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Emergency Medicine Australasia: EMA

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https://www.readbyqxmd.com/read/28097829/barriers-to-conducting-research-a-survey-of-trainees-in-emergency-medicine
#1
Alexander Olaussen, Paul A Jennings, Gerard O'Reilly, Biswadev Mitra, Peter A Cameron
OBJECTIVE: Research underpins evidence-based practice, but there are significant barriers to conducting research relevant to each clinical discipline. Understanding these barriers could allow strategies to reduce their impact. The present study was undertaken to understand specific barriers to research for emergency medicine (EM) trainees. METHODS: EM trainees attending research short courses were surveyed. Free-text responses were classified into themes and a list of pre-specified potential barriers was used for ranking purposes...
January 17, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28093870/acute-management-of-autoimmune-toxicity-in-cancer-patients-on-immunotherapy-common-toxicities-and-the-approach-for-the-emergency-physician
#2
Anna J Lomax, Catriona McNeil
When a patient receiving anti-cancer treatment presents acutely unwell, an understanding of associated side effects of their therapy is critical. This review will discuss the approach to patients receiving anti-cancer treatment with immunotherapy presenting with autoimmune toxicities in the emergency setting. These toxicities are commonly referred to as immune-related adverse events (irAE). IrAE might consist of, but are not limited to, dermatologic, gastrointestinal (diarrhoea, colitis), hepatic, endocrine (thyroid dysfunction, hypophysitis, adrenal crisis), renal, ocular and pulmonary toxicity...
January 16, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28093867/paramedic-resuscitation-competency-a-survey-of-australian-and-new-zealand-emergency-medical-services
#3
Kylie Dyson, Janet E Bray, Karen Smith, Stephen Bernard, Lahn Straney, Judith Finn
OBJECTIVE: We have previously established that paramedic exposure to out-of-hospital cardiac arrest (OHCA) is relatively rare, therefore clinical exposure cannot be relied on to maintain resuscitation competency. We aimed to identify the current practices within emergency medical services (EMS) for developing and maintaining paramedic resuscitation competency. METHODS: We developed and conducted an online cross-sectional survey of Australian and New Zealand EMS in 2015...
January 16, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28087894/public-cardiopulmonary-resuscitation-training-rates-and-awareness-of-hands-only-cardiopulmonary-resuscitation-a-cross-sectional-survey-of-victorians
#4
Janet E Bray, Karen Smith, Rosalind Case, Susie Cartledge, Lahn Straney, Judith Finn
OBJECTIVES: To provide contemporary Australian data on the public's training in cardiopulmonary resuscitation (CPR) and awareness of hands-only CPR. METHODS: A cross-sectional telephone survey in April 2016 of adult residents of the Australian state of Victoria was conducted. Primary outcomes were rates of CPR training and awareness of hands-only CPR. RESULTS: Of the 404 adults surveyed (mean age 55 ± 17 years, 59% female, 73% metropolitan residents), 274 (68%) had undergone CPR training...
January 13, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28087889/national-audit-of-the-quality-of-pain-relief-provided-in-emergency-departments-in-aotearoa-new-zealand-the-prized-1-study
#5
(no author information available yet)
OBJECTIVE: Pain is a common feature of ED presentations and the timely provision of adequate analgesia is important for patient care. However, there is currently no New Zealand data with respect to this indicator of care quality. The present study aimed to provide a baseline for the quality of care with respect to the provision of timely and adequate analgesia in New Zealand EDs. METHODS: The present study is a secondary analysis of data initially collected for the Shorter Stays in Emergency Department Study, using a retrospective chart review of 1685 randomly selected ED presentations (2006-2012) from 26 New Zealand public hospital EDs...
January 13, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28078762/competence-in-the-use-of-supraglottic-airways-by-australian-surf-lifesavers-for-cardiac-arrest-ventilation-in-a-manikin
#6
Lachlan Holbery-Morgan, Cara Angel, Michelle Murphy, James Carew, Finn Douglas, Robert Murphy, Natalie Hood, Andrew Rechtman, Christopher Scarff, Nicholas Simpson, Andrew Stewardson, Daniel Steinfort, Sam Radford, Ned Douglas, Douglas Johnson
OBJECTIVES: Lifesavers in Australia are taught to use pocket mask (PM) rescue breathing and bag valve mask (BVM) ventilation, despite evidence that first responders might struggle with these devices. Novices have successfully used the Laryngeal Mask Airway (LMA) Supreme and iGel devices previously, but there has been no previous comparison of the ability to train lifesavers to use the supraglottic airways compared to standard techniques for cardiac arrest ventilation. METHODS: The study is a prospective educational intervention whereby 113 lifesavers were trained to use the LMA and iGel supraglottic airways...
January 11, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28078686/making-the-transition-to-specialist-practice-as-a-new-facem
#7
Sara MacKenzie, Michael Jr Edmonds
No abstract text is available yet for this article.
January 11, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28073168/how-clean-is-your-stethoscope
#8
LETTER
Brittany Scott-Rimington, Sharon Klim, Anne-Maree Kelly
No abstract text is available yet for this article.
January 10, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28032473/kissing-in-a-crisis-conceiving-excellent-paediatric-critical-care-in-the-emergency-department
#9
Ben Lawton, Paul Holmes
No abstract text is available yet for this article.
December 29, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28032458/recognition-of-gamma-hydroxybutyric-acid-withdrawal-rapid-progression-and-prolonged-symptomatology
#10
Rajan Kailainathan, Anselm Wong, Shaun Greene, Zeff Koutsogiannis
No abstract text is available yet for this article.
December 29, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28032457/should-new-acem-fellows-spend-a-year-working-as-a-fellow-before-their-first-consultant-position-yes
#11
Andrew Perry
No abstract text is available yet for this article.
December 29, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28032456/a-guide-to-workplace-based-assessments-for-the-new-facem-assessor
#12
Nigel Moore
No abstract text is available yet for this article.
December 29, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28032443/should-new-acem-fellows-spend-a-year-working-as-a-fellow-before-their-first-consultant-position-no
#13
Timothy Campbell
No abstract text is available yet for this article.
December 29, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28009102/feeling-the-heat-using-hourly-emergency-activity-tracking-to-demonstrate-a-novel-method-of-describing-activity-and-patient-flow
#14
Kendall J Bein, Saartje Berendsen Russell, David Muscatello, Dane Chalkley, Rebecca Ivers, Michael M Dinh
OBJECTIVE: The objective of the present study is to demonstrate a novel method of mapping ED activity to analyse patterns presentations, occupancy and performance trends. METHODS: This was a retrospective, descriptive analysis of de-identified and linked ED presentations across NSW, Australia, over five calendar years, 2010-2014. It was undertaken as part of the Demand for Emergency Services Trend in Years 2010-2014 (DESTINY) study. The DESTINY project analysed 10...
December 23, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28004507/abdominal-surface-i-v-access-as-a-temporising-measure-in-resuscitation
#15
Joseph Ting
No abstract text is available yet for this article.
December 22, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28004506/impact-of-an-education-session-on-clinical-handover-between-medical-shifts-in-an-emergency-department-a-pilot-study
#16
Caroline Blyth, Nerolie Bost, Sue Shiels
OBJECTIVE: To evaluate the impact of a medical education session on the implementation of a new change of shift medical clinical handover format in an urban hospital ED. METHODS: This pilot study used a pre- and post-intervention design. The intervention consisted of a 1 h education session to teach a new handover format, SBARM (Situation, Background, Assessment, Recommendation, Medication). Data were collected through observations of doctors performing clinical handover and individual interviews with participants...
December 22, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28004493/economic-evaluation-of-nasogastric-versus-intravenous-hydration-in-infants-with-bronchiolitis
#17
Ed Oakley, Rob Carter, Bridie Murphy, Meredith Borland, Jocelyn Neutze, Jason Acworth, David Krieser, Stuart Dalziel, Andrew Davidson, Susan Donath, Kim Jachno, Mike South, Franz E Babl
OBJECTIVE: Bronchiolitis is the most common lower respiratory tract infection in infants and the leading cause of hospitalisation. We aimed to assess whether intravenous hydration (IVH) was more cost-effective than nasogastric hydration (NGH) as a planned secondary economic analysis of a randomised trial involving 759 infants (aged 2-12 months) admitted to hospital with a clinical diagnosis of bronchiolitis and requiring non-oral hydration. No Australian cost data exist to aid clinicians in decision-making around interventions in bronchiolitis...
December 22, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27875857/retrospective-review-of-prothrombinex-use-by-saas-medstar
#18
Roy Fischer, Simon Brettig, Andrew Pearce
OBJECTIVE: The aim of this study was to review and describe the use of Prothrombinex by a physician-led retrieval service based remote from a hospital blood bank. METHODS: This is a retrospective observational study. Patients to whom Prothrombinex was administered by the retrieval team were identified from the retrieval service patient database. The paper case cards of the identified patients were then manually reviewed and the data matched to patients in the state-wide electronic laboratory record...
November 22, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27862986/analysing-the-emergency-department-patient-journey-discovery-of-bottlenecks-to-emergency-department-patient-flow
#19
Sankalp Khanna, Justin Boyle, Norm Good, Anthony Bell, James Lind
OBJECTIVE: Despite significant workflow reform to comply with the federally mandated National Emergency Access Target (NEAT), Australian public hospitals continue to face significant barriers in achieving good ED patient flow. This study was undertaken to identify and analyse the impact of individual waypoints on an ED patient's journey and identify which waypoints act as bottlenecks to a hospital's 4 h ED disposition performance. METHODS: This study involves retrospective analysis and simulation employing 2 years of ED administrative data from a sample of two major and two large metropolitan hospitals in Queensland, Australia...
November 8, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27813266/reflections-on-changing-attitudes-to-alcohol-excess-and-violence
#20
Gordian Fulde, S Lesley Forster
No abstract text is available yet for this article.
November 3, 2016: Emergency Medicine Australasia: EMA
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