journal
Journals Emergency Medicine Australasia...

Emergency Medicine Australasia : EMA

https://read.qxmd.com/read/37717234/prevalence-of-alcohol-and-other-drug-detections-in-non-transport-injury-events
#1
JOURNAL ARTICLE
Georgina Lau, Biswadev Mitra, Belinda J Gabbe, Paul M Dietze, Sandra Reeder, Peter A Cameron, De Villiers Smit, Hans G Schneider, Evan Symons, Christine Koolstra, Cara Stewart, Ben Beck
OBJECTIVE: To measure the prevalence of alcohol and/or other drug (AOD) detections in suspected major trauma patients with non-transport injuries who presented to an adult major trauma centre. METHODS: This registry-based cohort study examined the prevalence of AOD detections in patients aged ≥18 years who: (i) sustained non-transport injuries; and (ii) met predefined trauma call-out criteria and were therefore managed by an interdisciplinary trauma team between 1 July 2021 and 31 December 2022...
September 17, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37705175/management-and-outcomes-with-5-year-mortality-of-patients-with-mildly-elevated-high-sensitivity-troponin-t-levels-not-meeting-criteria-for-myocardial-infarction
#2
JOURNAL ARTICLE
Weaam Alazrag, Hanan Idris, Yousef Me Saad, Aisha Etaher, Shiquan Ren, Ian Ferguson, Craig Juergens, Derek P Chew, James Otton, Paul M Middleton, John K French
OBJECTIVES: To examine management and outcomes of patients presenting to EDs with symptoms suggestive of acute coronary syndrome, who have mild non-dynamically elevated high-sensitivity troponin T (HsTnT) levels, not meeting the fourth universal definition of myocardial infarction (MI) criteria (observation group). METHODS: Consecutive patients presenting to the ED with symptoms suggestive of acute coronary syndrome at Liverpool Hospital, Sydney, Australia, those having ≥2 HsTnT levels after initial assessment were adjudicated according to the fourth universal definition of MI, as MI ruled-in, MI ruled-out, or myocardial injury in whom MI is neither ruled-in nor ruled-out (>1 level ≥15 ng/L, called observation group); follow-up was 5 years...
September 13, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37704229/comparison-of-surf-lifesaver-pressure-point-control-and-a-commercial-arterial-tourniquet-for-major-lower-limb-haemorrhage-a-randomised-controlled-crossover-pilot-trial
#3
JOURNAL ARTICLE
James Furness, Philip Abery, Kevin Kemp-Smith, Kimberly Bruce, David Lamond, Nicholas Taylor, Philip Jones, Peter J Snelling
OBJECTIVE: This pilot study compared non-medically trained surf lifesavers' (SLS) ability, after infographic training, to occlude the femoral artery using a pressure point (PP) versus an arterial tourniquet (AT). METHODS: Using a crossover design, eight SLS applied PP and AT to a participant's leg to occlude the femoral artery. Arterial flow, application time and perceived difficulty were recorded. RESULTS: PP achieved 89.7% and 50.8% blood flow reduction for PP and AT, respectively...
September 13, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37694530/re-are-emergency-department-nurse-practitioners-homeless
#4
LETTER
Derek K Sage
No abstract text is available yet for this article.
September 11, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37689485/response-to-re-measuring-emergency-physician-productivity-and-work-patterns
#5
LETTER
Peter Freeman
No abstract text is available yet for this article.
September 9, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37689484/re-measuring-emergency-physician-productivity-and-work-patterns
#6
LETTER
Bridget Honan
No abstract text is available yet for this article.
September 9, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37689483/what-is-the-prevalence-of-orthostatic-hypotension-in-an-australasian-emergency-department-population
#7
JOURNAL ARTICLE
Ellie Clemensen, Gabriel T Lau, Gordana Popovic
OBJECTIVE: Orthostatic hypotension (OH) is associated with increased morbidity and there is limited research on the prevalence in the Australian ED population. The aim was to determine the prevalence of OH in an Australian ED population. Secondary outcomes included any associations of OH with symptoms, presenting complaints, patient demographics, or hospital admission, and the timing of OH findings. METHODS: Patients presenting to a regional Australasian ED underwent orthostatic measurements at 1, 3 and 5 min of standing following 5 min of supine bed rest...
September 9, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37669879/chimeric-antigen-receptor-t-cell-therapy-prospective-observational-study-of-unplanned-emergency-department-presentations
#8
JOURNAL ARTICLE
Grace G Bak, Kenneth Micklethwaite, Karen Maddock, Andrew Coggins
OBJECTIVE: Chimeric antigen receptor T-cell (CAR-T) therapy is an emerging treatment for refractory hematologic malignancy. Unplanned ED presentations following CAR-T present the increasing need for an integrated model of care that allows for the early recognition of its specific complications. METHODS: This is a prospective observational study at a tertiary centre. CAR-T patients (n = 17) were universally enrolled into a study registry by treating providers...
September 5, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37666655/contemporary-management-of-acute-heart-failure-in-the-emergency-department-and-the-potential-impact-of-early-diuretic-therapy-on-outcomes
#9
JOURNAL ARTICLE
Genevieve Phipps, Nicholas Sowden, Kellie Mikkelsen, Gavin Fincher, Isuru Ranasinghe, Lauren Atkins, Faye Jordan, Wandy Chan
OBJECTIVE: Acute heart failure (AHF) is one of the most common conditions presenting to the ED and patients often require hospitalisation. Emerging evidence suggests early diagnosis and administration of diuretics are associated with improved patient outcomes. Currently, there is limited literature on the management of AHF in the Australian ED context. METHODS: A retrospective review of consecutive AHF presentations to the ED in a metropolitan hospital. Patient demographics, clinical status and management were assessed including timeliness of diuretics administration and association with outcomes including ED length of stay (LOS) and inpatient mortality using linear regression...
September 4, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37666653/cirrhotic-ascites-masquerading-as-haemoperitoneum-in-paediatric-trauma-the-diagnostic-dilemma
#10
Jordan M Lavigne, Richard J Thompson, Melissa Short
No abstract text is available yet for this article.
September 4, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37638384/review-article-detaining-patients-against-their-will-can-duty-of-care-be-used-to-justify-detention-and-restraint-in-emergency-departments
#11
REVIEW
Anne-Maree Kelly, Michael Eburn, Tina Cockburn, Anand Senthi
Every day in EDs, clinicians are faced with situations where they need to decide whether to detain a patient for assessment and treatment. For patients who meet the relevant criteria, provisions of mental health legislation can be used. For other patients, clinicians often rely on so-called 'duty of care'. This article briefly explores this complex area of law, including the relevant legislation, common law principles and grey areas. It also proposes an approach to decision-making in this area.
August 28, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37635441/quality-immersion-are-dedicated-placements-the-answer
#12
JOURNAL ARTICLE
James M O McFarlane
No abstract text is available yet for this article.
August 27, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37620108/globe-trauma-associated-with-falls-at-australian-tertiary-centres
#13
JOURNAL ARTICLE
Christopher Bartimote, Annette K Hoskin, Clare L Fraser, Stephanie Watson
OBJECTIVE: Falls frequently cause globe and adnexal trauma, particularly in the elderly. The morbidity decreases confidence, independence and quality of life. We aimed to improve the understanding of fall-related globe and adnexal trauma and the involvement of ophthalmology at two tertiary trauma centres. METHODS: A retrospective medical record review was conducted at Royal North Shore Hospital and Royal Prince Alfred Hospital of patients admitted with fall-related globe and/or adnexal trauma between January 2015 and December 2019...
August 24, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37607767/quality-improvement-a-core-skill-for-the-next-generation-of-emergency-physicians
#14
JOURNAL ARTICLE
Lisa Brichko
No abstract text is available yet for this article.
August 22, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37604654/participating-in-quality-improvement-for-emergency-care-some-principles-and-practical-tips
#15
JOURNAL ARTICLE
Gerard M O'Reilly
No abstract text is available yet for this article.
October 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37593996/evaluation-of-stable-chest-pain-following-emergency-department-presentation-impact-of-first-line-cardiac-computed-tomography-diagnostic-strategy-in-an-australian-setting
#16
JOURNAL ARTICLE
Nick Sr Lan, David-Raj Thomas, Christopher L Jones, Vikram Raju, Jeanette Soon, Jacobus Otto, Chris Wood, Tom Briffa, Girish Dwivedi, James M Rankin, Abdul Rahman Ihdayhid
OBJECTIVE: International guidelines provide increasing support for computed tomography coronary angiography (CTCA) in investigating chest pain. A pathway utilising CTCA first-line for outpatient stable chest pain evaluation was implemented in an Australian ED. METHODS: In pre-post design, the impact of the pathway was prospectively assessed over 6 months (August 2021 to January 2022) and compared with a 6-month pre-implementation group (February 2021 to July 2021)...
August 18, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37592758/introduction-of-qscript-real-time-prescription-monitoring-system-was-associated-with-a-fall-in-pregabalin-poisoning-presentations-to-a-clinical-toxicology-unit
#17
JOURNAL ARTICLE
Amanda Holford, Christopher Martin, Andrew Staib, Keith Harris, Katherine Z Isoardi
OBJECTIVE: To investigate the impact of QScript implementation on pregabalin-related poisoning presentations to the ED. METHODS: This is a retrospective review of pregabalin-related poisoning presentations to a tertiary Australian ED in the 4 years prior to, and 1 year following the introduction of QScript real-time prescription monitoring system. RESULTS: Pregabalin-related poisoning presentations fell by 28% from an average of 98 presentations annually over the 4 years prior to QScript implementation to 71 in 2022...
August 17, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37581206/determinants-of-fatigue-in-emergency-department-clinicians-who-wear-personal-protective-equipment
#18
JOURNAL ARTICLE
Daniel Bodnar, Nathan J Brown, Gary Mitchell, James A Hughes, Darren Lourensen, Tracey Hawkins, Kevin Chu
OBJECTIVE: To determine the independent predictors for clinician fatigue and decline in cognitive function following a shift in the ED during early stages of the COVID-19 pandemic. METHODS: This was a prospective, quasi-experimental study conducted in a metropolitan adult tertiary-referral hospital ED over 20 weeks in 2021. The participants were ED doctors and nurses working clinical shifts in an ED isolation area or high-risk zone (HRZ) with stringent personal protective equipment (PPE)...
August 15, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37580089/more-time-per-patient-or-more-patients-per-unit-time
#19
LETTER
Sheryn Tan, Brandon Stretton, Yong Min Lee, Aashray Gupta, Joshua Kovoor, Stephen Bacchi
No abstract text is available yet for this article.
August 14, 2023: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/37577775/assessing-the-utility-of-night-time-presentations-as-a-proxy-for-alcohol-related-harm-among-young-emergency-department-trauma-patients
#20
JOURNAL ARTICLE
Scott A Sims, Gavin Pereira, Daniel M Fatovich, David Preen, Melissa O'Donnell
OBJECTIVE: To assess the usefulness of night-time presentations to measure alcohol-related harm (ARH) in young trauma patients, aged 12-24 years, attending Western Australian EDs. METHODS: A retrospective longitudinal study examined alcohol-related ED presentations in Western Australia (WA; 2002-2016) among 12- to 24-year-olds. Data from the Emergency Department Data Collection, WA State Trauma Registry Database and Hospital Morbidity Data Collection were used to identify ARH through specific codes and text searches...
August 14, 2023: Emergency Medicine Australasia: EMA
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