Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2013
Between principle and compromise: We are all meat in someone else's sandwich.
Clinical leadership and workforce management are high profile topics in many recent healthcare journals and frequently the focus of discussion in this sectors dynamic environment. Emergency physicians, like their cousins in other medical specialties, are required to work collaboratively within an increasingly complex system in order to optimise the clinical outcomes of their patients. This article presents a reflective analysis using a fictional character, Ulysses, who encounters traps and potholes in his journey to clinical leadership and management enlightenment.
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Emerg Med Australas · Oct 2013
Letter Case ReportsMethaemoglobinaemia after ingestion of concrete casting antifreeze.
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Emerg Med Australas · Oct 2013
A cohort study of chest pain patients discharged from the emergency department for early outpatient treadmill exercise stress testing.
Guidelines on intermediate-risk chest pain, based on consensus alone, recommend inpatient provocative testing after infarct exclusion. Inpatient testing exceeds capacity in many hospitals, so guidelines concede outpatient testing within 72 h is acceptable. We performed a cohort study of chest pain patients having early outpatient treadmill exercise stress testing (EST). ⋯ Outpatient treadmill EST an average of 10 days post-discharge from emergency with chest pain did not result in adverse events despite reasonably high positive stress test rates. Consensus-based recommendations for inpatient testing or outpatient testing within 72 h of discharge should be reviewed in light of these data.