Gavin Smith
Doctorate
Doctorate Title: Identifying an evidence-based model of therapy for the pre-hospital emergency management of supraventricular tachycardia.
Doctorate Description: This thesis examined the identification, development and implementation of an evidence-based model of therapy for the pre-hospital management of the abnormal heart rhythm supraventricular tachycardia (SVT) in Australia. Having identified that existing pre-hospital practice varied greatly across Australian States, subsequent studies quantified appropriate elements of therapy such as the optimum performance of a vagal manoeuvre (the simplest non-invasive therapy), the most appropriate and safe pre-hospital drug for SVT management, and produced the first published pre-hospital effectiveness study for SVT management in Australia. The resultant Clinical Practice Guideline now forms the basis for pre-hospital management of SVT in Victoria and Tasmania.
Details:
Type: PhD
University: Monash University
Primary Supervisor: Professor Peter Cameron
Category: Cardiology & Respiratory
Funding: None
Start Date: 2009
End Date: 2015
Status: Complete
Thesis
ThesisResearch Interests
Cardiac arrhythmias, epidemiology, clinical guideline development.
Publications
Smith G. Management of supraventricular tachycardia using the Valsalva manoeuvre: a historical review and summary of published evidence. European Journal of Emergency Medicine. 2012;19(6):346-52.
Smith G, Dyson K, Taylor DMcD, Morgans A, Holdgate A, Cantwell K. Effectiveness of the Valsalva Manoeuvre for reversion of supra-ventricular tachycardia in the prehospital and emergency medicine settings (protocol). Cochrane Database of Systematic Reviews. 2011;12, December 2011.
Smith G, Morgans A, Taylor D, Cameron P. Use of the human dive reflex for the management of supraventricular tachycardia: a review of the literature. Emergency Medicine Journal. 2012;29:611-616.
Smith G. Effectiveness and safety of paramedic administration of verapamil and adenosine for the treatment of supraventricular tachycardia: a review of the literature. Australasian Journal of Paramedicine, 2014; 11(6): 1-5.
Smith G, Taylor DMcD, Morgans A, Cameron P. Prehospital synchronised electrical cardioversion of a poorly perfused AVNRT patient by paramedics. Prehospital and Disaster Medicine. 2013; Jun;28 (3):301-4.
Smith G, Taylor D McD, Morgans A, Cameron P. Prehospital management of supraventricular tachycardia in Victoria, Australia: Epidemiology and effectiveness of therapies. Emergency Medicine Australasia. 2014; 26, 350–355.
Smith G, Broek A, Taylor DMcD, Morgans A, Cameron P. Identification of the optimum vagal manoeuvre technique for maximising vagal tone. Emergency Medicine Journal. 2015;32:51–54.
Smith G, Kenneally J. Development and implementation of Victorian Clinical Practice Guidelines: The supraventricular tachycardia example. Australasian Journal of Paramedicine. 2013; 10(1).
Smith G, Taylor D McD, Morgans A, Cameron P. Measuring the effectiveness of a revised clinical practice guideline for the pre-hospital management of supraventricular tachycardia. Emergency Medicine Australasia. 2014; 26, 350–355.
Paramedic PhD is endorsed by:
