Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2007
Is cardiac monitoring during transport of low-risk chest pain patients from the emergency department necessary?
Incidence of life threatening arrhythmia for patients who present to the ED with low-risk chest pain (CP) (non-ischaemic electrocardiograms and normal cardiac marker profiles) is rare. These patients are often transported with cardiac monitoring by nurse escort from the ED. We aimed to show that this group of patients are at low risk of experiencing life-threatening arrhythmia disturbances. ⋯ CP patients who present to the ED with normal electrocardiograms and cardiac marker profiles are at low risk (<1%) of experiencing an adverse event during transport from the ED. This subset of patients might not require cardiac monitoring or nurse escort during transportation from the ED.
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Emerg Med Australas · Jun 2007
Multicenter StudyPractice makes perfect? Evaluation of cricoid pressure task training for use within the algorithm for rapid sequence induction in critical care.
To assess task training in cricoid pressure application suitable for incorporation into the algorithm for rapid sequence induction in acute care. ⋯ The application of cricoid force by critical care staff can be significantly improved by up to 3 min of practice on a simple task trainer.
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Emerg Med Australas · Jun 2007
Randomized Controlled TrialRandomized controlled trial of an instructional DVD for clinical skills teaching.
To determine the efficacy of clinical skills teaching using a DVD-based teaching medium (interventional group) compared with the traditional, four-step, face-to-face approach (control group). The clinical skill selected for the study was that of paediatric intraosseous (IO) needle insertion. ⋯ The study suggests that the use of instructional DVD for clinical skills teaching results in improved learning outcomes compared with the traditional face-to-face didactic teaching method.
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Emerg Med Australas · Jun 2007
Emergency department deaths despite active management: experience from a tertiary care centre in a low-income country.
To determine the frequency and causes of ED deaths despite active management, in a tertiary care centre of a low-income country. ⋯ Sepsis is the leading cause of death in patients of all age groups in the ED of this hospital.
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Emerg Med Australas · Jun 2007
Do family members interfere in the delivery of care when present during invasive paediatric procedures in the emergency department?
To determine whether family members interfere with patient care when present during invasive procedures performed on their children in the ED. ⋯ When family members are encouraged to stay for invasive procedures performed on their child, and careful explanation of the procedure, sedation, possible complications, choice of medication for sedation and possible side-effects is undertaken, family member interference is extremely rare.