1,982 results match your criteria Emergency Medicine Australasia[Journal]


Gaming National Emergency Access Target performance using Emergency Treatment Performance definitions and emergency department short stay units.

Emerg Med Australas 2019 Apr 17. Epub 2019 Apr 17.

Sax Institute, Sydney, New South Wales, Australia.

Objective: To evaluate potential gaming of the 4 h ED length of stay metric known as the National Emergency Access Target (NEAT) in Australia and Emergency Treatment Performance (ETP) in New South Wales (NSW).

Methods: Descriptive statistical analysis was used to recalculate and compare the scores for NEAT and the NSW ETP using variations in the definitions of their measurement on 32 184 presentations during 2016. A computer simulation using a discrete event model illustrated the effect of the use of ED short stay beds on the ETP scores. Read More

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http://dx.doi.org/10.1111/1742-6723.13295DOI Listing

Review article: A primer for clinical researchers in the emergency department: Part IX. How to conduct a systematic review in the field of emergency medicine.

Emerg Med Australas 2019 Apr 15. Epub 2019 Apr 15.

Cochrane Hypertension Group, Department of Anesthesiology, Pharmacology, and Therapeutics, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.

In this series we address important topics for emergency clinicians who either participate in research as part of their work, or use the knowledge generated by research studies. Emergency clinicians are routinely in the position of applying new evidence in clinical practice. With an ever-increasing volume of evidence generated, this can be problematic when studies are conducted in different settings, and include different patient groups, different interventions and different outcomes. Read More

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http://dx.doi.org/10.1111/1742-6723.13298DOI Listing
April 2019
1 Read

Clinical decision rule for non-traumatic computed tomography of the brain.

Emerg Med Australas 2019 Apr 14. Epub 2019 Apr 14.

Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.

Objective: The aims of the present study were to derive and validate a clinical decision rule (CDR) to rule out the need for computed tomography of the brain (CTB) in non-traumatic patients who present to the ED.

Methods: This is a retrospective review of non-traumatic patients who presented to the EDs in two urban hospitals and received CTB from January 2014 to December 2016. Data from one hospital were used to develop a CDR for clinically significant CTB findings. Read More

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http://dx.doi.org/10.1111/1742-6723.13292DOI Listing
April 2019
1 Read

Heterogeneous emergency department management of published recommendation defined hypotension in patients with acute traumatic spinal cord injury: A multi-centre overview.

Emerg Med Australas 2019 Apr 9. Epub 2019 Apr 9.

John Walsh Centre for Rehabilitation Research, Kolling Institute, Northern Clinical School, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Objective: Evidence-based management for patients with acute traumatic spinal cord injury (TSCI) in the ED has a critical impact on long-term outcomes. Acute hypotension post-injury may compromise spinal cord perfusion and extend neurological damage. Published guidelines recommend mean arterial blood pressure (BP) maintenance between 85 and 90 mmHg for 7 days post-injury; the extent to which this is followed in Australia is unknown. Read More

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http://dx.doi.org/10.1111/1742-6723.13290DOI Listing

Difficult to sedate case of acute behavioural disturbance secondary to baclofen withdrawal.

Emerg Med Australas 2019 Apr 8. Epub 2019 Apr 8.

Department of Clinical Toxicology and Pharmacology, Calvary Mater Newcastle, Newcastle, New South Wales, Australia.

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http://dx.doi.org/10.1111/1742-6723.13289DOI Listing
April 2019
1 Read

Influence of cognitive impairment on pain assessment and management in the emergency department: A retrospective cross-sectional study.

Emerg Med Australas 2019 Apr 5. Epub 2019 Apr 5.

School of Pharmacy and Biomedical Sciences, Curtin University, Perth, Western Australia, Australia.

Objectives: To quantify the impact of cognitive impairment on pain assessment and management practices in the ED.

Methods: A retrospective, cross-sectional study of patient records was conducted for all elderly patients (65 years or older) who presented to the ED of a large Western Australian tertiary hospital with a fracture because of a fall between 6 February and 14 December 2015. Of 327 records identified, 318 were suitable for data extraction. Read More

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http://dx.doi.org/10.1111/1742-6723.13294DOI Listing

Visual analog scale rating change cut-offs for detection of improvement in nausea severity.

Emerg Med Australas 2019 Apr 5. Epub 2019 Apr 5.

Monash Health, Melbourne, Victoria, Australia.

Objective: To determine accuracy and best cut-point of measured and percentage visual analog scale (VAS) change for detection of symptom improvement.

Methods: A pooled analysis of three previously published studies was conducted. All patients had baseline and 30 min VAS ratings linked to described symptom change. Read More

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http://dx.doi.org/10.1111/1742-6723.13291DOI Listing

Review article: Outcomes of patients who are not transported following ambulance attendance: A systematic review and meta-analysis.

Emerg Med Australas 2019 Apr 3. Epub 2019 Apr 3.

Alfred Hospital, Melbourne, Victoria, Australia.

The aim of this systematic review and meta-analysis was to evaluate the outcomes of patients who are not transported to hospital following ambulance attendance. A database search was conducted using PubMed, Medline, Embase, CINAHL and Cochrane Library. Studies were included if they analysed the outcomes of patients who were not transported following ambulance attendance. Read More

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http://dx.doi.org/10.1111/1742-6723.13288DOI Listing

An example of public health training in emergency medicine.

Emerg Med Australas 2019 Apr 2. Epub 2019 Apr 2.

School of Clinical Science at Monash Health, Monash University, Melbourne, Victoria, Australia.

There is growing recognition of the vital roles that Emergency Physicians can play in public health. Accordingly, there is a need for emergency medicine trainees to have opportunities to acquire relevant public health skillsets. This article provides an example of such a possibility. Read More

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http://dx.doi.org/10.1111/1742-6723.13277DOI Listing
April 2019
1 Read

Characteristics of short-term re-presentations to a regional emergency department.

Emerg Med Australas 2019 Mar 30. Epub 2019 Mar 30.

St George and Sutherland Clinical School, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.

Objective: The present study aims to describe the characteristics of early ED re-presentations in a regional hospital in New South Wales, Australia.

Methods: This was a retrospective review of all patients re-presenting within 72 h of discharge from Coffs Harbour Base Hospital ED, a regional ED, for the 2016-2017 financial year. Presentations were categorised according to their diagnosis and cause for re-presentation. Read More

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http://dx.doi.org/10.1111/1742-6723.13286DOI Listing
March 2019
1 Read

A BRILL idea? The benefits, risks, insights, learning and limitations of an emergency airway registry in pre-hospital and retrieval medicine.

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.

Airway management is a cornerstone of emergency care. Development of a robust evidence base to support the practice of pre-hospital emergency anaesthesia is key to the safety and evolution of this common but high-risk procedure. This paper discusses the benefits, risks, insights, learning and limitations of the use of an airway registry in pre-hospital and retrieval medicine, for both research and quality improvement purposes. Read More

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http://dx.doi.org/10.1111/1742-6723.13283DOI Listing

Clinical risk for substance-affected patients attending an emergency department in the Northern Territory with police: A quality improvement initiative.

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Emergency Department, Royal Darwin Hospital, Darwin, Northern Territory, Australia.

Objective: Determine clinical risk for patients presenting to Royal Darwin Hospital ED when they cannot be cared for at the police watch-house (WH) or sobering-up-shelter (SUS) because of a medical concern.

Methods: This is a retrospective cohort study of police arrivals from May to July 2016. Data collection included demographics and presumed cause of intoxication. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/1742-6723.13
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http://dx.doi.org/10.1111/1742-6723.13273DOI Listing
March 2019
3 Reads

Can pre-hospital administration reduce time to initial antibiotic therapy in septic patients?

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.

Objective: To quantify the potential time saved with pre-hospital antibiotic therapy in sepsis.

Methods: Study data for adult patients transported by Ambulance Victoria (AV), and enrolled into the Australasian Resuscitation In Sepsis Evaluation (ARISE), were linked with pre-hospital electronic records.

Results: An AV record was identified for 240 of 341 ARISE patients. Read More

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http://dx.doi.org/10.1111/1742-6723.13282DOI Listing

Patient-centred care through a broader lens: Supporting patient autonomy alongside moral deliberation.

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Barwon Centre for Orthopaedic Research and Education (B-CORE), St John of God Hospital, Geelong, Victoria, Australia.

Patient-centred care (PCC) is an essential component of high-quality healthcare and shared decision-making is its cornerstone. Yet, integrating the principles of PCC into healthcare practice is not always straightforward and shared decision-making can be complicated and ethically demanding. While ethicists and academics routinely debate moral aspects of clinical care, such discussion among clinicians is less overt. Read More

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http://dx.doi.org/10.1111/1742-6723.13287DOI Listing

Attitudes and beliefs of Australian emergency department clinicians on antimicrobial stewardship in the emergency department: A qualitative study.

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Monash University, Melbourne, Victoria, Australia.

Objective: To explore the attitudes and beliefs of Australian ED clinicians towards antimicrobial stewardship in the ED.

Methods: Semi-structured one-to-one interviews were conducted with ED clinicians between March and October 2015. Participants were identified via purposive and snowball sampling. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/1742-6723.13
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http://dx.doi.org/10.1111/1742-6723.13251DOI Listing
March 2019
2 Reads

Homeless status documentation at a metropolitan hospital emergency department.

Emerg Med Australas 2019 Mar 28. Epub 2019 Mar 28.

Department of Psychiatry, Alfred Health, Melbourne, Victoria, Australia.

Objective: This study compared the prevalence of homelessness in consecutive patients presenting to a metropolitan hospital ED measured via a prospective housing screen with the prevalence of homelessness determined via retrospective audit of hospital data. Factors that altered the odds of patients being homeless and service outcomes that differed were examined for screened patients.

Methods: All patients presenting to the ED during a 7 day period in 2017 were invited to complete a housing screen. Read More

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http://dx.doi.org/10.1111/1742-6723.13256DOI Listing

Affecting emergency department oxycodone discharge prescribing: An educational intervention.

Emerg Med Australas 2019 Mar 27. Epub 2019 Mar 27.

Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

Objective: To describe the impact of an educational intervention for ED prescribers on discharge oxycodone prescribing both for the number of oxycodone prescriptions per 1000 discharged patients, and the number of tablets per prescription. Secondary outcomes included the quality of general practitioner communication.

Methods: An interrupted time series assessment was conducted in the ED of a tertiary referral hospital to establish the pre-intervention, peri-intervention and post-intervention prescribing profile of ED medical practitioners. Read More

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http://dx.doi.org/10.1111/1742-6723.13261DOI Listing

Review article: Accelerated starvation of childhood: Have I judged ketones?

Emerg Med Australas 2019 Mar 27. Epub 2019 Mar 27.

The University of Melbourne, Melbourne, Victoria, Australia.

Acute ketosis is an important physiological mechanism to prevent irreversible neurological damage from hypoglycaemia during starvation, and represents a significant metabolic stress. A cohort of children adapt to relatively short periods of reduced caloric intake by generating large quantities of ketone bodies. When excessive, the gastrointestinal symptoms of starvation ketosis such as nausea and pain may create a vicious cycle that delays spontaneous resolution. Read More

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http://dx.doi.org/10.1111/1742-6723.13276DOI Listing
March 2019
1 Read

Paediatric acute care: Highlights from the Paediatric Acute Care-Advanced Paediatric Life Support Conference, Hobart, 2018.

Emerg Med Australas 2019 Mar 27. Epub 2019 Mar 27.

Emergency Services, Sydney Children's Hospital, Sydney, New South Wales, Australia.

The Paediatric Acute Care Conference (PACC) is an annual conference organised by APLS Australia to advance paediatric acute care topics for clinicians in pre-hospital medicine, EDs, acute paediatrics, intensive care and anaesthesia. The PACC 2018 was held in Hobart, Tasmania. We provide a summary of some of the presentations. Read More

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http://dx.doi.org/10.1111/1742-6723.13285DOI Listing

Retrospective descriptive observational study of patients who presented to an Australian hospital emergency department with neck soft tissue injury.

Emerg Med Australas 2019 Mar 20. Epub 2019 Mar 20.

RECOVER Injury Research Centre, The University of Queensland, Brisbane, Queensland, Australia.

Objective: To describe clinical presentation and management of neck soft tissue injury in an Australian ED.

Methods: This is a retrospective cohort study conducted in a tertiary hospital ED in Queensland, Australia. This study included all patients aged 18-65 years presenting with neck sprain/strain in 2016. Read More

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http://dx.doi.org/10.1111/1742-6723.13253DOI Listing
March 2019
1 Read

Comparison of emergency physiotherapy practitioner prescribers versus existing emergency department prescribers for musculoskeletal injuries.

Emerg Med Australas 2019 Mar 19. Epub 2019 Mar 19.

Department of Physiotherapy, Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia.

Objective: The scope of selected emergency physiotherapy practitioners (EPP) in this Australian non-tertiary ED has recently extended to include the prescription of a limited drug formulary, including paracetamol, some NSAIDs and opioids, an anti-emetic, a benzodiazepine and nitrous oxide. Although there are large-scale studies investigating prescription errors made by doctors, there is a lack of data on prescribing practices of physiotherapists in the ED setting. The aim of present study is to compare the prescribing practices of EPP to their medical and nursing colleagues within the setting of treating musculoskeletal injuries in the ED. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/1742-6723.13
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http://dx.doi.org/10.1111/1742-6723.13265DOI Listing
March 2019
4 Reads

Beta-blocker use is an independent risk factor for thunderstorm asthma.

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

Emergency Department, Epworth Richmond Hospital, Melbourne, Victoria, Australia.

Objective: To identify risk factors for thunderstorm asthma (TA) in subjects ≥15 years of age from information available in routine clinical records.

Methods: Retrospective and hospital-based case-control study of various clinical factors in all TA cases (n = 53) who presented to a single-site ED in November 2016 (TA16) and in a control group of patients (n = 156) who presented to the same ED with asthma during the pollen season over eight non-TA years. Bivariate analysis and multivariable logistic regression modelling was performed to calculate the odds of TA asthma in the presence of potential risk factors. Read More

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http://dx.doi.org/10.1111/1742-6723.13275DOI Listing
March 2019
9 Reads

Predictors of in-hospital cardiac arrest within 24 h after emergency department triage: A case-control study in urban Thailand.

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

Department of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

Objective: This study describes the predictors of in-hospital cardiac arrest (IHCA) within 24 h of ED triage and evaluates their ability to predict patients at risk of IHCA.

Methods: A case-control study was conducted in the ED. 'Cases' are herein defined as hospitalised patients who experienced IHCA within 24 h after ED triage. Read More

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http://dx.doi.org/10.1111/1742-6723.13267DOI Listing

In this April issue.

Authors:
Geoff Hughes

Emerg Med Australas 2019 04;31(2):155

Emergency Medicine Australasia.

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http://dx.doi.org/10.1111/1742-6723.13268DOI Listing

Safe to send home? Discharge risk assessment in the emergency department.

Emerg Med Australas 2019 04 15;31(2):266-270. Epub 2019 Feb 15.

School of Medicine, The University of Western Australia, Perth, Western Australia, Australia.

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http://dx.doi.org/10.1111/1742-6723.13250DOI Listing

Caustic ingestion: Has the role of the gastroenterologist burnt out?

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

Department of Gastroenterology and Hepatology, Lyell McEwin Hospital, Adelaide, South Australia, Australia.

Caustic ingestion is a frequent presentation to EDs and encompasses a wide range of injury to the gastrointestinal tract. Endoscopy has long been considered the gold standard of investigation, even in patients with low likelihood of severe injury, and informs the decision for emergency surgery. However, recent evidence suggests that computed tomography (CT) scan can accurately diagnose digestive tract necrosis and, more importantly, guide towards more judicious use of surgical management, with improved mortality and digestive autonomy. Read More

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http://dx.doi.org/10.1111/1742-6723.13278DOI Listing

Cardiac transvenous pacing in the retrieval setting: A retrospective case series.

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

SAAS MedSTAR Emergency Medical Retrieval Service, Adelaide, South Australia, Australia.

Objectives: To report on the safety and efficacy of transvenous cardiac pacing wire insertion outside a tertiary hospital by a medical retrieval service.

Methods: SAAS MedSTAR Emergency Medical Retrieval Service transports symptomatic bradycardic patients in rural South Australia to Adelaide on transvenous pacing for ongoing management. This is a retrospective case review of all transvenous cardiac pacing wires inserted by SAAS MedSTAR between January 2015 and October 2017. Read More

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http://dx.doi.org/10.1111/1742-6723.13260DOI Listing

Chinese evergreen plant (Aglaonema) poisoning in a child presenting to an urban hospital in Papua New Guinea.

Authors:
Robin Oge

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

Emergency Department, Port Moresby General Hospital, Port Moresby, Papua New Guinea.

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http://dx.doi.org/10.1111/1742-6723.13279DOI Listing

Patients attending an emergency department with a general practitioner referral letter who are discharged home have a longer length of stay than those without a letter.

Emerg Med Australas 2019 Mar 18. Epub 2019 Mar 18.

School of Medicine, The University of Notre Dame Australia, Sydney, New South Wales, Australia.

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http://dx.doi.org/10.1111/1742-6723.13284DOI Listing

Driving change: A partnership study protocol using shared emergency department data to reduce alcohol-related harm.

Emerg Med Australas 2019 Mar 14. Epub 2019 Mar 14.

Crime and Security Research Institute, Cardiff University, Cardiff, UK.

Background: Sharing anonymised ED data with community agencies to reduce alcohol-related injury and assaults has been found effective in the UK. This protocol document outlines the design of an Australian multi-site trial using shared, anonymised ED data to reduce alcohol-related harm.

Design And Method: Nine hospitals will participate in a 36 month stepped-wedge cluster randomised trial. Read More

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http://dx.doi.org/10.1111/1742-6723.13266DOI Listing
March 2019
2 Reads

Effective triage in the Pacific region: The development and implementation of the Solomon Islands Triage Scale.

Emerg Med Australas 2019 Mar 13. Epub 2019 Mar 13.

Emergency Practice Innovation Centre, St Vincent's Hospital, Melbourne, Victoria, Australia.

Objective: The ED at the National Referral Hospital in Honiara, Solomon Islands, receives approximately 50 000 patients per year. A 2014 review of ED functioning identified deficiencies in triage processes. Placement of Australian volunteer advisors provided an opportunity to develop and implement a purpose-designed triage system. Read More

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http://dx.doi.org/10.1111/1742-6723.13248DOI Listing

One hundred and counting: Centenarian use of emergency departments in New South Wales.

Emerg Med Australas 2019 Mar 13. Epub 2019 Mar 13.

Emergency Care Institute, Agency for Clinical Innovation, Sydney, New South Wales, Australia.

Objective: To study ED utilisation by people aged 100 years and over with a focus on patient demographics, reasons for presentation and patient flow factors.

Methods: This is a retrospective descriptive analysis of linked ED Data Collection Registry for presentations to New South Wales (NSW) EDs over a 5 year period. Patients were included if they presented to an ED and were aged 100 years and over at the time of presentation. Read More

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http://dx.doi.org/10.1111/1742-6723.13259DOI Listing

Review article: Postoperative bariatric patients in the emergency department: Review of surgical complications for the emergency physician.

Emerg Med Australas 2019 Mar 6. Epub 2019 Mar 6.

School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

With the rise of obesity in adult populations in the western world there has been a concurrent rise in bariatric procedures to address this problem. Although the safety of bariatric procedures has improved significantly over the past 20 years, there are still a number of serious surgical complications that can occur in the postoperative period that emergency physicians need to be familiar with. These complications can have subtle presentations that if unrecognised can go on to cause morbidity and mortality. Read More

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http://dx.doi.org/10.1111/1742-6723.13252DOI Listing
March 2019
3 Reads

Security interventions are frequently undocumented in emergency department clinical notes.

Emerg Med Australas 2019 Mar 5. Epub 2019 Mar 5.

Emergency and Trauma Centre, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

Objective: To compare the documentation of security interventions in ED presentations between clinical notes and security records.

Methods: Presentations (n = 680) were randomly selected from all ED presentations to a public tertiary referral hospital in Queensland, Australia between April 2016 and August 2017 that were perceived by the treating clinician as alcohol-related. Retrospective data, manually extracted from clinical notes and the security service database, were compared for the documentation of any security interventions. Read More

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http://doi.wiley.com/10.1111/1742-6723.13257
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http://dx.doi.org/10.1111/1742-6723.13257DOI Listing
March 2019
3 Reads

Planning for the future: Modelling daily emergency department presentations in an Australian capital city.

Emerg Med Australas 2019 Mar 4. Epub 2019 Mar 4.

Neuroepidemiology Unit, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.

Objective: To describe and model a decade of ED presentations in metropolitan Melbourne, Australia, from July 2000 to June 2010 and to validate the model of ED presentations by testing the model's performance in forecasting the subsequent 2 year period of daily presentations, from July 2010 to June 2012.

Methods: Retrospective analyses of prospectively collected data sourced from the Victorian Emergency Minimum Dataset were performed and included 13 public hospitals. Time series modelling involved unobserved components modelling and forward selection of variables using incidence rate ratios. Read More

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http://dx.doi.org/10.1111/1742-6723.13245DOI Listing
March 2019
1 Read

Older age is associated with a reduced likelihood of ambulance transport to a trauma centre after major trauma in Perth.

Emerg Med Australas 2019 Mar 3. Epub 2019 Mar 3.

Prehospital Resuscitation and Emergency Care Research Unit (PRECRU), School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia.

Objective: To describe the characteristics and outcomes of older adult (≥65 years) major trauma patients in comparison with younger adults (16-64 years). To determine whether older age is associated with a reduced likelihood of transport (directly or indirectly) to a major trauma centre and whether this is associated with in-hospital mortality.

Methods: A retrospective cohort study of major trauma patients transported to hospital by St John Ambulance paramedics in Perth, Western Australia, between 1 January 2013 and 31 December 2016. Read More

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http://doi.wiley.com/10.1111/1742-6723.13244
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http://dx.doi.org/10.1111/1742-6723.13244DOI Listing
March 2019
2 Reads

Is it possible to make a meaningful environmental difference in the emergency department? No.

Emerg Med Australas 2019 04 28;31(2):278-279. Epub 2019 Feb 28.

Emergency Department, Royal Hobart Hospital, Hobart, Tasmania, Australia.

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http://dx.doi.org/10.1111/1742-6723.13271DOI Listing
April 2019
1 Read

Workplace wellbeing in an urban emergency department in Aotearoa New Zealand.

Emerg Med Australas 2019 Feb 27. Epub 2019 Feb 27.

Adult Emergency Department, Auckland City Hospital, Auckland, New Zealand.

Objectives: Staff wellbeing is important for individuals and considered integral to the development and maintenance of high performing health systems. Unless baseline parameters of wellbeing are known, the effects of any interventions to improve staff wellbeing will remain uncertain. By clarifying staff perceptions and objective measures of important factors related to wellbeing, our primary goal was to assess the baseline wellbeing of staff in our central city ED. Read More

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http://doi.wiley.com/10.1111/1742-6723.13262
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http://dx.doi.org/10.1111/1742-6723.13262DOI Listing
February 2019
1 Read

Description and cost-analysis of emergency department attendances for hand and wrist injuries.

Emerg Med Australas 2019 Feb 27. Epub 2019 Feb 27.

Department of Occupational Therapy, Monash University, Melbourne, Victoria, Australia.

Background: Injuries to the hand and wrist are estimated to account for between 10% and 30% of all ED presentations. The economic burden placed on the healthcare system can be extensive and rise sharply with increase in injury severity.

Objectives: This cost-analysis was performed with the aim of estimating the economic implications of ED attendances for hand and wrist injuries from the perspective of one Australian public health network. Read More

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http://dx.doi.org/10.1111/1742-6723.13246DOI Listing
February 2019

Comparison of emergency department time performance between a Canadian and an Australian academic tertiary hospital.

Emerg Med Australas 2019 Feb 27. Epub 2019 Feb 27.

Austin Health, Melbourne, Victoria, Australia.

Objective: To compare performance and factors predicting failure to reach Ontario and Australian government time targets between a Canadian (Sunnybrook Hospital) and an Australian (Austin Health) academic tertiary-level hospitals in 2012, and to assess for change of factors and performance in 2016 between the same hospitals.

Methods: This was a retrospective, observational study of patient administrative data in two calendar years. The main outcome measure was reaching Ontario and Australian ED time targets for admissions, high and low urgency discharges. Read More

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http://doi.wiley.com/10.1111/1742-6723.13247
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http://dx.doi.org/10.1111/1742-6723.13247DOI Listing
February 2019
11 Reads

Climate corrosion: Heroes wanted - Enquire within.

Emerg Med Australas 2019 04 26;31(2):271-273. Epub 2019 Feb 26.

Emergency Department, Southern District Health Board, Southland Hospital, Invercargill, New Zealand.

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http://dx.doi.org/10.1111/1742-6723.13270DOI Listing

Climate emergency: Towards a greener emergency department.

Emerg Med Australas 2019 04 26;31(2):274-275. Epub 2019 Feb 26.

Emergency Department, Royal Hobart Hospital, Hobart, Tasmania, Australia.

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http://dx.doi.org/10.1111/1742-6723.13269DOI Listing
April 2019
1 Read

Treatment and outcome of adult patients with acute asthma in emergency departments in Australasia, South East Asia and Europe: Are guidelines followed? AANZDEM/EuroDEM study.

Emerg Med Australas 2019 Feb 25. Epub 2019 Feb 25.

School of Medicine, INSERM U1100, Tours University, Tours, France.

Objective: Asthma exacerbations are common presentations to ED. Key guideline recommendations for management include administration of inhaled bronchodilators, systemic corticosteroids and titrated oxygen therapy. Our aim was to compare management and outcomes between patients treated for asthma in Europe (EUR) and South East Asia/Australasia (SEA) and compliance with international guidelines. Read More

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http://dx.doi.org/10.1111/1742-6723.13242DOI Listing
February 2019

Relevance of using length of stay as a key indicator to monitor emergency department performance: Case study from a rural hospital in Thailand.

Emerg Med Australas 2019 Feb 25. Epub 2019 Feb 25.

Department of Physiology, Faculty of Science, Mahidol University, Bangkok, Thailand.

Objective: The present study explores factors related to length of stay (LOS) in a rural public hospital in Thailand and assesses the feasibility of using LOS as an ED key performance indicator.

Methods: Using a mixed-methods approach, qualitative methods (in-depth interviews, patients' chart review and participatory observations) were used to guide and elaborate findings from quantitative analysis of 555 electronic ED records.

Results: Multivariate analysis revealed that age, Emergency Severity Index score and number of laboratory tests were significantly associated with LOS. Read More

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http://dx.doi.org/10.1111/1742-6723.13254DOI Listing
February 2019
1 Read

Burden of primary care-type emergency department presentations using clinical assessment by general practitioners: A cross-sectional study.

Emerg Med Australas 2019 Feb 25. Epub 2019 Feb 25.

Division of General Practice, Medical School, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia, Australia.

Objective: To compare methods of assessment of the burden of primary care-type ED (PCTED) presentations against clinical assessment by general practitioners (GPs) in ED.

Methods: A cross-sectional study involving clinical assessment of patients presenting to four EDs in Western Australia. The GPs assessed patients who were likely to be discharged home from ED, and considered whether they could be managed in general practice. Read More

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http://dx.doi.org/10.1111/1742-6723.13255DOI Listing
February 2019

Is it possible to make a meaningful environmental difference in the emergency department? Yes.

Authors:
Joseph Ting

Emerg Med Australas 2019 04 25;31(2):276-277. Epub 2019 Feb 25.

School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia.

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http://dx.doi.org/10.1111/1742-6723.13272DOI Listing

Review article: Non-fatal strangulation: Hidden injuries, hidden risks.

Authors:
Julia De Boos

Emerg Med Australas 2019 Feb 19. Epub 2019 Feb 19.

Emergency Department, Mount Isa Base Hospital, Mornington, Queensland, Australia.

Non-fatal strangulation (NFS) can be a cause of severe injury. However, the prevalence and rates of injuries from NFS are unknown, as few victims present to medical attention after strangulation. As up to 40% of fatal strangulations have no external signs, and the majority of surviving victims have few or minor injuries, finding those people severely injured remains challenging. Read More

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http://doi.wiley.com/10.1111/1742-6723.13243
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http://dx.doi.org/10.1111/1742-6723.13243DOI Listing
February 2019
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Our observations with cold calling: Patient anger and undesirable experiences.

Emerg Med Australas 2019 04 19;31(2):283-286. Epub 2019 Feb 19.

Bairnsdale Regional Health Service, Bairnsdale, Victoria, Australia.

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. Read More

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http://dx.doi.org/10.1111/1742-6723.13258DOI Listing

Re: Imaging investigations in pregnancy.

Emerg Med Australas 2019 04 19;31(2):291. Epub 2019 Feb 19.

Endocrine, Mater Health and The University of Queensland, Brisbane, Queensland, Australia.

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http://dx.doi.org/10.1111/1742-6723.13249DOI Listing
April 2019
5 Reads