Emergency Care Institute

Report Card 2016

ECI Year in Review: 2016 Page | 2

Agency for Clinical Innovation Level 4 67 Albert Avenue Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4674 F +61 2 9464 4728 E vanessa.evans@health.nsw.gov.au W www.aci.health.nsw.gov.au Business hours: 8.30am – 5.00pm, Monday to Friday. SHPN: (ACI) 170351 ISBN: 978-1-76000-680-8 Further copies of this publication can be obtained in pdf format from the Agency for Clinical Innovation (Emergency Care Institute) website at: www.ecinsw.com.au Disclaimer: Content within this publication was accurate at the time of publication. This work is copyright. It may be reproduced in whole or part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above, requires written permission from the Agency for Clinical Innovation. © Agency for Clinical Innovation 2017 Published: June 2017

ECI Year in Review: 2016 Page | 3

Table of Contents

Clinical Director Report .......................................................................................... 4

Meet the team ....................................................................................................... 5

Our Committees – meeting attendance ................................................................. 6

Our sponsored awards ......................................................................................... 10

Our visits to NSW emergency departments ......................................................... 10

Our events and education workshops .................................................................. 10

Our projects and progress .................................................................................... 11

Major state wide projects in 2016 ........................................................................ 11

Initiatives supporting clinicians to deliver quality emergency care ...................... 14 ECI funded research in progress ........................................................................... 15 ECI representation ............................................................................................... 18

Presentations at local, national and international conferences ............................ 19

ECI Year in Review: 2016 Page | 4

Clinical Director Report

Dear Colleagues,

Once again, it is my pleasure to present the ECI Year in Review. 2016 has been another extremely busy year for NSW Emergency Departments, and a productive year at the ECI.

Our clinical, incident, research, and information services and technology advisory committees have again contributed substantially to the growing body of clinical tools, lessons from incidents and adverse events, research questions and outputs, and streamlined systems and processes that now form the solid foundations for improved emergency care in NSW. There are also many, many multidisciplinary clinicians and others who contribute through working groups, presenting at ECI forums, project steering committees or the provision of ad hoc advice and feedback, as well as those representing the ECI and EDs in health system forums. We are seeing the benefits of this work during our site visits to EDs across the state, on our website, and in the reduction of serious critical incidents (those subject to an RCA) in NSW EDs by more than half since 2013. This is in the face of rising presentations to EDs and rising complexity of clinical demand, and is truly something to celebrate!

ECI recognises that fostering and maintaining strong engagement with clinicians, consumers and other emergency care stakeholders is crucial for the success of all our work. Collaboration with stakeholders whether local, interstate or international is a cornerstone of ECI activity, and we thank those with whom we have worked in 2016, as they are too numerous to mention individually. We profoundly appreciate the work of our consumer representatives and groups who regularly assist with the creation and review of our clinical tools.

Projects and other initiatives will only produce positive changes in emergency care if they are well designed, understood and supported, and desired outcomes are able to be demonstrated. This report features a selection of such work, with most EDs across the state participating in at least one of these projects. Key objectives of reducing clinical variation and improving the quality and efficiency of emergency care have been demonstrated with outcomes such as improved airway management practice and intubation success rates equal to international best, improved training and credentialing of clinicians performing point of care ultrasound, identification of the most efficient physiotherapy model of care for EDs, and reduced variability of care in smaller rural EDs. Other work continues with similar positive impacts for ED patients.

Finally, I wish to thank the ECI team for their unstinting commitment and efforts over the year, and the ACI executive for their support. I trust you will find this report informative and of interest.

A/Prof Sally McCarthy

ECI Clinical Director

ECI Year in Review: 2016 Page | 5

Meet the team

Clinical Director

Sally McCarthy

Manager

Vanessa Evans

Special Projects Officer

Nick Goryl

Data and Information Officer

Zafirul Hussain

Medical Project Officer

John Mackenzie

Research Fellow

Hatem Alkhouri

Advanced Trainees (Jan 16 – Jul 16)

Clare Richards

Mark Flett

Advanced Trainees (Jul 16 – Feb 17)

Min-Zhao Lee

Zorica Tootell

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Our Committees – meeting attendance EXECUTIVE COMMITTEE 26/04/2016 28/06/2016 6/09/2016 29/11/2016

Lucille Bloch Meeting

Cancelled

Matthew Bragg Richard Cheney Liz Cloughessy (Co-Chair) Paul Collett Kate Curtis Stewart Dowrick Alan Forrester Tim Free Paul Gavel Anne Hawkins Jon Hayman Jacqui Irvine Amanda Larkin Maria Linkenbagh Alan Loudfoot Nigel Lyons Sarah Marmara Sally McCarthy (Co-Chair) Simon Rodda Amith Shetty Kylie Stark Wayne Varndell CLINICAL ADVISORY COMMITTEE 4/04/2016 26/06/2016 19/09/2016 1/12/2016

Nerida Bell

Celia Bentley

Matthew Bragg (Co-Chair)

Sheridan Briggs

Sandy Brown

Louise Caire

Cameron Dart

Donovan Dwyer

Keith Edwards

Jenny Gill

Audas Grant

Penny Kooyman

Nicole Lacey

Matthew Lutze

John Mackenzie

Jon Magill

ECI Year in Review: 2016 Page | 7

Jennie Martin

Sally McCarthy

Brian McKee-Hata

Allison Moore

Jenny Morris

Michael Paton Resigned

Phillip Proust

Peter Roberts

Jane Senior

Kylie Stark (Co-Chair)

Adrian Walsh

Ross White

Lilian Wong

INCIDENT ADVISORY COMMITTEE 18/03/2016 20/06/2016 5/09/2016 14/11/2016

Kellie Austin

Robyn Aylward

Jacqueline Ballard

Trevor Chan

Scott Deeth

Joanne Dungey

Julie Friendship

Liesel Gerlach

Anne Hawkins (Co-Chair)

Susan Hertzberg

Michael Hession

David Hutton

Jacqui Irvine (Co-Chair from 30/09/2014)

Melanie Kelly

Easwaran Krishnan

Amanda Lavis

Simon Leslie

Lucy Lutze

Ken Mackey

Sally McCarthy

Mary McCaskill

Gayle McInerney

John Olsen

Matthew O’Meara

Cara Pugh

Mark Russell

Patricia Saccasan-Whelan

John Sammut

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Kirsty Short

Cathy Vinters

Martin Ward

Wendy Waters

Andrew White

Ron Wilson

Ross Wilson

Leanne Wright

INFORMATION SYSTEMS AND TECHNOLOGY

ADVISORY COMMITTEE

9/03/2016 8/06/2016 10/08/2016 30/11/2016

Allan Ajami

Hatem Alkhouri

Tony Azzam

Andrew Berry

Michael Boyd

Cathy Boyle

Bronwynne Chisholm

Alana Clements

Colin Dibble

Vanessa Evans

Ian Fletcher

Alan Forrester

Atul Goel

Nick Goryl

Naren Gunja

Matthew Holobrodskyj

Andrew Hugman

Zafirul Hussain

Susan Isemonger

John Lambert

Jesse Li

John Mackenzie

Sarah Marmara

Skye Matthaei

Sally McCarthy

Megan Olivotto

Amith Shetty

Julianne Switzer

Adrian Walsh

Michelle Wilkinson

RESEARCH ADVISORY COMMITTEE 5/04/2016 30/08/2016 28/11/2016

Rod Bishop

Brian Burns

ECI Year in Review: 2016 Page | 9

Kate Curtis (Co-Chair)

Lesley Fitzpatrick

Margaret Fry

Mark Gillett

Sally McCarthy

Darren Moisey

Margaret Murphy

Fenton O’Leary

Richard Paoloni

Sharene Pascoe

Prithi Pather

Emilie Russell

Amith Shetty (Co-Chair)

Luke Strachan

Simon Willcock

Lilian Wong

ECI Year in Review: 2016 Page | 10

Our sponsored awards AWARD RECIPIENT

ECI Best Evidence into Practice Paper:

awarded at ACEM Annual Scientific Meeting

in Queenstown.

• 20-24 November 2016

Patient Satisfaction with their Pain management: The effect

of provision of pain management advice

David Taylor et al.

Austin Health, Heidelberg

Our visits to NSW emergency departments MONTH FACILITY

March Hay District Hospital, Griffith Base Hospital, Narrandera Hospital

July Walgett Multi-Purpose Service, Collarenebri Multi-Purpose Service, Narrabri Hospital, Wee

Waa Hospital, Moree Hospital

November Maclean Hospital, Lismore Base Hospital, Ballina District Hospital, Byron Central Hospital,

Nimbin Hospital, Kyogle Hospital

Our events and education workshops EVENT DATE # REGISTRANTS

ED Leadership Forum 4 April 2016 99

ED Nursing Leadership Forum 27 May 2016 69

ED Leadership Forum 5 August 2016 81

Emergency Care Symposium 4 November 2016 192

FACEM Wisdom: Fast-Tracked 2 December 2016 33

ECI Year in Review: 2016 Page | 11

Our projects and progress

Major state wide projects in 2016

Global Airway Registry Project

• The data collection for the two year period, known as Phase 2 of the Airway Registry Project, has now ceased.

• Some sites are continuing to collect data and a number of new sites have expressed interest in joining the project.

• Many participating EDs have developed procedural preparation and training initiatives to improve their practice in airway management

• Across the two year period information about 3,710 episodes of intubation was collected and is being analysed.

• In early 2017 a descriptive paper will be submitted for publication. Following this, publication of papers addressing specific subjects in airway management will be submitted for publication.

The impact of the role of the Emergency Physiotherapy Practitioner (EPP) on emergency department care for patients with musculoskeletal injuries

• Data collection for this project completed in 2016 and analysis of the results in progress. • This multicentre research project has demonstrated improved service delivery and better outcomes

for patients presenting to EDs with musculoskeletal injuries. Findings include: 1. Robust evidence of efficiency and effectiveness of the EPP role in treating patients with

musculoskeletal injuries. 2. Increased timeliness and quality of care by the EPP compared with usual care, contributing to

reduced wait time and reduced length of stay. 3. Detailed understanding of the models of care provision by EPP 4. High satisfaction with the service by patients and other ED staff. 5. identification of a method for assessing and understanding workforce utilisation

• A number of manuscripts will be published in 2017 following the completion of this project.

Nurse Delegated Emergency Care (NDEC)

• The ECI is now supporting implementation of NDEC at 23 sites, 10 of which are ‘live’. • Three sites in Far West LHD went live in 2016; operationalising an innovative partnership with the

Royal Flying Doctor Service, which provides medical oversight for NDEC occasions of service. Three more sites in Hunter New England LHD went live in 2016. Post-implementation audits are in progress demonstrating their value as useful insights are gained.

• The ECI endorsed three new sites to commence NDEC implementation in 2016: Dorrigo in Mid North Coast LHD, and Blayney and Nyngan in Western NSW LHD.

The ECI completed a review of the NDEC Nurse Management Guidelines and the updated guidelines have been published. The NDEC Education and Accreditation Framework and Auditing Guidelines were also reviewed and the updated documents are now available on the ECI website.

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Small Emergency Departments

• The aim of this initiative is to provide guidance for the minimum standard equipment and supplies in small rural EDs; particularly in relation to the contents and layout of resuscitation trolleys, procedural equipment and pharmacy supplies, to reduce existing variability between sites across the state. Recognising the prevalence of temporary staff in small EDs, and the infrequent presentation of critically ill or injured patients, the vision for the project is that clinicians will be able to walk into a department with which they’re not familiar, and be able to provide quality care, confident the equipment and medications they need will be available. These resources will be tailored specifically to the needs of small EDs, and will enhance currently available guidance.

• We will be drawing on some existing work and resources for this project, including the Rural and Remote Emergency Services Standardisation Guidelines; a Queensland initiative. The ECI has recently participated in a review of the Queensland resources.

Rural Adult Emergency Clinical Guidelines

• In 2015 the NSW Rural Adult Emergency Clinical Guidelines were reviewed. The guidelines assist nurses to provide early appropriate management of acute and life threatening conditions, and relieve pain and discomfort for patients at hospitals where medical practitioners are not immediately available. A multidisciplinary group of clinicians led the review of these guidelines.

• The reviewed guidelines were endorsed and published in May 2016 (GL2016_012).

Safe Assessment Room Guidelines

• The ECI was asked to lead the development of a state wide Guideline on the use of safe assessment rooms (SARs). The objective of the guideline is to align contemporary clinical practice, operational management of SARs and facility design to support the planning of new emergency departments, and the use of existing SARs.

• The ECI invited expressions of interest from across emergency departments and mental health services to participate in the working group to draft the guidelines. A multidisciplinary group of clinicians from across NSW were involved in leading the development of this important document.

• The draft guidelines were distributed for comment in December 2016 to the whole of health. It is anticipated that these guidelines will be published in the first half of 2017.

Stakeholder Survey

• The ECI stakeholder survey is undertaken to help inform the activities and priorities of the ECI, ensure that stakeholders’ view on emergency care in NSW are known and to engage with those working within emergency care.

• In April / May 2016 the ECI conducted a stakeholder survey. This was widely disseminated through the ECI distribution list, ECI website, ACEM Bulletin and through the ECI social media accounts.

• A total of 607 individuals participated in the survey. • The report on the survey findings will be released early in 2017.

Point of Care Ultrasound (POCUS) Resources for Emergency Departments

• POCUS is increasingly integral to clinical care in EDs, with strong evidence of improved safety and timeliness of care for patients. NSW ED clinicians and managers have not previously had access to comprehensive POCUS resources to support best practice.

ECI Year in Review: 2016 Page | 13

• In collaboration with emergency physicians, emergency medicine trainees, the NSW Emergency Medicine Ultrasound Group, The Australasian College for Emergency Medicine Ultrasound subcommittee, clinician leaders in ultrasound in EDs nationally and internationally, HETI and other stakeholders, ECI led the development of a suite of educational, implementation and governance resources for clinical ultrasound in NSW EDs, now available on the ECI website. The team updated and enhanced previously developed resources including the NSW UTEC package, and many resources shared by clinician leaders in ED ultrasound, and developed new resources where necessary.

• There has been enthusiastic uptake of the POCUS resource, with more than 150 emergency clinicians completing more than 500 educational models in 2016, and many EDs implementing best practice governance processes for POCUS

Ongoing collaboration with our key stakeholder group will see further enhancements to the POCUS resources and activities. NSW Chest Pain Pathway Development

• In collaboration with the ACI Cardiac Network, the ECI Clinical Advisory Committee, LHDs, national and international experts, and other stakeholders, the ECI were co-clinical leads in development of the revised NSW Chest Pain Pathway.

• New research evidence has been incorporated into the guideline, along with flexibility for appropriate customisation at site level. These important changes are anticipated to improve and

streamline care for patients with suspected ACS. Retrieval Checklists for Emergency Departments • The ECI often receives feedback about variability and delays in patient transfers and we have

previously developed clinical and administrative escalation pathways for EDs as a tool to support NSW Health patient transfer policy.

• In collaboration with NSW Retrieval Services, NSW Ambulance, the ECI Clinical Advisory Committee, Dr Dean Robertson GP, and other stakeholders, the ECI developed retrieval checklist tools to streamline communication, preparation and handover for patients undergoing retrieval and transfer from EDs.

• These tools, which for the first time have standardised drugs and infusions between retrieval services, are available on the ECI website.

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Initiatives supporting clinicians to deliver quality emergency care

Development of clinical decision support tools

• The ECI website continues to grow and the bank of clinical tools has expanded significantly since 2011. A total of 73 new/revised clinical tools were endorsed in 2016.

ECI Website and Platform Transition

• The ECI website moved to the ACI platform in September 2016 • This move came with enhanced features including enhanced search functions, an A-Z index of clinical

tools and a bootstrap interface making it look pretty on smart devices. • Below are some website analytics for 2016:

Indicator 1 Jan 2016 – 31 Dec 2016

Visits 172,776

Unique Visitors 191,544

Pages Viewed 412,410

% New vs Returning Visitors 23.1% / 76.9%

Most popular pages viewed 1. Factsheets 2. ECI Homepage 3. Search 4. Clinical Tools

5. Pleural Tap 6. Management of Paracetamol Overdose 7. Pneumonia Scores 8. Clinical Resources

Learning from critical incidents

• The IAC have continued to review RCA reports and classify incidents using the ECI developed emergency incident taxonomy. In 2016, 41 RCA reports were reviewed and classified by the IAC.

• The ECI undertook reviews of the IIMs database to examine the prevalence of incidents reflecting known high risk diagnoses or processes within EDs, including testicular torsion, vasopressor use, aortic aneurysm, intracranial haemorrhage and others. Findings were presented at ECI events, and led to further project work, engagement with relevant stakeholders, and research publication preparation.

• A number of new red flag modules were developed and endorsed in 2016 including: o Back to Basics o The Differential Diagnosis Dilemma o All in Your Head

Fostering learning and collaboration

ED Leadership Forums

• The Leadership Forum has been established to bring together senior ED staff including ED Directors, Emergency Physicians, Nurse Managers, Nurse Unit Managers, ED nursing, medical and allied health

ECI Year in Review: 2016 Page | 15

staff and other stakeholders from across the health system and more broadly, to discuss emergency care related topics of interest

• There were two Leadership Forums held in 2016. The 1 April event featured presentations on safety and security in EDs following an incident at a Sydney hospital and the 5 August event featured presentations on quality care for elderly patients, as well as clinical updates and other matters of interest on both days. The program, presentations, videos and evaluation reports from these two events are available on the ECI website.

Nursing Leadership Forum

• This ECI event is designed to target future ED nurse leaders to provide valuable insights into the skill set required of clinical leaders. The forum aims to provide an opportunity to educate nurses on the clinical support and administration issues that are often not covered in other programs and are often only learned “on the job”.

• The 2016 event was held on Friday 27 May. The program featured challenges managing the acute severe behaviourally disturbed patient, using resources wisely and providing safe quality care in ED. The program, presentations, videos and evaluation reports from this event is available on the ECI website.

Annual Emergency Care Symposium

• Our annual Emergency Care Symposium was held on 4 November, and featured presentations on closing the gap, innovations and research, and what’s new in emergency care. The program, presentations, videos and evaluation reports from this event is available on the ECI website.

FACEM Wisdom – Fast Tracked

• The ECI FACEM Wisdom - Fast Tracked event was held on Friday 2 December 2016 at the Agency for Clinical Innovation, Chatswood. This event is for ACEM Advanced Trainees as well as new FACEMs (1-5 years out) to provide valuable insights into the clinical support skill set required for specialist practice in emergency medicine. The Forum aims to provide an opportunity for education on clinical support and administration issues that are often best consolidated “on the job”, in addition to providing the opportunity to hear from those further down the track in their careers. The program, presentations, videos and evaluation reports from this event is available on the ECI website.

ECI Communications

Quarterly Newsletter

The ECI publishes a quarterly newsletter. Below is a summary of the editions released in 2016.

Edition Date Sent # of Recipients # of Unique Opens

% of Recipients Opened

% clicked a link

Summer 10 Feb 1,444 475 33.26% 55.16%

Autumn 12 May 1,481 447 30.24% 44.3%

Winter 31 Aug 1,506 433 28.79% 39.72%

Spring 30 Nov 1,567 515 32.93% 34.76%

ECI Year in Review: 2016 Page | 16

Social Media Footprint

The ECI has a Twitter and Facebook presence with the following stats:

Twitter

At the end of 2016 the ECI had a grand total of:

• 389 followers • 575 tweets

New Followers # Tweets # Retweets # Likes # Impressions # Link Clicks

Q1 29 19 19 30 7,189 45

Q2 35 25 36 40 12,740 72

Q3 41 23 49 65 13,013 54

Q4 24 16 36 49 9,507 20

Total 129 83 140 184 42,449 191

Facebook

Posts Page Likes Reach

Q1 4 40 409

Q2 5 44 565

Q3 5 32 1,337

Q4 3 23 680

Total 17 139 2,991

ECI Year in Review: 2016 Page | 17

ECI funded research in progress

CriSTAL – Criteria for Screening and Triaging to Appropriate aLternative care

• The ECI has established partnership with SWS clinical school/UNSW to support the research project CriSTAL. The aim of the project is to validate a screening tool to identify the elderly terminal/dying patient on admission, and estimate their risk of death within 3 months of assessment; the tool will not be used to refer them to alternative non-acute facilities until its accuracy and predictive value are established. The project received ethics approval and data collection commenced at 2 participating EDs in June this year. Findings from the research will be published in 2017

• Presentations and publications of the findings from this research where ECI are co-authors are listed below.

DESTINY – Demand for Emergency Service Trends IN Years 2010-14: a population based study of emergency department utilisation and length of stay in NSW

• Managing access and demand remains one of the fundamental challenges of modern emergency medicine and NSW hospitals. Understanding it at a population level allows better choices in the allocation of finite health resources, and provides a basis for which emergency department best practice models of care can be developed and improved across the state.

• Publications from this research in 2016: Dinh, M., Muecke, S., Berendsen Russell, S., Chalkley, D., Bein, K., Muscatello, D., Nagaraj, G., Paoloni, R., Ivers, R. (2016). Demand for Emergency Services Trends in New South Wales Years 2010-2014 (DESTINY): Age and Clinical Factors Associated with Ambulance Transportation to Emergency Departments. Prehospital Emergency Care, 20(6), 776-782. Dinh, M., Berendsen Russell, S., Bein, K., Chalkley, D., Muscatello, D., Paoloni, R., Ivers, R. (2016). Statewide retrospective study of low acuity emergency presentations in New South Wales, Australia: who, what, where and why? BMJ Open, 6(5), 1-8. Dinh, M., Berendsen Russell, S., Bein, K., Chalkley, D., Muscatello, D., Paoloni, R., Ivers, R. (2016). Trends and characteristics of short-term and frequent representations to emergency departments: A population-based study from New South Wales, Australia. Emergency Medicine Australasia, 28(3), 307-312. Dinh, M., Berendsen Russell, S., Bein, K., Chalkley, D., Muscatello, D., Paoloni, R., Ivers, R. (2016). Understanding drivers of Demand for Emergency Service Trends in Years 2010–2014 in New South Wales: An initial overview of the DESTINY project. Emergency Medicine Australasia, 28(2), 179-186.

ECI Year in Review: 2016 Page | 18

ECI representation The ECI was represented on more than 23 state-wide committees and short term working groups including:

ACI CHOPs Steering Committee MoH Hospital in the Home Working Party

ACI Rural Critical Care Taskforce MoH ED ABF Working Group

ACI Acute Care Taskforce MoH Advanced Resuscitation Orders Working Group

ACI Nurse Administered Thrombolysis Working

Group

MoH NSW End of Life Implementation Advisory

Committee

ACI Early Access to Stroke Thrombolysis Steering

Committee

MoH Organ Donation Implementation Advisory

Committee

ACI Unwarranted Clinical Variation Working Group MoH Supporting Health professional in Advanced

care Planning and End of life (SHAPE) Conversations

Reference Group

ACI NSW Chest Pain / ACS Working Group NSW K&F Paediatric Clinical Practice Guidelines

Steering Committee

CEC Incident Management System Interim Advisory

Committee

NSW K&F Paediatric Standardisation of Care

Committee

CEC Children and Young people RCA Review

Committee

NSW K&F Paediatric Guidelines Review Committee

CEC Antimicrobial Stewardship Expert Group NSW K&F Paediatric Short Stay Observation Units

Clinical Management of Patients with Acute

Behavioural Disturbance (4 Colleges Group)

NSW Pathology Point of Care Testing Committee

MoH ED Patients Awaiting Care Working Group QLD Rural and Remote Emergency Services

Standardisation Guidelines Review

ACEM Critical Care Authoring Group

ECI Year in Review: 2016 Page | 19

Presentations at local, national and international conferences

PRESENTATIONS AMPED Conference Japan January 2016

Critical Incidents in the Emergency Department

Crystal Methamphetamine and Impact in ED

Sally McCarthy

The MHS Summer Forum: Gold Coast Feb 18-19 2016

“Cracks in the ice? Illicit drugs and the mental health impact on our communities The National Ice Taskforce Report”

Sally McCarthy

Driving Quality in Emergency Departments Conference, Sydney March 22nd 2016

The benefit of flexible standardisation in emergency departments

Sally McCarthy

UNSW Medical students Critical Care Symposium 2016

Reflecting on an Emergency Medicine Career

Sally McCarthy

ACEM Annual Scientific Meeting

20-24 November 2016, Queenstown

Primary contact Emergency Physiotherapy Practitioner (EPP) improves musculoskeletal patient flow and outcomes in NSW Emergency Departments

Hatem Alkhouri, Katherine Maka and Sally McCarthy

Factors associated with higher first-pass success rate at emergency endotracheal intubation: Analysis of Phase II of the Australia and New Zealand Emergency Department Airway Registry

(ANZEDAR) Hatem Alkhouri, John Mackenzie, Sally McCarthy, John Vassiliadis and Toby Fogg

The challenges of translational end-of-life research in the ED and beyond Hatem Alkhouri, Magnolia Cardona-Morrell, Ebony Lewis, Sally McCarthy and Ken Hillman

Cricothyrotomy: A cases series and review of surgical airways from the Australia and New Zealand Emergency Department Airway Registry (ANZEDAR)

Clare Richards, Hatem Alkhouri, Toby Fogg, John Vassiliadis and Sally McCarthy

Reviewing the management of acute scrotal presentations in New South Wales Emergency

Departments Clare Richards, Zafirul Hussain, Hatem Alkhouri and Sally McCarthy

ECI Year in Review: 2016 Page | 20

Emergency Care: where’s our perspective Sally McCarthy

Ingham Research and Innovation Showcase

18-19 October 2016, Sydney

Cardona-Morrell M; Lewis E; Nicholson M; Hanly L; Chapman A; Kim J; Trankle S; Turner R; Ong K;

Shanmugan S; Alkhouri H; Asha S; Perkins M; Holdgate A; Suri S; Winoto L; Harrison R; Benfatti-Olivato G; Zammit A; Hillman K, 2016, 'Challenges of research on sensitive topics: the end-of-life

experience', in Challenges of research on sensitive topics: the end-of-life experience.

MANUSCRIPTS Fogg, T, Alkhouri, H and Vassiliadis, J (2016) The Royal North Shore Hospital Emergency

Department airway registry: Closing the audit loop, Emergency Medicine Australasia, vol. 28, pp. 27–33.

ECI Year in Review: 2016 Page | 21