Associate Professor Stephen Asha

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A/Professor Stephen Asha is a senior staff specialist in Emergency Medicine at St George Hospital and an Associate Professor (Conjoint) of the St George & Sutherland Clinical School, located on the grounds of the St George Hospital.

Research Interests:
As an Emergency Physician my research interests cover the spectrum of medicine and surgery, with an emphasis on trauma. I have a particular interest in diagnostic accuracy studies. Past and current research areas have included radiation exposure of trauma patients from CT scans, evaluation of strategies to improve Emergency Department patient flow, blunt thoracic trauma management, cervical spine evaluation in trauma, Emergency Department evaluation of suspected drug mules, primary spontaneous pneumothorax management, and diagnostic utility of d-dimer for aortic dissection, amongst other topics

Broad Research Areas: Diagnostic test accuracy, trauma, emergency department flow

Qualifications:BSc, MBBS(Hons), FACEM, MMed(Clin Epi)

Society Memberships & Professional Activities:

Senior Staff Specialist in Emergency Medicine St George Hospital

Director of Emergency Medicine Research St George Hospital

St George Medical Research Foundation

Australasian College for Emergency Medicine

Australian Society for Ultrasound in Medicine

Phone

02 9113 1650

E-mail

Stephen.Asha@health.nsw.gov.au

Location

Emergency Department St George Hospital Kogarah NSW 2217

Journal articles | 2022

Curtis K; Kourouche S; Asha S; Buckley T; Considine J; Middleton S; Mitchell R; Munroe B; Shaban RZ; Lam M; Fry M, 2022, 'Effect of an intervention for patients 65 years and older with blunt chest injury: Patient and health service outcomes', Injury, 53, pp. 2939 - 2946, http://dx.doi.org/10.1016/j.injury.2022.04.024

Journal articles | 2022

Kourouche S; Curtis K; Munroe B; Asha SE; Carey I; Considine J; Fry M; Lyons J; Middleton S; Mitchell R; Shaban RZ; Unsworth A; Buckley T, 2022, 'Implementation of a hospital-wide multidisciplinary blunt chest injury care bundle (ChIP): Fidelity of delivery evaluation', Australian Critical Care, 35, pp. 113 - 122, http://dx.doi.org/10.1016/j.aucc.2021.04.003

Journal articles | 2022

Oh J; Asha SE, 2022, 'The HEART score to identify emergency department patients suspected of an acute coronary syndrome who can be removed from cardiac monitoring: A retrospective chart review', EMA - Emergency Medicine Australasia, 34, pp. 29 - 33, http://dx.doi.org/10.1111/1742-6723.13818

Journal articles | 2021

Asha SE; Curtis K; Healy G; Neuhaus L; Tzannes A; Wright K, 2021, 'Neurologic outcomes following the introduction of a policy for using soft cervical collars in suspected traumatic cervical spine injury: A retrospective chart review', EMA - Emergency Medicine Australasia, 33, pp. 19 - 24, http://dx.doi.org/10.1111/1742-6723.13646

Journal articles | 2021

Curtis K; Kourouche S; Asha S; Considine J; Fry M; Middleton S; Mitchell R; Munroe B; Shaban RZ; D'Amato A; Skinner C; Wiseman G; Buckley T, 2021, 'Impact of a care bundle for patients with blunt chest injury (ChIP): A multicentre controlled implementation evaluation', PLoS ONE, 16, http://dx.doi.org/10.1371/journal.pone.0256027

Journal articles | 2020

Asha SE; Doyle S; Paull G; Hsieh V, 2020, 'The incidence of airway haemorrhage in manual versus mechanical cardiopulmonary resuscitation', Emergency Medicine Journal, 37, pp. 14 - 18, http://dx.doi.org/10.1136/emermed-2019-208568

Journal articles | 2020

Brown SGA; Ball EL; Perrin K; Asha SE; Braithwaite I; Egerton-Warburton D; Jones PG; Keijzers G; Kinnear FB; Kwan BCH; Lam KV; Lee YCG; Nowitz M; Read CA; Simpson G; Smith JA; Summers QA; Weatherall M; Beasley R, 2020, 'Conservative versus interventional treatment for spontaneous pneumothorax', New England Journal of Medicine, 382, pp. 405 - 415, http://dx.doi.org/10.1056/NEJMoa1910775

Journal articles | 2020

Jones P; Kelly AM; Keijzers G; Klim S; Holdgate A; Graham CA; Craig S; Kuan WS; Laribi S; McNulty R; Tan C; Cowell DL; Jain N; Devillecourt T; Forrester A; Lee K; Chalkley D; Gillett M; Lozzi L; Asha S; Duffy M; Watkins G; Stone R; Rosengren D; Thone J; Martin S; Orda U; Thom O; Kinnear F; Eley R; Ryan A; Morel D; May C; Furyk J; Thomson G; Smith S; Smith R; Maclean A; Grummisch M; Meyer A; Meek R; Rosengarten P; Chan B; Haythorne H; Archer P; Wilson K; Knott J; Ritchie P; Bryant M; MacDonald S; Lee T; Mahlangu M; Mountain D; Rogers I; Otto T; Stuart P; Bament J; Brown M; Greven-Garcia R; Scott M; Cheri T; Nguyen M; Graham C; Wong CP; Wong TW; Leung LP; Man CK; Saiboon IM; Rahman NH; Lee WY; Yue Lee FC; Russell K; Lawoko C, 2020, 'Chronic disease management in emergency department patients presenting with dyspnoea', EMA - Emergency Medicine Australasia, 32, pp. 1067 - 1070, http://dx.doi.org/10.1111/1742-6723.13625

Journal articles | 2020

Kelly AM; Van Meer O; Keijzers G; Motiejunaite J; Jones P; Body R; Craig S; Karamercan M; Klim S; Harjola VP; Verschuren F; Holdgate A; Christ M; Golea A; Graham CA; Capsec J; Barletta C; Garcia-Castrillo L; Kuan WS; Laribi S; McNulty R; Tan C; Cowell DL; Jain N; Devillecourt T; Forrester A; Lee K; Chalkley D; Gillett M; Lozzi L; Asha S; Duffy M; Watkins G; Stone R; Rosengren D; Thone J; Martin S; Orda U; Thom O; Kinnear F; Eley R; Ryan A; Morel D; May C; Furyk J; Thomson G; Smith S; Smith R; Maclean A; Grummisch M; Meyer A; Meek R; Rosengarten P; Chan B; Haythorne H; Archer P; Wilson K; Knott J; Ritchie P; Bryant M; MacDonald S; Lee T; Mahlangu M; Mountain D; Rogers I; Otto T; Stuart P; Bament J; Brown M; Greven-Garcia R; Scott M; Cheri T; Nguyen M; Wong CP; Wong TW; Leung LP; Man CK; Saiboon IM; Rahman NH; Lee WY; Lee FCY; Russell SK; Lawoko C; Al Dandachi G; Maignan M; Hermand DC; Tessier C; Roy PM; Bucco L; Duytsche N; Garmilla P; Carbone G; Cosentini R; Truță S; Hrihorișan N; Cimpoeșu D; Rotaru L; Petrică A; Cojocaru M, 2020, 'Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal', Internal Medicine Journal, 50, pp. 200 - 208, http://dx.doi.org/10.1111/imj.14323

Journal articles | 2020

Marinus Batt N; Radford A; Milinis K; Asha S, 2020, 'Correlating pulmonary embolism severity with short term mortality to risk stratify for outpatient management', Acute Medicine, 19, pp. 69 - 75

Journal articles | 2020

Sanchez S; Miller M; Asha S, 2020, 'Assessing the validity of two-dimensional carotid ultrasound to detect the presence and absence of a pulse', Resuscitation, 157, pp. 67 - 73, http://dx.doi.org/10.1016/j.resuscitation.2020.10.002

Journal articles | 2020

Schuetze H; Rees R; Asha S; Eagar K, 2020, 'A tool to identify potential primary care presentations in the hospital emergency department', EUROPEAN JOURNAL OF PUBLIC HEALTH, 30, http://dx.doi.org/10.1093/eurpub/ckaa165.598

Journal articles | 2019

Cardona M; O'Sullivan M; Lewis ET; Turner RM; Garden F; Alkhouri H; Asha S; Mackenzie J; Perkins M; Suri S, 2019, 'Prospective validation of a checklist to predict short‐term death in older patients after emergency department admission in Australia and Ireland', Academic Emergency Medicine, 26, pp. 610 - 620, http://dx.doi.org/10.1111/acem.13664

Journal articles | 2019

Jiang O; Asha SE; Keady J; Curtis K, 2019, 'Position of the abdominal seat belt sign and its predictive utility for abdominal trauma', EMA - Emergency Medicine Australasia, 31, pp. 112 - 116, http://dx.doi.org/10.1111/1742-6723.13187

Journal articles | 2019

Lewis ET; Dent E; Alkhouri H; Kellett J; Williamson M; Asha S; Holdgate A; Mackenzie J; Winoto L; Fajardo-Pulido D; Ticehurst M; Hillman K; McCarthy S; Elcombe E; Rogers K; Cardona M, 2019, 'Which frailty scale for patients admitted via Emergency Department? A cohort study', Archives of Gerontology and Geriatrics, 80, pp. 104 - 114, http://dx.doi.org/10.1016/j.archger.2018.11.002

Journal articles | 2019

Schütze H; Rees R; Asha S; Eagar K, 2019, 'Development and evaluation of a code frame to identify potential primary care presentations in the hospital emergency department', EMA - Emergency Medicine Australasia, 31, pp. 982 - 988, http://dx.doi.org/10.1111/1742-6723.13293

Journal articles | 2019

Wong EKC; Lee PS; Ansary S; Asha S; Wong KKH; Yee BJ; Ng AT, 2019, 'Role of venous blood gases in hypercapnic respiratory failure chronic obstructive pulmonary disease patients presenting to the emergency department', Internal Medicine Journal, 49, pp. 834 - 837, http://dx.doi.org/10.1111/imj.14186

Journal articles | 2018

Cardona M; Lewis ET; Kristensen MR; Skjøt-Arkil H; Ekmann AA; Nygaard HH; Jensen JJ; Jensen RO; Pedersen JL; Turner RM, 2018, 'Predictive validity of the CriSTAL tool for short-term mortality in older people presenting at emergency departments: a prospective study', European geriatric medicine, 9, pp. 891 - 901, http://dx.doi.org/10.1007/s41999-018-0123-6

Journal articles | 2018

Cardona M; Lewis ET; Turner RM; Alkhouri H; Asha S; Mackenzie J; Perkins M; Suri S; Holdgate A; Winoto L, 2018, 'Efficacy of a tool to predict short-term mortality in older people presenting at emergency departments: protocol for a multi-centre cohort study', Archives of gerontology and geriatrics, 76, pp. 169 - 174, http://dx.doi.org/10.1016/j.archger.2018.02.014

Journal articles | 2017

Curtis K; Van C; Lam M; Asha S; Unsworth A; Clements A; Atkins L, 2017, 'Implementation evaluation and refinement of an intervention to improve blunt chest injury management—A mixed-methods study', Journal of Clinical Nursing, 26, pp. 4506 - 4518, http://dx.doi.org/10.1111/jocn.13782

Journal articles | 2017

Kelly AM; Keijzers G; Klim S; Graham CA; Craig S; Kuan WS; Jones P; Holdgate A; Lawoko C; Laribi S; Cowell DL; Jain N; De Villecourt T; Lee K; Chalkley D; Lozzi L; Asha SE; Duffy M; Watkins G; Rosengren D; Thone J; Martin S; Orda U; Thom O; Kinnear F; Watson M; Eley R; Ryan A; Morel DG; Furyk J; Smith RD; Grummisch M; Meek R; Rosengarten P; Chan B; Haythorne H; Archer P; Wilson K; Knott J; Ritchie P; Bryant M; MacDonald S; Mahlangu M; Scott M; Cheri T; Nguyen M; Chor MS; Wong CP; Wong TW; Leung LP; Man CK; Rahman NH; Lee WY; Lee FCY; Goh SE; Russell K, 2017, 'An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM)', Academic Emergency Medicine, 24, pp. 328 - 336, http://dx.doi.org/10.1111/acem.13118

Journal articles | 2017

Shetty SH; Assem Y; Khedekar RG; Asha S; Arora M, 2017, 'Indian Orthopaedic surgeons are less burned out than their Western colleagues', Journal of Arthroscopy and Joint Surgery, 4, pp. 1 - 7, http://dx.doi.org/10.1016/j.jajs.2017.03.005

Journal articles | 2016

Brown SGA; Ball EL; Perrin K; Read CA; Asha SE; Beasley R; Egerton-Warburton D; Jones PG; Keijzers G; Kinnear FB; Kwan BCH; Lee YCG; Smith JA; Summers QA; Simpson G, 2016, 'Study protocol for a randomised controlled trial of invasive versus conservative management of primary spontaneous pneumothorax', BMJ Open, 6, pp. e011826, http://dx.doi.org/10.1136/BMJOPEN-2016-011826

Journal articles | 2016

Curtis K; Asha SE; Unsworth A; Lam M; Goldsmith H; Langcake M; Dwyer D, 2016, 'ChIP: An early activation protocol for isolated blunt chest injury improves outcomes, a retrospective cohort study', Australasian Emergency Nursing Journal, 19, pp. 127 - 132, http://dx.doi.org/10.1016/j.aenj.2016.06.002

Journal articles | 2016

Kelly AM; Holdgate A; Keijzers G; Klim S; Graham CA; Craig S; Kuan WS; Jones P; Lawoko C; Laribi S; McNulty R; Cowell DL; Jain N; De Villecourt T; Lee K; Chalkley D; Lozzi L; Asha SE; Duffy M; Watkins G; Rosengren D; Thone J; Martin S; Orda U; Thom O; Kinnear F; Watson M; Eley R; Ryan A; Morel DG; Furyk J; Smith RDB; Grummisch M; Meek R; Rosengarten P; Chan B; Haythorne H; Archer P; Wilson K; Knott J; Ritchie P; Bryant M; MacDonald S; Mahlangu M; Scott M; Cheri T; Nguyen M; Chor MSY; Wong CP; Wong TW; Leung LP; Man CK; Saiboon IM; Rahman NH; Lee WY; Lee FCY; Goh SE; Russell K, 2016, 'Epidemiology, prehospital care and outcomes of patients arriving by ambulance with dyspnoea: An observational study', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 24, http://dx.doi.org/10.1186/s13049-016-0305-5

Journal articles | 2016

Oh JJ; Asha SE; Curtis K, 2016, 'Diagnostic accuracy of flexion-extension radiography for the detection of ligamentous cervical spine injury following a normal cervical spine computed tomography', EMA - Emergency Medicine Australasia, 28, pp. 450 - 455, http://dx.doi.org/10.1111/1742-6723.12612

Journal articles | 2016

Oh JJ; Asha SE, 2016, 'Utility of flexion-extension radiography for the detection of ligamentous cervical spine injury and its current role in the clearance of the cervical spine', EMA - Emergency Medicine Australasia, 28, pp. 216 - 223, http://dx.doi.org/10.1111/1742-6723.12525

Journal articles | 2016

Qurashi S; Chinnappa J; Rositano P; Asha S, 2016, 'SuperPATH® Minimally Invasive Total Hip Arthroplasty - An Australian Experience', Reconstructive Review, 6, http://dx.doi.org/10.15438/rr.6.2.139

Journal articles | 2015

Asha SE; Cooke A; Walter E; Weaver J, 2015, 'Three-month outcome of patients with suspected acute coronary syndrome using point-of-care cardiac troponin-T testing compared with laboratory-based cardiac troponin-T testing: A randomised trial', Emergency Medicine Journal, 32, pp. 601 - 607, http://dx.doi.org/10.1136/emermed-2014-203958

Journal articles | 2015

Asha SE; Cooke A, 2015, 'Sensitivity and Specificity of Emergency Physicians and Trainees for Identifying Internally Concealed Drug Packages on Abdominal Computed Tomography Scan: Do Lung Windows Improve Accuracy?', Journal of Emergency Medicine, 49, pp. 268 - 273, http://dx.doi.org/10.1016/j.jemermed.2015.02.009

Journal articles | 2015

Asha SE; Higham M; Child P, 2015, 'Sensitivity and specificity of CT scanning for determining the number of internally concealed packages in 'body-packers'', Emergency Medicine Journal, 32, pp. 387 - 391, http://dx.doi.org/10.1136/emermed-2013-203389

Journal articles | 2015

Asha SE; Kerr A; Jones K; McAlpine A, 2015, 'Benztropine for the relief of acute non-traumatic neck pain (wry neck): A randomised trial', Emergency Medicine Journal, 32, pp. 616 - 619, http://dx.doi.org/10.1136/emermed-2014-204317

Journal articles | 2015

Asha SE; Miers JW, 2015, 'A Systematic Review and Meta-analysis of D-dimer as a Rule-out Test for Suspected Acute Aortic Dissection', Annals of Emergency Medicine, 66, pp. 368 - 378, http://dx.doi.org/10.1016/j.annemergmed.2015.02.013

Journal articles | 2015

Kelly AM; Keijzers G; Klim S; Graham CA; Craig S; Kuan WS; Jones P; Holdgate A; Lawoko C; Laribi S; McNulty R; Tan C; Cowell DL; Jain N; Devillecourt T; Forrester A; Lee K; Chalkley D; Gillett M; Lozzi L; Asha S; Duffy M; Watkins G; Stone R; Rosengren D; Thone J; Martin S; Orda U; Thom O; Kinnear F; Eley R; Ryan A; Morel D; May C; Furyk J; Thomson G; Smith S; Smith R; Maclean A; Grummisch M; Meyer A; Meek R; Rosengarten P; Chan B; Haythorne H; Archer P; Wilson K; Knott J; Ritchie P; Bryant M; MacDonald S; Lee T; Mahlangu M; Mountain D; Rogers I; Otto T; Stuart P; Bament J; Brown M; Greven-Garcia R; Scott M; Cheri T; Nguyen M; Chi-Pang Wong ; Wong TW; Ling-Pong Leung ; Man CK; Saiboon IM; Rahman NH; Lee WY; Lee FCY; Russell K; Anne-Maree Kelly , 2015, 'Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM) study: Rationale, design and analysis', EMA - Emergency Medicine Australasia, 27, pp. 187 - 191, http://dx.doi.org/10.1111/1742-6723.12397

Journal articles | 2015

Unsworth A; Curtis K; Asha EE, 2015, 'Treatments for blunt chest trauma and their impact on patient outcomes and health service delivery', Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 23, http://dx.doi.org/10.1186/s13049-015-0091-5

Journal articles | 2014

Asha SE; Ajami A, 2014, 'Improvement in emergency department length of stay using a nurse-led 'emergency journey coordinator': A before/after study', EMA - Emergency Medicine Australasia, 26, pp. 158 - 163, http://dx.doi.org/10.1111/1742-6723.12201

Journal articles | 2014

Asha SE; Chan ACF; Walter E; Kelly PJ; Morton RL; Ajami A; Wilson RD; Honneyman D, 2014, 'Impact from point-of-care devices on emergency department patient processing times compared with central laboratory testing of blood samples: A randomised controlled trial and cost-effectiveness analysis', Emergency Medicine Journal, 31, pp. 714 - 719, http://dx.doi.org/10.1136/emermed-2013-202632

Journal articles | 2013

Arora M; Asha S; Chinnappa J; Diwan AD, 2013, 'Review article: Burnout in emergency medicine physicians', EMA - Emergency Medicine Australasia, 25, pp. 491 - 495, http://dx.doi.org/10.1111/1742-6723.12135

Journal articles | 2013

Asha SE; Ajami A, 2013, 'Improvement in emergency department length of stay using an early senior medical assessment and streaming model of care: A cohort study', EMA - Emergency Medicine Australasia, 25, pp. 445 - 451, http://dx.doi.org/10.1111/1742-6723.12128

Journal articles | 2013

Asha SE; Curtis KA; Taylor C; Kwok A, 2013, 'Patient-controlled analgesia compared with interval analgesic dosing for reducing complications in blunt thoracic trauma: A retrospective cohort study', Emergency Medicine Journal, 30, pp. 1024 - 1028, http://dx.doi.org/10.1136/emermed-2012-201980

Journal articles | 2013

Asha SE; Pryor R, 2013, 'Validation of a method to assess range of motion of the cervical spine using a tape measure', Journal of Manipulative and Physiological Therapeutics, 36, pp. 538 - 545, http://dx.doi.org/10.1016/j.jmpt.2013.07.005

Journal articles | 2013

Nichols M; Acker J; Bendall J; Asha SE, 2013, 'Evaluating the incidence of unrecognised oesophageal intubation by paramedics', Journal of Paramedic Practice, 5, pp. 212 - 218, http://www.paramedicpractice.com/

Journal articles | 2012

Asha SE; Kwok A; Curtis KA; Taylor C, 2012, 'Patient-controlled analgesia compared with interval analgesic dosing for reducing complications in blunt thoracic trauma: A retrospective cohort study', Emergency Medicine Journal, http://dx.doi.org/10.1136/emermed-2012-201980

Journal articles | 2012

Jamali S; Asha SE, 2012, 'Reproducibility of the Seated Reduction Technique for Anterior Shoulder Dislocation When Performed by Doctors with Minimal Experience in the Technique', Emergency Medicine: Open Access, 02, http://dx.doi.org/10.4172/2165-7548.1000109

Journal articles | 2012

Qureshi R; Asha SE; Zahra M; Howell S, 2012, 'Factors associated with failure to follow up with a general practitioner after discharge from the emergency department', EMA - Emergency Medicine Australasia, 24, pp. 604 - 609, http://dx.doi.org/10.1111/j.1742-6723.2012.01610.x

Journal articles | 2011

Asha S; Titmuss K; Black D, 2011, 'No effect of time of day at presentation to the emergency department on the outcome of patients who are admitted to the intensive care unit', Emergency Medicine Australasia, 23, pp. 33 - 38, http://dx.doi.org/10.1111/j.1742-6723.2010.01371.x

Journal articles | 2011

Fry M; Fong J; Asha S; Arendts G, 2011, 'A 12-month evaluation of the impact of Transitional Emergency Nurse Practitioners in one metropolitan Emergency Department', Australasian Emergency Nursing Journal, 14, pp. 4 - 8, http://dx.doi.org/10.1016/j.aenj.2010.10.001

Journal articles | 2003

Holdgate A; Asha S; Craig J; Thompson J, 2003, 'Comparison of a verbal numeric rating scale with the visual analogue scale for the measurement of acute pain', Emergency Medicine, 15, pp. 441 - 446, http://dx.doi.org/10.1046/j.1442-2026.2003.00499.x

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Associate Professor Stephen Asha