Professor Paul Middleton
Conjoint Professor

Professor Paul Middleton


Medicine & Health
School of Clinical Medicine

Conjoint Professor Paul Middleton is a senior specialist in prehospital and emergency medicine, and has worked as part of prehospital trauma and helicopter critical care retrieval teams in both the UK and Australia. He is the Director of the South Western Emergency Research Institute (SWERI) and Senior Staff Specialist in Emergency Medicine at Liverpool Hospital, the largest hospital with the busiest ED in New South Wales, and one of the leading trauma centres in Australia. Former roles include several years as Medical Director of the Ambulance Service of NSW, founding Director of the Ambulance Research Institute, Chief Medical Officer to St John Ambulance, Australia and Founding Chair of the Emergency Department Epidemiology Network (EDEN) for the Australasian College for Emergency Medicine (ACEM).

He is Immediate Past Chair of the NSW branch of the Australian Resuscitation Council and spends a lot of time teaching doctors, nurses and paramedics how to treat serious illness and injury in adults and children, and was the author of What To Do When Your Child Gets Sick, a book written to teach parents and other carers how to recognise sick and injured children. Paul holds various academic posts and is a Fellow of the UK Royal College of Emergency Medicine (RCEM), the Australasian College for Emergency Medicine (ACEM), the Royal College of Surgeons of England (RCS Eng) and the Australian College of Paramedicine (ACPara).

Paul's MD degree from Imperial College, London was researching the use of pulse oximetry waveform analysis in the early diagnosis of critical illness, based on spectral decomposition and identification of autonomic control elements; he also holds a Master of Medicine in Clinical Epidemiology. Paul's current research interests are broad, and include machine learning and other forms of artificial intelligence, health systems research, early diagnostic strategies in critical illness, shock, cardiac arrest, emergency medicine epidemiology, geriatric emergency medicine, cognition and error in emergency medicine and data visualisation in patient monitoring.

+61 (0) 439 995 251
  • Journal articles | 2021
    Sharma S; Traeger AC; Tcharkhedian E; Middleton PM; Cullen L; Maher CG, 2021, 'Effect of a waiting room communication strategy on imaging rates and awareness of public health messages for low back pain', International Journal for Quality in Health Care, vol. 33, pp. 41 - 42,
    Journal articles | 2019
    Nahidi S; Forero R; Man N; Mohsin M; Fitzgerald G; Toloo G; McCarthy S; Gibson N; Fatovich D; Mountain D, 2019, 'Impact of the Four-Hour Rule/National Emergency Access Target policy implementation on emergency department staff: A qualitative perspective of emergency department management changes', EMA - Emergency Medicine Australasia, vol. 31, pp. 362 - 371,
    Journal articles | 2019
    Nahidi S; Forero R; McCarthy S; Man N; Gibson N; Mohsin M; Mountain D; Fatovich D; Fitzgerald G; Toloo G, 2019, 'Qualitative analysis of perceptions and experiences of emergency department staff in relation to implementation and outcomes of the Four-Hour Rule/National Emergency Access Target in Australia', EMA - Emergency Medicine Australasia, vol. 31, pp. 378 - 386,

I am the Director of the South Western Emergency Research Institute (SWERI) at Liverpool Hospital; in our institute we perform emergency medicine and critical care clinical epidemiology, multicultural emergency medicine epidemiology, and clinical research. Our clinical research activities include fluid bolus therapy, pain measurement and management, innovative monitoring and diagnostic methods including pulse oximetry waveform analysis, airway interventions, lung-protective ventilation of anaesthetised patients, simulation, severity of illness scoring, sepsis, major trauma, coagulopathy and thromboelastography, and geriatric emergency medicine. We also have active interests and collaborations in the areas of the psychology of high-risk cognition and medical decision-making, diagnostic strategies and complex adaptive systems and non-linear interactions in emergency medicine department function.

My Research Supervision

Honours in emergency medicine epidemiology