Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2013
Characteristics of Aboriginal and Torres Strait Islander presentations to three Victorian emergency departments.
Aboriginal and Torres Strait Islander (ATSI) people have significant health disparity compared with other Australians. The present study examines the characteristics of ATSI patients presenting to three EDs of a single healthcare network to determine whether any healthcare disadvantages exist. ⋯ ATSI people living in Melbourne's south-east have social and health utilisation inequities, which might have an impact on their health status.
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Emerg Med Australas · Dec 2013
Evaluation and outcomes of patients admitted to a tertiary medical assessment unit with acute chest pain of possible coronary origin.
The study aims to (i) profile clinical characteristics, risk estimates of acute coronary syndrome (ACS), use and yield of non-invasive cardiac testing, discharge diagnosis and 30-day outcomes among patients admitted with acute chest pain of possible coronary origin; and (ii) construct a risk stratification algorithm that informs management decisions. ⋯ In patients with indeterminate chest pain, clinical features and risk scores identify most with myocardial ischaemia. An algorithm is presented that might inform triaging, early discharge, choice of testing and need for telemetry.