Explanipedia

Revising the Ambulance Clinical Response Model in Victoria, Australia: The Impact on Patient Safety Open

Emily Nehme, Karen Smith, Colin Jones, Peter Cameron, Ziad Nehme · 2025

Objective To examine the impact of a revised ambulance clinical response model (CRM) on 24‐ and 72‐h patient outcomes and triage accuracy. Methods Retrospective study of consecutive ambulance calls in Victoria, Australia between 01/01/2015…

Factors associated with CPR quality in out-of-hospital cardiac arrest Open

Melanie Villani, Emily Nehme, Ashanti Dantanarayana, Tara Ralph, David Anderson , et al. · 2025

This study identified prehospital factors associated with improved CPR quality, including the involvement of fire-fighter first responders, highlighting their vital role in the emergency medical response. Recognising areas of poorer perfor…

VACTERL Associated with Lung Hypoplasia and Urinary Anomalies in a 20-Month-Old Boy: A Case Report Open

Abbas Al Bazzal, Mohammad Ali Mtairek, Rafaa Dayyoub, Rawan Nahle, Ziad Nehme , et al. · 2025

The VACTERL association is a rare group of birth defects, including vertebral anomalies, anal atresia, cardiac defects, tracheoesophageal fistula, renal anomalies, and limb defects, with an incidence of 1 in 10,000 to 40,000 live births. I…

Basic Life Support: 2025 International Liaison Committee on Resuscitation Consensus on Science With Treatment Recommendations Open

Janet Bray, Michael A. Smyth, Gavin D. Perkins, Rebecca E. Cash, Sung Phil Chung , et al. · 2025

Incidence, Diagnoses, and Outcomes of Pediatric Nontraumatic Chest Pain Attended by Ambulance Open

Daniel Okyere, Emily Nehme, Emily Mahony, Dion Stub, L. Dawson , et al. · 2025

Importance Nontraumatic chest pain is a common clinical presentation, but less is known about it in children seeking emergency medical services (EMS) care. Objective To determine the incidence, diagnoses, and outcomes of pediatric EMS-atte…

Impact of resuscitation duration on 12-month functional recovery following out-of-hospital cardiac arrest with initially shockable rhythms Open

Abdulrahman Alhenaki, Zainab Alqudah, Ashanti Dantanarayana, Brett Williams, Emily Nehme , et al. · 2025

In OHCA with an initially shockable rhythm, increasing CPR duration is associated with poorer long-term functional recovery and quality-of-life.

Reimagining acute diabetes care: Insights from the Victorian Virtual Emergency Department Open

Ben Nash, Loren Sher, Steven James, Ziad Nehme, Zoe Schofield , et al. · 2025

ObjectiveNew approaches to diabetes care are needed to better identify and manage diabetes emergencies outside of hospitals.Research Design and MethodsA retrospective, descriptive analysis was conducted using data from the Victorian Virtua…

Real-time ventilation quality feedback devices efficacy in out-of-hospital cardiac arrest: a scoping review Open

Guillaume Debaty, Nicholas J. Johnson, Maya Dewan, Laurie J. Morrison, Janet Bray , et al. · 2025

A protocol for population-level data linkage to investigate patterns of service use and health care needs of young people experiencing mental ill-health in Victoria Australia Open

Amity Watson, Jana M Menssink, Kate Filia, Matthew Hamilton, Mengmeng Wang , et al. · 2025

Introduction: Mental disorders are a leading cause of disease burden in 10-24-year-olds. In Australia, fragmentation within and across sectors (health, mental health and human services) results in gaps in service provision and increases th…

Patterns of Acute Gamma‐Hydroxybutyrate Harms Requiring Ambulance Attendance: Should Greater Focus Be on Regional Areas? Open

Naomi Beard, J. C. Wilson, Bosco Rowland, Ziad Nehme, Dan I. Lubman , et al. · 2025

Introduction Gamma‐hydroxybutyrate (GHB) use and attributable harms have been increasing in Europe and Australia. However, there are limited population surveillance tools available to map and track acute GHB‐related harms, particularly out…

Young men's anxiety presentations to Australian ambulance services Open

Krista Fisher, Simon Rice, Debbie Scott, Dan I. Lubman, John L. Oliffe , et al. · 2025

Young men experiencing anxiety risk traversing traditional norms of masculinity, a tension that contributes to under-diagnosis - and, by extension, under-treatment. Within this context, young men frequently present to ambulance services wi…

Trends in the complexity of self-harm hospitalisations over 11 years at a major regional hospital in Victoria, Australia: a retrospective study Open

George Mnatzaganian, Rebecca Giallo, Raquel Barba, Angela Crombie, Ziad Nehme , et al. · 2025

Background This population-based study explored the Australian Refined Diagnosis Related Groups (AR-DRG) complexity of self-harm admissions over time at a major regional hospital in Victoria, Australia. It also assessed the prehospital par…

Clinical state transitions in shock-refractory ventricular fibrillation: an observational study Open

Abdulrahman Alhenaki, Zainab Alqudah, Brett Williams, Emily Nehme, Ziad Nehme · 2025

Understanding clinical state transitions during the resuscitation of refractory VF/pVT patients may allow for the development of tailored treatment strategies.

A protocol for population-level data linkage to investigate patterns of service use and health care needs of young people experiencing mental ill-health in Victoria Australia Open

Amity Watson, Jana M Menssink, Kate Filia, Matthew Hamilton, Mengmeng Wang , et al. · 2025

Introduction: Mental disorders are a leading cause of disease burden in 10-24-year-olds. In Australia, fragmentation within and across sectors (health, mental health and human services) results in gaps in service provision and increases th…

Cardiac arrest in the Australian Alps: A 20-year analysis Open

E. Paratz, Emily Nehme, Ashanti Dantanarayana, Kelila Freedman, Daniel Coakley , et al. · 2025

Large-Scale AI in Telecom: Charting the Roadmap for Innovation, Scalability, and Enhanced Digital Experiences Open

Adrian Kliks, Alexandros Nikou, Ali Maatouk, Ali Mokh, Athanasios Karapantelakis , et al. · 2025

This white paper discusses the role of large-scale AI in the telecommunications industry, with a specific focus on the potential of generative AI to revolutionize network functions and user experiences, especially in the context of 6G syst…

A protocol for population-level data linkage to investigate patterns of service use and health care needs of young people from Victoria Australia experiencing mental ill-health Open

Amity Watson, Jana M Menssink, Kate Filia, Matthew Hamilton, Mengmeng Wang , et al. · 2025

Introduction: Mental disorders are diverse, complex, multifaceted, and co-morbidity is common. They are a leading cause of disease burden in 10–24-year-olds. In Australia, fragmentation within and across sectors (health, mental health and …

The impact of the COVID-19 pandemic on resuscitation attempts, bystander CPR and survival outcomes in Australia and New Zealand: A binational population-based, Epistry study Open

Stuart Howell, Ziad Nehme, Stephen Ball, Tan Doan, Judith Finn , et al. · 2025

Regional variations were observed with respect to the associations of COVID-19 with resuscitation attempts and OHCA survival.

Prehospital ECG Interpretation Methods for ST-Elevation MI Detection and Catheterization Laboratory Activation: A Systematic Review and Meta-Analysis. Open

Ahmad Alrawashdeh, Samar Ihtoub, Zaid I. Alkhatib, Mahmoud Alwidyan, Yousef Khader , et al. · 2025

All prehospital ECG interpretation methods yielded acceptable diagnostic accuracy for STEMI identification; however, transmission offered the greatest specificity and fewer unnecessary CCL activations. Adopting transmission-based strategie…

Cricothyroidotomy in out-of-hospital cardiac arrest: An observational study Open

Matthew Humar, Ben Meadley, Bart Cresswell, Emily Nehme, Christopher Groombridge , et al. · 2024

Current Emergency Medical Service Vasoactive Use for the Management of Shock Open

Jason Bloom, Vishal Goel, David Anderson, Susie Cartledge, Ziad Nehme , et al. · 2024

OBJECTIVES: We sought to describe the indications for vasoactive medication administration, hemodynamic treatment targets, and specific agents used by various international emergency medical service (EMS) providers. DESIGN AND SETTING: In …

The diagnostic utility of prehospital hyperglycaemia in major trauma patients: An observational study Open

Jordi Shahab, Michael Noonan, Shelley Cox, Ziad Nehme, Mary P. Shepherd , et al. · 2024

Objectives Stress‐induced hyperglycaemia (SIH) is an elevated blood glucose level (≥11.1 mmol/L) in patients experiencing physiological stress, in the absence of diabetes mellitus. Although early in‐hospital SIH has been associated with wo…

Exploring the reliability and profile of frequent mental health presentations using different methods: An observational study using statewide ambulance data over a 4-year period Open

Anthony Hew, Jesse T Young, Bosco Rowland, Debbie Scott, Ziad Nehme , et al. · 2024

Introduction: A disproportionate number of mental health presentations to emergency services are made by frequent presenters. No current consensus definition of a frequent presenter exists. Using a statewide population-based ambulance data…

Differences in ambulance attendances between children with and without an identified history of out-of-home-care Open

Ryan Baldwin, Susan Baidawi, Christina Grove, Tina Lam, Rowan P. Ogeil , et al. · 2024

The findings suggest children within OOHC have increasingly complex comorbidities, and this may be associated with increased emergency care utilisation. Development of tailored support to these multiple and complex needs is necessary to he…

Applications and Performance of Machine Learning Algorithms in Emergency Medical Services: A Scoping Review – ADDENDUM Open

Ahmad Alrawashdeh, Saeed Alqahtani, Zaid I. Alkhatib, Khalid Kheirallah, Nebras Y. Melhem , et al. · 2024

Bag-valve-mask resuscitators fitted with pressure-limiting valves—Safety feature or potential hazard? Open

Matthew Humar, Ben Meadley, Christopher Groombridge, Bart Cresswell, David E. Anderson , et al. · 2024

A Call to Action to Improve Cardiac Arrest Outcomes: A Report From the National Summit for Cardiac Arrest Open

André La Gerche, E. Paratz, Janet Bray, Garry Jennings, Greg Page , et al. · 2024

Sudden cardiac arrest (SCA) represents a major cause of premature mortality globally, with enormous impact and financial cost to victims, families, and communities. SCA prevention should be considered a health priority in Australia. Nation…

Prehospital factors predicting mortality in patients with shock: state-wide linkage study Open

Amminadab L Eliakundu, Jason Bloom, Jocasta Ball, Emily Nehme, Daniel Okyere , et al. · 2024

Background Patients with shock treated by emergency medical services (EMS) have high morbidity and mortality. Knowledge of prehospital factors predicting outcomes in patients with shock remains limited. We aimed to describe the prehospital…

Real-time feedback for CPR quality – A scoping review Open

Siobhán Masterson, Tatsuya Norii, Mio Yabuki, Takaya Ikeyama, Ziad Nehme , et al. · 2024

This scoping review has identified a large body of literature and specific themes of interest in relation to feedback for CPR quality. Future systematic reviews should include studies examining real-time feedback with other system changes.

The burden of atrial fibrillation on emergency medical services: A population-based cohort study Open

Jocasta Ball, Emily Mahony, Emily Nehme, Aleksandr Voskoboinik, Joseph Hogarty , et al. · 2024

EMS utilisation for AF is common and associated with frequent reattendance. Further studies are required to investigate novel pathways of care to reduce AF burden on healthcare systems.

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