Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2011
Practice GuidelineMedications in adult cardiac arrest. ARC and NZRC Guideline 2010.
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Emerg Med Australas · Jun 2011
ReviewHow useful are laboratory investigations in the emergency department evaluation of possible osteomyelitis?
We conducted a literature review to determine which laboratory investigations are useful for the ED evaluation of osteomyelitis. Thirty-six relevant papers were identified. ⋯ In patients with any suspicion of osteomyelitis and otherwise unexplained ESR >30 mm/h and/or CRP >10-30 mg/L further definitive investigation is required. The white blood count is not helpful in the evaluation of osteomyelitis.
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Emerg Med Australas · Jun 2011
Prediction of hospital mortality from admission laboratory data and patient age: a simple model.
To devise a simple clinical scoring system, using age of patients and laboratory data available on admission, to predict in-hospital mortality of unselected medical and surgical patients. ⋯ A simple scoring system accurately predicts in-hospital mortality of unselected hospital patients, using age of patient and a small number of laboratory parameters available very soon after admission.
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Löfgren's syndrome is an acute-onset presentation of sarcoidosis that can be easily missed in an ED setting. A case is reported of Löfgren's syndrome presenting as erythema nodosum with bilateral ankle oedema. Although rare, this diagnosis should be considered when examining a patient with erythema nodosum and articular symptoms.
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Emerg Med Australas · Jun 2011
Medical student/student doctor access to patients in an emergency department.
To determine the proportion of patients in a teaching hospital ED who are available to medical students; identify barriers to student access to patients; and determine whether patients are more likely to be accessible if the term student doctor is used rather than medical student. ⋯ A minimum 40% of patients in a tertiary ED are accessible for student learning, with high proportions of patients accepting of students practising supervised history-taking, physical examination, and most less-invasive procedural skills.