Kendall J. Bein

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OBJECTIVE To describe the use of whole-body computed tomography (WBCT) at this Major Trauma Centre; to determine independent predictors of multi-region injury; and to evaluate the accuracy of the decision to perform WBCT in detecting multi-region injury. METHODS A prospective cohort study was performed at a single Major Trauma Centre in New South Wales,(More)
OBJECTIVES The aim of the study was to determine if oxygen delivered through humidified high flow nasal cannulae (HHFNC) reduced the need for escalation in ventilation management and work of breathing in the ED patients presenting with acute undifferentiated shortness of breath compared with standard oxygen therapy. METHODS This was an unblinded(More)
BACKGROUND In patients with severe head injuries, transportation to a trauma centre within the "golden hour" are important markers of trauma system effectiveness but evidence regarding impacts on patient outcomes is limited. OBJECTIVE To determine the effect of patient arrival within the golden hour on patient outcomes. METHODS A retrospective cohort of(More)
OBJECTIVE To evaluate the performance of a newly implemented prehospital trauma triage (T1) protocol in New South Wales for patients transported to an inner city major trauma centre. METHODS An observational study was conducted over 1 year. Prehospital data and injury characteristics were collected prospectively for all hospital trauma team activations(More)
OBJECTIVES Describe the level of agreement between prehospital (emergency medical service [EMS]) and ED vital signs in a group of trauma patients transported to an inner city Major Trauma Centre. We also sought to determine factors associated with differences in recorded vital sign measurements. METHODS All adult patients meeting trauma triage criteria(More)
OBJECTIVE To evaluate the impact of a senior early assessment model of care on performance measures in a single ED. METHODS A pragmatic single-blinded randomised control trial with day of ED presentation randomised to one of three study arms: senior work-up assessment and treatment (SWAT) model of care intervention, non-SWAT control or control. PRIMARY(More)
OBJECTIVE To contrast long-term population-based trends in general practice (GP) presentations and acute inpatient admissions from the emergency department (ED) in the elderly population within the Greater Sydney Area. METHODS This was a retrospective analysis of population-based ED presentation data over 11 years, between January 2001 and December 2011,(More)
OBJECTIVE To describe trends in population-based rates of ED presentations in the Greater Sydney Area (GSA) and compare these between the elderly and non-elderly age groups. METHODS This was a retrospective study using ED presentation data from all public hospitals in the GSA and population data from the Australian Bureau of Statistics between 2001 and(More)
BACKGROUND The rate of hospitalization in elderly patients because of falls is increasing. The objective of this study was to investigate long-term trends in injury profiles of low-energy falls and to identify injuries associated with need for in-patient rehabilitation. METHODS A single-centre retrospective study was performed at an inner city Major(More)
OBJECTIVE To examine the long term trend in assault admissions at an inner city major trauma centre and determine the association between clinical evidence of alcohol intoxication and major trauma due to assault. METHODS Adult trauma patients admitted due to assault between 1999 and 2009 were identified through the hospital based trauma registry at an(More)