Emergency medicine Australasia : EMA
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To assess the implementation and utility of US for assisting peripheral venous access in a paediatric ED. ⋯ The US guidance may improve the success rate of peripheral vascular access in children rated to have difficult or very difficult vascular access.
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Flood is the most common natural disaster in Australia and causes more loss of life than any other disaster. This article describes the incidence and causes of deaths directly associated with floods in contemporary Australia. ⋯ In modern developed countries with adequate emergency response systems and extensive resources, deaths that occur in floods are almost all eminently preventable. Over 90% of the deaths are caused by attempts to ford flooded waterways or inappropriate situational conduct. Knowledge of the leading causes of flood fatalities should inform public awareness programmes and public safety police enforcement activities.
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Emerg Med Australas · Apr 2010
Investigating moderate to severe paediatric trauma in the Auckland region.
To investigate differences between paediatric patients with moderate to severe trauma admitted from two paediatric ED, with respect to: demographics, patterns of presentation, mechanism of injury, injury severity scores (ISS), interventions and outcome. ⋯ This study suggests that there are no differences in the numbers or severity of paediatric trauma patients admitted from the Starship and KidzFirst ED. This indicates triage is to the closest ED despite having a tertiary referral centre for paediatric trauma available in Auckland City.
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Emerg Med Australas · Apr 2010
Case ReportsHepatic portal venous gas in a patient with intestinal necrosis.
This report describes a case of hepatic portal venous gas (HPVG) in a patient with intestinal ischaemia and necrosis resulting from an obstructing lesion in the sigmoid colon. CT images demonstrating a large amount of HPVG are presented.
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Emerg Med Australas · Apr 2010
The Emergency Medicine Capacity Assessment Study: anticipated impact of a major increase in intern numbers in Australian ED.
To identify emergency medicine (EM) staff perceptions of EM intern rotation, the capacity of ED to accept an increase in intern numbers of 70%, attitudes of staff towards the increase, and its anticipated impact on management of ED, patient care and learning opportunities. ⋯ The increase in interns peaking in 2012 represents a significant change to the health system that will challenge the capacity of ED. Although ED internship is perceived as an indispensable learning opportunity, maintaining the ED experience with a rapid influx of interns will not occur without problems.