Emergency medicine Australasia : EMA
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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.
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Emerg Med Australas · Jun 2015
Growth in Western Australian emergency department demand during 2007-2013 is due to people with urgent and complex care needs.
To determine the magnitude and characteristics of the increase in ED demand in Western Australia (WA) from 2007 to 2013. ⋯ Our study reveals a 4.6% annual increase in ED demand in WA in 2007-2013, mostly because of an increase in people with urgent and complex care needs, and not a shift (demand transfer) from primary care. This indicates that a system-wide integrated approach is required for demand management.
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Emerg Med Australas · Jun 2015
INITIAT-E.D.: Impact of timing of INITIation of Antibiotic Therapy on mortality of patients presenting to an Emergency Department with sepsis.
To analyse the association between time from triage to administration of initial antibiotics and mortality in all patients presenting with sepsis to a tertiary hospital ED. ⋯ Early administration of antibiotics specifically in patients with severe sepsis might be beneficial. Further studies within the ED are warranted to establish the effect of delayed antibiotics in a generalised sepsis cohort.
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Emerg Med Australas · Jun 2015
Observational StudyWeight estimation in paediatric resuscitation: A hefty issue in New Zealand.
To test the accuracy of weight estimation methods currently used in New Zealand to predict a child's weight in emergency resuscitation. ⋯ For children under 143 cm in height, the Broselow-Luten tape outperforms other weight estimation methods, accurately estimating weight in approximately three out of four children. The age-based estimation methods performed poorly overall, with variation by age and ethnicity.