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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Thursday, April 8, 2021 - 16:13
JAMA BACLOREA High-dose baclofen reduced agitation-related events in adult patients with unhealthy alcohol use requiring mechanical ventilation. However secondary outcomes of deeper sedation, longer duration of mechanical ventilation, prolonged ICU care = more research
Tuesday, April 6, 2021 - 14:25JAMA Mechanical ventilation weaning practices vary internationally, regard to the use of protocols, screening for and conducting SBTs, adjustment of ventilator support, and the responsibility of clinicians involved in weaning
Tuesday, April 6, 2021 - 12:01JAMA HENIVOT Trial -Helmet NIV vs HFNC for critically ill patients with mod-severe hypoxemic COVID resp failure = no diff in the resp support fee days (28 d). Secondary diff in intubation, lower in helmet group, ie overall no difference in 28-d resp support, but helmet lower proportion of this time intubated.
Friday, February 19, 2021 - 07:30JAMA RCT does not support use of single high dose oral vitamin D3 for treatment of moderate to severe COVID-19 in hospitalized patients. Limitations in design, however, confirms lack of benefit reported in multiple large non-COVID trials in hospital or ICU patients (VIOLET, VITdAL-ICU)
Sunday, February 14, 2021 - 09:30NEJM DePPaRT: 1% of patients with loss of cardiac activity after planned withdrawal of life sustaining therapy have transient resumption of cardiac activity observable by bedside reports and corroborated by ECG and IABP waveform activity. Retrospective waveform review showed resumption of cardiac activity in 14% of patients. The longest period of pulselessness that was followed by resumption of cardiac activity was 4 minutes 20 seconds.