Colin A. Graham
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View article: A coordination mechanism between the emergency department and inpatient unit to mitigate hospital crowding
A coordination mechanism between the emergency department and inpatient unit to mitigate hospital crowding Open
Emergency department (ED) crowding is a typical problem in hospitals across many countries, leading to numerous grievous consequences. One of the major causes of ED crowding is ED boarding , which refers to cases in which patients are dela…
View article: A Fully Open and Generalizable Foundation Model for Ultrasound Clinical Applications
A Fully Open and Generalizable Foundation Model for Ultrasound Clinical Applications Open
Artificial intelligence (AI) that can effectively learn ultrasound representations by integrating multi-source data holds significant promise for advancing clinical care. However, the scarcity of large labeled datasets in real-world clinic…
View article: Top 10 research priorities for sepsis research determined by patients, carers and clinicians
Top 10 research priorities for sepsis research determined by patients, carers and clinicians Open
Summary Introduction Sepsis is a high burden syndrome associated with increased morbidity and mortality in both the acute and longer‐term phases of illness. Multiple treatment uncertainties remain that require resolution through high‐quali…
View article: AI versus human-generated multiple-choice questions for medical education: a cohort study in a high-stakes examination
AI versus human-generated multiple-choice questions for medical education: a cohort study in a high-stakes examination Open
View article: Impact of the peak period of coronavirus disease 2019 on 28‐day mortality, emergency department visits and length of hospital stay of emergency admissions: A single center retrospective observational study in Hong Kong
Impact of the peak period of coronavirus disease 2019 on 28‐day mortality, emergency department visits and length of hospital stay of emergency admissions: A single center retrospective observational study in Hong Kong Open
Background During the fifth wave of COVID‐19, accident and emergency departments in Hong Kong experienced significant overcrowding yet there was limited evidence available regarding emergency services and patients' clinical outcomes. The a…
View article: Misdiagnosis of type A acute aortic dissection in the emergency department: 10 Year retrospective cohort study
Misdiagnosis of type A acute aortic dissection in the emergency department: 10 Year retrospective cohort study Open
Background Type A acute aortic dissection (TAAAD) is a serious cardiovascular disease with a high mortality rate and prompt diagnosis is the key to survival. However, misdiagnosis is common in the Emergency Department (ED). The aim of this…
View article: Core sepsis-related competencies for medical students: an international consensus by Delphi technique
Core sepsis-related competencies for medical students: an international consensus by Delphi technique Open
View article: Correction: Mapping study for health emergency and disaster risk management competencies and curricula: literature review and cross-sectional survey
Correction: Mapping study for health emergency and disaster risk management competencies and curricula: literature review and cross-sectional survey Open
View article: Mapping study for health emergency and disaster risk management competencies and curricula: literature review and cross-sectional survey
Mapping study for health emergency and disaster risk management competencies and curricula: literature review and cross-sectional survey Open
View article: Early sepsis care with the National Early Warning Score 2-guided Sepsis Hour-1 Bundle in the emergency department: hybrid type 1 effectiveness-implementation pilot stepped wedge randomised controlled trial (NEWS-1 TRIPS) protocol
Early sepsis care with the National Early Warning Score 2-guided Sepsis Hour-1 Bundle in the emergency department: hybrid type 1 effectiveness-implementation pilot stepped wedge randomised controlled trial (NEWS-1 TRIPS) protocol Open
Introduction Early sepsis treatment in the emergency department (ED) is crucial to improve patient survival. Despite international promulgation, the uptake of the Surviving Sepsis Campaign (SSC) Hour-1 Bundle (lactate measurement, blood cu…
View article: Novel Textbook Outcomes following emergency laparotomy: Delphi exercise
Novel Textbook Outcomes following emergency laparotomy: Delphi exercise Open
Background Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients followi…
View article: Heterogeneity in the role of emergency physicians and treatment of acute atrial fibrillation in emergency departments—results of the International Atrial Fibrillation Background (AFiB) Study
Heterogeneity in the role of emergency physicians and treatment of acute atrial fibrillation in emergency departments—results of the International Atrial Fibrillation Background (AFiB) Study Open
The consept of emergency departments (EDs) with specialized teams of emergency physicians originated in the United Kingdom and the United States during the 1970s and was expanded across most European countries in the twenty-first century. …
View article: 2300 Door-to-antibiotic time on mortality of admitted sepsis patients: systematic review and meta-analysis
2300 Door-to-antibiotic time on mortality of admitted sepsis patients: systematic review and meta-analysis Open
Aims and Objectives In 2021, the Surviving Sepsis Campaign International Guidelines advised clinicians to administer antimicrobials within 1h and 3h to sepsis patients with and without shock respectively. We aim to evaluate whether the tim…
View article: User perceptions of COVID-19 telemedicine testing services, disease risk, and pandemic preparedness: findings from a private clinic in Hong Kong
User perceptions of COVID-19 telemedicine testing services, disease risk, and pandemic preparedness: findings from a private clinic in Hong Kong Open
The use of telemedicine for screening and patient education can be encouraged during the COVID-19 pandemic in Hong Kong.
View article: Virtual patient simulation in undergraduate emergency medicine education during COVID-19: Randomized controlled trial
Virtual patient simulation in undergraduate emergency medicine education during COVID-19: Randomized controlled trial Open
Objective: To examine whether a 2-week or 4-week virtual patient simulation program can improve clinical competence for undergraduate emergency medicine education during COVID-19. Methods: This randomized controlled trial was conducted bet…
View article: Computed tomography brain scan utilization in patients with headache presenting to emergency departments: a multinational study
Computed tomography brain scan utilization in patients with headache presenting to emergency departments: a multinational study Open
Background and importance Recommended indications for emergency computed tomography (CT) brain scans are not only complex and evolving, but it is also unknown whether they are being followed in emergency departments (EDs). Objective To det…
View article: A longitudinal environmental surveillance study for SARS-CoV-2 from the emergency department of a teaching hospital in Hong Kong
A longitudinal environmental surveillance study for SARS-CoV-2 from the emergency department of a teaching hospital in Hong Kong Open
View article: Evidence Mapping Survey on Professional Development Programs and Courses in Health Emergency and Disaster Risk Management
Evidence Mapping Survey on Professional Development Programs and Courses in Health Emergency and Disaster Risk Management Open
Introduction: A prepared and well-trained workforce is essential to reducing the loss of lives from health emergencies. However, it is uncertain what should be included in the common set of core competencies for the health emergency and di…
View article: A tale of two continents: The performance of six early warning scores in two emergency departments
A tale of two continents: The performance of six early warning scores in two emergency departments Open
Background: Several early warning scores have been designed to optimize acute care by identifying patients at risk of deterioration. Methods: In this post hoc dual center study, we analyzed the performance of six clinical scores (the Gooda…
View article: Health Emergency and Disaster Risk Management Workforce Development Strategies: Delphi Consensus Study
Health Emergency and Disaster Risk Management Workforce Development Strategies: Delphi Consensus Study Open
Introduction: Health workforce development is essential for achieving the goals of an effective health system, as well as establishing national Health Emergency and Disaster Risk Management (Health EDRM). Study Objective: The objective of …
View article: Role of Community Health Volunteers Since the 2015 Nepal Earthquakes: A Qualitative Study
Role of Community Health Volunteers Since the 2015 Nepal Earthquakes: A Qualitative Study Open
Objective: Nepal female community health volunteers (FCHVs) were the first available health personnel in communities during the 2015 Nepal earthquakes. This study explored the facilitating factors and barriers of the FCHVs during health em…
View article: Disaster preparedness of emergency departments in Hong Kong
Disaster preparedness of emergency departments in Hong Kong Open
View article: Migraine in the Emergency Department: A Prospective Multinational Study of Patient Characteristics, Management, and Outcomes
Migraine in the Emergency Department: A Prospective Multinational Study of Patient Characteristics, Management, and Outcomes Open
Background and Aim: Migraine headache is commonly diagnosed in emergency departments (ED). There is relatively little real-world information about the epidemiology, investigation, management, adherence to therapeutic guidelines and disposi…
View article: Epidemiology, investigation, management, and outcome of headache in emergency departments (HEAD study)—A multinational observational study
Epidemiology, investigation, management, and outcome of headache in emergency departments (HEAD study)—A multinational observational study Open
Objective To describe the epidemiology of nontraumatic headache in adults presenting to emergency departments (EDs). Background Headache is a common reason for presentation to EDs. Little is known about the epidemiology, investigation, and…
View article: Heart failure in patients presenting with dyspnoea to the emergency department in the Asia Pacific region: an observational study
Heart failure in patients presenting with dyspnoea to the emergency department in the Asia Pacific region: an observational study Open
Objectives: To describe demographic features,assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) with a principal symptom of dyspnoea. Design: Planned subst…
View article: Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal
Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal Open
Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal
View article: Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments
Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments Open
OBJECTIVES: To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS: A substudy of a prospective interrupted time …
View article: Epidemiology, treatment, disposition and outcome of patients with acute exacerbation of COPD presenting to emergency departments in Australia and South East Asia: An AANZDEM study
Epidemiology, treatment, disposition and outcome of patients with acute exacerbation of COPD presenting to emergency departments in Australia and South East Asia: An AANZDEM study Open
Background and objective:
Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common presentation to emergency departments (ED) but data regarding its epidemiology and outcomes are scarce. We describe the epidemiolo…
View article: An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM)
An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM) Open
An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM)
View article: Chronic disease management in emergency department patients presenting with dyspnoea
Chronic disease management in emergency department patients presenting with dyspnoea Open
Objectives: Guideline recommended treatments for chronic conditions are thought to reduce ED presentations. Method: We used data from 1958 ED patients with dyspnoea to describe medication use in patients with chronic conditions. Results: A…