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Emergency Medicine Research : How do I get started? A/Prof Marcus Ong Consultant, Senior Medical Scientist & Director of Research Department of Emergency Medicine Singapore General Hospital Adjunct Associate Professor Duke-NUS Graduate Medical School Office of Research
How do I get started? ,[object Object],[object Object]
 
 
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How do I get started? ,[object Object],[object Object],[object Object]
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results Table 1: Characteristics of patients
Results Complications by treatment
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient information (Study no_______)  Name________________________________________________ HRN__________________________ Age___________Sex  1)M 2)F Race 1)Chinese   Patient’s sticker 2)Malay 3)Indian 4)Others ,State_________________ Attending Doctor____________________ Scalp injury (circle where appropriate) Medical history steroids 1)y  0)n DM 1)y  0)n Immunocompromise 1)y 0)n Others________________________ Technique used 1)hair apposition  2)T&S Unable to score pain  1)y 0)n Procedure painful? VISUAL SCALE:  0  1  2  3  4  5  6  7  8  9  10  NO PAIN   UNBEARABLE PAIN Adhesive used  1)Dermabond 2)Histoacryl glue Hair shaved  1)y  0)n Antibiotics  1)y 0)n Duration of procedure______________ Problems encountered__________________ _________________________________ Multiple wounds 0)n 1)y Site 1) frontal  2)occipital 3)temporal 4)parietal 5)vertex Length ___________(Use longest wound only) Wound  1)Linear 2)complicated State  1)Clean  2)mild contamination 3)moderate contamination 4)severe contamination Underlying fracture 1)y  0)n Proven intracranial injury 1)y  0)n Bleeding 1)none  2)mild 3)moderate 4)severe Time to treatment __________
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Reader’s Digest 2003
 
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
University of Ottawa EM Research Fellowship incorporating MSc in Epidemiology  (2 years)
Dept of Emergency Medicine /VCURES  VCU Health System Research Fellowship Incorporates Phd (3 years) or  Masters of Public Health (1.5 years) Dept of Epidemiology and Community Health Virginia Commonwealth University
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Spontaneous Pneumothorax Outcome Study (SPOT Phase 1) : A 2 yr Review ,[object Object],[object Object]
Spontaneous Pneumothorax Outcome Trial II (SPOT II) ,[object Object]
How do I get started? ,[object Object],[object Object]
 
How do I get started? ,[object Object],[object Object]
CARE Study ,[object Object],[object Object],[object Object],[object Object]
CARE Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
‘ Public access defibrillation in Singapore: where should automated external defibrillators (AEDs) be placed? (PADS Phase I)’
CARE Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Funding sources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Funding sources ,[object Object],[object Object],[object Object],[object Object]
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Defibrillation
 
“  Controlled Therapeutic Hypothermia Post-Cardiac Arrest Compared to Standard Intensive Care Unit Therapy    Marcus EH Ong, MD, FRCS (A&E), MPH Department of Emergency Medicine, Virginia Commonwealth University (VCU) Health System Mary Ann Peberdy MD, FACC Department of Medicine and Emergency Medicine, VCU Health System Renata Sampson, RN, MSN, BC, CPHQ Department of Performance Improvement, VCU Health System Joseph P. Ornato MD, FACP, FACC, FACEP Department of Emergency Medicine, VCU Health System
 
 
 
SGH Center for Resuscitation Science and Emergency Medicine Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SGH Center for Resuscitation Science and Emergency Medicine Research ,[object Object],[object Object],[object Object],[object Object]
Resuscitation Research at SGH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measurement of Prehospital Heart Rate Variability as a Predictor of Hospital Outcomes
Measurement of Prehospital Heart Rate Variability as a Clinical Predictor of Hospital Outcomes in Acutely Ill Patients Pavitra Padmanabhan, Zhiping Lin, Marcus Eng Hock Ong, Wee Ser and Guang-Bin Huang.  Automatic Extraction of HRV Sequences From Noisy ECG Data For Reliable Analysis And Telediagnosis. In print. Proceedings of the Third IASTED International Conference on Telehealth  Wang Su Ho (265-317 AD) A Treatise on Qualities of the Pulse, “If the pattern of the heart beat becomes as regular as the tapping of a woodpecker or the dripping of rain from the roof, the patient will be dead in four days.”
Noise reduction & QRS detection Noise reduction QRS detection
Wireless Remote Detection of Heart Beat & Respiratory Rate
Portable Body Cooling System for Prehospital Management of Patients with Heat Stroke ,[object Object],[object Object]
Schematic view of Body Cooling Unit and wireless vital signs monitoring system
How do I get started? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 

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Emergency Medicine Research

  • 1. Emergency Medicine Research : How do I get started? A/Prof Marcus Ong Consultant, Senior Medical Scientist & Director of Research Department of Emergency Medicine Singapore General Hospital Adjunct Associate Professor Duke-NUS Graduate Medical School Office of Research
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  • 10. Results Table 1: Characteristics of patients
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  • 13. Patient information (Study no_______) Name________________________________________________ HRN__________________________ Age___________Sex 1)M 2)F Race 1)Chinese Patient’s sticker 2)Malay 3)Indian 4)Others ,State_________________ Attending Doctor____________________ Scalp injury (circle where appropriate) Medical history steroids 1)y 0)n DM 1)y 0)n Immunocompromise 1)y 0)n Others________________________ Technique used 1)hair apposition 2)T&S Unable to score pain 1)y 0)n Procedure painful? VISUAL SCALE: 0 1 2 3 4 5 6 7 8 9 10 NO PAIN UNBEARABLE PAIN Adhesive used 1)Dermabond 2)Histoacryl glue Hair shaved 1)y 0)n Antibiotics 1)y 0)n Duration of procedure______________ Problems encountered__________________ _________________________________ Multiple wounds 0)n 1)y Site 1) frontal 2)occipital 3)temporal 4)parietal 5)vertex Length ___________(Use longest wound only) Wound 1)Linear 2)complicated State 1)Clean 2)mild contamination 3)moderate contamination 4)severe contamination Underlying fracture 1)y 0)n Proven intracranial injury 1)y 0)n Bleeding 1)none 2)mild 3)moderate 4)severe Time to treatment __________
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  • 19. University of Ottawa EM Research Fellowship incorporating MSc in Epidemiology (2 years)
  • 20. Dept of Emergency Medicine /VCURES VCU Health System Research Fellowship Incorporates Phd (3 years) or Masters of Public Health (1.5 years) Dept of Epidemiology and Community Health Virginia Commonwealth University
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  • 29. ‘ Public access defibrillation in Singapore: where should automated external defibrillators (AEDs) be placed? (PADS Phase I)’
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  • 36. “ Controlled Therapeutic Hypothermia Post-Cardiac Arrest Compared to Standard Intensive Care Unit Therapy  Marcus EH Ong, MD, FRCS (A&E), MPH Department of Emergency Medicine, Virginia Commonwealth University (VCU) Health System Mary Ann Peberdy MD, FACC Department of Medicine and Emergency Medicine, VCU Health System Renata Sampson, RN, MSN, BC, CPHQ Department of Performance Improvement, VCU Health System Joseph P. Ornato MD, FACP, FACC, FACEP Department of Emergency Medicine, VCU Health System
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  • 43. Measurement of Prehospital Heart Rate Variability as a Predictor of Hospital Outcomes
  • 44. Measurement of Prehospital Heart Rate Variability as a Clinical Predictor of Hospital Outcomes in Acutely Ill Patients Pavitra Padmanabhan, Zhiping Lin, Marcus Eng Hock Ong, Wee Ser and Guang-Bin Huang. Automatic Extraction of HRV Sequences From Noisy ECG Data For Reliable Analysis And Telediagnosis. In print. Proceedings of the Third IASTED International Conference on Telehealth Wang Su Ho (265-317 AD) A Treatise on Qualities of the Pulse, “If the pattern of the heart beat becomes as regular as the tapping of a woodpecker or the dripping of rain from the roof, the patient will be dead in four days.”
  • 45. Noise reduction & QRS detection Noise reduction QRS detection
  • 46. Wireless Remote Detection of Heart Beat & Respiratory Rate
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  • 48. Schematic view of Body Cooling Unit and wireless vital signs monitoring system
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