Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2006
Practice GuidelineCompressions: Australian Resuscitation Council Guideline 2006.
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Emerg Med Australas · Aug 2006
Comparative Study Clinical TrialComparative pharmacokinetics of Panadol Extend and immediate-release paracetamol in a simulated overdose model.
Panadol Extend is a modified-release paracetamol formulation in which each 665 mg tablet contains 69% slow-release and 31% immediate-release paracetamol. There are no data on Panadol Extend pharmacokinetics in overdose. It is unknown whether the paracetamol treatment nomogram can be used to make decisions regarding the toxicity of this product in overdose. ⋯ Reductions in Panadol Extend Cmax and AUC(0-12 h) might be related to elimination occurring during the absorption phase. In this model of Panadol Extend moderate overdose, Tmax was significantly delayed. In larger overdoses, time to peak paracetamol levels might be further delayed, because of continuing absorption from the formulation. Therefore, the paracetamol treatment nomogram might not reliably predict hepatotoxicity from Panadol Extend if paracetamol levels are measured too early.
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Emerg Med Australas · Aug 2006
Comparative StudyEmergency nurse practitioner care and emergency department patient flow: case-control study.
The present study aimed to compare ED waiting times (for medical assessment and treatment), treatment times and length of stay (LOS) for patients managed by an emergency nurse practitioner candidate (ENPC) with patients managed via traditional ED care. ⋯ Patient flow outcomes for ENPC managed patients are comparable with those of patients managed via usual ED processes.
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Emerg Med Australas · Aug 2006
Comparative StudyPresentation and management of aural foreign bodies in two Australian emergency departments.
To survey and compare the type and management of foreign bodies found in adult and paediatric ears presenting to an Australian otorhinolaryngology and a general ED. ⋯ Aural foreign bodies are a frequent presentation to the ED. Recognition of patients requiring early specialist referral is important. Adults present with a different profile of aural foreign objects to children and require different management. The use of cotton tips or cotton wool in the external ear canal and silicone ear plugs should be discouraged.