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  1. Artikel ; Online: Common cognitive pitfalls in emergency medicine.

    Kilner, Thomas / Butterfield, Emma / Poonian, Jasmine

    Emergency medicine Australasia : EMA

    2020  Band 32, Heft 5, Seite(n) 849–851

    Mesh-Begriff(e) Cognition ; Emergency Medicine ; Emergency Service, Hospital ; Humans
    Sprache Englisch
    Erscheinungsdatum 2020-09-09
    Erscheinungsland Australia
    Dokumenttyp Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13626
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Prehospital extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: A retrospective eligibility study.

    Kilner, Thomas / Stanton, Benjamin L / Mazur, Stefan M

    Emergency medicine Australasia : EMA

    2019  Band 31, Heft 6, Seite(n) 1007–1013

    Abstract: Objective: We sought to identify out-of-hospital cardiac arrest (OOHCA) patients who might benefit from a future prehospital extracorporeal cardiopulmonary resuscitation (ECPR) programme in a moderately sized city. We described the 2014 OOHCA data and ... ...

    Abstract Objective: We sought to identify out-of-hospital cardiac arrest (OOHCA) patients who might benefit from a future prehospital extracorporeal cardiopulmonary resuscitation (ECPR) programme in a moderately sized city. We described the 2014 OOHCA data and identified those who fulfilled hypothetical prehospital ECPR eligibility criteria.
    Methods: We identified patients aged 18-65 years in cardiac arrest, where CPR was commenced by paramedics on arrival. Traumatic cardiac arrest and end-of-life needs were patient exclusions. Patients were then included in one of three hypothetical 'ECPR eligible' groups. Patients were included in an 'ECPR eligible' group if they met author agreed criteria. Select patients in refractory VT/VF; pulseless electrical activity (PEA); and non-refractory VT/VF, or asystole with subsequent VT/VF or transient return of spontaneous circulation (ROSC), were assigned to three separate groups. Descriptive statistics were applied to each group. Outcomes of ECPR eligible patients who developed sustained ROSC after 20 min of conventional CPR were characterised.
    Results: A total of 206 patients were included. A significant positive association between initial shockable rhythm (odds ratio [OR] 15.32, confidence interval [CI] 5.4-43.2) and sustained ROSC, and PEA (OR 6.93, CI 2.4-19.8) and sustained ROSC, versus asystole was identified (P < 0.001). Sixty-eight (33%) patients were eligible for one of the hypothetical ECPR groups. Twelve (17.6%) of the 68 ECPR eligible patients developed sustained ROSC after 20 min of conventional CPR, with only two surviving neurologically intact to hospital discharge.
    Conclusion: Sixty-three (30.6%) patients could have derived benefit from a prehospital ECPR programme. Further analyses of prehospital ECPR logistics and economics are necessary to ensure that any future prehospital ECPR programme is effective and efficient.
    Mesh-Begriff(e) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Australia ; Cardiopulmonary Resuscitation/methods ; Emergency Medical Services ; Female ; Humans ; Male ; Middle Aged ; Out-of-Hospital Cardiac Arrest/mortality ; Out-of-Hospital Cardiac Arrest/therapy ; Patient Selection ; Retrospective Studies ; Survival Rate
    Sprache Englisch
    Erscheinungsdatum 2019-07-01
    Erscheinungsland Australia
    Dokumenttyp Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13317
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Managing healthcare worker well-being in an Australian emergency department during the COVID-19 pandemic.

    Poonian, Jasmine / Walsham, Nicola / Kilner, Thomas / Bradbury, Elizabeth / Brooks, Kristen / West, Emma

    Emergency medicine Australasia : EMA

    2020  Band 32, Heft 4, Seite(n) 700–702

    Abstract: Emergency Medicine staff in Australia and New Zealand are at the forefront of the healthcare response to COVID-19. This article describes a well-being plan for ED staff that has been devised to mitigate against the negative psychological impact of the ... ...

    Abstract Emergency Medicine staff in Australia and New Zealand are at the forefront of the healthcare response to COVID-19. This article describes a well-being plan for ED staff that has been devised to mitigate against the negative psychological impact of the COVID-19 pandemic.
    Mesh-Begriff(e) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Coronavirus Infections/therapy ; Emergency Service, Hospital/organization & administration ; Health Personnel/organization & administration ; Health Personnel/psychology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Pneumonia, Viral/therapy ; Victoria
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-06-25
    Erscheinungsland Australia
    Dokumenttyp Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13547
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Biologics Prescribing for Rheumatoid Arthritis in Older Patients: A Single-Center Retrospective Cross-Sectional Study.

    Morsley, Klara / Kilner, Thomas / Steuer, Alan

    Rheumatology and therapy

    2015  Band 2, Heft 2, Seite(n) 165–172

    Abstract: Introduction: Appropriate medical treatment can reduce the morbidity and mortality associated with rheumatoid arthritis (RA). Studies have shown that older patients with RA may be treated less aggressively than their younger counterparts, despite ... ...

    Abstract Introduction: Appropriate medical treatment can reduce the morbidity and mortality associated with rheumatoid arthritis (RA). Studies have shown that older patients with RA may be treated less aggressively than their younger counterparts, despite evidence suggesting that biologic treatments may be safe and efficacious in older age groups. The aim of this study was to assess whether patient age was associated with biologic treatment for RA in a single center in the United Kingdom.
    Methods: This was a retrospective cross-sectional analysis of clinic records for all patients with RA reviewed over 1 year in our center. Data were also collected on healthcare use in patients aged 65 years and older as a surrogate marker of comorbidity.
    Results: In total, 856 patients with RA were identified, of which 22.8% were on biologic treatment. Patients on biologics were younger (mean age 58.9 years) compared to the mean age of all patients (61.4 years). Of patients aged less than 65 years, 27.2% were receiving biologic treatment, while only 15.2% of patients aged 65 years or older were on biologics. Increasing age was significantly associated with a lower likelihood of receiving biologic treatment. However, in patients 65 years or older, there was no significant difference in overall healthcare use between those on biologic treatment and those not. Patients treated with prednisolone were found to have a greater number of admissions.
    Conclusion: In our center, older patients are less likely to receive biologic treatment than younger patients. Among older patients we found no difference in healthcare use between those treated with biologics and those not, suggesting similar levels of comorbidity. Potential contributors are discussed, but further assessment is required to determine the reasons for this observation.
    Sprache Englisch
    Erscheinungsdatum 2015-11-25
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2783278-8
    ISSN 2198-6584 ; 2198-6576
    ISSN (online) 2198-6584
    ISSN 2198-6576
    DOI 10.1007/s40744-015-0021-z
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Managing healthcare worker well-being in an Australian emergency department during the COVID-19 pandemic

    Poonian, Jasmine / Walsham, Nicola / Kilner, Thomas / Bradbury, Elizabeth / Brooks, Kristen / West, Emma

    Emerg Med Australas

    Abstract: Emergency Medicine staff in Australia and New Zealand are at the forefront of the healthcare response to COVID-19. This article describes a well-being plan for ED staff that has been devised to mitigate against the negative psychological impact of the ... ...

    Abstract Emergency Medicine staff in Australia and New Zealand are at the forefront of the healthcare response to COVID-19. This article describes a well-being plan for ED staff that has been devised to mitigate against the negative psychological impact of the COVID-19 pandemic.
    Schlagwörter covid19
    Verlag WHO
    Dokumenttyp Artikel
    Anmerkung WHO #Covidence: #209972
    Datenquelle COVID19

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  6. Artikel ; Online: Managing healthcare worker well‐being in an Australian emergency department during the COVID ‐19 pandemic

    Poonian, Jasmine / Walsham, Nicola / Kilner, Thomas / Bradbury, Elizabeth / Brooks, Kristen / West, Emma

    Emergency Medicine Australasia

    2020  Band 32, Heft 4, Seite(n) 700–702

    Schlagwörter Emergency Medicine ; covid19
    Sprache Englisch
    Verlag Wiley
    Erscheinungsland us
    Dokumenttyp Artikel ; Online
    ZDB-ID 2161824-0
    ISSN 1742-6731 ; 1035-6851
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.13547
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  7. Artikel ; Online: Acute mountain sickness prophylaxis: knowledge, attitudes, & behaviours in the Everest region of Nepal.

    Kilner, Thomas / Mukerji, Saptarshi

    Travel medicine and infectious disease

    2010  Band 8, Heft 6, Seite(n) 395–400

    Abstract: Background: This study aims to identify the proportion of high altitude travellers who use acetazolamide in a way that is likely to be safe, and prevent high altitude illness; and, to identify, assess, and understand the factors that affect acute ... ...

    Abstract Background: This study aims to identify the proportion of high altitude travellers who use acetazolamide in a way that is likely to be safe, and prevent high altitude illness; and, to identify, assess, and understand the factors that affect acute mountain sickness prophylaxis usage.
    Methods: The study area was the Everest area of Nepal. The qualitative component involved 20 one-to-one in-depth semi-structured interviews. Analysis was conducted using thematic analysis. The quantitative component involved conducting a questionnaire on 50 guides, and 300 trekkers at high altitude. Data was analysed using descriptive statistics.
    Results: Guides had a poor knowledge of prophylactic medication. 25% of trekkers used acetazolamide. 3.3% of the trekkers used acetazolamide at a total dose of 250 mg daily, initiated it 1-2 days before high altitude, and did not miss a dose. Poor knowledge amongst trekkers and guides was the main determinant of such poor uptake and inappropriate usage. Trekkers' knowledge was primarily obtained from guide books and healthcare professionals.
    Conclusions: Poor knowledge amongst trekkers and guides determined poor uptake, and inappropriate prophylaxis usage amongst trekkers. We believe that to improve prophylaxis uptake and use, and hence reduce trekkers' morbidity and mortality, policy makers must deliver trekker-targeted educational interventions in Nepal.
    Mesh-Begriff(e) Acetazolamide/administration & dosage ; Acetazolamide/adverse effects ; Acetazolamide/therapeutic use ; Acute Disease ; Altitude Sickness/drug therapy ; Altitude Sickness/prevention & control ; Chemoprevention/statistics & numerical data ; Health Knowledge, Attitudes, Practice ; Humans ; Interviews as Topic ; Mountaineering ; Nepal ; Surveys and Questionnaires
    Chemische Substanzen Acetazolamide (O3FX965V0I)
    Sprache Englisch
    Erscheinungsdatum 2010-11
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2170891-5
    ISSN 1873-0442 ; 1477-8939
    ISSN (online) 1873-0442
    ISSN 1477-8939
    DOI 10.1016/j.tmaid.2010.09.004
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Buch: The Relationship of microstructure to mechanical properties of a cobalt-chromiummolybdenum alloy used for prothetic devices

    Kilner, Thomas

    1984  

    Verfasserangabe Thomas Kilner
    Sprache Nicht zu entscheiden
    Umfang 3 ME
    Dokumenttyp Buch
    Anmerkung Toronto, Univ., Ph.D.Thesis 1984
    Datenquelle Katalog der Technische Informationsbibliothek Hannover

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