Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2016
Comparative Study Observational StudyMedical scribes in emergency medicine produce financially significant productivity gains for some, but not all emergency physicians.
The present study aims to determine if a scribe in an Australian ED can assist emergency physicians to work with increased productivity and to investigate when and where to allocate a scribe and to whom. ⋯ In the present study, scribe usage was associated with overall improvements in primary consultations per hour of 13% per scribed hour, and this varied depending on the physician. There is an economic argument for allocating scribes to some emergency physicians on days, evenings and weekends, not to trainees.
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Emerg Med Australas · Jun 2016
Multicenter Study Observational StudyOutcome at 30 days for low-risk chest pain patients assessed using an accelerated diagnostic pathway in the emergency department.
Primary: to determine incidence of 30 day major adverse cardiac events (MACE) in patients discharged from the ED following assessment using an accelerated diagnostic pathway (ADP). Secondary: to determine incidence of 30 day MACE for all ADP patients. ⋯ The ADP supports safe, early discharge of low-risk chest pain patients from the ED.
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The present study aimed to describe paramedic assessment and management of pain in children in a large state-wide ambulance service. ⋯ Disparities in analgesic administration based on age and the low rate of pain scores documented in very young children identified in the present study should inform strategies that aim to improve the assessment and management of pain in children.
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Emerg Med Australas · Jun 2016
Letter Case ReportsRemoval of an oesophageal foreign body in the emergency department.