Daniel M. Fatovich

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BACKGROUND Prospective human studies of anaphylaxis and its mechanisms have been limited, with few severe cases or examining only 1 or 2 mediators. OBJECTIVES We wanted to define the clinical patterns of anaphylaxis and relationships between mediators and severity. METHODS Data were collected during treatment and before discharge. Serial blood samples(More)
INTRODUCTION The outcome after out of hospital cardiac arrest is dismal. Thrombolysis during CPR has been advocated. Our hypothesis was that early administration of bolus thrombolysis could lead to improved survival from out of hospital cardiac arrest. METHODS A prospective, randomised, double blind placebo controlled trial. All victims of out of hospital(More)
OBJECTIVE To describe the epidemiology of electrical fatalities in Western Australia between 1976 and 1990. DATA SOURCES Data for the study were gathered from hospital records, autopsy reports and findings from State Energy Commission and coronal investigations. DATA EXTRACTION Information that was abstracted included age, sex, occupation, voltage,(More)
OBJECTIVE Access block refers to the situation where patients in the emergency department (ED) requiring inpatient care are unable to gain access to appropriate hospital beds within a reasonable time frame. We systematically evaluated the relationship between access block, ED overcrowding, ambulance diversion, and ED activity. METHODS This was a(More)
OBJECTIVE To determine the prevalence of elevated troponin levels after a marathon, and test for an association with reduced renal clearance. DESIGN, SETTING AND PARTICIPANTS Prospective observational study of entrants running the full (42 km) 2007 Perth Marathon, Western Australia. MAIN OUTCOME MEASURES Elevated troponin levels (> or = 0.1 microg/L)(More)
OBJECTIVES To describe an experience of emergency department (ED) overcrowding and ambulance bypass. METHODS A prospective observational study at Royal Perth Hospital, a major teaching hospital. Episodes of ambulance bypass and their characteristics were recorded. RESULTS From 1 July 1999 to 30 June 2001, there were 141 episodes of ambulance bypass(More)
BACKGROUND Mortality from trauma in rural areas is increased compared with the urban environment. We aimed to describe the relationship between trauma deaths and various categories of remoteness in rural areas, in Western Australia (WA). METHODS We used Death Registry data from July 1, 1997 to June 30, 2006. Deaths were allocated to one of the five(More)
BACKGROUND Metropolitan and rural Western Australia (WA) major trauma transport times are extremely different. We compared outcomes from these different systems of care. METHODS Major trauma (Injury Severity Score, ISS>15) data from the Royal Flying Doctor Service (RFDS) and Trauma Registries, 1 July 1997-30 June 2006. Two groups were studied: Metro(More)
OBJECTIVE To estimate the appropriateness of emergency department (ED) presentations by people aged>or=65 years living in residential care facilities. DESIGN, SETTING AND PARTICIPANTS Retrospective cohort study of older residents of residential care facilities who presented to the ED of the Royal Perth Hospital, Western Australia, between January and June(More)