Specialities

Identifying reasons for delay in accessing Early Intervention Services for rural Indigenous children with developmental disability: is there a gap and how do we close it?
Emma Gorman, Jennifer Preddy, John Preddy, Head of Paediatrics, WWRRH, Wagga Wagga NSW Australia, Pooja Kashap, Paediatric Registrar, WWRRH, Wagga Wagga NSW Australia  Background Significant differences exist in the prevalence of developmental delay between Indigenous and non-Indigenous children. Many factors influence engagement of the...
Research
Apnoeic oxygenation during intubation in the emergency department and during retrieval: A systematic review and meta-analysis
Ruan Vlok Background Hypoxaemia increases the risk of intubation markedly. Such concerns are multiplied in the emergency department (ED) and during retrieval where patients may be unstable, preparation or preoxygenation time limited and the environment uncontrolled. Apnoeic oxygenation is a promising means of preventing...
Research
Body Surface Area and Early Surgical Outcomes Following Coronary Artery Bypass Grafting: A Retrospective Cohort Study
Ruan Vlok Background Body Mass Index (BMI) has been shown to be associated with an obesity paradox in cardiothoracic surgical patients mortality. This is important, as it is commonplace to recommend weight loss pre-operatively.  Body Surface Area (BSA) has been shown to be a...
Research
Epinephrine versus Placebo in Out of Hospital Cardiac Arrest: A Systematic Review and Meta-Analysis
Ruan Vlok Introduction Out of hospital cardiac arrest is a time critical and heterogenous presentation. The most appropriate management strategies remain an issue for debate. The aim of this systematic review and meta-analysis was to determine the association of epinephrine versus placebo with return...
Research
Advanced airway management in out of hospital cardiac arrest: A Systematic Review and Meta-Analysis
Ruan Vlok Importance Currently there is no clear evidence as to which advanced airway device should be used during an out-of-hospital cardiac arrest (OHCA).To assess the difference in survival and neurological outcomes between endotracheal tube (ETT) intubation and supraglottic airway (SGA) devices used during...
Research
A case of upper limb necrotising fasciitis
Julia Fattore and Shruti Krishnan Background Necrotising fasciitis (NF) is a rapidly progressive, life threatening soft tissue skin infection that primarily involves the extremities, abdomen or perineum. NF generally occurs when trauma to an area compromises skin integrity, allowing the entry of harmful microorganisms....
Research
Metabolic and Bariatric Outcomes of Elderly Patients after Laparoscopic Sleeve Gastrectomy
Ramandeep Kaur Background The growing popularity of laparoscopic sleeve gastrectomy (LSG) has shown safe and efficacious results in bariatric populations, but it’s safety and effectiveness in the elderly is uncertain.  Methods A retrospective review will be performed of all patients aged >60 years who...
Research
Intrathyroidal parathyroid carcinoma causing acute severe pancreatitis: an uncommonly used localisation technique
Erica Dean, Nina-Marie King, Jeff Donlon*, Andrew Thompson Case Report A 40-year-old lady presented with a fluctuating level of consciousness, severe hypercalcaemia, hyperglycaemia, pancreatitis and a right ankle fracture. With a provisional diagnosis of primary hyperparathyroidism, ultrasound and parathyroid-protocol CT were performed, but both...
Research
Screening for Premature Coronary Disease in Rural Australia
Haidar Al Saffar, Joseph Suttie Background Coronary artery disease (CAD) is a major disease burden worldwide highlighting the importance of early diagnosis and management. Of all patients suffering CAD, young patients (aged under 45) present a small but important subset requiring characterisation to prevent...
Research
Ranibizumab (Lucentis) vs Aflibercept (Eyelea) for the treatment of neovascular age-related macular degeneration (nAMD), diabetic macular oedema (DMO) and retinal vein occlusion (RVO) in rural clinical practice
Naomi Clements, Michelle Hui, Brent Skippen Purpose To compare results of Ranibizumab vs Aflibercept for the treatment of nAMD, DMO and RVO and ascertain variations in clinical outcomes in a rural setting. Methods Retrospective observational cohort study assessing 106 eyes from 84 patients over...
Research
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Latest Articles

April, 2025
Preliminary Analysis of Telehealth vs. In-Person Preoperative Consultations and Their Impact on Immediate Bariatric Surgery Outcomes
Swazi Sharma1, Dr Alexa Seal1, Dr Katherine Smith2, Simeon Moore1, Peter Sheeran 1 1. University of Dame Australia (Rural Clinical School – Wagga Wagga) 2. Murrumbidgee Local Health District...
April, 2025
Training and Sustaining Rural Anaesthetists: Insights from a 12-Month Audit of Paediatric General Anaesthetics in Wagga Wagga
Billy Poulden, Dr Judy Killen Introduction: Access to high quality paediatric general anaesthesia (GA) is fundamental to the provision of surgical services in rural areas. Paediatric anaesthesia is a...
April, 2025
Diabetic Foot Disease – A Public Health Issue for Australia
Authors: Peter Sheeran1, Prof. James Charles2, Gerarda Henneken3, Brett MacCue41. JMO, Wagga Wagga Base Hospital MHLD, 2. Director, First Peoples Health Unit, Pro Vice Chancellor (Health), Griffith University, 3....
April, 2025
An Audit of Essential Difficult Airway Trolley Equipment in Selected Regional NSW Hospitals
Patrick Lay, Stuart Lawrie, and Anthony Gray Introduction: In 2021, the Australian and New Zealand College of Anaesthetists (ANZCA) updated its Guideline on Equipment to Manage Difficult Airways1 to...
April, 2025
The Rise of new age technologies in laparoscopic training models: a systematic review
Christopher Katsinas Background Minimally invasive surgery (MIS) has many benefits, such as: reduced post-operative pain, improved aesthetic outcomes and shorter length-of-stay. The challenge of laparoscopic surgery is the high...
April, 2025
Substance Use and Perceptions of Safety: Insights from a National Indigenous Youth Cohort
Heidi Starr Background: Young people who smoke or drink alcohol are often viewed as making a conscious choice, with little recognition of the role that feelings of safety—or the...