Paul Middleton Email & Phone Number

Sydney, Nsw, Au

Liverpool Bc, Nsw, Au

The South Western Emergency Research Institute (SWERI) was developed to lead emergency medicine research in South Western Sydney and further afield. With support from the South Western Sydney Local Health District (SWSLHD) and some unrestricted industry funding, SWERI comprises the Director, an Emergency Physician Research Fellow, two post-doctoral Data Scientists and Biostatisticians, an ACEM accredited Research Registrar, a Research Nurse, 3 PhD students, and and multiple Honours and Independent Learning Project students from UNSW.We are engaged in observational and diagnostic research in areas as diverse as ultrasound measured cardiac output and oxygen delivery in resuscitation, outcomes of fluid bolus therapy, and data visualisation and pattern recognition in physiology, and we are investigating the impact of high temperatures on acute coronary syndromes, and heavy rainfall on motor vehicle trauma. The largest portion of our activity is descriptive and predictive clinical epidemiology based on the use of data collected from emergency department health records linked to data from pathology, radiology, trauma, in-patient records and intensive care. Specifically, we are investigating the impact of cultural and linguistic diversity on ED presentations with a variety of time-dependent conditions such as acute coronary syndromes, stroke, trauma and sepsis in the Multicultural Emergency Medicine Epidemiology (MEME) study, using data from 165,000 ED patients, and developing CEDRIC, described above, and automated 'data mesh' construction of multiple databases with data flowing through pipelines to a central database, using Big Data tools, machine learning and artificial intelligence. We collaborate between professions, hospitals, universities, states and territories, and internationally in an effort to understand and improve outcomes for the millions of people attending emergency departments annually, and about whom we understand nowhere near enough!

Warwick Farm, New South Wales, Au

The CMIO role allows me to take a leadership role within information and communications technology in South Western Sydney Local Health District, advocating for medical priorities and engagement with the digital revolution in healthcare in our district. My background in clinical epidemiology, data-centered research, registry evolution and data linkage directly complements the strategic and tactical directions we hope to take.

Westmead, New South Wales, Au

Responsible for collaborative work between the South Western Emergency Research Institute and the the MARCS. Currently, the SWERI research program includes PhD work on the visualisation and pattern recognition of abnormal physiology in acutely unwell emergency patients, and the development of novel monitoring and diagnostic techniques based on spectral analysis of monitored clinical waveforms. Theoretical signals analyses and cutting-edge mathematical approaches are provided by our collaborators at the MARCS and the WSU School of Mathematics.

Liverpool Bc, Nsw, Au

Director of the South Western Emergency Research Institute (SWERI)

The University Of Sydney, New South Wales, Au

Performing research into pre-hospital and in-hospital aspects of emergency medicine, including innovative monitoring and diagnostic technologies, pre-hospital epidemiology, interventional studies including randomised controlled trials, and both descriptive and statistical analyses of large datasets

Take Heart Australia is a public health advocacy and educational organisation founded to increase survival from sudden cardiac arrest (SCA). Cardiac arrest, where the heart stops suddenly, can occur to anyone without warning. Although often seen in older people, victims also range from children to previously healthy adults.Worldwide, survival is approximately 6%, is 10% in NSW and is similar across Australia, compared to up to 62% in Seattle and other parts of the US. Although we have world class emergency services, SCA causes 10% increase in death every 1 minute without treatment, but the solution is simple. THA will facilitate high-quality CPR training in the community, drive Public Access Defibrillation programs, perform research into SCA outcomes, and work with ambulance services and hospitals to optimise treatment of this condition. We aim to see 50% of Australians trained in HQ-CPR in the next 10 years.https://www.facebook.com/takeheartaustralia/photos_stream

I was the convenor of the first Resus At The Park conference, held at Luna Park in Sydney, and featuring international and national experts on all aspects of resuscitation. Cardiac arrest survivors and their rescuers opened sessions and delegates included doctors, nurses, paramedics and first-aid trainers. www.resusatthepark.com.au

The Australian Institute for Clinical Education Pty Ltd ("AICE") is an organisation that develops needs-orientated educational content and courses for health professionals, which specifically focus on meeting the clinical needs of the industry. AICE, and all its material, was conceptualised and developed by working senior doctors in emergency medicine and prehospital care

Managing busy emergency departments and critically ill and injured patients, including resuscitation, major trauma, cardiac arrest, respiratory failure, acute paediatrics and many more. Supervised and taught junior doctors and medical students, and took part in interdisciplinary teaching.

Melbourne, Victoria, Au

Classical epidemiology is the study of how often diseases occur in different groups of people and why, but clinical epidemiology is the application of the principles and methods of epidemiology to conduct, appraise or apply clinical research studies focusing on prevention, diagnosis, prognosis, and treatment of disease. Clinical Epidemiology is the basic science of Evidence-based Medicine, but this has been minimally applied or practiced within emergency medicine, outside some specific disease-focused studies.The role of EDEN is in building disease registries, using ED data linked to other information such as ambulance, hospital and primary care datasets; developing Big Data analytic techniques; and collecting data to build models in support of disease surveillance, test discrimination, impact of EM interventions, novel diagnostic strategies, investigation of associations between social determinants of health in emergency care, and patient outcomes related to all the above. In short, EDEN gives us, as emergency clinicians, the data and evidence to support our clinical practice across the spectrum of emergency medicine.EDEN is complementary to the new ACEM Clinical Trials Network, providing the epidemiological and data-centred knowledge described above. EDEN sets the scene for a deep and comprehensive knowledge of the natural history and presenting complaints of patient conditions in the emergency medicine setting, as well as the effectiveness of our interventions and treatments. This will provide a detailed level of granular knowledge that will support and provide the evidence-based background for the implementation of interventional trials.

Sydney, Nsw, Au

The DREAM Collaboration is a fundamentally new approach to a problem which is still only partially recognised; knowledge of the epidemiology of emergency medicine patients and practice is an absolute need to enable the understanding of a medical specialty that serves the equivalent of a third of the Australian population each year. We plan to stimulate innovative approaches including multi-disciplinary and multi-organisational collaboration with individual clinicians, universities, health institutions and industry, in a novel plan to implement the ANZICS model of clinical data collection for emergency patients.We plan to work with health economists and policy researchers to leverage the true power of organised and systematic clinical data collection, and to demonstrate the clinical effectiveness, real financial cost and absolute benefit of emergency health care interventions.We plan to form a true collaboration not only of institutions and health organisations, but of individual clinical researchers, and we plan to provide education, mentoring and assistance in the pursuit of academic careerwww.dreamcollaboration.org

Chair state wide committee acting as peak body for resuscitation, with representation from clinical groups and multidisciplinary learned colleges, together with volunteer, not-for-profit and for-profit organisations with an interest or a role in resuscitation. Includes clinical practitioners of acute care and trainers in first aid and other disciplines. Responsibility for providing resuscitation leadership and interpretation of evidence for all state-wide needs. ARCNSW training arm provides ARC Advanced Life Support courses 1 and 2 for clinicians. ARCNSW also acts as an advocacy body, advancing the aims of patients in need of resuscitation, or those at risk. Principal topics include the need for a NSW Cardiac Arrest Registry, community Basic Life Support / CPR training, Public Access Defibrillation / AED placement programs, and pool safety. Also moving into a role of public commentary on resuscitation and emergencies in the media, to ensure a place at the top of the public agenda.

Provided clinical research leadership to a predominantly electrical engineering and signals analysis group, investigating early diagnostic technologies

Took part in analyses of large prehospital datasets, in particular to investigate the response of a state-wide ambulance service to major trauma plans and protocols

Collaborated on emergency medicine based public health research and epidemiology

Set up the Ambulance Research Institute; devised research areas and specific projects, including pre-hospital epidemiology, linked data studies, interventional studies including randomised controlled trials; supervised and trained junior researchers; attracted funding and collaboration for ARI including an ARC Linkage grant and two NHMRC Partnership grants. Represented ARI and Ambulance at international conferences both as delegate and invited speaker.

Sydney, Nsw, Au

Provided clinical direction and leadership to 3rd largest ambulance service in the world; leadership clinical governance role in maintenance of clinical standards; authored and approved all protocols and pharmacology used by ASNSW paramedics; introduced high-quality eLearning into paramedic education; conceptualised new models of paramedic education based on clinical reasoning. Led Ambulance research program, including setting up the Ambulance Research Institute, and being the inaugural Director of the ARI

Bring research and epidemiology expertise to the NSW Institute of Trauma and Injury Management, in order to direct a research and evidence program using the NSW ITIM Trauma Registry, and to design and coordinate a collaborative trauma research program with multi-disciplinary engagement across the state of NSW - Chair of the Strategic Trauma and Research Committee (STaRC).

Provided expert contribution in the areas of emergency medicine, critical care, pre-hospital care, evidence based practice, epidemiology and research method

Responsibility for clinical protocols used by SJA volunteers across Australia. Member of the Medical Advisory Panel

Managed a busy tertiary emergency department and its patients, including resuscitation, major trauma, cardiac arrest, respiratory failure and many more. Supervised and taught junior doctors and medical students, and took part in interdisciplinary teaching. Performed research into innovative monitoring and diagnostic techniques, sepsis, shock, acute coronary syndromes and much more. Supervised medical students undertaking intercalated research projects.

Managed a busy regional emergency department and its patients, including resuscitation, major trauma, cardiac arrest, respiratory failure and many more. Supervised and taught junior doctors and medical students, and took part in interdisciplinary teaching.

Northmead, Nsw, Au

Prehospital retrieval medicine - stabilisation and transport of critically ill or injured patients, either from the roadside or accident scene, or from small hospitals, to large emergency departments or intensive care units. Including scene rescue, winching, and other time critical interventions, often in entrapped patients. Performed using ground ambulance transport, helicopter or fixed wing aircraft.

Parkville, Vic, Au

Performed a senior trainee role in intensive care medicine, supervising junior medical staff and managing general ICU, neurosurgical and cardiothoracic surgery patients. Led Medical Emergency Team for other areas of hospital, and admitted new patients through the Emergency Department. Senior medical responsibility for the running of the ICU under the direction of consultant staff.

Trained as a Registered General Nurse, with training experience in medicine, surgery, paediatrics and intensive care

Oxford Artificial Intelligence Programme, Artificial Intelligence

Executive Program, Artificial Intelligence In Health Care

Md, Physiological And Clinical Implications Of Photoplethysmography Waveforms

Master Of Medicine, Clinical Epidemiology

Facem, Emergency Medicine

Frcem, Emergency Medicine

Dipimcrcs(Ed), Prehospital Medical Care

Frcs(Eng), Surgery

Mbbs, Medicine

Rgn, Nursing