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Emergency Medicine Australasia: EMA

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https://www.readbyqxmd.com/read/27875857/retrospective-review-of-prothrombinex-use-by-saas-medstar
#1
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
#2
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
#3
Gordian Fulde, S Lesley Forster
No abstract text is available yet for this article.
November 3, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27800672/emergency-departments-and-alcohol-the-perpetual-hangover
#4
Viet Tran, Sara Mackenzie, Suzanne Hamilton, Michael Jr Edmonds, Lisa Brichko
No abstract text is available yet for this article.
November 1, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27800671/computed-tomography-pulmonary-angiogram-positivity-rate-as-a-clinical-indicator-in-emergency-department
#5
LETTER
Emogene S Aldridge, Ian R Rogers
No abstract text is available yet for this article.
November 1, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27800669/drunk-and-disorderly-a-pre-hospital-perspective
#6
Carlton Irving
No abstract text is available yet for this article.
November 1, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27796071/-you-two-there-must-be-some-mistake
#7
LETTER
Anthony Ft Brown, Maryam Zia, Pamela Symons, Nigel Moore
No abstract text is available yet for this article.
October 30, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27785883/systematic-review-and-meta-analysis-of-first-pass-success-rates-in-emergency-department-intubation-creating-a-benchmark-for-emergency-airway-care
#8
Louise Park, Irene Zeng, Andrew Brainard
OBJECTIVE: Many EDs have begun to evaluate their airway performance. The first-pass success (FPS) rate is a commonly used marker of proficiency, and has been associated with rates of adverse events. The aim of this systematic review and meta-analysis is to quantify the ED FPS rates and summarise the rates of adverse events associated with endotracheal intubation. METHODS: A structured literature search was performed through MEDLINE and EMBASE. Research published since 2000 was included if it prospectively collected data on all patients intubated in the ED and reported the FPS rates...
October 27, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27778452/improving-clean-catch-contamination-rates-a-prospective-interventional-cohort-study
#9
Sharon Teo, John A Cheek, Simon Craig
OBJECTIVES: The clean-catch method of urine collection carries a high contamination rate. This study aims to evaluate the effects on contamination rate of providing a parent handout and pre-made urine collection pack for clean-catch urine collection. METHODS: We conducted a single-centre prospective cohort interventional study in a tertiary paediatric ED. All children younger than 24 months who presented from April 2013 to June 2014 requiring a urine sample to be obtained were included...
October 24, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27758079/not-sweet-enough-hypoglycaemia-in-children
#10
Laura Bretton
No abstract text is available yet for this article.
October 18, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27758065/blood-cultures-and-bacteraemia-in-an-australian-emergency-department-evaluating-a-predictive-rule-to-guide-collection-and-their-clinical-impact
#11
Jeremy D Brown, Scott Chapman, Patricia E Ferguson
OBJECTIVE: The objective of the present study is to determine whether a predictive rule could safely reduce the number of negative blood cultures collected in an Australian ED and to assess the clinical impact of positive results from blood cultures taken in the ED. METHODS: All positive blood cultures taken in the ED at a single facility were retrospectively identified for the calendar year 2012. Clinically significant bacteraemia episodes were assessed against a predictive rule using major and minor clinical and laboratory criteria gathered from medical records and pathology databases, and compared with a randomly generated sample of ED patient episode with negative blood cultures...
October 18, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27748058/review-article-role-of-magnesium-sulphate-in-the-management-of-irukandji-syndrome-a-systematic-review
#12
John Rathbone, Richard Franklin, Clinton Gibbs, David Williams
Signs of Irukandji syndrome (IS) suggest an underlying catecholamine storm with research demonstrating that Carukia barnesi venom causes a significant rise in adrenaline/noradrenaline serum levels. A systematic review was undertaken to ascertain the current evidence in treating IS with magnesium salts. A literature search was conducted using Scopus, Medline and ScienceDirect. Further articles were discarded via title description and/or abstract details. The remaining were read in full, and those identified as not having sufficient information regarding magnesium and patient outcomes were removed...
October 17, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27748042/in-situ-simulation-in-emergency-medicine-moving-beyond-the-simulation-lab
#13
Andrew Petrosoniak, Marc Auerbach, Ambrose H Wong, Christopher M Hicks
In situ simulation (ISS), a point of care training strategy that occurs within the patient care environment involving actual healthcare team members, provides additional benefits to centre-based simulation. ISS can serve several roles within emergency medicine (EM): improves provider/team performance, identifies and mitigates threats to patient safety and improves systems and infrastructure. The effective use of ISS fosters inter-professional team training and a culture of safety essential for high performance EM teams and resilient systems...
October 17, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27748015/one-register-to-rule-them-all-emergency-medicine-events-register
#14
Adam West
No abstract text is available yet for this article.
October 17, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27728959/symptom-to-door-delay-among-patients-with-st-segment-elevation-myocardial-infarction-in-singapore
#15
Win Wah, Pin Pin Pek, Andrew Fu Wah Ho, Stephanie Fook-Chong, Huili Zheng, En Yun Loy, Terrance Siang Jin Chua, Tian Hai Koh, Khuan Yew Chow, Arul Earnest, Junxiong Pang, Marcus Eng Hock Ong
OBJECTIVES: Symptom-to-door time (S2D) is one of the important components of ischaemic time, which might affect the infarct size and outcomes of acute myocardial infarction. The aim of the present study was to identify patients' characteristics associated with delayed symptom-onset-to-arrival at EDs in ST-segment elevation myocardial infarction (STEMI) patients in Singapore. METHODS: Retrospective data of STEMI patients presenting to the ED of all public hospitals with onsite primary percutaneous coronary intervention facilities between 2010 and 2012 were obtained from the Singapore Myocardial Infarction Registry...
October 11, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27701848/alcohol-intoxication-in-non-motorised-road-trauma
#16
Biswadev Mitra, Kate E Charters, John C Spencer, Mark C Fitzgerald, Peter A Cameron
OBJECTIVE: To determine the proportion of non-motorised road users involved in road traffic crashes that presents to hospital intoxicated. METHODS: We undertook a retrospective cohort study using data collected from the Alfred Trauma Registry. All patients presenting to an adult major trauma centre in Victoria, Australia from July 2009 to June 2014 who were involved in a road traffic crash as a non-motorised road user - pedestrians, pedal-cyclists, non-motorised scooter users, horse riders - were included...
October 4, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27701845/end-of-life-issues-withdrawal-and-withholding-of-life-sustaining-healthcare-in-the-emergency-department-a-comparison-between-emergency-physicians-and-emergency-registrars-a-sub-study
#17
Philip G Richardson, Jaimi Greenslade, Jonathon Isoardi, Michael Davey, Mark Gillett, Alicia Tucker, Sharon Klim, Anne-Maree Kelly, Ibrahim Abdelmahmoud
OBJECTIVE: We investigated and compared the importance of the considerations and discussions when withdrawing and withholding life-sustaining healthcare between emergency physicians (EP) and emergency registrars (ER). METHODS: This was a sub-study of a prospective cross-sectional questionnaire-based case series conducted in six EDs. Primary outcomes were, which of the discussion and considerations, were rated most important by EP and ER in the decision-making process...
October 4, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27701829/the-vhot-vindaloo-hastens-outpouring-of-troponins-study
#18
Alan S Tankel, Yusuf Nagree, Peter Jones, David Mountain, Stephen Pj Macdonald, Paul Hill, Martin Than
BACKGROUND: Multiple cardiac and non-cardiac processes may cause an elevated highly sensitive troponin (hsTn). We postulated that the consumption of a seriously hot vindaloo could cause an increase in hsTn levels in seemingly healthy volunteers. OBJECTIVE: To determine whether eating a very hot curry can cause elevated hsTn. METHODS: This was a prospective observational cohort study. Participants had blood drawn for hsTn pre-ingestion and at 2 and 4 h post-ingestion of, first, a rather mild butter chicken and, 2 weeks later, a seriously hot lamb vindaloo...
October 4, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27700005/high-flow-oxygen-in-patients-undergoing-procedural-sedation-in-the-emergency-department-a-retrospective-chart-review
#19
David Thomson, Timothy Cowan, Conrad Loten, Christina Botfield, Elizabeth Holliday, John Attia
OBJECTIVE: Hypoxia is a recognised complication of procedural sedation. This study sought to determine whether there was an association between the use of high-flow oxygen delivery by a non-rebreather (NRB) mask during ED procedural sedation and decreased rates of hypoxia when compared with alternative oxygenation methods. METHODS: Records of all procedural sedations performed over a 12 month period in an Australian tertiary ED were reviewed retrospectively. The primary outcome was whether recorded oxygen saturations fell below 90%...
October 3, 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27699989/prehospital-ketamine-use-by-paramedics-in-the-australian-capital-territory-a-12-month-retrospective-analysis
#20
Gregory J Hollis, Toby M Keene, Rory M Ardlie, David Ge Caldicott, Stuart G Stapleton
OBJECTIVE: The aim of this study was to describe prehospital use of ketamine by ACT Ambulance Service, and frequency of endotracheal intubation. METHODS: This was a retrospective study of patients receiving prehospital ketamine between 1 January and 31 December 2013. Episodes were identified from the prehospital electronic patient care records, then linkage to ED records at two receiving hospitals. Demographics, dose, indication and occasions of intubation were analysed...
October 3, 2016: Emergency Medicine Australasia: EMA
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