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Professor Michael Ardagh

Mike Ardagh

Professor of Emergency Medicine

ONZM MB ChB PhD DCH(Otago) FACEM

Email michael.ardagh@cdhb.health.nz

Mike is Professor of Emergency Medicine and a specialist in the Emergency Department of Christchurch Hospital.

He has a PhD in Bioethics, with his thesis exploring decision making in resuscitation.

He convenes the Emergency Medicine teaching thread, and the 4th year undergraduate medical student attachment to surgery.

He chairs the Rhise Group (researching the health implications of seismic events), the Emergency Medicine and Nursing Research Group and is a trustee of the Emergency Care Foundation (a charitable trust which funds Emergency Medicine research).

Research Interests

  • Earthquake injuries and health system response
  • Emergency Department crowding and systems
  • Diagnostic decision tools
  • The ethics of Emergency Medicine

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Publications

Lambie, E. S., Wilson, T. M., Brogt, E., Johnston, D. M., Ardagh, M., Deely, J., … Feldmann-Jensen, S. (2017). Closed Circuit Television (CCTV) Earthquake Behaviour Coding Methodology: Analysis of Christchurch Public Hospital video data from the 22 February Christchurch earthquake event. Natural Hazards, 86(3), 1175-1192. doi: 10.1007/s11069-016-2735-9

Ardagh, M. (2017). Triage, terrorism and translational ethics. Journal of Medical Ethics, 43(5), 301-302. doi: 10.1136/medethics-2016-103839

Hogg, D., Kingham, S., Wilson, T. M., & Ardagh, M. (2016). The effects of relocation and level of affectedness on mood and anxiety symptom treatments after the 2011 Christchurch earthquake. Social Science & Medicine, 152, 18-26. doi: 10.1016/j.socscimed.2016.01.025

Ardagh, M., Standring, S., Deely, J. M., Johnston, D., Robinson, V., Gulliver, P., Richardson, S., … Than, M. (2016). A sex disparity among earthquake victims. Disaster Medicine & Public Health Preparedness, 10, 67-73. doi: 10.1017/dmp.2015.81

Than, M. P., Pickering, J. W., Aldous, S. J., Cullen, L., Frampton, C. M. A., Peacock, W. F., … Richards, A. M., Ardagh, M. W., Deely, J. M., Florkowski, C. M., George, P., Hamilton, G. J., Jardine, D. L., Troughton, R. W., … Lord, S. J. (2016). Effectiveness of EDACS versus ADAPT accelerated diagnostic pathways for chest pain: A pragmatic randomized controlled trial embedded within practice. Annals of Emergency Medicine, 68(1), 93-102. doi: 10.1016/j.annemergmed.2016.01.001

Authored Book - Research

National Ethics Advisory Committee, including Moore, A., Fougere, G., Ardagh, M., Findlay, M., Paul, C., Richardson, A., & McDonald, G. (2009). Ethical guidelines for intervention studies. Wellington, New Zealand: Ministry of Health, 37p.

National Ethics Advisory Committee, including Moore, A., Ardagh, M., Paul, C., & McDonald, G. (2008). Ethics of intervention studies: Discussion document and draft ethical guidelines for intervention studies. Wellington, New Zealand: Ministry of Health, 91p.

National Ethics Advisory Committee, including Moore, A., Ardagh, M., & Paul, C. (2007). Getting through together: Ethical values for a pandemic. Wellington, New Zealand: Ministry of Health, 61p.

National Ethics Advisory Committee, including Moore, A., Paul, C., & Ardagh, M. (2006). Ethical guidelines for observational studies: Observational research, audits and related activities. Wellington, New Zealand: Ministry of Health, 29p.

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Authored Book - Other

Beard, M. E. J., Town, G. I., Ardagh, M. W., Begg, E. J., Chambers, S., Jeffery, G. M., & Laing, R. T. R. (2000). Management Guidelines for Common Medical Conditions (8th ed.). Christchurch, New Zealand: Internal Medicine Services, Canterbury Health, 284p.

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Chapter in Book - Research

Ardagh, M. W., & Gee, P. (2004). Lacerations and minor emergency department surgery. In G. W. O. Fulde (Ed.), Emergency medicine: The principles of practice. (4th ed.) (pp. 222-228). Sydney, Australia: Churchill Livingstone.

Ardagh, M. W. (2000). Common emergency presentations. In M. E. J. Beard, G. I. Town, M. W. Ardagh, E. J. Begg, S. Chambers, M. Jeffrey & R. T. R. Laing (Eds.), Management Guidelines for Common Medical Conditions, 8th edition. (pp. 15-33). Christchurch: Canterbury Health Limited.

Ardagh, M. W. (2000). Resuscitation ethics. In P. Cameron, G. Jelinek, A. M. Kelly, L. Murray & J. Heyworth (Eds.), Textbook of Adult Emergency Medicine. (pp. 33-37). London: Churchill Livingston.

Ardagh, M. W. (1998). Lymphomas in Emergency Medicine. In R. V. Aghababian (Ed.), The Core Curriculum. Philadelphia: Lippincott-Raven.

Ardagh, M. W. (1998). Common Emergency Presentations. In M. E. Beard (Ed.), Guidelines for Common Medical Conditions. Department of Medicine, Christchurch Hospital.

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Chapter in Book - Other

Ardagh, M. W. (2004). Ethics of resuscitation. In P. Cameron, G. Jelinek, A.-M. Kelly, L. Murray, A. F. T. Brown & J. Heyworth (Eds.), Textbook of adult emergency medicine. (2nd ed.) (pp. 33-37). Edinburgh: Churchill Livingstone.

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Journal - Research Article

Lambie, E. S., Wilson, T. M., Brogt, E., Johnston, D. M., Ardagh, M., Deely, J., … Feldmann-Jensen, S. (2017). Closed Circuit Television (CCTV) Earthquake Behaviour Coding Methodology: Analysis of Christchurch Public Hospital video data from the 22 February Christchurch earthquake event. Natural Hazards, 86(3), 1175-1192. doi: 10.1007/s11069-016-2735-9

Hogg, D., Kingham, S., Wilson, T. M., & Ardagh, M. (2016). The effects of relocation and level of affectedness on mood and anxiety symptom treatments after the 2011 Christchurch earthquake. Social Science & Medicine, 152, 18-26. doi: 10.1016/j.socscimed.2016.01.025

Than, M. P., Pickering, J. W., Aldous, S. J., Cullen, L., Frampton, C. M. A., Peacock, W. F., … Richards, A. M., Ardagh, M. W., Deely, J. M., Florkowski, C. M., George, P., Hamilton, G. J., Jardine, D. L., Troughton, R. W., … Lord, S. J. (2016). Effectiveness of EDACS versus ADAPT accelerated diagnostic pathways for chest pain: A pragmatic randomized controlled trial embedded within practice. Annals of Emergency Medicine, 68(1), 93-102. doi: 10.1016/j.annemergmed.2016.01.001

Ardagh, M., Standring, S., Deely, J. M., Johnston, D., Robinson, V., Gulliver, P., Richardson, S., … Than, M. (2016). A sex disparity among earthquake victims. Disaster Medicine & Public Health Preparedness, 10, 67-73. doi: 10.1017/dmp.2015.81

Hogg, D., Kingham, S., Wilson, T. M., & Ardagh, M. (2016). Spatio-temporal variation of mood and anxiety symptom treatments in Christchurch in the context of the 2010/11 Canterbury earthquake sequence. Spatial & Spatio-temporal Epidemiology, 19, 91-102. doi: 10.1016/j.sste.2016.08.001

Schluter, P. J., Hamilton, G. J., Deely, J. M., & Ardagh, M. W. (2016). Impact of integrated health system changes, accelerated due to an earthquake, on emergency department attendances and acute admissions: A Bayesian change-point analysis. BMJ Open, 6(5), e010709. doi: 10.1136/bmjopen-2015-010709

Hogg, D., Kingham, S., Wilson, T. M., & Ardagh, M. (2016). The effects of spatially varying earthquake impacts on mood and anxiety symptom treatments among long-term Christchurch residents following the 2010/11 Canterbury earthquakes, New Zealand. Health & Place, 41, 78-88. doi: 10.1016/j.healthplace.2016.08.002

Le Fevre, J., Ardagh, M., Mountain, D., Parke, T., & Geelhoed, G. (2015). Perspectives on the evolution of time-based targets and their impact on emergency medicine training. Emergency Medicine Australasia, 27(4), 351-354. doi: 10.1111/1742-6723.12437

Pickering, J. W., Young, J. M., George, P., Aldous, S., Cullen, L., Greenslade, J. H., Richards, A. M., Troughton, R., Ardagh, M., Frampton, C. M., & Than, M. P. (2015). The utility of presentation and 4-hour high sensitivity troponin I to rule-out acute myocardial infarction in the emergency department. Clinical Biochemistry, 48(18), 1219-1224. doi: 10.1016/j.clinbiochem.2015.07.033

Than, M., Aldous, S., Lord, S. J., Goodacre, S., Frampton, C. M. A., Troughton, R., George, P., Florkowski, C. M., Ardagh, M., Smyth, D., Jardine, D. L., … Young, J., Hamilton, G., Deely, J. M., … Richards, A. M. (2014). A 2-hour diagnostic protocol for possible cardiac chest pain in the emergency department: A randomized clinical trial. JAMA Internal Medicine, 174(1), 51-58. doi: 10.1001/jamainternmed.2013.11362

Hogg, D., Kingham, S., Wilson, T. M., Griffin, E., & Ardagh, M. (2014). Geographic variation of clinically diagnosed mood and anxiety disorders in Christchurch after the 2010/11 earthquakes. Health & Place, 30, 270-278. doi: 10.1016/j.healthplace.2014.10.003

Johnston, D., Standring, S., Ronan, K., Lindell, M., Wilson, T., Cousins, J., … Ardagh, M. W., Deely, J. M., … Bissell, R. (2014). The 2010/2011 Canterbury earthquakes: Context and cause of injury. Natural Hazards, 73(2), 627-637. doi: 10.1007/s11069-014-1094-7

Das, M., Stewart, R., Ardagh, M., Deely, J. M., Dodd, S., Bartholomew, N. V., … Spearing, R., … Than, M. (2014). Patterns and sources of alcohol consumption preceding alcohol-affected attendances to a New Zealand hospital emergency department. New Zealand Medical Journal, 127(1401). Retrieved from http://www.nzma.org.nz/journal

Than, M., Flaws, D., Sanders, S., Doust, J., Glasziou, P., Kline, J., Aldous, S., Troughton, R., … Frampton, C., … Ardagh, M., … Cullen, L. (2014). Development and validation of the Emergency Department Assessment of Chest pain Score and 2 h accelerated diagnostic protocol. Emergency Medicine Australasia, 26, 34-44. doi: 10.1111/1742-6723.12164

Stewart, R., Das, M., Ardagh, M., Deely, J. M., Dodd, S., Bartholomew, N., … Spearing, R., … Than, M. (2014). The impact of alcohol-related presentations on a New Zealand hospital emergency department. New Zealand Medical Journal, 127(1401). Retrieved from http://www.nzma.org.nz/journal

Richardson, S., & Ardagh, M. (2013). Innovations and lessons learned from the Canterbury earthquakes: Emergency department staff narratives. Disaster Prevention & Management, 22(5), 405-414. doi: 10.1108/DPM-09-2013-0167

Richardson, S., Ardagh, M., & Than, M. (2013). Emergency department patient presentations: How accurately do we record ethnicity data? Emergency Nurse New Zealand, Winter, 10-15.

Than, M., Cullen, L., Aldous, S., Parsonage, W. A., Reid, C. M., Greenslade, J., … Ardagh, M. W., Troughton, R., … Richards, A. M. (2012). 2-Hour accelerated diagnostic protocol to assess patients with chest pain symptoms using contemporary troponins as the only biomarker: The ADAPT trial. JACC, 59(23), 2091-2098. doi: 10.1016/j.jacc.2012.02.035

Campbell, R., Ardagh, M. W., & Than, M. (2012). Validation of the pulse rate over pressure evaluation index as a detector of early occult hemorrhage: A prospective observational study. Journal of Trauma & Acute Care Surgery, 73(1), 286-288. doi: 10.1097/TA.0b013e318253b52e

Ardagh, M. W., Richardson, S. K., Robinson, V., Than, M., Gee, P., Henderson, S., … McKie, J., Robertson, G., … Deely, J. M. (2012). The initial health-system response to the earthquake in Christchurch, New Zealand, in February, 2011. Lancet, 379, 2109-2115. doi: 10.1016/s0140-6736(12)60313-4

Ardagh, M., Tonkin, G., & Possenniskie, C. (2011). Improving acute patient flow and resolving emergency department overcrowding in New Zealand hospitals: The major challenges and the promising initiatives. New Zealand Medical Journal, 124(1344). Retrieved from http://journal.nzma.org.nz/journal/124-1344/4904/content.pdf

Than, M., Cullen, L., Reid, C. M., Lim, S. H., Aldous, S., Ardagh, M. W., … George, P. M., & Richards, A. M. (2011). A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): A prospective observational validation study. Lancet, 377(9771), 1077-1084. doi: 10.1016/S0140-6736(11)60310-3

Ardagh, M. W., Pitchford, A. M., Esson, A., Manson, H., & Dolan, B. (2011). Project RED: A successful methodology for improving emergency department performance. New Zealand Medical Journal, 124(1344). Retrieved from http://journal.nzma.org.nz/journal/124-1344/4905/content.pdf

Dolan, B., Esson, A., Grainger, P., Richardson, S., & Ardagh, M. (2011). Earthquake disaster response in Christchurch, New Zealand. Journal of Emergency Nursing, 37(5), 506-509. doi: 10.1016/j.jen.2011.06.009

Peddie, S., Richardson, S., Salt, L., & Ardagh, M. (2011). Frequent attenders at emergency departments: Research regarding the utility of management plans fails to take into account the natural attrition of attendance. New Zealand Medical Journal, 124(1331). Retrieved from http://journal.nzma.org.nz/journal/124-1331/4581/content.pdf

Ardagh, M. (2010). How to achieve New Zealand's shorter stays in emergency departments health target [Viewpoint]. New Zealand Medical Journal, 123(1316). Retrieved from http://journal.nzma.org.nz/journal/123-1316/4152/content.pdf

Simpson, J. C., Turnbull, B. L., Ardagh, M., & Richardson, S. (2009). Child home injury prevention: Understanding the context of unintentional injuries to preschool children. International Journal of Injury Control & Safety Promotion, 16(3), 159-167. doi: 10.1080/17457300903135636

Than, M. P., Helm, J., Calder, K., Ardagh, M. W., Smith, M., Flaws, D. F., & Beckert, L. (2009). Comparison of high specificity with standard versions of a quantative latex D-dimer test in the assessment of community pulmonary embolism HaemosIL D-dimer HS and Pulmonary Embolism. Thrombosis Research, 124, 230-235. doi: 10.1016/j.thromres.2008.10.018

Heitger, M. H., Jones, R. D., Dalrymple-Alford, J. C., Frampton, C. M., Ardagh, M. W., & Anderson, T. J. (2007). Mild head injury: A close relationship between motor function at 1 week post-injury and overall recovery at 3 and 6 months. Journal of the Neurological Sciences, 253, 34-47. doi: 10.1016/j.jns.2006.11.007

Heitger, M. H., Jones, R. D., Frampton, C. M., Ardagh, M. W., & Anderson, T. J. (2007). Recovery in the first year after mild head injury: Divergence of symptom status and self-perceived quality of life. Journal of Rehabilitation Medicine, 39(8), 612-621.

Price, C. S. G., Bell, S. F., Janes, S. E. J., & Ardagh, M. (2006). Cardio-pulmonary resuscitation training, knowledge and attitudes of newly-qualified doctors in New Zealand in 2003. Resuscitation, 68, 295-299. doi: 10.1016/j.resuscitation.2005.07.002

Ardagh, M. (2006). Criteria for prioritising access to healthcare resources in New Zealand during an influenza pandemic or at other times of overwhelming demand. New Zealand Medical Journal, 119(1243). Retrieved from http://journal.nzma.org.nz/journal/119-1243/2256/content.pdf

Heitger, M. H., Jones, R. D., Dalrymple-Alford, J. C., Frampton, C. M., Ardagh, M. W., & Anderson, T. J. (2006). Motor deficits and recovery during the first year following mild closed head injury. Brain Injury, 20(8), 807-824.

Richardson, S., Ardagh, M., & Hider, P. (2006). New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department. New Zealand Medical Journal, 119(1232). Retrieved from http://journal.nzma.org.nz/journal/119-1232/1933/content.pdf

Ardagh, M. (2006). The case for a New Zealand acute care strategy. New Zealand Medical Journal, 119(1247). Retrieved from http://journal.nzma.org.nz/journal/119-1247/2360/content.pdf

Cooper, J. G., Johnstone, A. J., Hider, P., & Ardagh, M. W. (2005). Local anaesthetic infiltration increases the accuracy of assessment of ulnar collateral ligament injuries. Emergency Medicine Australasia, 17(2), 132-136.

Raniga, S., Hider, P., Spriggs, D., & Ardagh, M. (2005). Attitudes of hospital medical practitioners to the mandatory reporting of professional misconduct. New Zealand Medical Journal, 118(1227). Retrieved from http://journal.nzma.org.nz/journal/118-1227/1781/content.pdf

Richardson, S., Ardagh, M., & Gee, P. (2005). Emergency department overcrowding: The Emergency Department Cardiac Analogy Model (EDCAM). Accident & Emergency Nursing, 13, 18-23.

Williams, T., Richardson, S., O'Donovan, P., & Ardagh, M. (2005). The forensic nurse practicioner role (emergency nursing): A potential response to changing health needs in New Zealand. Medicine & Law, 24(1), 111-123.

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