journal
Journals Emergency Medicine Australasia...

Emergency Medicine Australasia : EMA

https://read.qxmd.com/read/38840453/nationwide-status-of-aeromedical-pre-hospital-and-retrieval-medicine-in-australia
#1
JOURNAL ARTICLE
John Hollott, Scott Gelzinnis, Mary Morgan, Alan Garner
OBJECTIVE: To survey the current structure, capability and operational scope of pre-hospital and retrieval aeromedical teams across Australia. METHODS: The medical directors of all Australian civilian adult aeromedical retrieval organisations with pre-hospital teams and/or doctors for inter-hospital critical care patient transport were contacted in a survey to qualitatively assess capacity and team structure. RESULTS: All 17 organisations contacted completed the survey...
June 5, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38837654/virtual-toxicology-service-decreases-the-average-length-of-stay-of-poisoned-patients-and-saves-bed-days
#2
JOURNAL ARTICLE
Iain McNeill, Andrew Staib, Katherine Z Isoardi
OBJECTIVE: We aimed to assess the impact a Virtual Toxicology Service had on the ALOS of poisoned patients. METHODS: This single-centre before-after study compares the ALOS of poisoned patients (diagnosis-related group X62, poisoning/toxic effects of drugs and other substances) following the introduction of a Virtual Toxicology Service in 2020. RESULTS: The ALOS decreased from 0.89 days in the 2-year pre-intervention period to 0.62 days in the 3-year post-intervention period, with a potential bed saving of 703 days...
June 4, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38837582/just-a-head-knock-emergency-physicians-need-to-get-serious-about-concussion
#3
JOURNAL ARTICLE
Alan J Pearce, Peter Wirth, Michelle Fitts
Attention and awareness regarding concussion injury in Australia have significantly increased in the last decade. Although most of this increase is because of discussion regarding concussions from sporting endeavours, the majority of concussions are from non-sport environments including motor vehicle crashes, workplace incidents, falls, accidents, assault and intimate partner violence. In all cases, hospital EDs are the first point of contact, yet as argued in our Opinion here, there are concerns regarding the consistency of care protocols, because of a number of reasons, as well as management and follow-up clinical practices...
June 4, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38837326/repeated-intentional-foreign-body-ingestion-what-can-be-done
#4
JOURNAL ARTICLE
Paris Hoey, Kimberley Ryan, Clancy McDonald, Nathan J Brown, Kym Boon, Florian Grimpen, Mark Appleyard
Repeated intentional foreign body ingestion (RIFBI) in patients with Emotionally Unstable Personality Disorder (EUPD) is a common clinical presentation to the emergency department. The relationship between repeated foreign body ingestion and a co-existent personality disorder diagnosis is complex, making it challenging to manage. Our institution implemented a novel interdisciplinary model of care for RIFBI as a way of improving health outcomes in this cohort of patients. Our observations following the model of care are presented herein...
June 4, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38828557/evaluating-the-effectiveness-of-the-maximum-permitted-dose-of-midazolam-in-seizure-termination-insights-from-new-south-wales-australia
#5
JOURNAL ARTICLE
Pieter Francsois Fouche, Martin Nichols, Raquel Abrahams, Kristina Maximous, Jason Bendall
OBJECTIVE: Out-of-hospital seizures demand rapid management. Midazolam plays a key role in stopping seizures. At times the first dose of midazolam proves insufficient, necessitating additional doses. Within the New South Wales Ambulance (NSWA) service, the upper limit for midazolam administration is set at 15 mg. However, the outcomes and safety of using midazolam at this maximum dosage have not been thoroughly investigated. METHODS: A retrospective analysis of out of hospital electronic health records from New South Wales, Australia, over the year 2022, was conducted...
June 3, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38807508/-vitamin-b17-killing-more-than-cancer
#6
JOURNAL ARTICLE
Ingrid Berling, Jared Brown, Brendan Toy
OBJECTIVE: Vitamin B17 tablets are sold (online) as an alternative cancer therapy medication. Its use however is not benign, given that it is metabolised into hydrogen cyanide. We aimed to measure the number of calls received by the New South Wales Poisons Information Centre (NSW PIC) regarding Amygdalin exposures. METHODS: A retrospective review of all amygdalin/cyanogenic glycoside product ingestion exposure calls to NSW PIC between 2015 and 2022. RESULTS: There were 120 unique exposure calls...
May 28, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38807504/cost-effectiveness-analysis-of-an-ambulance-service-operated-specialised-cardiac-vehicle-with-mobile-extracorporeal-cardiopulmonary-resuscitation-capacity-for-out-of-hospital-cardiac-arrests-in-queensland-australia
#7
JOURNAL ARTICLE
Tan N Doan, Stephen Rashford, Emma Bosley
OBJECTIVE: Extracorporeal CPR (E-CPR) has been primarily limited to the in-hospital setting. A few systems around the world have implemented pre-hospital mobile E-CPR in the form of a dedicated cardiac vehicle fitted with specialised equipment and clinicians required for the performance of E-CPR on-scene. However, evidence of the outcomes and cost-effectiveness of mobile E-CPR remain to be established. We evaluated the cost-effectiveness of a hypothetical mobile E-CPR vehicle operated by Queensland Ambulance Service in the state of Queensland, Australia...
May 28, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38800891/gender-differences-in-female-and-male-australian-football-concussion-injury-a-prospective-observational-study-of-emergency-department-presentations
#8
JOURNAL ARTICLE
Julian Stella, Stephen D Gill, Nicole Lowry, Tom Reade, Tim Baker, Kate Kloot, Georgina Hayden, Matthew Ryan, Hugh Seward, Richard S Page
OBJECTIVE: To examine gender differences in Australian football (AF)-related concussion presentations to EDs in regional Australia. METHODS: A prospective observational study of patients presenting to 1 of the 10 EDs in Western Victoria, Australia, with an AF-related concussion was conducted. Patients were part of a larger study investigating AF injuries over a complete AF season, including pre-season training and practice matches. Information regarding concussion injuries was extracted from patient medical records, including clinical features, concurrent injuries, mechanism and context of injury...
May 27, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38800889/bedside-urine-testing-for-fentanyl-in-self-reported-heroin-users-in-a-tertiary-brisbane-emergency-department
#9
JOURNAL ARTICLE
Keith Harris, Amanda G Holford, Benjamin G Learmont, Katherine Z Isoardi
OBJECTIVE: To determine if patients presenting to our toxicology unit following self-reported heroin use had positive urine immunoassay testing for fentanyl or its analogues. METHODS: Urine samples from consenting patients were tested at the bedside for the presence of opiates or fentanyl and its analogues. RESULTS: Over a 30-month period, 58 patients were recruited. All samples tested positive for opiates, but none tested positive for fentanyl or its analogues...
May 27, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38764348/implementation-of-an-efast-guideline-and-teaching-to-improve-documentation-practices-and-saving-of-ultrasound-images
#10
JOURNAL ARTICLE
Joseph Rossi, Anthony Van Assche
OBJECTIVES: To investigate whether implementation of a hospital-based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images. METHODS: A retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three-month periods in 2023. RESULTS: Guideline and teaching implementation resulted in statistically significant improvement in documentation on the Trauma Response Form, 85% (113/133) to 93% (120/129), odds ratio (OR) 2...
May 19, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38745363/summer-alcohol-related-emergency-department-workload-and-occupancy-in-australasia-2019-2022
#11
JOURNAL ARTICLE
Drew B Richardson, Daniel M Fatovich, Diana Egerton-Warburton
OBJECTIVE: Alcohol is a major public health issue and the ACEM funds regular 'snapshot' surveys of the prevalence of alcohol-related presentations in EDs. The present study uses these data to investigate ED occupancy and alcohol- and methamphetamine-related presentations at the time of the COVID-19 pandemic. METHODS: Survey-based point prevalence study of EDs in Australia and New Zealand conducted at 02:00 hours local time on the Saturday of the weekend before Christmas in 2019-2022...
May 14, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38698536/computed-tomography-pulmonary-angiogram-ordering-adherence-to-decision-rules-and-yield-in-the-emergency-department-an-observational-study
#12
JOURNAL ARTICLE
Saransh Kumar Saini, Zain Saleem Khan, Victor Do, Gerben Keijzers
OBJECTIVE: Pulmonary embolism (PE) frequently requires diagnosis through CT pulmonary angiogram (CTPA). Appropriate application of evidence-based clinical decision tools can reduce unnecessary CTPAs. This study assessed adherence to and the efficacy of various aspects of the Queensland Health suspected PE diagnostic pathway, including Wells score, PE rule out criteria (PERC) and age-adjusted D-dimer interpretation. METHODS: Retrospective study of CTPAs ordered from 1 January to 30 April 2023 in a tertiary and urban ED in Southeast Queensland...
May 2, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38695221/training-critical-care-teams-for-disaster-response-mass-casualty-incident-simulation
#13
JOURNAL ARTICLE
Nia Owens
No abstract text is available yet for this article.
May 2, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38695214/racism-in-healthcare-we-need-to-talk
#14
JOURNAL ARTICLE
Vincent Kehoe
In order to tackle racism in healthcare, it must be rooted out, carefully and mindfully, by all those who work in the field. Of late, there is much talk to enact institutional change; however, I believe there is a paucity of commentary to encourage individual responsibility. Here I present a personal experience which I believe illustrates a frequent occurrence whereby racism is falsely identified in a person. Given the obvious negative connotations associated with being a racist, the chance for further conversation to understand one another is denied...
May 2, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38686457/the-effect-of-an-extended-hours-ed-clinical-pharmacy-service-on-admission-medication-prescribing-errors
#15
JOURNAL ARTICLE
Sam Maleki, Galahad Gu, Paul Buntine, Mazdak Zamani, Violet Zhu, Kayin Chan, Catherine Martin, Anne Goulopoulos
OBJECTIVE: The aim of this study was to determine the effect of a 7-day extended-hours clinical pharmacy service in the ED on medication prescribing errors upon hospital admission and time to medication reconciliation. METHODS: In this retrospective observational study, high-needs patients reviewed by ED pharmacists were compared against those not reviewed, to determine if the service was associated with reduction in admission medication errors. The primary outcome was the rate of medication errors...
April 30, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38684938/post-lockdown-burden-of-road-injury-involving-hospitalisation-in-victoria-australia-a-statewide-population-based-time-series-analysis
#16
JOURNAL ARTICLE
Andy Lim
OBJECTIVES: Ever since COVID-19, short-term changes in transport injury patterns have been observed. The aim is to examine both the initial and the enduring impact of government lockdown and the pandemic on road injuries requiring hospitalisation and road fatalities. METHODS: Time series analysis of Transport Accident Commission (TAC) claims involving hospitalisation and fatalities in Victoria, Australia, from July 2016 to May 2023, including lockdown (March 2020 to October 2020) and post-lockdown (November 2020 onwards)...
April 29, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38679848/when-disaster-strikes-are-we-ready-reflecting-on-training-for-disaster-expertise-in-the-ed
#17
JOURNAL ARTICLE
Adelene Hilbig
No abstract text is available yet for this article.
April 28, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38679846/management-of-primary-spontaneous-pneumothorax-did-practice-change-after-a-landmark-multicentre-study
#18
JOURNAL ARTICLE
Lucca Kalafatis, Rachel Armstrong, Emma J Hall, Gerben Keijzers
OBJECTIVE: To compare management of primary spontaneous pneumothorax (PSP) before and after the completion of multicentre study which showed non-inferiority of conservative compared to interventional treatment for PSP. METHODS: This is a retrospective study of patients aged 14-50 years with a first diagnosis of medium to large PSP before and after March 2019 in a tertiary ED. Medical record and radiology database review were used to identify demographic, clinical and radiological data...
April 28, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38660743/antivenom-surveillance-an-audit-of-antivenom-stock-within-south-australia
#19
JOURNAL ARTICLE
David Stibbs, Kate Jennar, Sam Alfred, Julian White
OBJECTIVES: Antivenoms are important emergency medications to be held within Australia, particularly in regional and remote locations. We audited current antivenom holdings in hospitals and health services across South Australia (SA) and compared to recommendations in the 'Snakebite and Spiderbite Management Guidelines' from the State's Toxinology service. The process also assessed the feasibility of 'real-time' remote stock monitoring. METHODS: Fifty-three sites listed in the guideline were recommended to hold antivenom, though only 49 are currently operational...
April 25, 2024: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/38660736/increasing-impact-urgent-advocacy-addressing-climate-change-and-its-impact-on-emergency-departments
#20
JOURNAL ARTICLE
Kimberly Humphrey
No abstract text is available yet for this article.
April 25, 2024: Emergency Medicine Australasia: EMA
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