Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2013
Randomized Controlled Trial Multicenter StudyAustralasian Resuscitation In Sepsis Evaluation trial statistical analysis plan.
The Australasian Resuscitation In Sepsis Evaluation (ARISE) study is an international, multicentre, randomised, controlled trial designed to evaluate the effectiveness of early goal-directed therapy compared with standard care for patients presenting to the ED with severe sepsis. ⋯ A statistical analysis plan for the ARISE study has been developed, and is available in the public domain, prior to the completion of recruitment into the study. This will minimise analytic bias and conforms to current best practice in conducting clinical trials.
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Emerg Med Australas · Oct 2013
ReviewReview article: Improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.
Clinical communication and recognising and responding to a deteriorating patient are key current patient safety issues in healthcare. The aim of this literature review is to identify themes associated with aspects of the hospital clinical handover between paramedics and ED staff that can be improved, with a specific focus on the transfer of care of a deteriorating patient. Extensive searches of scholarly literature were conducted using the main medical and nursing electronic databases, including Cumulative Index to Nursing and Allied Health Literature, Medline and PubMed, during 2011 and again in July 2012. ⋯ A structured handover tool such as ISBAR (a mnemonic covering Introduction, Situation, Background, Assessment and Recommendations) would appear to provide a solution to many of these issues. The recording of vital signs and transfer of these data might be improved with better observation systems incorporating early warning strategies. More effective teamwork could be achieved with further clinical communications training.
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Emerg Med Australas · Oct 2013
Multicenter StudyCurrent status of emergency airway management for elderly patients in Korea: Multicentre study using the Korean Emergency Airway Management Registry.
We report the current status of emergency airway management in elderly Korean patients by analysing a multicentre registry database in order to provide quality emergency airway management to elderly patients. ⋯ Similar success and complication rates were found for emergency airway management in elderly patients compared with patients aged less than 65 years.
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Emerg Med Australas · Oct 2013
Observational StudyFireworks injuries in children: A prospective study during the festival of lights.
We studied the epidemiology of paediatric firework-related injury in the urban population of Delhi during the festival of lights (Diwali). ⋯ We recommend parental supervision especially for males, wearing non-synthetic and non-flowing clothes, promoting branded crackers and educational campaigns in schools to curtail the rising trend in firework-related injuries in the paediatric population.
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Emerg Med Australas · Oct 2013
Improvement in emergency department length of stay using an early senior medical assessment and streaming model of care: A cohort study.
Australian EDs are required to conform to the National Emergency Access Target (NEAT): patients must be discharged within 4 h of arrival. The aim of the present study was to determine if a model of care called Senior Assessment and Streaming (SAS) would increase the proportion of patients achieving NEAT. ⋯ Through the introduction of SAS, the present study has demonstrated that providing early senior medical assessment can improve an ED's ability to meet NEAT.