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Emergency Medicine Australasia: EMA

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https://www.readbyqxmd.com/read/28320079/ketamine-reduces-the-need-for-intubation-in-patients-with-acute-severe-mental-illness-and-agitation-requiring-transport-to-definitive-care-an-observational-study
#1
Cathrin S Parsch, Adrianne Boonstra, David Teubner, Wade Emmerton, Brian McKenny, Daniel Y Ellis
OBJECTIVES: The aim of this study was to review mental health patients transported by a dedicated statewide critical care retrieval team before and after the implementation of a ketamine sedation guideline. METHODS: This is a a retrospective cohort study of mental health patients with acute behavioural disturbance, transported between January 2010 and December 2015. RESULTS: A total of 78 patients were transported in the study period, 50 before and 28 after implementation of the ketamine guideline in June 2013...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28320071/adherence-to-national-exercise-guidelines-by-patients-attending-emergency-departments-a-multi-site-survey
#2
Paul Berlingeri, Neil Cunningham, David McD Taylor, Jonathan Knott, Daniel McLean, Rex Gavan, Luke Plant, Hayley Chen, Tracey Weiland
OBJECTIVE: The proportion of adults in Australia meeting or exceeding the national guidelines for physical activity has remained relatively static over the past 10 years. The research objective was to measure self-reported physical activity and sedentary behaviour among ED patients in accordance with Australia's current physical activity and sedentary behaviour guidelines, revised in 2014. METHODS: A convenience sample of participants was recruited from three EDs in Melbourne between February and May 2016...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28320069/usefulness-of-laboratory-and-radiological-investigations-in-the-management-of-supraventricular-tachycardia
#3
Aadith Ashok, Miguel Cabalag, David McD Taylor
OBJECTIVE: Although ED patients presenting with supraventricular tachycardia (SVT) are commonly investigated, the value of these investigations has been questioned. We aimed to determine the frequency and utility of investigations in patients with SVT. METHODS: We undertook an explicit retrospective medical record audit of patients with SVT who presented to a single ED (January 2004 to June 2014). Data on demographics, presenting complaints, investigations and outcomes were extracted...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28320068/thoracic-electrical-bioimpedance-versus-suprasternal-doppler-in-emergency-care
#4
Mohammed H Elwan, Jeremy Hue, Samira J Green, Salah M Eltahan, Mark R Sims, Timothy J Coats
OBJECTIVE: There are a number of cardiac output (CO) monitors that could potentially be used in the ED. Two of the most promising methods, thoracic electrical bioimpedance and suprasternal Doppler, have not been directly compared. The aim of this study was to investigate the feasibility of CO monitoring using suprasternal Doppler and bioimpedance in emergency care and compare haemodynamic data obtained from both monitors. METHODS: Haemodynamic measurements were made on the same group of patients using bioimpedance (Niccomo, Medis, Germany) and suprasternal Doppler (USCOM, Sydney, Australia)...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28320067/patterns-of-low-acuity-patient-presentations-to-emergency-departments-in-new-south-wales-australia
#5
Alexandre S Stephens, Richard A Broome
OBJECTIVE: To explore the patterns of low acuity patient (LAP) presentations to EDs in New South Wales (NSW), Australia. METHODS: Retrospective study of NSW public hospital ED presentations between January 2013 and December 2014 that were registered in the NSW Emergency Department Data Collection (n = 409 035). LAPs were defined according to the Australian Institute of Health and Welfare (AIHW), Sprivulis and multiple ACEM methods. Multivariable logistic regression was used to assess the adjusted odds of LAP ED presentation by a suite of sociodemographic factors...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28320047/drinking-water-and-disorientation-the-perils-of-a-long-hot-australian-summer
#6
Panida Kanjanauptom, John A Cheek
No abstract text is available yet for this article.
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28296230/emergency-transvenous-cardiac-pacing
#7
Vinay Gangathimmaiah
No abstract text is available yet for this article.
March 10, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28273685/training-in-a-private-hospital-a-trainee-s-perspective
#8
Shalina Navaratnam
No abstract text is available yet for this article.
March 8, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28273679/abuse-of-the-older-person-is-this-the-case-you-missed-last-shift
#9
REVIEW
Carolyn Hullick, Christopher R Carpenter, Robert Critchlow, Ellen Burkett, Glenn Arendts, Guruprasad Nagaraj, Tony Rosen
No abstract text is available yet for this article.
March 8, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28273678/learning-on-the-fly-how-rural-junior-doctors-learn-during-consultations-with-retrieval-physicians
#10
Timothy Baker, Koshila Kumar, Marcus Kennedy
OBJECTIVE: This study explores how rural junior doctors learn while consulting retrieval physicians about critically ill and injured patients, as well as the tensions characterising teaching and learning in this setting. METHODS: Data were collected via three focus groups, involving rural junior doctors (n = 8), rural senior doctors (n = 3) and retrievalists (n = 3). The discussions were transcribed and subject to multistage coding. RESULTS: Rural junior doctors believe they learn from interactions with retrieval physicians...
March 8, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28266183/capturing-the-art-of-emergency-medicine-does-film-foster-reflection-in-medical-students
#11
Gabrielle Brand, Steve Wise, Zarrin S Siddiqui, Antonio Celenza, Daniel M Fatovich
OBJECTIVE: Integrating arts and humanities-based pedagogy into curricula is of growing interest among medical educators, particularly how it promotes reflection and empathy. Our aim was to explore whether a 2.50 min film titled 'The Art of the ED' stimulated reflective learning processes in a group of first year medical students. METHODS: The film was shown prior to their first clinical placement in an ED. Student participation was voluntary and not assessable...
March 7, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28266169/establishing-a-dedicated-toxicology-unit-reduces-length-of-stay-of-poisoned-patients-and-saves-hospital-bed-days
#12
Katherine Z Isoardi, Melanie C Armitage, Keith Harris, Colin B Page
OBJECTIVE: This study evaluates the effect on the average length of stay (LOS), relative stay index (RSI), bed days and costs saved following the establishment of a dedicated clinical toxicology unit in an Australian tertiary referral hospital. METHODS: This retrospective descriptive study uses Health Roundtable and other state and federal data to compare the average LOS, RSI, estimated bed days and costs saved by patients admitted with a diagnosis-related group (DRG) of X62 (Poisoning/Toxic Effects of Drugs and Other Substances), over the 4 year period 2012-2015...
March 7, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28244266/observational-study-of-alternative-therapies-among-paediatric-emergency-department-patients
#13
Juen-Li Ding, David McD Taylor, Marina Lee, Olivia G Johnson, Aadith Ashok, Meg Griffiths, Leopold Simma, Simon S Craig, John A Cheek, Franz E Babl
OBJECTIVE: While complementary medicine use among ED paediatric patients is common, the use of alternative therapies (ATs; physical or spiritual therapies) is unknown. We aimed to determine the 12 month period prevalence and nature of AT use among paediatric patients and parent perceptions of AT use. METHODS: We undertook a cross-sectional survey of a convenience sample of parents of paediatric patients in three EDs in metropolitan Melbourne, Australia (January-June, 2015)...
February 28, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28244223/training-in-a-rural-regional-facility-a-trainee-s-perspective
#14
Richard Stephenson
No abstract text is available yet for this article.
February 28, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28244214/going-bush-australasian-college-for-emergency-medicine-training-in-a-rural-centre
#15
Tanya Mellett
No abstract text is available yet for this article.
February 28, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28244212/integrated-major-haemorrhage-management-in-the-retrieval-setting-damage-control-resuscitation-from-referral-to-receiving-facility
#16
Julian D Wijesuriya, Sean Keogh
Major haemorrhage is a leading cause of death in critically ill or injured patients requiring medical retrieval and presents significant clinical and logistic challenges irrespective of patient location, primary pathophysiology or mode of transport. It is essential that all care providers involved in the retrieval patient pathway, including referring hospitals, ambulance services, retrieval teams and tertiary receiving centres, adopt a common approach to the management of this complex patient group through the use of retrieval-specific, integrated protocols...
February 28, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28236379/cruciform-position-for-trauma-resuscitation
#17
Biswadev Mitra, Mark C Fitzgerald, Alexander Olaussen, Prasanthan Thaveenthiran, Jordan Bade-Boon, Katherine Martin, De Villiers Smit, Peter A Cameron
Multiply injured patients represent a particularly demanding subgroup of trauma patients as they require urgent simultaneous clinical assessments using physical examination, ultrasound and invasive monitoring together with critical management, including tracheal intubation, thoracostomies and central venous access. Concurrent access to multiple body regions is essential to facilitate the concept of 'horizontal' resuscitation. The current positioning of trauma patient, with arms adducted, restricts this approach...
February 25, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28236356/the-path-to-becoming-an-emergency-physician-an-overview-of-australasian-college-for-emergency-medicine-emergency-department-training-options
#18
Michael Jr Edmonds, Jessica Forbes, Sara Mackenzie, Lisa Brichko
No abstract text is available yet for this article.
February 25, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28201852/the-probability-of-probability-and-research-truths
#19
Daniel M Fatovich, Michael Phillips
The foundation of much medical research rests on the statistical significance of the P-value, but we have fallen prey to the seductive certainty of significance. Other scientific disciplines work to a different standard. This may partly explain why medical reversal is an increasing phenomenon, whereby new studies (based on the 0.05 standard) overturn previous significant findings. This has generated a crisis in the rigour of evidence-based medicine, as many people erroneously believe that a P < 0.05 means the treatment effect is clinically important...
February 15, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28125855/predictors-and-outcomes-of-acute-pancreatitis-in-critically-ill-patients-presenting-to-the-emergency-department-of-a-tertiary-referral-centre-in-australia
#20
Krishnaswamy Sundararajan, Tom Schoeman, Lara Hughes, Suzanne Edwards, Benjamin Reddi
OBJECTIVE: To provide a current review of the clinical characteristics, predictors and outcomes in critically ill patients presenting to the ED with acute pancreatitis and subsequently admitted to an intensive care unit (ICU) of a tertiary referral centre in Australia. METHODS: A retrospective single-centre study of adult patients admitted with pancreatitis. Severe acute pancreatitis defined by Bedside Index of Severity in Acute Pancreatitis (BISAP) score ≥2. RESULTS: Eighty-seven patients fulfilled criteria for inclusion during the study period, representing 0...
January 26, 2017: Emergency Medicine Australasia: EMA
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