Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2017
Uniting emergency and inpatient clinicians across the ED-inpatient interface: The last frontier?
Unwell patients in the ED requiring inpatient admission must negotiate the interface between the ED and inpatient wards. Despite its importance and scale, this ED-inpatient interface (EDii) is poorly characterised. ⋯ The EDii is characterised by a complex interplay of patient, hospital and system factors. A clear definition of the EDii and an understanding of its importance will assist future research and interventions to improve patient outcomes.
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Emerg Med Australas · Dec 2017
ReviewComparison of trauma care systems in Asian countries: A systematic literature review.
The study aims to compare the trauma care systems in Asian countries. ⋯ Trauma care systems were poorly developed and unorganised in most of the selected 13 Asian countries, with the exception of a few highly developed countries.
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Emerg Med Australas · Dec 2017
Renal effects of an emergency department chloride-restrictive intravenous fluid strategy in patients admitted to hospital for more than 48 hours.
Patients commonly receive i.v. fluids in the ED. It is still unclear whether the choice of i.v. fluids in this setting influences renal or patient outcomes. We aimed to assess the effects of restricting i.v. chloride administration in the ED on the incidence of acute kidney injury (AKI). ⋯ In a before-and-after trial, a chloride-restrictive strategy in an ED was associated with a significant decrease in the incidence of stage 3 of KDIGO-defined AKI.