Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2005
ReviewChronic pain syndromes in the emergency department: identifying guidelines for management.
To explore current literature on chronic pain syndromes and develop ED recommendations for the management and minimalization of chronic non-cancer pain. ⋯ Emergency Medicine lacks a cohesive, informed strategy for management of chronic pain. The proposed guidelines represent the first step toward establishing consistency in the management of patients with chronic pain syndromes. Further work needs to be undertaken at a national level in developing evidence based guidelines.
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Emerg Med Australas · Feb 2005
Clinical TrialRelative utility of serum troponin and the OESIL score in syncope.
To investigate the utility of both a random troponin T level taken greater than 4 h after a syncopal event and the Osservatorio Epidemiologico sulla Sincope nel Lazio (OESIL) score in predicting outcome post syncope. ⋯ A normal serum troponin T has a poor negative predictive value for adverse cardiac outcomes following syncope. A simple risk stratification system, such as the OESIL score, can predict those patients most at risk after a syncopal episode.
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Emerg Med Australas · Feb 2005
Comparative StudyAmbulance diversion is not associated with low acuity patients attending Perth metropolitan emergency departments.
To examine the relationship between ambulance diversion and low acuity patient (LAP) attendances to EDs. ⋯ Inner metropolitan hospitals experience low LAP attendance rates. Attempts to further reduce LAP attendance rates at Perth inner metropolitan hospitals have limited scope to reduce ambulance diversion.