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Emergency Medicine Australasia: EMA

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https://read.qxmd.com/read/30780201/our-observations-with-cold-calling-patient-anger-and-undesirable-experiences
#1
David McD Taylor, Joyce A Kant, Mahesha Hk Dombagolla, Fiona Wy Lai, Andreas Hendarto
Little is known about the effects of the 'cold calling' technique (telephone contact without prior warning) for patient follow up in ED research. Recently, we undertook a prospective, observational pain management study. Patients were cold called 48 h post-discharge and surveyed regarding their pain management satisfaction. We made contact with 778 patients. Among these, we observed 12 cases of patient anger: mistaken identity, disbelief that the hospital was calling, frustration that test results and appointment times could not be provided, abuse about ED management and outpourings of sadness...
February 19, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30780200/re-imaging-investigations-in-pregnancy
#2
LETTER
Adam Morton, Stephanie Teasdale
No abstract text is available yet for this article.
February 19, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30780193/utility-of-weight-bearing-radiographs-compared-to-computed-tomography-scan-for-the-diagnosis-of-subtle-lisfranc-injuries-in-the-emergency-setting
#3
Hannah Kennelly, Kassey Klaassen, Daniel Heitman, Rhys Youngberg, Simon R Platt
OBJECTIVE: The goal of the present study was to compare the diagnostic yield of weight-bearing radiographs with non-weight-bearing computed tomography (CT) scan for subtle Lisfranc (LF) injuries in the ED. METHODS: Retrospective analysis of patients presenting with a suspected LF injury over a 2 year period from 2016 to 2017 who had both weight-bearing bilateral foot radiographs and CT scan. Information extracted included patient demographics, radiographic findings of metatarsal fractures, fleck sign and measurements of diastasis between the medial cuneiform and second metatarsal expressed as a ratio of the uninjured side, clinical findings and treatment modality...
February 19, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30780191/how-improved-triage-and-emergency-care-for-children-reduces-inpatient-mortality-in-a-resource-constrained-setting-changed-my-life
#4
Georgina A Phillips
No abstract text is available yet for this article.
February 19, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30759497/human-factors-influencing-out-of-hospital-cardiac-arrest-survival
#5
Dominic P Morgan, David Muscatello, Andrew Hayen, Joanne Travaglia
OBJECTIVE: Programmes that reduce the time to defibrillation are likely to improve overall survival rates from out-of-hospital cardiac arrests (OHCAs). This research sought to identify human factors common among community responders taking an automated external defibrillator (AED) to a victim of an OHCA that are either barriers or enablers of desired behaviour. METHODS: A qualitative methodology was used. Community members who had access to an AED and who had been notified of an incident of OHCA near them were approached to participate in the research...
February 13, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30719844/early-referral-for-endoscopy-is-the-most-appropriate-management-strategy-in-cases-of-food-bolus-obstruction
#6
James M Fulforth, Amanda J Chen, James D Falvey
OBJECTIVE: To investigate the characteristics of patients presenting with oesophageal food bolus obstruction (FBO) who achieve early resolution of symptoms, and to assess the impact of medical therapies on the overall time course of FBO. METHODS: A retrospective observational study was performed in a university teaching hospital with regional acute endoscopy services. Patients presenting with symptoms of FBO were identified through clinical coding and demographic, clinical and endoscopic data extracted from the electronic medical record...
February 4, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30690928/imaging-investigations-in-pregnancy
#7
LETTER
Jia Wen Chong, Peter C Rizzo, Joseph C Lee
No abstract text is available yet for this article.
January 28, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30690885/variables-associated-with-completeness-of-medical-record-documentation-in-the-emergency-department
#8
Fiona Wy Lai, Joyce A Kant, Mahesha Hk Dombagolla, Andreas Hendarto, Antony Ugoni, David McD Taylor
OBJECTIVE: The completeness of ED medical record documentation is often suboptimal. We aimed to determine the variables associated with documentation completeness in a large, tertiary referral ED. METHODS: We audited 1200 randomly selected medical records of patients who presented with either abdominal pain, cardiac chest pain, shortness of breath or headache between May-July 2013 and May-July 2016. Data were collected on patient and treating doctor variables. Documentation completeness was assessed using a 0-10 point scoring tool designed for the study...
January 28, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30690872/improving-emergency-department-trauma-care-in-fiji-implementing-and-assessing-the-trauma-call-system
#9
Lavinesh Kumar Raj, Anne Creaton, Georgina Phillips
OBJECTIVE: The trauma team process was recently implemented at the Colonial War Memorial (CWM) Hospital, Suva. This study audits the trauma call procedure at the hospital over a period of 12 months. METHOD: Retrospective descriptive study of trauma calls from August 2015 to July 2016 at CWM Hospital. Data relating to patient demographics, time of presentation, time to team assembly and time to computed tomography (CT) scan were extracted from the ED trauma call database...
January 28, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30690867/checkpoint-inhibitors-in-the-emergency-department
#10
Caroline Ae Bachmeier, Adam Morton
No abstract text is available yet for this article.
January 28, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30665265/accuracy-of-clinician-gestalt-in-diagnosing-appendicitis-in-children-presenting-to-the-emergency-department
#11
Wei Hao Lee, Sharon O'Brien, Dmitry Skarin, John A Cheek, Jessica Deitch, Ramesh Nataraja, Simon Craig, Meredith L Borland
OBJECTIVE: Abdominal pain is a common paediatric presentation to the ED. Accurate diagnosis of acute appendicitis is challenging, with the best-performing clinical scoring systems having sensitivities between 72% and 100%. The aim of this study is to assess the diagnostic accuracy of clinician gestalt according to seniority in diagnosing paediatric acute appendicitis in ED. METHODS: This is a prospective multi-centre observational study of clinician's prediction of appendicitis in children under the age of 16 years presenting to four EDs with abdominal pain over a 1 month period at each site...
January 21, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30635993/making-the-night-shift-the-right-shift
#12
Joanne Cobbett, Lisa Brichko, Kimberly Humphrey, Viet Tran
No abstract text is available yet for this article.
January 12, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30635979/the-game-tips-on-owning-the-night-shift
#13
Emma Carlin
No abstract text is available yet for this article.
January 12, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30635973/two-cases-of-lead-poisoning-from-inhaled-opium-in-victoria
#14
Samuel Law, Imogen Ackerly, Brittany Scott-Rimmington, Keith Nallaratnam
No abstract text is available yet for this article.
January 12, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30635969/night-shift-the-recovery
#15
Amy Wilson
No abstract text is available yet for this article.
January 12, 2019: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30592565/patient-attitudes-towards-analgesia-and-their-openness-to-non-pharmacological-methods-such-as-acupuncture-in-the-emergency-department
#16
Andrew L Jan, Emogene S Aldridge, Ian R Rogers, Eric J Visser, Max K Bulsara, Dana A Hince
OBJECTIVE: To investigate patient attitudes to analgesia, opioids and non-pharmacological analgesia, including acupuncture, in the ED. METHODS: ED patients with pain were surveyed regarding: pain scores, satisfaction, addiction concern, non-pharmacological methods of pain relief and acupuncture. Data were analysed using logistic regression. RESULTS: Of 196 adult patients, 52.8% were 'very satisfied' with analgesia. Most patients (84.7%) would accept non-pharmacological methods including acupuncture (68...
December 28, 2018: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30592564/methamphetamine-presentations-to-an-emergency-department-management-and-complications
#17
Katherine Z Isoardi, Sarah F Ayles, Keith Harris, Clare J Finch, Colin B Page
OBJECTIVE: There is little recent published data characterising methamphetamine intoxication. The present study aims to describe the clinical effects, management, complications and disposition of patients with methamphetamine exposure. METHODS: This is a retrospective review of patients presenting with methamphetamine intoxication to an ED in 2016. All presentations were extracted from a relational database and each medical record reviewed. Demographics, clinical features, complications and disposition were extracted...
December 28, 2018: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30582288/uterine-rupture-with-intact-amniotic-membrane
#18
June-Sung Kim, Jiyeon Ha, Won Young Kim
No abstract text is available yet for this article.
December 24, 2018: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30569665/message-in-a-bottle-how-evidence-based-medicine-and-a-programme-change-model-improved-asthma-management-in-a-low-income-emergency-department-in-papua-new-guinea
#19
Rebecca Heath, Paul Tomaszewski, Michael Kuri, Vincent Atua, Georgina Phillips
OBJECTIVE: To improve asthma care in a complex, low resource, developing country setting. This observational study was carried out in a challenging low-income real-life setting in the ED at Modilon Hospital, Papua New Guinea. The only government hospital in Madang Province, with 258 beds, it provides medical care to a population of nearly 700 000 people of whom 40% live on less than US$1.25/day. METHODS: An asthma management analysis questionnaire followed by action research, with a four-step programme change model (exposure, adoption, implementation and practice), were used to develop and implement new department asthma guidelines...
December 20, 2018: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/30536722/analysis-of-agriculture-related-life-threatening-injuries-presenting-to-emergency-departments-of-rural-generalist-hospitals-in-southern-queensland
#20
Janani Pinidiyapathirage, Scott Kitchener, Sarah McNamee, Sacha Wynter, Jack Langford, Ashley Doyle, Andrew McMahon
OBJECTIVE: Agricultural industries are among the most dangerous in Australia posing significant public health risks. This study analyses the nature and management of agriculture-related injuries presenting to EDs in selected hospitals in Southern Queensland. METHODS: Data on agricultural injury presentations over a 6 month period was collected at four rural hospitals by a dedicated onsite hospital data coordinator. Additionally, in two of the participating hospitals all injury presentations over the same 6 month period were recorded...
December 11, 2018: Emergency Medicine Australasia: EMA
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