Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2018
Community asthma management of emergency department patients: A pilot study of adherence with national consensus guidelines.
We aimed to determine whether the outpatient management of ED patients with asthma adheres to Australia's Asthma Consensus Guidelines. Adult patients, under treatment for asthma, were administered a validated questionnaire. Data on their outpatient management were collected and analysed descriptively. ⋯ Fourteen patients used no preventer medication. Patients were only able to identify a mean of 3.4 asthma triggers. Most patients' management does not adhere to Australian guidelines.
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Emerg Med Australas · Jun 2018
Morale, stress and coping strategies of staff working in the emergency department: A comparison of two different-sized departments.
Clinical staff in EDs are subject to a range of stressors. The objective of this study was to describe and compare clinical staff perceptions of their ED's working environment across two different Australian EDs. ⋯ These findings are the first multi-site and multidisciplinary examinations of Australian ED staff perceptions, improving our understanding of staff stressors and coping strategies and highlighting similarities across different EDs. These data support the development and implementation of strategies to improve ED working environments to help ensure professional longevity of ED staff.
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Emerg Med Australas · Jun 2018
Impact of interpersonal relations on learning and development of professional identity: A study of residents' perceptions.
Informal learning includes all occurrences during one's life when learning is not deliberate. Prior research on informal learning in healthcare contexts examined learning happening outside of the formal curriculum, yet still in the workplace. This study explores residents' perceptions about extracurricular factors outside of the workplace that contribute to their learning and development of professional identity, whether interpersonal relations are recognised as such factors, and positive and negative impacts of interpersonal relations. ⋯ Several extracurricular factors outside of the workplace contribute to resident learning and identity development, including interpersonal relations, which have positive and negative impacts. The most often noted negative impact of interpersonal relations outside of work between residents and faculty related to perceived lapses in teaching skills.
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Emerg Med Australas · Jun 2018
Major haemorrhage fatalities in the Australian national coronial database.
The aim of the study is to describe the epidemiology of major bleeding fatalities. ⋯ Major bleeding fatalities occurred across a diverse range of contexts, with trauma and gastrointestinal bleeding accounting for most deaths. The majority of patients did not survive to reach hospital. Major haemorrhage occurring entirely outside hospital may be underrecognised from analyses of datasets based primarily on traumatic or in-hospital bleeding. These findings have implications for management of pre-hospital resuscitation and development of clinical practice guidelines for identification and management of major bleeding in the community.