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Emergency Medicine Australasia: EMA

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https://www.readbyqxmd.com/read/29756414/arterial-to-end-tidal-carbon-dioxide-tension-difference-co-2-gap-as-a-prognostic-marker-for-adverse-outcomes-in-emergency-department-patients-presenting-with-suspected-sepsis
#1
Amith Shetty, Sebastian Sparenberg, Kristian Adams, Selwyn Selvedran, Benjamin Tang, Kim Hanna, Jonathan Iredell
OBJECTIVE: The arterial to end-tidal carbon dioxide tension difference (CO2 gap) correlates with physiologic dead space. The prognostic value of increased CO2 gap in trauma and respiratory distress patients is documented. Transpulmonary arteriovenous shunting is identified as a predictor of mortality in non-pulmonary sepsis. We set out to investigate the prognostic value of the CO2 gap in a pilot study of patients with suspected sepsis from non-respiratory causes. METHODS: Patients presenting to tertiary Australian ED with suspected sepsis (nā€‰=ā€‰215) underwent near-simultaneous end-tidal carbon dioxide and partial pressure of carbon dioxide measurements...
May 13, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29752780/review-article-the-utility-of-troponin-and-other-investigations-in-patients-presenting-to-the-emergency-department-with-supraventricular-tachycardia
#2
REVIEW
Harith Fernando, Nicholas Adams, Biswadev Mitra
Patients with supraventricular tachycardia commonly present to the ED. There is a lack of consensus regarding assessment of these patients. Our aim was to determine the utility of troponin and four other investigations (full blood examination, electrolyte levels, thyroid function tests and chest X-rays) commonly requested for these patients. MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (January 1992-March 2017) were searched for randomised controlled trials and observational studies (of sample size greater than 10)...
May 11, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29752776/influence-of-prehospital-airway-management-on-neurological-outcome-in-patients-transferred-to-a-heart-attack-centre-following-out-of-hospital-cardiac-arrest
#3
Timothy Edwards, Julia Williams, Michaela Cottee
OBJECTIVE: To describe the association between prehospital airway management and neurological outcomes in patients transferred by the ambulance service directly to a heart attack centre (HAC) post-return of spontaneous circulation (ROSC). METHODS: A retrospective observational cohort study in which ambulance records were reviewed to determine prehospital airway management strategy and collect physiological and demographic data. HAC notes were obtained to determine in-hospital management and quantify neurological outcome via the cerebral performance category (CPC) scale...
May 11, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29740959/preparedness-for-treating-victims-of-terrorist-attacks-in-australia-learning-from-recent-military-experience
#4
Jeffrey V Rosenfeld, Biswadev Mitra, De Villiers Smit, Mark C Fitzgerald, Benjamin Butson, Michael Stephenson, Michael C Reade
The Australian health system is generally well prepared for mass casualty events. Fortunately, there have been very few terrorist attacks and these have involved low numbers of casualties compared with events overseas. Nevertheless, Australian health professionals need to be prepared to treat mass casualties with blast and ballistic trauma. The US military and its allies including Australia have had extensive experience with mass casualty management in the Middle East and Afghanistan wars for more than a decade...
May 9, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29736932/-nofilter-professionalism-in-social-media
#5
Alison Little
No abstract text is available yet for this article.
May 8, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29732694/social-media-in-medical-education-can-you-trust-it-yes
#6
Matthew Nettle
No abstract text is available yet for this article.
May 6, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29732693/social-media-in-medical-education-can-you-trust-it-no
#7
Raymond Chan
No abstract text is available yet for this article.
May 6, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29732692/re-limited-evidence-for-screening-for-serious-pathologies-using-red-flags-in-patients-with-low-back-pain-presenting-to-the-emergency-department
#8
LETTER
Kirsten Strudwick, Megan McPhee, Anthony Bell, Melinda Martin-Khan, Trevor Russell
No abstract text is available yet for this article.
May 6, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29732691/the-good-the-bad-and-the-ugly-of-social-media-how-to-navigate-through-the-noise
#9
Neil David Long
No abstract text is available yet for this article.
May 6, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29732689/social-media-in-medical-education-how-far-have-we-come
#10
Joanne Cobbett, Viet Tran, Kimberly Humphrey
No abstract text is available yet for this article.
May 6, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29726124/community-asthma-management-of-emergency-department-patients-a-pilot-study-of-adherence-with-national-consensus-guidelines
#11
Nicholas D Ross, David McD Taylor, Ashleigh J Sellar, Hayley H Chen, Luke D Plant, Daniel McLean, Paul Berlingeri, Rex Gavan, Tracey J Weiland, Jonathan C Knott, Christine F McDonald
We aimed to determine whether the outpatient management of ED patients with asthma adheres to Australia's Asthma Consensus Guidelines. Adult patients, under treatment for asthma, were administered a validated questionnaire. Data on their outpatient management were collected and analysed descriptively. Of 51 patients, 14 smoked and 35 did not undergo regular GP review. Twenty-one patients had a good understanding of a written asthma action plan although only 15 owned one. Fourteen patients used no preventer medication...
May 3, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29722178/external-validation-of-the-rapid-assessment-prioritisation-and-referral-tool-for-multidisciplinary-teams-in-medical-assessment-and-planning-units
#12
Stacey Sharp, Michelle Palmer, Simone L Dullaway, Kristy Fortnum, Michelle-Renee Jane, Inger Kwiecien, Angela Vivanti, Steven M McPhail
OBJECTIVE: The Rapid Assessment Prioritisation and Referral Tool (RAPaRT) was developed for identifying appropriate referrals to allied members of the multidisciplinary team in hospital medical assessment and planning units (MAPUs). This study examined the performance of the RAPaRT for identifying appropriate referrals as well as predicting requirement for admission to hospital and length of stay. METHODS: A prospective cohort study was conducted. The RAPaRT, inclusive of seven mandatory items, was completed by nurses for 195 patients presenting to a hospital ED and assessed in a MAPU external to the instrument development site...
May 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29718588/community-attitudes-to-emergency-research-without-prospective-informed-consent-a-survey-of-the-general-population
#13
Jeremy Furyk, Richard Franklin, Kerrianne Watt, Theopilus Emeto, Stuart Dalziel, Kris McBain-Rigg, Nikola Stepanov, Franz E Babl
OBJECTIVE: To give voice to the general public's views of prospective and retrospective (deferred) consent in the emergency research setting. METHODS: A cross-sectional, stratified population-based, telephone survey was conducted in April to July 2016. A questionnaire consisting of standardised health and demographic details, and seven specifically designed, and pilot-tested questions, five closed and two open text, based on literature review and previous surveys in the field was used...
May 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29695029/paediatric-acute-care-highlights-from-the-paediatric-acute-care-advanced-paediatric-life-support-conference-gold-coast-2017
#14
Stephen Ss Teo, Arjun Rao, Jason Acworth
The Paediatric Acute Care Conference 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 Conference 2017 was held at Surfers Paradise, Queensland. We provide a summary of some of the presentations.
April 25, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29693788/-what-the-hell-is-water-how-to-use-deliberate-clinical-inertia-in-common-emergency-department-situations
#15
Diana Egerton-Warburton, Louise Cullen, Gerben Keijzers, Daniel M Fatovich
Appropriate deliberate clinical inertia refers to the art of doing nothing as a positive clinical response. It includes shared decision-making to improve patient care with the use of clinical judgement. We discuss common clinical scenarios where the use of deliberate clinical inertia can occur. The insertion of peripheral intravenous cannulae, investigating patients with suspected renal colic and the investigation of low risk chest pain are all opportunities for the thoughtful clinician to 'stand there' and use effective patient communication to avoid low value tests and procedures...
April 25, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29693313/routine-cervical-spine-immobilisation-is-unnecessary-in-patients-with-isolated-cerebral-gunshot-wounds-a-south-african-experience
#16
Victor Y Kong, Ross D Weale, Benn Sartorius, John L Bruce, Grant L Laing, Damian L Clarke
OBJECTIVE: Routine immobilisation of the cervical spine in trauma has been a long established practice. Very little is known in regard to its appropriateness in the specific setting of isolated traumatic brain injury secondary to gunshot wounds (GSWs). METHODS: A retrospective study was conducted over a 5 year period (January 2010 to December 2014) at the Pietermaritzburg Metropolitan Trauma Service, Pietermaritzburg, South Africa in order to determine the actual incidence of concomitant cervical spine injury (CSI) in the setting of isolated cerebral GSWs...
April 25, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29693312/re-acem-president-response-mandatory-misrepresentation
#17
LETTER
Julie Bunney
No abstract text is available yet for this article.
April 25, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29671944/review-article-isolated-proximal-tibiofibular-joint-dislocation
#18
REVIEW
Neil J Cunningham, Nicholas Farebrother, Jake Miles
Proximal tibiofibular joint (PTFJ) dislocations are relatively rare injuries and this paper provides an up-to-date review and practical management approach for the assessment and management of these cases. Isolated PTFJ dislocations are a rare injury, accounting for less than 1% of all knee injuries. Thus, there does not appear to be a clear consensus on definitive management and post-reduction care in the literature. This paper provides a review of the literature, anatomical analysis of the PTFJ in the dislocated state, and a technique for reduction...
April 19, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29664184/review-article-a-scoping-review-of-physiotherapists-in-the-adult-emergency-department
#19
REVIEW
Giovanni E Ferreira, Adrian C Traeger, Chris G Maher
To provide an overview of the literature that considers physiotherapists working in the ED in relation to their roles, training levels, patient profile, safety, effectiveness, efficiency, cost-effectiveness and the provision of low-value care. We performed a scoping review of the literature. Four databases (PubMed, EMBASE, CINAHL and Cochrane CENTRAL) were searched from their inception to December 2016 and we updated searches on PubMed in September 2017. Two reviewers independently screened studies for eligibility...
April 17, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29663697/testing-a-new-form-to-document-goals-of-care-discussions-regarding-plans-for-end-of-life-care-for-patients-in-an-australian-emergency-department
#20
Amber C Mills, Michele Levinson, William A Dunlop, Edward Cheong, Timothy Cowan, Jennifer Hanning, Erin O'Callaghan, Katherine J Walker
OBJECTIVE: There is limited literature to inform the content and format of Goals-of-Care forms, for use by doctors when they are undertaking these important conversations. METHODS: This was a prospective, qualitative and quantitative study evaluating the utility of a new 'Goals-of-Care' form to doctors in a private, tertiary ED, used from December 2016 to February 2017 at Cabrini, Melbourne. A Goals-of-Care form was designed, incorporating medical aims of therapy and patient values and preferences...
April 16, 2018: Emergency Medicine Australasia: EMA
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