People

The PRECRU team

Adjunct staff


Current PRECRU students

Mr Jason Belcher Masters thesis: Accuracy of call-taker assessment of patient conscious state during emergency ambulance calls in Western Australia

Masters

Accuracy of call-taker assessment of patient conscious state during emergency ambulance calls in Western Australia

Elizabeth Brown PhD thesis: The Pre-Hospital Management of Major Trauma in Western Australia

elizebeth

Qualifications

BSc(Hons), MSc(Paramedical Science)

PhD thesis

The Pre-Hospital Management of Major Trauma in Western Australia

Summary

My doctoral research seeks to describe the epidemiology of major trauma managed by paramedics in Perth, Western Australia over a five year period, with a focus on the pre-hospital management.  Using St John Ambulance data linked to death and emergency department data, I plan to identify pre-hospital factors associated with patient survival outcomes.
Elizabeth is a paramedic currently employed by St John Ambulance Western Australia.  Previously she worked as a paramedic with the London Ambulance Service in the UK.

Ellen Ceklic PhD thesis: Pre-hospital emergency medical services prioritisation of road crash victims: a retrospective study using population based linked data.

Ellen Ceklic

Qualifications

Bsc(Psych)(Hons), GCHumanFact

PhD thesis

Pre-hospital emergency medical services prioritisation of road crash victims: a retrospective study using population based linked data.

Summary

Ellen’s doctoral research seeks to understand how on-scene characteristics of a road crash such as air bag deployment or speed zone could be used by medical dispatchers to triage patients. Ellen will use linked administrative data sourced from: St John Ambulance data; police crash reports; personal injury claims; hospital admissions; emergency department attendance; trauma registries and death registrations.

Ellen has worked as an analyst for various state and federal government departments. She is skilled in the analysis of complex linked datasets.

Nicole Frances Mckenzie Post-resuscitation care after out of hospital cardiac arrest: Identification of in hospital prognostic determinants

Qualifications

MPH, PG Dip (Critical Care), B Nurs, RN

Summary

Nicole Mckenzie is a PhD candidate at PRECRU and holds an Adjunct Research Associate position at Royal Perth Hospital in Western Australia.

Originally from Perth, Nicole was awarded a postgraduate qualification in clinical nursing in 2000 and completed a Master of Public Health in 2009. She has a background in critical care nursing in Australia and the Middle East, including contracts in the United Arab Emirates and Saudi Arabia.

Nicole is an Aus-ROC PhD scholar and also holds an Australian Postgraduate Award and a Curtin University Postgraduate Scholarship (CUPS).

Why Nicole’s research is important

Nicole’s research aims to describe the in-hospital post-resuscitation care of out-of-hospital cardiac arrest (OHCA) patients. Post-resuscitation care is an important link in the chain of survival after OHCA. An observational cohort study that describes the in-hospital post-resuscitation care of OHCA patients and quantifies its association with patient outcomes will provide opportunities to improve post-resuscitation care.

Dr David Majewski The epidemiology of out of hospital cardiac arrests in Western Australia: A population-based linked data study

Qualifications

DPM, BSc, Dip

PhD Thesis

Pre hospital identification and management of sepsis in Western Australia

Summary

David’s doctoral research seeks to describe the epidemiology and characteristics of sepsis attended to by paramedics in Perth, Western Australia. It also aims to identify new methods for identifying and treating sepsis in the ambulance. David will use linked administrative data from St John Ambulance WA, the emergency department, hospital admissions and death registrations.

David is currently a podiatrist and has previously worked as a paramedic.

PRECRU affiliated students

Elaine Schneiker PhD Thesis: Communication factors and triage accuracy in emergency calls to ambulance services for suspected Stroke

elaine

Qualifications

BSc (Hons1st), GradDip. PH, Certified Practicing Speech Language Pathologist (CPSLP)

PhD Thesis

Communication factors and triage accuracy in emergency calls to ambulance services for suspected Stroke

Summary

The emergency call is the ‘first link in the chain of survival’ for patients with time-critical conditions, yet there is a lack of research on this link. My PhD will investigate how communication factors during emergency calls may impact the accuracy of triage in suspected stroke cases.

Why my research is important

If a patient’s condition and severity is underestimated during an emergency call they may miss out on the timely arrival of critical care; alternatively, if a patient’s condition and severity is overestimated, this means that fewer ambulances are available for other patients in greater need. Identifying and describing communication difficulties within an emergency call can assist in managing over- and under- triage. This information can potentially improve patient outcomes, training for Communications Officers, and overall system efficiency.

Previous PRECRU students

Milena Talikowska PhD Thesis: The relationship between the quality of cardiopulmonary resuscitation (CPR) performed by paramedics and survival outcomes from out-of-hospital cardiac arrest (OHCA).

milena

Qualifications

MPhil, BEng (Hons), BSc

PhD Thesis

The relationship between the quality of cardiopulmonary resuscitation (CPR) performed by paramedics and survival outcomes from out-of-hospital cardiac arrest (OHCA).

Summary

Milena’s doctoral research seeks to quantify the relationship between CPR quality and survival outcomes in OHCA patients attended by St John Ambulance (SJA) paramedics in Perth, Western Australia.

Data on CPR quality including compression rate, depth, and fraction, will be collected using the Philips HeartStart MRx Monitor/Defibrillator which features the Q-CPR™ measurement/feedback tool.

Patient outcome data will be obtained from the SJA-WA OHCA database which contains information from SJA-WA Patient Care Records for OHCAs attended by SJA-WA paramedics and is linked to the WA death registry and supplemented by hospital medical record review.

Statistical analysis will be performed using STATA to determine whether a relationship exists between CPR quality and survival outcomes in the study population.

Why my research is important

Cardiac arrest (CA) is a significant global health issue, yet survival rates remain low (often less than 10%). CA is managed, in the first instance, using cardiopulmonary resuscitation and defibrillation. Over the past decade there has been an increased emphasis upon CPR quality. This study aims to quantify the relationship between CPR quality and patient outcomes, and in doing so may identify new ways by which to increase survival rates.

Milena is an Aus-ROC PhD scholar (https://www.ausroc.org.au/) who has also been awarded an Australian Postgraduate Award (APA) and a Curtin University Postgraduate Scholarship (CUPS) to fund her research.