Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2004
Comparative StudyMultidisciplinary assessment at triage: a new way forward.
To evaluate a dual doctor and nurse triage system at a tertiary referral hospital. ⋯ We feel that multidisciplinary triage performs a useful function in our department enabling us to reduce waiting times. The process is widely accepted amongst the staff and it ensures a senior doctor assesses most patients. It reduces the number of patients leaving prior to being seen by a doctor and it provides one way of getting around access block and a physically small department.
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Emerg Med Australas · Feb 2004
Workplace factors leading to planned reduction of clinical work among emergency physicians.
There is anecdotal evidence that ACEM Fellows are reducing or planning to reduce their clinical workload. We investigated the extent of, and reasons for, these reductions. ⋯ Fellows are significantly reducing their clinical workload largely in response to excessive workload and lack of resources. These findings have important implications for professional longevity and work force planning. Re-evaluation of workplace practice, especially identified stressors, is indicated.
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Emerg Med Australas · Feb 2004
ReviewPharmacological therapy of acute cardiogenic pulmonary oedema in the emergency department.
This paper critically reviews the major drug types that are currently used in the management of acute cardiogenic pulmonary oedema. As decompensated heart failure becomes an increasingly common problem in emergency departments in the developed world, optimization of emergency drug therapy for these critically ill patients is essential. The evidence base for 'routine therapy' in the ED is considered. The review also briefly considers emerging pharmacological therapies that may have an impact on future management of cardiogenic pulmonary oedema.