Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2020
Multicenter Study Observational StudyImaging and admission practices in paediatric head injury across emergency departments in Australia and New Zealand: A PREDICT study.
Variation in the management of paediatric head injury has been identified worldwide. This prospective study describes imaging and admission practices of children presenting with head injury across 10 hospital EDs in Australia and New Zealand. ⋯ Across the 10 largely tertiary EDs included in this study, the overall CTB rate was low with no significant variation between sites when adjusted for ciTBIs.
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Emerg Med Australas · Apr 2020
Safety of peripheral administration of vasopressor medications: A systematic review.
Vasopressor medications have traditionally been administered via central venous catheters (CVCs), primarily due to concerns of peripheral extravasation of vasoconstrictive medications. Recent studies have suggested that vasopressor administration via peripheral intravenous catheters (PiVCs) may be a feasible and safe alternative. This systematic review evaluates the safety of delivering vasopressor medications via PiVCs. ⋯ Reports of the administration of vasopressors via PiVCs, when given for a limited duration, under close observation, suggest that extravasation is uncommon and is unlikely to lead to major complications.
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Emerg Med Australas · Apr 2020
Leadership challenges of directors of emergency medicine: An Australasian Delphi study.
Emergency medicine (EM) is an emerging profession with complex clinical and leadership demands. However, studies of leadership in EM are in their infancy. The present study makes a novel contribution to empirical research in this area by examining the leadership challenges faced by Australasian directors of emergency medicine (DEMs). ⋯ The recommendation for DEMs is that they need to engage in programmes which will support the development of the leadership and non-clinical skills required to enable them to cope with responsibilities of hybrid role of physician-leader. The development and delivery of specialised leadership programmes attuned to the hybridity of the director role and the complexity of hospitals is vital for ensuring high-quality patient care and successful running of EDs.
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Emerg Med Australas · Apr 2020
Electronic intravenous N-acetyl cysteine ordering tool: A retrospective review.
To examine if the electronic N-acetyl cysteine (NAC) order reduced prescribing errors. ⋯ The use of this electronic NAC order removed errors in NAC prescription and should be considered for prescribing and administering i.v. NAC.