Professor Daniel Fatovich

Phone: +61 8 9224 2662
Fax: +61 8 9224 7045
Email: daniel.fatovich@health.wa.gov.au

Professor Daniel Fatovich completed his specialty training in Emergency Medicine in 1990. He then obtained a dual appointment as a staff specialist at Royal Perth Hospital (1992-present), and also as Director of Emergency Medicine at Swan District Hospital (1992-1999). During this time, he developed his research skills, with a particular focus on resuscitation. He has been chief investigator for a number of randomised controlled trials, mainly in the field of resuscitation.

He is well known for his research and publications in emergency medicine, and in 1995 won the John Gilroy Potts Award from the Australasian College for Emergency Medicine (ACEM). He is a regular speaker at state, national and international meetings. In 2003 he was awarded the ACEM Foundation 20 Medal, in appreciation for his contribution to the development of the College during its formative years.

In 2006, Professor Fatovich obtained an academic appointment at the University of Western Australia, within the Discipline of Emergency Medicine. This was the first academic appointment in Emergency Medicine at Royal Perth Hospital, one of the busiest Emergency Departments in Australasia. He is currently enrolled as a PhD student, undertaking a population based study of major trauma patients in Western Australia, with a focus on those transferred by the Royal Flying Doctor Service from rural and remote areas. He supervises advanced trainee registrars for the research component of their Fellowship. He is a senior adjudicator for this for ACEM and is a member of the ACEM Trainee Research Committee.

His current projects include:

• A population based cohort study comparing metropolitan and rural major trauma patients in Western Australia, examining the effects of distance, time and remoteness on mortality.
• A functional MRI brain study of amphetamine users.
• The role of PCR and bacterial load in sepsis.

Qualifications

1983	MBBS - Bachelor of Medicine Bachelor of Surgery, University of Western Australia, Australia
1990	FACEM - Fellowship of the Australasian College for Emergency Medicine

Research Interests

• Resuscitation
• Pain & procedural sedation
• Trauma - rural and remote trauma outcomes & trauma epidemiology
• Toxicology and envenomation
• Electric shocks
• The use of linked health data
• The sociology of emergency medicine; access block, illicit drug use, mental health

Major Grants Awarded

2010	Neurotrauma Research Program, Western Australian Institute for Medical Research. Leukocyte cell signalling after major head trauma: correlation with clinical outcomes. Brown S, Stone S, Webb S, Henry N, Rao S, Fatovich D, Arendts G. (2011: $105789).
2010	SHRAC Research Translation Projects, Department of Health. The use of rapid molecular diagnosis of septicaemia in patients to reduce hospital length of stay and antibiotic use and to allow the early detection of severe sepsis to improve patient management and outcomes. Flexman J, Waterer G, Fatovich D, Kay I, Kee C.$147435.
2008	Royal Perth Hospital Medical Research Foundation (Infrastructure Grant). Establishing a Centre for Clinical Research in Emergency Medicine. 2009: $126,412, 2010: $66,072. Brown SGA, Stone SF, Arendts G, Fatovich DM.
2007	Raine Priming Grant, Raine Medical Research Foundation. A study of trauma patients transferred from rural and remote Western Australia by the Royal Flying Doctor Service. $10,000.
2007	Royal Perth Hospital Medical Research Foundation. A screening MRI study to determine the prevalence of cerebral abnormalities in patients presenting with acute amphetamine intoxication. $10,000.
2006	Department of Health and Aging, Australian Government. Chlamydia Targeted Grants Program. $301,891. McCloskey J, Dykstra C, Flexman J, Fatovich DM.
2002	Royal Perth Hospital Medical Research Foundation. Thrombolysis in Cardiac Arrest. $13,636.
2000	The Laerdal Foundation for Acute Medicine, Norway. Thrombolysis in Cardiac Arrest. NOK 70000 ($14,650).
1995	Medicare (Ambulatory Care Research). Telephone Advice Service Study. $33,000.

Top Publications

1. Fatovich DM, Jacobs IG. 1995. A Randomised Controlled Trial of Oral Midazolam and Buffered Lidocaine for Suturing Lacerations in Children (the SLIC Trial). Annals of Emergency Medicine 25:209-214 (John Gilroy Potts Award). [NCBI PubMed Entry]
2. Fatovich DM, Prentice DA, Dobb GJ. 1997. Magnesium in Cardiac Arrest (the magic trial). Resuscitation 35:237-241. [NCBI PubMed Entry]
3. Fatovich DM, Dobb GJ, Clugston RA. 2004. A pilot randomised trial of thrombolysis in cardiac arrest (The TICA trial). Resuscitation 61:309-313. [NCBI PubMed Entry]
4. Fatovich DM, Nagree Y, Sprivulis P. 2005. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia. Emergency Medicine Journal 22:351-354. [NCBI PubMed Entry]
5. Fatovich DM, Jacobs IG. 2009. The relationship between remoteness and trauma deaths in Western Australia. The Journal of Trauma 67:910-4. [NCBI PubMed Entry]
6. Fatovich DM, McCoubrie DL, Song SJ, Rosen DM, Lawn ND, Daly FF. 2010. Brain abnormalities detected on magnetic resonance imaging of amphetamine users presenting to an emergency department: a pilot study. The Medical Journal of Australia 193(5):266-8. [NCBI PubMed Entry]
7. Fatovich DM, McCoubrie D, Song S, Lawn N, Daly F. 2010. Lesions are seen in young users of stimulant drugs. BMJ 341:c5636. [NCBI PubMed Entry]
8. Fatovich DM, Phillips M, Langford SA, Jacobs IG. 2011. A comparison of metropolitan vs rural major trauma in Western Australia. Resuscitation 82(7):886-90. [NCBI PubMed Entry]
9. Fatovich DM, Phillips M, Jacobs IG. 2011. A comparison of major trauma patients transported to trauma centres vs. non-trauma centres in metropolitan Perth. Resuscitation 82(5):560-3. [NCBI PubMed Entry]
10. Fatovich DM, Phillips M, Jacobs IG, Langford SA. 2011. Major trauma patients transferred from rural and remote Western Australia by the Royal Flying Doctor Service. The Journal of Trauma [in press].