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Emergency Medicine Australasia: EMA

Megan Cox
In the past 5 years Botswana graduated its first home-grown doctors and emergency medicine specialists for the country. The postgraduate emergency medicine specialist training arrangement between Botswana and South Africa was challenging in development, implementation and maintenance. Numerous varied supports from ACEM and its International Emergency Medicine Network were integral to these successes. This article encourages further investment of ACEM grants and scholarships in Africa by describing how ACEM supported significant advances in Botswana emergency medicine...
November 14, 2018: Emergency Medicine Australasia: EMA
Chantelle Judge, Rob Eley, Monica Miyakawa-Liu, Nathan J Brown, Laura McCosker, Georgia Livesay, James A Hughes, Kirsten Vallmuur
OBJECTIVE: Injuries are a major burden on the Australian healthcare system. Power tool usage is a common cause of accidental injury. A better understanding of the trends of power tool injuries will inform prevention strategies and potentially mitigate costs. METHODS: The ED databases from two level 1 hospitals were reviewed for presentations between 2005 and 2015 resulting from accidental injury with power tools. A subgroup of patients presenting to one hospital between 2016 and 2017 were interviewed about the activities and circumstances that led to their injuries, and followed up 3 months later to assess outcomes...
November 8, 2018: Emergency Medicine Australasia: EMA
Jamie Ranse, Shane Lenson, Toby Keene, Matt Luther, Brandon Burke, Alison Hutton, Amy Nb Johnston, Julia Crilly
OBJECTIVE: The aim of this study was to describe the in-event, ambulance and ED impacts of patient presentations from an Australian mass gathering event (MGE) including patient demographics, provision of care, length of stay and discharge disposition. METHODS: This research was set at one MGE in Australia. The MGE had one first aid post and one in-event health team staffed by doctors, nurses and paramedics. A retrospective analysis of patient care records from providers of in-event, ambulance and ED services was undertaken...
November 8, 2018: Emergency Medicine Australasia: EMA
Khyarne Biles
No abstract text is available yet for this article.
October 27, 2018: Emergency Medicine Australasia: EMA
Nathan Passi
No abstract text is available yet for this article.
October 26, 2018: Emergency Medicine Australasia: EMA
Sascha L Baldry, Peiter F Fouche
No abstract text is available yet for this article.
October 19, 2018: Emergency Medicine Australasia: EMA
Osborn Jiang, Stephen Edward Asha, Jessica Keady, Kate Curtis
OBJECTIVE: In a motor vehicle crash, compressive forces from the lap component of the seat belt may produce an abdominal abrasion/contusion known as the 'seat belt sign', and is associated with abdominal and lumbar injuries. Previous research has not taken into account the position of this sign in relation to the anterior superior iliac spine (ASIS). Our aim was to demonstrate an association between the seat belt sign position in relation to ASIS and the presence of abdominal/lumbar injury...
October 16, 2018: Emergency Medicine Australasia: EMA
David McCutcheon, Mohan Raghavan, Jessamine Soderstrom, Francois Oosthuizen, Bianca Douglas, Ellen MacDonald, Daniel Fatovich
OBJECTIVE: An ever-increasing number of novel psychoactive substances are being detected worldwide. These emerging drugs have been demonstrated to cause toxicity in clusters, and deaths have been reported. We urgently need to learn more about their effects. We report the protocol for the Western Australian Illicit Substance Evaluation (WISE) study, a research project investigating illicit drug use in the ED. METHODS: Patients can be enrolled if the treating clinician strongly suspects they are currently intoxicated with a stimulant, hallucinogenic or cannabinoid drug; and an i...
October 14, 2018: Emergency Medicine Australasia: EMA
Jane Nikles, Gerben Keijzers, Muthuwahandi Ishan Diluka De Silva, Subaat Khan, Michele Sterling
OBJECTIVE: Describe current practice of medication prescribing for acute whiplash-associated disorders (WAD) in the ED and explore attitudes towards pregabalin prescription for WAD. METHODS: Questionnaire-based survey in two EDs collected data on demographics and self-reported medication prescribing for WAD. Comfort in various scenarios for pregabalin prescribing was rated. RESULTS: A total of 145/170 (85%) doctors responded; 42.8% were junior doctors...
October 14, 2018: Emergency Medicine Australasia: EMA
Aidan Baron
No abstract text is available yet for this article.
September 27, 2018: Emergency Medicine Australasia: EMA
Liga Yusvirazi, Andi Ade Wijaya Ramlan, Peter C Hou
OBJECTIVES: As an emerging country with the fourth largest population in the world, Indonesia's purchasing power has strengthened, leading to socioeconomic changes that affect its healthcare system. Additionally, there is a surge of healthcare utilisation after the implementation of a new national insurance scheme, particularly within emergency departments. Similar to other low- to middle-income countries, Indonesia has not prioritised the progress of emergency medicine despite existing evidence that suggests that the early intervention of many acute conditions lowers the rates of morbidity and mortality...
September 25, 2018: Emergency Medicine Australasia: EMA
Emily Andrew, Colin Jones, Michael Stephenson, Tony Walker, Stephen Bernard, Peter Cameron, Karen Smith
OBJECTIVE: In Victoria, Australia, Emergency Medical Service (EMS) demand has increased almost 5% per annum over the past 5 years. This may adversely affect response times to time-critical patients. Additionally, >55% of cases have received Code 1 (lights/sirens) responses. Primary telephone triage occurs using the Medical Priority Dispatch System (MPDS); however, MPDS is reported to be highly sensitive, with common over-triage. The present study describes the methodology applied to better align the response allocated to MPDS determinant codes with patient acuity...
September 19, 2018: Emergency Medicine Australasia: EMA
Allan Plant, Barry Kneale, Mohana Maddula
No abstract text is available yet for this article.
September 19, 2018: Emergency Medicine Australasia: EMA
Matthew Oliver, Aaron A Adonopulos, Paul S Haber, Michael M Dinh, Tim Green, Tim Wand, Alexandre Vitte, Dane Chalkley
OBJECTIVE: The present study describes patients with acute behavioural disturbance presenting to the ED, the impact they have on the department and any complications that occur. METHODS: We performed a prospective observational study of adult patients (>17 years old) requiring parenteral sedation for acute behavioural disturbance over a 13 month period. Demographic data, mode of arrival, indication, drug type and dosing used for sedation were collected. Departmental data were recorded including the staff type and numbers involved and the condition of the department...
September 19, 2018: Emergency Medicine Australasia: EMA
Lucy Kennedy, Scott Wrigley, Marcus Kennedy, Vincent Pellegrino
OBJECTIVE: Audit of extracorporeal membrane oxygenation (ECMO) retrieval service operating in Victoria, Australia, regarding retrieval factors and patient survival to intensive care unit (ICU) discharge. METHODS: Retrospective cohort analysis of Adult Retrieval Victoria ECMO retrievals with subsequent ICU admission (n = 88) from January 2014 to December 2017. RESULTS: Complications occurring during veno-arterial ECMO transfer have significant association with decreased survival to ICU discharge (P = 0...
September 18, 2018: Emergency Medicine Australasia: EMA
Waruna de Alwis
The concept of freestanding EDs is a popular operational model of emergency care in the USA. This model has been described as an emergency physician-created innovative solution in resolving ongoing overcrowding issues in EDs. A decentralised community-based emergency care model may be a solution to meet the increasing demand for emergency and unscheduled acute care in Australia. It may also help to reduce the number of acute hospital admissions through EDs. The aim of freestanding EDs should be to manage and discharge a cohort of patients, mainly in Australasian Triage Scale 3 and 4 categories, currently seen in hospital-based EDs...
September 14, 2018: Emergency Medicine Australasia: EMA
Diana Egerton-Warburton, Fern McAllan, Radha Ramanan, Zheng Jie Lim, Daniel Nagle, Claire Dendle, Rhonda Stuart
OBJECTIVE: Our objective was to examine the impact of a human factor-designed multimodal intervention on the proportion of unused peripheral i.v. cannula (PIVC) insertion in our ED. METHODS: A pre- and post-multimodal intervention retrospective cohort study was conducted using a structured electronic medical record review within a single adult tertiary ED in Australia. Pre-intervention data was collected 30 days prior to the multimodal intervention, with 30 day post-intervention data collected 3 months after the intervention commenced...
September 12, 2018: Emergency Medicine Australasia: EMA
Alannah L Cooper, Yusuf Nagree, Adrian Goudie, Peter R Watson, Glenn Arendts
OBJECTIVE: To determine if an ultrasound-guided femoral nerve block (FNB) is superior to an ultrasound-guided fascia iliaca compartment block (FICB) in providing pain relief to patients with a neck of femur or proximal femoral fracture. METHODS: A double-blind randomised controlled trial was conducted. All participants received two blocks, one active and one placebo. An active FICB was administered to 52 participants and 48 participants received an active FNB. RESULTS: Analysis was completed on data collected from 100 participants...
September 9, 2018: Emergency Medicine Australasia: EMA
Shizar Nahidi, Roberto Forero, Sally McCarthy, Nicola Man, Nick Gibson, Mohammed Mohsin, David Mountain, Daniel Fatovich, Gerard Fitzgerald, Ghasem Sam Toloo
OBJECTIVE: The implementation of the time target policy (Four-Hour Rule/National Emergency Access Target [4HR/NEAT]) constituted a major change for ED, and potentially on quality of care. The present study aimed to understand perceptions and experiences of ED staff during 4HR/NEAT implementation. METHODS: A semi-structured interview was used to explore views and perceptions of 119 ED staff from 16 EDs in New South Wales, Australian Capital Territory, Queensland and Western Australia...
September 4, 2018: Emergency Medicine Australasia: EMA
Ian S deSouza
No abstract text is available yet for this article.
September 3, 2018: Emergency Medicine Australasia: EMA
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