passing stones
<10mm in diameter, b) has any effect on pain experienced by the patients, or their need for surgery.
Ongoing.
Name of Project
Short name / Number
Principal PAH researcher
Collaborators
Funding source
Summary
Prospective cohort study of cardiac risk profile of emergency department patients with chest pain: a comparative analysis of risk stratification tools.
CREDIT / PAH 12
Burkett, Ellen
Anne-Maree Kelly (Western Health)
Queensland Emergency Medicine Research Fund
Chest pain remains one of the most common complaints in patients presenting to Australian emergency departments.
The study aims firstly, to assess and describe in detail the risk profile of patients presenting to a major Australian hospital Emergency Department with non-traumatic chest pain. Secondly, to compare the National Heart Foundation of Australia Risk Rules to two other already proven methods to determine the best predictor of risk of death or heart-related complications at 72 hours and 30 days. updated January 2014 Web Page http://www.emergpa.net/wp/research

Status (as of 1.1.14)
Publication
Ongoing.
Burkett et al International Journal of Emergency Medicine
2014 7:10.doi:10.1186/1865-1380-7-10
Name of Project Use of an on-line Smart Test and survey to determine whether comprehension of decimals is a barrier to interpretation of clinical chemistry results among
Emergency Department staff.
Short name / Number Decimalate / PAH 38
Principal PAH researcher(s) Eley, Rob; Sinnott, Michael
Collaborators
Funding source
Summary
Status (as of 1.1.14)
Publications
Steinle, Vicki (University of Melbourne)
QEMRF
The study of doctors and nurses demonstrated that clinicians have difficulty with the interpretation of clinical chemistry results that are presented as decimals and in order to facilitate diagnosis and treatment would prefer the presentation of results without them. A recommendation has been made that all results should be presented as whole numbers.
Completed
Sinnott et al. Journal of Clinical Pathology 2014; 67.179-
181
Eley et al. Emergency Medicine Australasia (in press)
Name of Project
Short name / Number
Principal PAH researcher(s) Page, Colin
Collaborators Isbister, Geoffrey (Newcastle)
Funding source
Summary
Queensland Emergency Medicine Research Fund
Status (as of 1.1.14)
Posters
Droperidol for rapid sedation of acute behavioural disturbance
DORM II / PAH 08
An RCT showed that Droperidol was as effective at sedation as Midazolam for acute behaviour disturbance but with significantly less adverse effects. An extension to this trial introduced droperidol in a set dose and route as an observational study in the emergency department. This extension of the original trial has resulted in positive outcome for both patients and staff. The study is now being extended to include rural regional and metropolitan hospitals to increase the sample size of the safety study.
Ongoing
Calver et al. Society for Academic Emergency Medicine
Annual Meetin g, Chicago.
Name of Project Tamsulosin for the treatment of Distal Ureteric Calculi
Short name / Number DUST / PAH 02
Principal PAH researcher(s) Thom, Ogilvie
Collaborators
Funding source
Summary
Furyk, Jeremy (Townsville)
Queensland Emergency Medicine Research Fund
This study aims to determine if the addition of the drug
Tamsulosin 0.4mg daily, in addition to usual standard care, will improve the rates of spontaneously passing stones less than 10mm in diameter, whether the drug has any effect on pain experienced by the patients, their need for
Web Page http://www.emergpa.net/wp/research updated January 2014

Status (as of 1.1.14) surgery and complications.
Ongoing
Name of Project Efforts to Attenuate the Spread of Infection: A prospective, multi-centre microbiological survey of Ultrasound
Equipment in Australian Emergency Departments and
Intensive Care units.
Short name EASI
Principal PAH researcher(s) Thom, Ogilvie
Collaborators
Funding source
Summary
Status (as of 1.1.14)
Publication
John Fraser, Prince Charles Hospital
Queensland Emergency Medicine Research Fund
EASI investigated the bacterial colonization and blood contamination on ultrasound probes in Emergency
Departments and Intensive Care Units across hospitals in
South East Queensland. The amount and type of bacteria and the amount of blood contamination was investigated and reported. This study has the potential to demonstrate possible contamination of our sickest patients by blood and pathogenic bacteria from ultrasound probes used by the clinicians who are caring for them.
Completed
Keys et al. Emergency Medicine Australasia (in press)
Name of Project
Short name / Number EDQI / PAH 04
Principal PAH researcher(s) Burkett, Ellen
Collaborators
Developing a quality framework for the care of older patients in the Emergency Department.
Funding source
Summary
UQ Centre for Research in Geriatric Medicine (Prof Len
Gray)
Queensland Emergency Medicine Research Fund
Status (as of 1.1.14)
Publications
The aim of this study is to improve the safety and efficiency of discharge of frail older patients from the ED, in an effort to improve the quality of care for this complex patient group. An international arm of this study funded by the NH&MRC involves 16 emergency departments in 10 countries, from Canada to India.
Ongoing
Gray et al. Annals of Emergency Medicine 62 (5), 467-474
Schnitker et al. Journal of Gerontilogical Nursing 39 (3), 34-
40
Name of Project
Short name
Frequent Users to ED
Frequent Flyers
Principal PAH researcher(s) Fugelli, Peter; Eley, Rob
Summary This is a retrospective study using routinely collected health information systems data from the EDIS database to characterise Frequent Users of the ED from the perspective of time interval between their visits rather than the absolute number of visits which is the usual manner of review. The objective of the study is to determine characteristics which may result in improved management.
Status (as of 1.1.14) Ongoing
Web Page http://www.emergpa.net/wp/research updated January 2014

Name of Project
Short name Mid Steam Urine
Principal PAH researcher(s) Eley, R
Collaborators
Is communication an issue in the collection of MSU in an
Emergency Department Environment
Funding source
Summary
Status (as of 1.1.14)
Queensland Emergency Medicine Research Fund
Over 1000 urine samples per month are analysed from the
PAH ED. Contaminated urine may lead to false positive or uninterpretable results, inappropriate diagnosis and medication. Currently there is no standardised practice for instructions to patients on how to collect their sample, with reliance on the experience and communication skills of the health professional. It is hypothesised that improved instruction would be beneficial. The benefit of written instruction on contamination rates is being evaluated.
Ongoing
Name of Project
Collaborators
Summary
Mindfulness intervention for interns
Short name / Number Mindfulness / PAH 54
Principal PAH researcher(s) Nicholls, Kim
Ireland, Michael (USQ)
Status (as of 1.1.14)
The Mindfulness intervention will improve Intern performance during the emergency medicine rotation, as measured by the mid-term and end of term assessment process. In addition the intervention with improve selfreported confidence and wellbeing for the interns.
Ongoing
Name of Project
Short name / Number MoLIE / PAH 48
Principal PAH researcher(s) Isoardi, Jon; Spencer, Lyndall, Sinnott, Michael
Funding source
Summary
To determine what factors inhibit interns from developing and/or recording their clinical impressions (diagnoses) and management plans following patient assessment
QEMRF
This study learned what factors influence emergency medicine intern note-taking. Interviews conducted with senior medical staff identified their expectations about intern documentation. The information obtained was utilised to modify the education program known as More
Learning for Interns in Emergency (MOLIE).
Status (as of 1.1.14)
Publication
Ongoing
Isoardi et al. Emergency Medicine Australasia 25(4), 302-
307
Name of Project
Short name
Hypothermia in a traumatic brain injury
POLAR
Principal PAH researcher(s) Fuentes, Hector
Collaborators
Funding source
Summary
Monash, ANZICS
NH&MRC
The POLAR trial is a multicentre randomised controlled trial of early and sustained prophylactic hypothermia in 512 patients with severe traumatic brain injury. The primary updated January 2014 Web Page http://www.emergpa.net/wp/research

aim of the study is to determine whether early and sustained prophylactic hypothermia, compared to standard normothermic care, is associated with an increased proportion of favourable neurological outcomes six months after severe traumatic brain injury.
Ongoing Status (as of 1.1.14)
Name of Project “Blind Prescribing” and the prescribing preparedness of doctors in emergency departments
Short name / Number Prescribing / PAH 17
Principal PAH researcher(s) Katrina Starmer, Sinnott, Michael, Eley Rob
Collaborators
Funding source
Summary
Status (as of 1.1.14)
Publication
Shaban, (Griffith)
QEMRF
Blind Prescribing describes the situation where a medical practitioner prescribes a medication they have little knowledge of. Theoretically, it could lead to higher rates of medication error and unsafe medical practice. The project set out to: determine if blind prescribing occurs in emergency medicine; identify the prevalence of the practice; and propose situational and contextual factors pertinent to emergency medicine that are thought to enable this practice.
The study was completed. A second phase involving nurses will begin in 2014.
Starmer et al. Emergency Medicine Australasia 25 (2), 147-
153
Name of Project
Short name / Number
Clinical Referral
Referrals / PAH 58
Principal PAH researcher(s) Lawrence, Sean
Summary
Status (as of 1.1.14)
This study aims to identify the characteristics of an optimal patient referral from the perspective of both emergency department senior doctors and in-patient senior doctors in both the Division of Surgery and the Division of Medicine.
Ongoing
Name of Project
Short name / Number
Securing All Intravenous devices Effectively in hospitals:
The SAVE Trial
SAVE / PAH 30
Principal PAH researcher(s) Thom, Ogilvie
Collaborators
Funding source
Summary
Fraser, John (Prince Charles Hospital), Rickard, Claire
(Griffith Univ)
NH&MRC
Going to hospital usually means having an intravascular device (“IV drip”) in your vein or artery. Almost half of all IV drips fall out or fail because they are not well secured to the skin. This means patients miss out on treatment and have extra painful needle sticks to insert new devices.
Serious infections can also occur. This study will find the best dressings to use on IV drips. Patients will have their drips glued in with medical superglue, or have one of two updated January 2014 Web Page http://www.emergpa.net/wp/research

Status (as of 1.1.14) new dressings, compared with current usual care.
Ongoing
Name of Project
Short name / Number
Skin Emergency Telemedicine Study
SETS / PAH 23
Principal PAH researcher(s) Sinnott, Michael
Collaborators
Summary
Soyer, Peter (Dermatology UQ); Muir, Jim; Collier, James;
Staib, Andrew; McNeill, Iain
The Skin Emergency Telemedicine Service was rolled out as standard practise within the PAH Emergency
Department following positive outcome data from a research project performed within the department in 2009.
This audit completed in 2013 determined the effectiveness and efficiency of this service.
Status (as of 1.1.14)
Publication
Completed
Muir et al.
Emergency Medicine Australasia 23, 562-568
Biscak et al. Journal of Telemedicine and Telehealth
19:362-366
Name of Project Time to Analgesia
Short name / Number Time to Analgesia / PAH 67
Principal PAH researcher(s) Hughes, James
Collaborators
Summary
Status (as of 1.9.13)
Presentation
Yates, Patsie (QUT), Spencer, Lyndall (PAH)
The aim of James Hughes’ PhD research is to examine the relationship between client demographic factors, emergency department workload factors to the time taken to administer analgesia and opioid analgesia in the adult emergency population.
Ongoing
Hughes et al. 10th International Conference for
Emergency Nursing
Name of Project Adding “Insult to Injury” – The effect of fresh and aged blood to oxygenation, metabolism and organ function in a clinically relevant trauma/sepsis model
Short name / Number Trauma and Sepsis / PAH 74
Principal PAH researcher(s) Staib, Andrew; Collier, James
Collaborators
Funding source
Summary
John Fraser (UQ)
QEMRF
This project is the continuation of past studies which investigated the ability of typical fluids used in haemorrhagic shock in ED departments to improve oxygen delivery to vital organs following severe haemorrhage. The
Status (as of 1.1.14)
Publications results of these studies will provide important evidence which the ED physician can use in determining how to manage a shock patient in a typical resuscitation.
Ongoing.
Fung, Y. et al Vox Sanguinis (Online Feb 2013)
Web Page http://www.emergpa.net/wp/research updated January 2014

Lyndall Spencer PhD, MPH, BA (Hons.1), RN is a Nurse
Researcher. She has 25 years of experience in applied research working in three
Australian states in urban and regional settings as well as in London and Hong Kong.
Her primary speciality is related to quantitative research focused on data collection and analysis, using statistical software packages such as SPSS. However, she is also familiar with and highly experienced in qualitative techniques, adult education & workshop facilitation, project management and implementation. In 2010 she returned from three years in the Kimberley where she acquired an understanding and mastery of the pleasures and pain of working and living in remote environments.
Rob Eley BSc (Hons), MSc, PhD, FSB, CIBiol, CSci is the
Academic Research Manager. He has a background in animal production, physiology and endocrinology. After attaining his PhD from the University of Florida in 1980 he worked for 21 years in Kenya as a lecturer in veterinary physiology, scientist at the
Institute of Primate Research and education officer for the International Livestock
Research Institute. Between 2002 and 2004 Rob was employed at Loughborough
University (UK) within the UK-wide Learning and Teaching Support Network and then from 2004 until 2012 he was Senior Research Fellow at the Centre for Rural and
Remote Area Health at the University of Southern Queensland. In early 2012 he joined the University of Queensland in his current position. Rob has an extensive publication record including books, book chapters and peer reviewed articles and he is a regular reviewer for nursing and health journals.
CJ Cabilan RN, Grad Cert Acute Care Nursing, is a Research
Officer. CJ has a 5-year experience as a registered nurse in general surgery, mainly providing care for patients undergoing colorectal, breast, upper GI and hepatobiliary surgery. She is also working as a clinical research nurse at Mater’s Nursing
Research Centre. Her research interests include evidence-based nursing, physical updated January 2014 Web Page http://www.emergpa.net/wp/research

activity, quality of life and functional status after surgery. Lastly, she is currently working towards achieving Master of Applied Science (Research) through
Queensland University of Technology.
Angela Doolan (BN, RN) is a Clinical Nurse Researcher at Princess
Alexandra’s Emergency Department. Angela’s interest in research started when she was chosen to participate in the Vacation Research Experience Scheme Scholarship
(VRES) at Queensland University of Technology during her undergraduate degree.
Since completing her Bachelor of Nursing (with Distinction), she has gained valuable experience in emergency nursing and has developed a keen interest in infection control. She is currently studying her Master of Emergency Nursing through Griffith
University.
Chantelle Judge (RN BN, Grad Cert (Emerg Nurs), MAdv Prac
(Emerg Nurs) is a Clinical Nurse Researcher as well as a Registered Nurse in the
Princess Alexandra Emergency Department. She had 11 years Nursing Experience which has predominantly been in Emergency. Having completed the Masters of
Advance Practice in Emergency Nursing she gained an interest in research after completing a literature review on previous research that has been conducted on Out of Hospital Cardiac Arrests and inducing hypothermia and the correlation in reducing morbidity and mortality.
Web Page http://www.emergpa.net/wp/research updated January 2014

Michael Sinnott FRACP, FACEM, MBBS is a Senior Staff
Specialist within the Emergency Department at the Princess Alexandra Hospital. He holds an adjunct pos ition as Clinical Senior Lecturer with UQ. Michael’s specialisation in emergency medicine began in 1984 and he has held clinical positions in several of
Brisbane’s hospitals. He has a particular interest in staff and patient safety and has been awarded $1 million in research grants. Michael is founder and Managing
Director of Qlicksmart Pty Ltd.
Carl Dux FACEM, MBBS is a Staff Specialist within the Emergency
Department at the Princess Alexandra Hospital. Carl completed his medical degree after attaining an undergraduate degree in engineering. He became a FACEM in
2013 at which time he joined the PAH-ED.
Georgia Livesay FACEM MBBS PhD BVetMed is a Staff Specialist within the Emergency Department at the Princess Alexandra Hospital, and is currently Acting Deputy Director of the Medical Education Unit. Her current research interests include pre-hospital care, diagnostic use of ultrasound and health and welfare of doctors in the emergency environment.
Mary Boyde RN, BN, MN, MEd, PhD, MACN is a Nurse Researcher in the Cardiology Department and Nurse Educator with the Nursing Practice
Development Unit at the PAH. Mary has an adjunct position as a Lecturer with UQ
School of Nursing and Midwifery.
Mary’s past experience in cardiovascular nursing and education has led to an interest in patient education. Mary’s current research focuses on multimedia educational interventions for cardiovascular patients.
Rachel Walker RN, BN, BA, MA, PhD is a Research Fellow within the
NHMRC Centre of Research Excellence in Nursing, Centre for Health Practice updated January 2014 Web Page http://www.emergpa.net/wp/research

Innovation, Griffith University and is affiliated with the Nursing Practice Development
Unit at the PAH. Rachel clinical research interests are in acute and critical care health settings. Her research include RCTs, pilot studies and systematic reviews
(Cochrane), with a focus on skin integrity (pressure injury), symptom management
(clinical deterioration leading to adverse events) and knowledge translation.
Leanne Trenning, RN is Nurse Educator within the PAH-ED with qualifications in Clinical Education, Assessment and Training, Critical Care Nursing and Emergency Nursing. Her role provides leadership in the provision of both theoretical knowledge and clinical education to ensure a high standard of clinical care. Lee is on secondment with the Emergency Coordination Team at Kedron.
James Hughes , RN BN Grad Cert MAdvPrac(Emer Nurs) is a
Clinical Nurse Consultant with a long history in tertiary emergent care in Queensland.
His current role provides expert clinical and management support to the nursing staff of the department. He has a keen interest in nursing research, currently studying a
PhD (QUT). He also has interests in nursing education at both the undergraduate and post graduate level and holds a Sessional Academic position at QUT.
Pete Fugelli BSc (Hons) was the Emergency Department Data
Manager at the Princess Alexandra Hospital. In mid-2013 he moved to the Decision
Support Team in the hospital. Trained in marine biology Pete has over 15 years of experience in scientific research working in Moreton Bay, Heron, One Tree and
Orpheus research stations in Australia, as well as the Lerang Aquaculture research station and Skretting Biotech research laboratory in Norway.
Lyndall Spencer is the Nurse Researcher (see Section 6)
Rob Eley is the Academic Research Manager (see Section 6) updated January 2014 Web Page http://www.emergpa.net/wp/research

Staff Specialists
Ellen Burkett FACEM, MBBS (PhD Candidate)
Marianne Cannon FACEM, MBBS
James Collier FACEM, MBBS
Carl Dux FACEM, MBBS
Jon Isoardi FACEM, MBBS
Katherine Isoardi FACEM, MBBS
Sean Lawrence FACEM, MBBS
Web Page http://www.emergpa.net/wp/research updated January 2014

Georgia Livesay FACEM, BVSc, MBBS, PhD
Iain McNeil FACEM, MBBS
Kim Nicholls FACEM, MBBS
Colin Page FACEM, MBBS
Darren Powrie FACEM, MBBS
Michael Sinnott FRACP, FACEM, MBBS
Andrew Staib FACEM, MBBS
Ogilvie Thom FACEM, MBBS (PhD Candidate)
Web Page http://www.emergpa.net/wp/research updated January 2014

Nursing staff
Sue Galbraith, RN is the Equipment Emergency Department and ED
NO2 Commissioning Project Officer. She has extensive clinical experience in;
Emergency and Trauma nursing; Frontline Ambulance work; Intensive Care /
Coronary Care nursing; After-hours Management; Operating Theatre nursing. From
1981 to 2001 Sue worked in New Zealand hospitals and she has been at PAH since
2004.
Ramon Shaban BSc, PhD, BN, RN, FRCNA, has has held clinical, management, education and research roles for more than two decades in emergency care and infection prevention and control. Ramon is currently Director of
Postgraduate Coursework Programs within the School of Nursing and Midwifery at
Griffith University and Director of the Griffith Graduate Infection Prevention and
Control Program. He is an active member of variety of professional groups and committees including the Australian Commission on Safety and Quality in Heath
Care, the College of Emergency Nursing Australasia and the Australasian College for
Infection Prevention and Control. He is Editor-in-Chief of the Australasian Emergency
Nursing Journal and Associate Editor of Healthcare Infection .
Web Page http://www.emergpa.net/wp/research updated January 2014

If you are interested in undertaking research at the PAH – ED please check out the Process
Documentation and the Summary Forms or contact a member of the research team.
Academic Research Manager – 07 3176 3672 r.eley@uq.edu.au
Nurse Researcher – 07 3176 7879 lyndall_spencer@health.qld.gov.au
Web Page http://www.emergpa.net/wp/research updated January 2014

All ED staff publications to December 2013 (alphabetical).
1. Allen GE, Brown S, Buckley NA, O'Leary MA, Page CB, Currie BJ, White J, Isbister
GK. 2012. Clinical Effects and Antivenom Dosing in Brown Snake (Pseudonaja spp.)
Envenoming — Australian Snakebite Project (ASP-14). PLOS ONE 7 (12) e53188
2. Biscak, T., Eley, R., Sinnott, M., & Soyer, H. (2013). Audit of a State-wide store and forward teledermatology service in Australia Journal of Telemedicine and Telehealth,
19(7), 362-366. doi: 10.1177/1357633X13506509
3. Baldwin LN, Henderson A, Thomas P, Wright M. (1993). Acute bacterial meningitis in young adults mistaken for substance abuse. British Medical Journal 306, 775-776.
4. Bell A, Taylor D, Holdgate A, MacBean C, Huynh T, Thom O, Augello M, Millar R,
Day R, Williams A, Ritchie P, Pasco J. (2011). Procedural sedation practices in
Australian Emergency Departments. EMA - Emergency Medicine Australasia 23,
458-465.
5. Binder A, Parr G, Thomas PP, Hazleman B. (1983). A clinical and thermographic study of lateral epicondylitis. British Journal of Rheumatology 22, 77-81.
6. Bodnar, D., Rashford, S., Hurn, C., Quinn, J., Parker, L., Isoardi, K., & Williams, S.
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8. Burkett E, Keijzers G, Lind J. (2009). The relationship between blood glucose level and QTc duration in the critically ill. Critical care and resuscitation. Critical Care and
Resuscitation 11, 8-13.
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16. Cannon ME, Sprivulis P, McCarthy J. (2001). Restraint practices in Australasian emergency departments. Australian and New Zealand Journal of Psychiatry 35, 464-
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17. Casey SJ, De Alwis WD. (2010). Review article: Emergency department assessment and management of stab wounds to the neck. EMA - Emergency Medicine
Australasia 22, 201-210.
18. Churchman A, O'Leary M, Buckley N, Page C, Tankel A, Gavaghan C, Holdgate A,
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Medicine Australasia 23, 615-623.
22. Downes M, Page C, Isbister G. (2008). Response to "Use of Lipid Emulsion in the
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33. Fung, Y., Tung, J., Foley, S., Simonova, G., Thom, O., Staib, A., Collier, J., Dunster,
KR., Solano, C., Shekar, K., Chew, MS. & Fraser, J. (2013). Stored blood transfusion induces transient pulmonary arterial hypertension without impairing coagulation in an ovine model of non-traumatic haemorrhage. Vox Sanguinis, 105, 150-158. doi:
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36. Hansen K, Thom O, Rodda H, Price M, Jackson C, Bennetts S, Doherty S, Bartlett H.
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Medicine Australasia 21, 440-448.
48. Keys M, Sim BZ, Tunbridge MJ, Thom O, Fraser J, et al. (2013) EASI - Efforts to attenuate the spread of infection: a prospective observational multi-centre survey of ultrasound equipment in Australian emergency departments and intensive care units.
Emergency Medicine Australasia (in press)
49. Lawrence SG. (2007). Laryngeal dyskinesia: An under-recognized condition. EMA -
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54. Malone TM, Lisle DA, McNabb C, Ryan GE. (2009). Traumatic Rupture of an
Augmented Bladder: Computed Tomography Appearances. The Journal of trauma
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55. McCarthy A, Shaban R, Boys J, Winch S. (2010). Compliance, normality and the peritoneal dialysis patient. The Nurse Nephrology Journal 37, 243-250.
56. McCarthy A, Shaban R, Fairweather C. (2010). Compliance, peritoneal dialysis and chronic kidney disease: lessons from the literature. Renal Society of Australia 6, 55-
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57. Muir J, Xu C, Paul S, Staib A, McNeill I, Singh P, Davidson S, Soyer H, Sinnott M.
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Medicine Australasia 23, 562-568.
58. Nunnink L, Williamson F, Broome A, McNeill I. (2011). Prospective evaluation of tools to assess the psychological response of CPR provision to a relative who has suffered a cardiac arrest: A pilot project. Resuscitation 82, 160-166.
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61. Page CB, Duffull SB, Whyte IM, Isbister GK. (2009). Promethazine overdose: Clinical effects, predicting delirium and the effect of charcoal. QJM 102, 123-131.
62. Page CB, Hacket LP, Isbister GK. (2009). The Use of High-Dose insulin-glucose euglycemia in beta-blocker overdose: A case report. Journal of Medical Toxicology 5,
139-143.
63. Page CB, Calver LA, Isbister GK. (2010). Risperidone overdose causes extrapyramidal effects but not cardiac toxicity. Journal of Clinical
Psychopharmacology 30, 387-390.
64. Page C, Wilson P, Foy A, Downes M, Whyte I, Isbister G. (2011). Life-threatening hypokalaemia associated with ibuprofen-induced renal tubular acidosis. Medical
Journal of Australia 194, 613-614.
65. Pandie Z, Shepherd M, Lamont T, Walsh M, Phillips M, Page C. (2010). Achieving a neutral cervical spine position in suspected spinal cord injury in children: Analysing the use of a thoracic elevation device for imaging the cervical spine in paediatric patients. Emergency Medicine Journal 27, 573-576.
66. Parker, S., de Gioannis, A., & Page, C. (2013). Chronic promethazine misuse and the possibility of dependence: a brief review of antihistamine abuse and dependence.
Journal of Substance Use, 18(3), 238-241. doi:10.3109/14659891.2012.707285
67. Rashford S, Isoardi K. (2010). Optimizing the appropriate use of the emergency call system, and dealing with hoax callers. EMA - Emergency Medicine Australasia 22,
366-367.
68. Ryan G, Treston G. (2007). Do family members interfere in the delivery of care when present during invasive paediatric procedures in the emergency department? EMA -
Emergency Medicine Australasia 19, 234-240.
69. Schnitker, L., Martin-Khan, M., Burkett, E., Beattie, E., & Gray, L. (2013). Appraisal of the quality of care of older adults with cognitive impairment in the emergency
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70. Shaban R, Hotzhauser K, Gillespie K, Huckson, Bennett S. (2012). Characteristics of effective interventions supporting quality pain management in Australian emergency departments: An exploratory study. Australasian Emergency Nursing Journal 15, 23-
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71. Simonova G, Tung J, Fraser J, Do H, Staib A, Chew M, Dunster K, Glenister K,
Jackson D & Fung Y (2013): A comprehensive ovine model of blood transfusion
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73. Sinnott MJ. (1990). An aid to the management of pediatric trauma in peripheral centers - A proposal for a pediatric trauma board. Journal of Emergency Medicine 8,
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74. Sinnott MJ, Wittmann B. (2001). An introduction to indigenous health and culture: the first tier of the Three Tiered Plan. The Australian Journal of Rural Health 9, 116-120.
75. Sinnott MJ. (2004). Access block viewed as a medical model [3]. Medical Journal of
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76. Sinnott M, Wall D. (2008). "SCALPEL SAFETY": How safe (or dangerous). are safety scalpels? International Journal of Surgery 6, 176-177.
77. Sinnott M, Shaban R. (2010). "Scalpel Safety," not "Safety Scalpel": A New Paradigm in Staff Safety. Perioperative Nursing Clinics 5, 59-67.
78. Sinnott M, Shaban R. (2011). Can we have a culture of patient safety without one of staff safety? BMJ 342, c6171-c6171.
79. Sinnott, M., & Winch, S. (2013). Consenting to a good death? Introducing the Level 2
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80. Stackelroth J, Shaban R. (2011). The challenges of implementing a national hand hygiene initiative in rural and remote areas: Is it time for a new approach to auditing?
Healthcare Infection 16, 63-70.
81. Starmer, K., Sinnott, M., Shaban, R., Donegan, E., & Kapitzke, D. (2013). Blind prescribing: A study of junior doctors’ prescribing preparedness in an Australian emergency department. Emergency Medicine Australasia, 25(2), 147-153. doi:10.1111/1742-6723.12061
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82. Stathakis T, Acworth J, Barnett A. (2007). Prediction tool for bacteraemia in children aged 3-36 months. Emergency Medicine Australasia 19, 353-358
83. Stokes P, Walters B. (2009). Spotted fever rickettsiosis infection in a traveller from
Sri Lanka. Journal of Travel Medicine, 16, 4360438.
84. Stuart K, Kozan E, Sinnott M, Collier J. (2010). An innovative robust reactive surgery assignment model. ASOR Bulletin 29, 48-58.
85. Taylor DM, Bell A, Holdgate A, MacBean C, Huynh T, Thom O, Augello M, Millar R,
Day R, Williams A, Ritchie P, Pasco J. (2011). Risk factors for sedation-related events during procedural sedation in the emergency department. EMA - Emergency
Medicine Australasia 23, 466-473.
86. Thom O, Lugg DJ. (2002). Cell mediated immunity and alcohol intake in Antarctic wintering personnel. International journal of circumpolar health 61, 208-215.
87. Thom O, Taylor D. (2005). Transthoracic electrical bioimpedance: A means of filling the void? EMA - Emergency Medicine Australasia 17, 249-262.
88. Thom O. (2008). Search for a non-invasive cardiac output monitor. EMA -
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89. Thom O, Taylor DM, Wolfe RE, Cade J, Myles P, Krum H, Wolfe R. (2009).
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94. Thomas P. (1993). A case of unilateral painful eye. Australian family physician 22,
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95. Thomas P. (1993). "He's probably overdosed on something!". Australian family physician 22, 1091-1093.
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97. Thomas P. (1997). Acute facial and upper respiratory tract swelling. Australian family physician 26, 1419-1420.
98. Thomas P. (1997). What would you do next? Chest pain and arrhythmia. Australian family physician 26, 1334-1335.
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100. Thomas P (2001). Acute asthma. Emergency management in the community.
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Conference Posters and Presentations
1. Biscak T, Eley R, Sinnott M & Soyer H (2013) Demonstration of the effectiveness of a
State-wide store and forward Teledermatology service in Australia. In Successes and
Failures in Telehealth. 4th Annual Meeting of the Australasian Telehealth Society,
Brisbane.
Web Page http://www.emergpa.net/wp/research updated January 2014

2. Bitmead D, Fuentes H, Page C. (2007). Improving time to definitive care in rotarywing inter-hospital transport; the impact of an on-site doctor/paramedic retrieval team. Presented ACEM Annual Scientific Meeting Gold Coast November 2007.
3. Burston, A., Tuckett, A., Parker, D., & Eley, R. (2013). Moral distress and the
Australian Aged Care Nurse: Improving workplace satisfaction and staff retention.
UnitingCare Queensland Conference.
4. Burston A, Tuckett A, Parker D & Eley R (2013) Validation of an Instrument to
Measure Moral Distress in the Australian Aged Care Workforce. Oral. In Australian
Nursing & Midwifery Conference, Brisbane
5. Calleja P, Aitken L, Cooke M. (2012). An intervention to improve information transfer for multi-trauma patients on discharge from the Emergency Department. In The 10th
International Conference for Emergency Nursing. College of Emergency Australasia
Hobart, Tasmania.
6. Calleja P, Alexander B, Finucane J, Trenning L, Grose R, Allen J. (2012). Changing trauma education approaches for the contemporary adult learner: new directions for the College of Emergency Nursing Trauma Nursing Program. In 10th International
Conference for Emergency Nursing. College of Emergency Nursing Australasia,
Hobart, Tasmania.
7. Calver L, Downes M, Page C, Chan B, Isbister G (2012). Droperidol for sedation of acute behavioural disturbance. In Society for Academic Emergency Medicine Annual
Meeting, Chicago.
8. Calver L, Downes M, Page C, Chan B, Isbister G. (2012). Safety of Droperidol for
Sedation of Acute Behavioural Disturbance. In Society for Academic Emergency
Medicine Annual Meeting, Chicago.
9. Cartner M, Collier J, Page C. (2004). The Traffic Light System for Pathology
Requests. The impact of the institution of guidelines for pathology requesting in an
Emergency Department. Presented Autumn Symposium Queensland Faculty ACEM
April 2004.
10. Churchman A. (2010). Clinical effects of Red-Bellied Black Snake ( Pseudechis porphyriacus ). envenoming and correlation with venom concentrations. Australasian
College for Emergency Medicine 27 th Annual Scientific Meeting, Canberra, 21-25
November.
11. Dalmaso K & Weber S (2013) Trauma Nursing Rounds to enhance clinical practice: do emergency nurses think that Trauma Nursing Rounds improve clinical practice. In
College of Emergency Nursing Australia - ICN 25th Quadrennial Congress
Melbourne.
Web Page http://www.emergpa.net/wp/research updated January 2014

12. Eley R & Henshaw R (2013) Walking paths and fitness stations in a rural Australian town. In Congress of the American Psychological Association, Honolulu.
13. Eley R, Sinnott M, Trenning L & Steinle V (2013) Whole numbers please! PA Health
Week.
14. Fitzgerald, G., Codd, C., Aitken, P. & Sinnott, M. 2012. Queensland Emergency
Medicine Research Foundation: Special report. Emergency Medicine Australasia, 24,
37-42.
15. Fung Y, Foley S, Simonova G, Varzeshi M, Manning M, Dunster K, Staib A, Fraser J
(2011). Red Cell and Albumin Resuscitation Following Acute Massive Haemorrhage
Alters Haemostasis. In 22nd Regional Congress of the International Society of Blood
Transfusion. Vox Sanguinis, Taiwan, pp. Poster P-308.
16. Fung Y, McDonald C, Thom O, Fraser J. (2011). Transfusion of fresh or aged red cells after haemorrhagic shock reduces selenium and glutathione peroxidase. In
22nd Regional Congress of the International Society for Blood Transfusion. Vox
Sanguinis, Taiwan, pp. Poster P-309.
17. Hammond E, Shaban R, Holzhauser K, Crillly J, Melton N, Tippett V, Fitzgerald G,
Eeles D, Collier J, Finucane J. (2012). Ambulance ramping: Effects on Emergency
Nurses and emergency health service function.
10th International Conference for
Emergency Nursing 10-13 October 2012, Hobart, Tasmania.
18. Hansen K, Thom O, Rodda H, Price M, Jackson C, Bennetts S, Doherty S. (2012).
Impact of pain location on timely delivery of analgesia in Emergency Departments. In
Australasian College for Emergency Medicine 28th Annual Scientific Meeting.
Emergency Medicine Australasia Sydney, p. 6.
19. Herbert, N., & Taurima, K. (2013). ED 'POD Project': Managing larger teams to achieve success ICEN 2013, 11th International Conference for Emergency Nurses,
Melbourne.
20. Hughes J. (2012). Succession Planning in the Adult Emergency Department. In The
10th International Conference for Emergency Nursing. The College of Emergency
Nursing Australasia Hobart, Tasmania.
21. Hughes J, Yates P, Calleja P. (2012). Patient Demographics affecting analgesia provision in the Adult Emergency Population – A Literature review. In The 10th
International Conference for Emergency Nursing. The College of Emergency Nursing
Australasia Hobart, Tasmania.
22. Isoardi K (2013) Let's review our pre-hospital spinal immobilisation: Changes in
2013. In Presentation to Queensland Trauma Symposium, Brisbane. updated January 2014 Web Page http://www.emergpa.net/wp/research

23. Jenkins K, Vitale M, Nuich K, O'Connor E, Richie J, Hughes J. (2012). To the rescue
- the experience of the urban emergency nurses in a rural disaster setting.
24. McDonald C, Fung Y, Thom O, Fraser J. (2011). Oxidative stress and trace element levels after haemorrhagic shock and transfusion: A comparison of fresh vs. old
PRBC. In Annual Scientific Meeting, College of Intensive Care Medicine, Brisbane.
25. Melton N, Crilly J, Mitchell M, Cooke M. (2012). To wait or not to wait: prevalence, characteristics and institutional factor of patients who "did not wait".
26. Nicholls K, Collier J, Page C. (2004). The Traffic Light System for Pathology
Requests. The impact of the institution of guidelines for pathology requesting in an
Emergency Department. Presented ACEM Annual Scientific Meeting Melbourne
November.
27. Nowell R, Lawrence SG, Collier J, Page C. (2007). Comparison of Traditional Tutorial
Teaching with Simulation Based Education. Autumn Symposium Queensland Faculty
ACEM
28. Page C, Duffull S, Whyte I, Isbister G. (2008). Promethazine overdose: clinical effects, predicting delirium and the effect of charcoal. Presented ACEM Winter
Symposium Newcastle.
29. Page C, Duffull S, Whyte I, Isbister G. (2008). Promethazine overdose: clinical effects, predicting delirium and the effect of charcoal. EAPCCT Annual Scientific
Meeting, Seville, Spain.
30. Page C, Calver L, Isbister G. (2009). Risperidone overdose, clinical and cardiac effects. Poster – EAPCCT Annual Scientific Meeting, Stockholm, Sweden.
31. Pandi Z, Page C. (2008). Analysing thoracic elevation for imaging the cervical spine in paediatric patients. Presented ACEM Winter Symposium Newcastle
32. Powrie D, Collier J, Page C. (2005). Impact of a co-located after hours General
Practice on Emergency Department activity. Presented Autumn Symposium
Queensland Faculty ACEM June.
33. Schnitker, L., Martin-Khan, M., Burkett, E., Beattie, E., Jones, R., & Gray, L. (2013).
Appraisal of the quality of care of older adults with cognitive impairment in the emergency department. ICEN 2013, 11th International Conference for Emergency
Nurses, Melbourne.
34. Shaban, R., Hotzhauser, K., Gillespie, K., Huckson, S. & Bennett, S. 2012.
Characteristics of effective interventions supporting quality pain management in
Australian emergency departments: An exploratory study. Australasian Emergency
Nursing Journal 15, 23-30. updated January 2014 Web Page http://www.emergpa.net/wp/research

35. Sinnott, M., Eley, R., Shaban, R., London, M., & Penny, J. (2013). Staff Safety – Why
Do We Ignore It At Our Own Peril? Association for PeriOperative Registered Nurses
60th Congress, San Diego.
36. Sinnott M, London M, Smalley P, Shaban R (2012). Using “Safety Scores” To
Improve Compliance with Staff Safety Guidelines. In Association of periOperative
Registered Nurses, New Orleans
37. Sinnott M, Stackelroth J, Shaban R (2012). Improving Hand Hygiene Compliance by
Removing Obstructions. In Association of periOperative Registered Nurses, New
Orleans.
38. Sinnott M, Winch S (2012). Conflict of Interest is a Modern Day Version of Doing a
Pontius Pilot. In Australasian Association of Bioethics Health Law Conference.
Australasian Association of Bioethics Health Law, Auckland.
39. Staib, A. (2010). ED Re-design from the Tertiary Perspective. Australasian College for Emergency Medicine 27 th Annual Scientific Meeting, Canberra, 21-25 November.
40. Staib A, Collier J, Fung Y, Do H, Dunster K, Fraser J (2012). What are the best markers of essential tissue hypoperfusion in haemorrhagic shock. In Australasian
College for Emergency Medicine 28th Annual Scientific Meeting. Emergency
Medicine Australasia, Sydney, p. 18.
41. Staib A, Collier J, Fung Y, Do H, Thom O, Dunster K, Fraser J. (2012). Crystalloid vs colloid at the cellular level of oxygenation: a randomised controlled study of haemorrhagic shock in an ovine model. In Australasian College for Emergency
Medicine 28th Annual Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 27.
42. Staib A, Foley S, Fung Y, Varzeshi M, Simanova G, Do H, Fraser J. (2012). Massive haemorrhage and transfusions each change coagulation plasma factor function. In
Australasian College for Emergency Medicine 28th Annual Scientific Meeting.
Emergency Medicine Australasia, Sydney, p. 27.
43. Thom O, Taylor D McD, Wolfe RE, Cade J, Myles P, Krum H, Wolfe R. (2007). A comparative study of the USCOM cardiac output monitor and the pulmonary artery catheter. 24th Annual Scientific Meeting of the Australasian College for Emergency
Medicine, Gold Coast, November
44. Thom O, Taylor D McD, Wolfe RE, Judson R, Myles P, Krum H, Wolfe R. (2008). A comparison of the USCOM cardiac output monitor with base excess for detecting occult hypoperfusion in Emergency Department trauma patients. 12th International
Conference on Emergency Medicine, San Francisco April
Web Page http://www.emergpa.net/wp/research updated January 2014

45. Thom O, Taylor D McD, Wolfe RE. (2009). A comparison of four methods for detecting low perfusion states in Emergency Department trauma patients. Annual
Scientific Meeting of the Australasian College for Emergency Medicine, Melbourne
November
46. Thom O. (2011). Medicine in the Antarctic. Medicine on the Edge Emergency
Medicine Update, Montana, Jan
47. Thom O, Cooney H, Fraser J, Taylor D. (2012). Pathophysiology of fluid responsiveness in the emergency department - preliminary results from the NICER trial. In Australasian College for Emergency Medicine 28th Annual Scientific Meeting.
Emergency Medicine Australasia, Sydney, Emerg Med Australas, 24(Suppl 1).32.
48. Thom O, Fanning J, Staib A, Collier J, Fung YL, Dunster KD, Fraser J. (2012).
Development of an ovine model of severe haemorrhagic shock. Emerg Med
Australas, 24(Suppl 1).31.
49. Thom O, Staib A, Collier J, Dunster K, Fung Y, Fraser J. (2012). Successful development of an ovine model of prolonged Grade IV haemorrhagic shock. In
Australasian College for Emergency Medicine 28th Annual Scientific Meeting.
Emergency Medicine Australasia, Sydney, Emerg Med Australas 2012, 24(Suppl
1).27.
50. Voigt M, Fuentes H, Collier J, Page C. (2007). Which patients with a pelvic fracture require a retrograde urethrogram? Presented Autumn Symposium Queensland
Faculty ACEM April
51. Wang C, Collier J, Page C. (2007). Comparative analysis of care provided to corridor versus cubicle patients in an emergency department. Presented ACEM Annual
Scientific Meeting Gold Coast November.
52. Weber S. (2011) Lessons Learnt: Christchurch AusMAT. Passionate About Practice
Conference, Brisbane. 8th/9th August
53. Weber S. (2012) Emergency Nurses in Disaster Health: Christchurch 2011. College of Emergency Nurses Australasia Conference, Hobart. 29th Sept - 1st October
54. Weber S. (2012) Pioneering disaster response surge capability: Nursing exchange rotation program at Royal Darwin Hospital. Resuscitation to Rehabilitation 2012
Trauma. Australasian Trauma Society Conference, Perth. 26-28th Oct 2012
55. Weber S (2013) Disaster Response Coordination In The Australian College of Critical
Care Nurses, Critical Care Nursing Continuing Education, ICE Conference 2013
Brisbane.
Web Page http://www.emergpa.net/wp/research updated January 2014

56. Weber S & Trenning L (2013) The challenges and exhilarations of interdepartmental trauma simulation. In College of Emergency Nursing Australia - ICN 25th
Quadrennial Congress, Melbourne.
57. Wong A, Koran E, Sinnott M, Spencer L & Eley R (2013) An analytical model for the performance of emergency departments. Paper for presentation to the Australian
Society for Operations Research Adelaide.
58. Wu A, Thom O, Bridgford L, Goverwa L. (2012). The use of intravenous fluids in acute ureteric colic. In Australasian College for Emergency Medicine 28th Annual
Scientific Meeting. Emergency Medicine Australasia, Sydney, p. 6.
Reports
1. Fitzgerald G, Patrick J, Fielding E, Shaban R, Aitken P, Considine J, Clark M,
Finucane J, McCarthy S, Cloughessy L, Holzhauser K. (2010). H1N1 Influenza 2009 outbreak in Australia: impact on Emergency Departments.
2. Hammond E, Shaban RZ, Holzhauser K, Crilly J, Melton M, Tippet V, FitzGerald G,
Eeles D, Collier J, Finucane J. (2012). An Exploratory Study to Examine the
Phenomenon and Practice of Ambulance Ramping at Hospitals within the Queensland
Health Southern Districts and the Queensland Ambulance Service., Queensland
Health Griffith University: Brisbane.
3. Sinnott M and Cullen L. (2009). Intern Modelling Tool. Report to the Medical Training
Review Panel, National Priority Projects in Prevocational Medical Education and
Training FIRE UP Coaching, Melbourne, Victoria
Web Page http://www.emergpa.net/wp/research updated January 2014

Web Page http://www.emergpa.net/wp/research updated January 2014

The research is either developed by an ED staff member(s) or ED staff member(s) are major collaborators to the study.
1
1. Initial communication among co-investigators and the
ED Academic Research Manager (ARM) or Nurse
Researcher (NR) to discuss methodology, ethics, funding, resources etc. is strongly recommended prior to submission of any formal documentation.
2. Submission of Internal Research Summary sheet
(Appendix1) and full research proposal to ARM. The
Involvement by ED staff member(s) in the research project may be minimal, but there will be some required access to resources such as space, patients or records.
2
1. Initial communication with ED staff and with the ED
Academic Research Manager (ARM) or Nurse
Researcher (NR) to discuss the process and associated costs is strongly recommended prior to submission of any formal documentation.
2. Submission of External Research Summary sheet
(Appendix 2) to ARM for initial screening and
1 Collaboration is defined as involvement in significant aspects of treatment or study implementation, or one or more of the areas of concept, design, data collection, analysis, reporting and publication. Identification of patients alone is not generally considered collaboration.
2 Facilitated research will incur an overhead.
36

ARM and NR will assist in proposal writing if required.
3. Review of request by the Research Coordination
Committee (RCC).
4. Presentation to the Emergency Medicine Research
Programme Monthly Meeting 3 .
5. Submission of National Ethics Application Form
(NEAF) to Metro South Health Service District Human
Research Ethics Committee (HREC). Information on this process will be offered if required.
4
6. Endorsement of Site Specific Assessment (SSA) form by the Departmental Head and Financial Delegate following recommendation by RCC.
7. Submission of SSA form to HREC. Information on this process will be offered if required.
8. Ethics and Governance (SSA) approvals presented to
Academic Research Manager for final approval and confirmation of the date of commencement 5 . response.
3. Submission of research proposal (or parts which contain detailed information of the activities to be undertaken in, and requirements requested of, ED).
4. Review of request by Research Coordination
Committee (RCC).
5. Endorsement of Site Specific Assessment (SSA) 3 by the Departmental Head and Financial Delegate following recommendation by RCC.
6. The National Ethics Application Form (NEAF) and
Governance (SSA) form should be submitted at this time to the Metro South Health Service District
Human Research Ethics Committee.
Note: While the NEAF could be submitted prior to Step 3 above the SSA cannot be submitted until Step 5 is completed.
7. Ethics and Governance 6 approvals presented to
Academic Research Manager for confirmation of the date the study may begin.
3 Funding requests may be submitted at any time in the process; however may be best delayed until after step 4. The ARM can provide suggestions as to sources of funding and procedures.
4 Ethics and SSA forms for all Queensland Health research are now accessed via www.ethicsform.org/au
If you are unsure whether you can submit a low risk form please discuss with the Research Team and/or the HREC in Building 35. http://www.health.qld.gov.au/pahospital/research/gov/hrec.asp
5 Date of commencement of the study will be agreed upon once the Medical Director and/or the DON have confirmed the availability of staff and resources.
6 For researcher involving an institution outside of the QH an agreement between the institute and the PAH will be required. This will be initiated by the
Governance section at the PAH. Prior to the agreement being signed by the external institute all their requirements (e.g. proof of funding if applicable) may be required.
37

Note regarding Governance. i. For Governance (i.e. SSA) all non-PAH employed investigators require agreements between their home organisation and the PAH. Upon receipt of the SSA the Governance office will contact the Principal
Investigator with details of this process.
Note for research for which a research assistant will be employed. i. Research assistant employment for internal staff (e.g. a PAH employed nurse working part-time) is relatively simple. For staff coming from outside, regardless of whether they are QH employees or not, the process is more complicated. For example RNs employed in
PAH ED as RAs but recruited outside PAH will become part of the Nursing Practice Development
Unit staff compliment through the following process

Receiving approval from the NPDU Director and the Executive Director of Nursing Services

Creation of a new position number or the RN RA needs to be slotted into an established position number

Funding agreement signed between the PAH
Finance Manager and the study sponsoring organisation

Prior to commencing duty, the RN RA needs to demonstrate competency by completing PAH mandatory competencies under the supervision of
Notes for external researchers: i. For Governance (i.e. SSA) all non-PAH employed investigators require agreements between their home organisation and the PAH. Upon receipt of the
SSA the Governance office will contact the Principal
Investigator with details of this process. ii. Researchers will be invited to make a short presentation to the Emergency Medicine Research
Programme Monthly Meeting. iii. Following approval researchers are encouraged to meet with medical, nursing and administrative staff as appropriate to reaffirm the process of support. iv. ED requests a copy of the final results and publications.
38

the PAH Nurse Educator

Prior to commencing duty, the RN RA also needs to: a. complete a Commencement Details
Employee form, b. supply 2 professional referees, c. provide authorisation for the NPDU
Director or nominee to check the Police
Criminal Check List form
This process can take two weeks if there are no complications and longer if problems arise. A potential RN
RA may not commence data collection or other duties until all of the above steps have been completed satisfactorily .
Note for research involving University of Queensland staff
Submit an ethics application to the UQ Human Ethics Unit
Coordinator (3365 3924; m.tse@research.uq.edu.au) once approval has been received from PAH. Include:

Cover letter

PAH HREC approval letter

PAH-HREC NEAF and attached docs (x2)

Project proposal (x2)
Notes for research involving UQ staff when external funds are being sought, and for both UQ and PAH staff when funds are to be administered by UQ i. Applications to external agencies must be reviewed by the UQ Research Office. The applications are
39

assessed against the eligibility and submission requirements for that source of funding. Amendments to the application may be requested, so ensure that submissions are made at least 10 days before the grant submission date. The final version must be returned to the UQ Research Office as it is that office that makes the submission. ii. A UQ funding application cover sheet must be completed, signed by the Head of the Southside
Clinical School and submitted with the final version of the application. iii. Note that UQ charges overheads of up to 60%. Many funding organisations (e.g. QEMRF, PARF) have exemption by UQ from this charge and if not, a waiver may be applied for.
The Academic Research Manager will support the UQ process.
40

Internal Research - Summary sheet
Title of project
Name of applicant
Collaborator(s) and their institutions
Proposed duration (from – to)
Part of multisite study (yes/no)
Other sites
Funding details
HREC submitted (yes/no) / number
ED resources required

EDIS data

Staff

Finance

Equipment

Desk space / computer

Patients o Number o Method of recruitment
Research aim, design
Any additional relevant information
Please return the form to:
Dr. Rob Eley, Academic Research Manager, University of Queensland-Princess Alexander
Hospital Emergency Medicine Research Program. Tel: 07 3176 3672; email: r.eley@uq.edu.au

External Research – Summary sheet
Title of project
Name of applicant
Position
Organisation
Department
Contact phone
Contact email
Names (and institution) of other principal and co-investigators
PAH ED collaborator(s)
Brief nature of requested PAH involvement (e.g. patient identification, specimen collected, access to records)
Summary (100 words) of research aim and design
Proposed duration of ED involvement (from – to)
Part of multisite study (yes/no)
Other sites
HREC submitted (yes/no)
If approved, HREC number
PAH ED resources requested (yes/no)
(If Yes please detail)

EDIS data

Staff

Finance

Equipment

Desk space / computer

Patients o Number o Method of recruitment o Place of contact o Other relevant detail affecting patient flow
Special requirements
Other details
Please return the form to:
Dr. Rob Eley, Academic Research Manager, University of Queensland-Princess Alexander
Hospital Emergency Medicine Research Program. Tel: 07 3176 3672; email: r.eley@uq.edu.au