MB BS, FANZCA, FFPMANZCA, FCICM, GDipHlth&MedLaw
Scott graduated from Adelaide and toured Alice Springs, UK, and Africa before returning for specialist training. He then enjoyed five remarkable years in Townsville doing Anaesthetics and Pain Medicine, providing tertiary level care in a regional setting where anything and everything could present. The importance of a broadly skilled Intensive Care Service was obvious in this setting, and Scott was hopelessly drawn in. After completing ICU training, again in Adelaide, he gained additional paediatric ICU training at Sick Kids, Toronto, with elective time in echocardiography, palliative care, home ventilation, and ice-hockey.
From 2007-13 Scott became Staff Specialist in Anaesthetics and ICU at the Townsville Hospital, and Visiting PICU Consultant at Royal Children’s and Mater Children’s Hospitals in Brisbane. From 2014-16 he led the newly opened PICU in Townsville, achieving CICM accreditation in 2015. He also ran an outpatient paediatric ECHO service, incorporating rheumatic heart disease research with James Cook University.
Scott is passionate about enabling regional and rural health services. He helped develop Beyond Paeds BASIC, a course for senior, adult-trained clinicians who are forced to manage children occasionally. The course introduced him to Geelong, and he was so impressed he applied for a job!
Outside medicine Scott invests his energy in an environmentally sustainable farm forestry project in north Queensland. He plays a little music, and his grown up ‘little adults’ both attend Melbourne University. His long-suffering wife is a tertiary language teacher and ambassador for cultural diversity.
Head of Paediatric Critical Care
Prior to 2011, paediatric critical care consisted of time-critical resuscitation and rapid transfer to Melbourne. In response to increasing clinical demand we have now deliberately integrated paediatric clinical care into the core business of the ICU. Two bed spaces have been modified to suit this purpose, backed up by expanded stores of paediatric specific equipment, in-room teleconference capability, and augmented staff training and education programs.
We collaborate closely with our colleagues in Paediatrics, ED, and Special Care Nursery, and liaise with PIPER at Royal Children’s Hospital Melbourne, whenever patient acuity or complexity require it.
Barwon Health ICU coordinates high level educational programs, including Paediatric BASIC and High-SPAEDS courses, and is collaborating with Adelaide Women’s and Children’s Hospital in developing a bespoke PICU nursing transition course.
Barwon Health’s paediatric ICU data are submitted to ANZPICR for regular audit.
Latest news:
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Tuesday, June 29, 2021 - 17:07
NEJM TTM2: hypothermia (33C for 28 hrs then avoid >37.8C to 72 hrs) vs normothermia ( <37.8C), after OHCA + coma = no difference death and poor functional outcome at 6 months. In general TTM1 and 2 report no difference between 33, 36, and 37.8C.
Saturday, May 29, 2021 - 17:55JAMA COBI RCT continuous infusion 20% hypertonic saline vs standard care for minimum 48 hours in moderate to severe TBI = no difference neurological outcome 6 months. Intervention associated lower risk intracranial hypertension for 1st 2-days, followed by rebound ICH, apparent after cessation of therapy.
Wednesday, May 12, 2021 - 17:20JAMA MIS-C - Observational study of combined treatment with IVIG + methylprednisolone vs IVIG alone associated with reduced treatment failure, new LV dysfunction, hemodynamic support, and PICU LOS better course of fever in children with MIS-C.
Tuesday, May 11, 2021 - 14:37JAMA REALITY - Restrictive transfusion strategy compared with a liberal strategy resulted in a noninferior rate of major cardiovascular events among patients with acute myocardial infarction and anemia.
Monday, May 10, 2021 - 19:06NEJM CONFIRM terlipressin with albumin more effective than albumin alone at reversing hepatorenal syndrome in adults with cirrhosis and HRS-1. Interesting cautionary discussion about terlipressin association with more serious adverse events, particularly respiratory failure..