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Showing posts with label Brett Aimers. Show all posts
Showing posts with label Brett Aimers. Show all posts

Monday, December 17, 2012

The role of on-site care in hospital avoidance at mass gathering events


Researchers: Alison Hutton, Brett Aimers, Jamie Ranse, Paul Arbon.

It is generally accepted that mass gathering events have a heightened potential to produce a higher incidence of illness, injury and therefore a subsequent increase in demand for ambulance and hospital resources. The balance between planning for mass gathering health care and maintaining adequate community resources is an emerging issue for health agencies today (Gutman, Lund & Turris, 2007).

Currently, the body of literature that examines the provision of health care at mass gatherings is under developed and may not accurately reflect the impact of on site health agencies on ‘hospital avoidance ’. St John Ambulance Australia is well positioned to contribute to this subject by exploring its role in hospital avoidance when deployed to mass gatherings.

Therefore this project aims to identify the number of patients that would have ordinarily required hospital care who were provided with end-to-end care and discharged by St John Ambulance Australia. Secondly to determine the injuries and illnesses that would ordinarily require ambulance transport from a mass gathering to hospital.


Friday, December 3, 2010

Black Saturday and the Victorian Bushfires of February 2009: A descriptive survey of nurses who assisted in the pre-hospital setting

Researchers: Jamie Ranse, Shane Lenson, Brett Aimers

Background: In February 2009, bushfires devastated the state of Victoria, Australia, resulting in the loss of property and life – this event was named ‘Black Saturday’. Pre, during and post the impact of this event, health care professionals, such as nursing members of St John Ambulance Australia, provided clinical care in the pre-hospital environment. There is a paucity of literature regarding the clinical and disaster background, education and preparedness of those health care professionals who assist in similar emergencies, as such the characteristics of responders are not well understood.

Method: This research used a retrospective descriptive postal survey design, to survey nursing members of St John Ambulance Australia regarding their nursing experience; pre-hospital experience; disaster education, training and experience; and their role during the response to the 2009 Victorian bushfires.

Results: A total of 53 nurses were approached for inclusion in this research, of which 24 (45%) voluntarily participated. Males represented 46% and females represented 54% of participants. Participants had more combined years of nursing experience in the medical and surgical environments, then other areas of practice. Post-graduate critical care nursing was the primary area of completed post-graduate education. The previous disaster experience of participants was principally related to bushfire emergency response. Most participants had undertaken disaster related education, however this varied in type and duration. Similarly, most had participated in training or mock disasters; however this was commonly not related to bushfire emergencies. During the response to the Victorian bushfires, those nurses who undertook a clinical role did so at a staging area, caring for fire fighters and working with other members of their organisation. Half of the participants undertook an administrative role.

Conclusions: This research has provided insight into the characteristics and level of preparedness, of nurses who responded to the 2009 Victorian bushfires. Previously, such information has not been available in the literature. In this research, males were overrepresented when compared to the national average of nurses. The most amount of nursing experience was in the medical and surgical environment, this is consistent with national nursing workforce trends. Whilst most had clinical experience in bushfires, no training or mock scenarios focused specifically to bushfires. There is a need to explore further, the various roles undertaken by nurses during response, as this research has focused on one event – the 2009 Victorian bushfires.

Outputs:
Publication (Collegian)