Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2015
Fluid resuscitation for paediatric sepsis: A survey of senior emergency physicians in Australia and New Zealand.
It is unclear whether emerging evidence for harm from aggressive fluid resuscitation for paediatric sepsis has altered clinical practice. We surveyed senior emergency physicians to see if their fluid resuscitation practices conformed to published clinical guidelines. ⋯ Paediatric sepsis is reported to be managed by senior emergency physicians largely according to published guidelines. At this time, evidence for potential harm from fluid bolus resuscitation has not altered practice.
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Emerg Med Australas · Jun 2015
Observational StudyInter-rater reliability and validity of the Ministry of Health of Turkey's mandatory emergency triage instrument.
In 2009, the Ministry of Health in Turkey mandated a three-level emergency triage scale coded with the colours red, yellow and green in descending order of acuity. This study was conducted to assess the reliability and validity of this mandatory emergency triage instrument in Turkey. ⋯ This study demonstrates substantial reliability of Turkey's Ministry of Health's mandatory three-level triage instrument. Significant association was also observed between the triage levels and the validity parameters measured in the study.
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Emerg Med Australas · Jun 2015
Comparison of the finger counting method, the Broselow tape and common weight estimation formulae in Filipino children after Typhoon Haiyan.
We sought to evaluate commonly used paediatric weight estimation techniques in a sample of children in the Philippines. ⋯ The Broselow tape and the traditional APLS formula performed best in our sample. The finger counting method also outperformed newer weight estimation formulae. 'Updated' age-based formulae created recently in developed countries should not be used in disaster relief efforts in the Philippines. Caution should be used when applying these formulae to other developing countries and in disaster response.
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Emerg Med Australas · Jun 2015
Last drinks: A study of rural emergency department data collection to identify and target community alcohol-related violence.
The present study summarises the methodology and findings of a pilot project designed to measure the sources and locations of alcohol-related harm by implementing anonymised 'last drinks' questions in the ED of a rural community. ⋯ This pilot demonstrates the feasibility and reliability of implementing sustainable 'last drinks' data collection methods in the ED, and the ability to effectively map the source of alcohol-related ED attendances in a rural community.
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Emerg Med Australas · Jun 2015
Impact of clinical pharmacists in the emergency department of an Australian public hospital: A before and after study.
To evaluate the impact of an ED pharmacy service on ED clinical staff and hospital pharmacist activity. ⋯ Pharmacy staff can rapidly become a vital component of clinical service provision in the ED, contributing to medication safety from the point of patient entry into the hospital and impacting ED clinicians and whole of hospital activity for pharmacists.