Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2011
Multicenter StudyProcedural sedation practices in Australian Emergency Departments.
The aim of the present study was to describe procedural sedation practices undertaken in a spectrum of Australian EDs. ⋯ Procedural sedation practice across Australian EDs is varies considerably. Procedural sedation 'best practice' guidelines, based upon the findings of the present study and the available evidence, are recommended.
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Emerg Med Australas · Aug 2011
Quantitative rt-PCR holds promise as a screening tool for patients with severe sepsis.
The aim of the present study was to determine if the quantification of bacterial 16S rDNA could be clinically useful in predicting patients at increased risk of developing septic shock. ⋯ The quantitative assay for 16S rDNA might be a useful screening tool to detect severe sepsis in those whom it might not be clinically suspected. However, prospective studies are required to further assess the clinical usefulness of this assay.
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Emerg Med Australas · Aug 2011
Multicenter StudyFactors associated with failure to successfully complete a procedure during emergency department sedation.
To determine factors associated with failure to successfully complete a procedure during sedation in the ED. ⋯ Procedures performed under sedation in the ED have a low failure rate. However, increased body weight and specific procedures, such as hip reduction, are associated with significantly higher failure rates. Special consideration should be given to these patient groups before undertaking sedation in the ED.