Category: Newsletter

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Katherine Cantos from Monash Children’s Hospital.

“I work at Monash Children’s Hospital in Emergency, the Canopy ward and now with the paediatric ED research team! I’m very interested in research as I’d love to be a part of learning about and making improvements to the care we provide in hospital so that we can improve oucomes for unwell children all over the world. Every little bit counts and I’ve very much enjoyed getting on board with the research team to work with other nurses and doctors in our Emergency Department in a variety of different and interesting projects.”

Welcome to PREDICT Katherine!

 

 

 

 

 

Congratulations to the following PREDICT authors:

Curran J, Wozney L, Tavender E, Wilson C, Ritchie KC, Wong H, Gallant A, Somerville M, Archambault PM, Cassidy C, Jabbour M, Mackay R, Plint AC “Implementing Electronic Discharge Communication Tools in Pediatric Emergency Departments: Multicountry, Cross-Sectional Readiness Survey of Nurses and Physicians”. JMIR Hum Factors 2023;10:e46379 doi: 10.2196/46379  PMID: 37819696.

Parr M, Wilson CL, Jones B, Crawford NW, Ferguson S, Ramesh S, Eapen N, Craig S, Hearps S, Babl FE. Emergency department presentations for chest complaints after mRNA COVID‐19 vaccinations in children and adolescents. Emergency Medicine Australasia. 2023-10-23. DOI: 10.1111/1742-6723.14327.

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Louise Mills from Prince Charles Hospital, Brisbane.

“I work at The Prince Charles Hospital, Brisbane where we have separate General Adult and Children’s emergency departments. I work as both a Clinical Nurse in General ED and as a Nurse Researcher within both Emergency Departments. In my role as part of the research team I am responsible for recruitment and clinical data collection of studies currently underway and I also prepare information for the Site Specific Applications for future studies. I feel privileged to be actively involved in both locally and internationally recognised research, and to be able to contribute to the health and wellbeing of people of all ages and their families.”

Welcome to PREDICT Louise!

 

 

 

 

 

Co-designing discharge communication strategies for paediatric minor head injuries.

Co-ordinating PI:

Emma Tavender/Franz Babl

Study Co-ordinator ANZ

Emma Tavender/Cate Wilson

Study aim/s:

To improve discharge communication currently provided to children presenting to the ED with mild to moderate head injuries (concussion). Specifically, adolescents who have an increased risk of post-concussion symptoms (PCS).

Study design:

Mixed Methods:  stepped co-design method to engage consumers (parents and youths) and clinicians in the development of head injury discharge communication strategies.

Primary outcome:

Co-designed discharge communication strategies for adolescents with mild to moderate head injuries (concussion) with parents, youths and clinicians.

Additional outcomes:

• Training materials that can be used for future co-design efforts
• Advancement in the science of implementation and contribution to future discharge communication strategy development for other common paediatric ED presentations.

Current status:

• Ethics received from RCH and Western Health.
• Recruited four parents, four clinicians and three youths to participate.
• Orientation/training session plus three meetings held.
• Priorities for improvement have been determined.
• List of priorities reduced to two key areas for improvement: Head injury: what to expect in the ED and Concussion discharge information.
• Prototype to address the two key priorities that have been developed and updated in response to new International Sports-related Concussion guidance (Amsterdam 2023)
• Plan to start usability testing end 2023/early 2024.

 

 

 

We are very excited to announce that we have received NHMRC (National Health and Medical Research Council) CRE funding ($2.5m) for the next 5 years which will support us to continue our PREDICT research plans.

The new CRE will continue to target conditions including sepsis and acute respiratory conditions like asthma, bronchiolitis and pneumonia. Additionally there will be a focus on improving family input at all stages of the trial design and execution and improved translation plus tracking of changes in care.

Over the next five years, the grant will also fund the creation of a family-facing smartphone app for families for certain high-risk conditions and an emergency department-focused implementation toolkit that can be adapted for hospitals across Australia and New Zealand.

The NHMRC funding will also develop Australia’s future workforce, training emerging leaders in emergency care through the creation of higher degree scholarships and postdoctoral opportunities. Through research and the implementation of best evidence, students and researchers within the CRE in Paediatric Emergency Medicine will be mentored across specialties and disciplines to become independent researchers who can improve the lives of all children who visit emergency departments.

The application was a massive collaborative effort from many people across many sites and thanks goes to all involved in this successful application.

We will discuss the CRE at the next PREDICT members meeting in November and look forward to an exciting and productive future for PREDICT!

BI-PED Study

A Randomised Controlled Trial Comparing Epinephrine and Dexamethasone to Placebo in the Treatment of Infants with Bronchiolitis

Co-ordinating PI:

Amy Plint (Canada), Ed Oakley (Australia), Stuart Dalziel (New Zealand)

Study Co-ordinator ANZ

Sharon O’Brien

Study design:

International, multicentre, Phase 111, double-blind, randomised controlled trial

For further details about the study please see: https://www.predict.org.au/new-projects/bi-ped-study/

Current status:

The research team are pleased to announce that the 5th season of the BIPED trial has been the most successful yet, reaching 598/864 participants recruited! The yearly recruitment was 28% of our total sample size; almost 100 more participants were enrolled in season 5 than were enrolled in season 4.

We have just over 30% (266) of our sample size left to recruit!
Please see below a number of charts which show study progress both locally and internationally.

Country	Site	Total Recruitment	Season 5 recruiment
Canada	Children's Hospital of Eastern Ontario (CHE)	142	36
Canada	CHU Sainte Justine (STJ)	47	12
Canada	Alberta Children's Hospital (ACH)	44	9
Canada	Stollery Children's Hospital (SCH)	21	7
Canada	Children's Hospital of Winnepeg (WPG)	18	3
Canada	London Health Sciences (LHC)	11	1
Australia	Perth Children's Hospital (PCH)	143	60
Australia	Women's and Children's Hospital (WCH)	48	31
Australia	Monash Medical Center (MMC)	36	26
New Zealand	Starship Children's Hospital (SSH)	52	33
New Zealand	Kidz First Middlemore Hospital (KFH)	21	17
New Zealand	Waikato Hospital) (WHH)	15	5
	TOTAL	598	239

Our “Getting to Know You” segment ensures PREDICT members are aware of new members, their interests and areas of expertise and where they are located.

This month we introduce Lara Caruso.

“I work in the Paediatric Emergency Department at the Womens & Childrens Hospital, Adelaide both on the floor as a Clinical Nurse and under Dr Amit Kochar as a Research assistant. Although I have a general interest in all paediatric emergency research, mental health would be my favourite.”

Welcome to PREDICT Lara!

 

 

 

 

 

Congratulations to the following PREDICT authors:

Parr M, Wilson CL, Jones B, Crawford NW, Ferguson S, Ramesh S, Eapen N, Craig S, Hearps S, Babl FE.
“Emergency Department Presentations for Chest Complaints after Mrna Covid-19 Vaccinations in Children and Adolescents.” Emerg Med Australas  (Accepted Sept. 2023, in press).

Congratulations to Dr Amit Kochar who was awarded the Research and Innovation Award at the Women’s and Children’s Health Network Excellence Awards ceremony held on Friday, August 11th, 2023.

Amit has been a strong leader, motivating the team at WCHN to continuously strive for improvement and reach goals. Undoubtedly, achieving success in  research trials within the Paediatric Emergency Department is a collaborative effort involving a vast array of hospital personnel, nursing and medical staff.

Congratulations to Amit and the WCH team from PREDICT!