Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2020
Shetty test in ankle and foot trauma: An emergency department pilot study assessing specificity and sensitivity.
To assess the potential impact of the Shetty test over Ottawa ankle foot rules (OAFR) on plain imaging utilisation in the ED. ⋯ Shetty test may safely reduce unneeded radiographs in ED. Further research is warranted.
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Emerg Med Australas · Aug 2020
Multicenter Study Observational StudyThe Australasian Resuscitation In Sepsis Evaluation: Fluids or vasopressors in emergency department sepsis (ARISE FLUIDS), a multi-centre observational study describing current practice in Australia and New Zealand.
To describe haemodynamic resuscitation practices in ED patients with suspected sepsis and hypotension. ⋯ Current resuscitation practice in patients with sepsis and hypotension varies widely and occupies the spectrum between a restricted volume/earlier vasopressor and liberal fluid/later vasopressor strategy.
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Emerg Med Australas · Aug 2020
COVID-19 and spinal cord injuries: the viewpoint from an emergency department resident with quadriplegia.
Spinal cord injuries (SCIs) present distinct physiological and social considerations for the emergency physician. During the COVID-19 pandemic, these considerations may generate unique challenges for emergency physicians managing patients with SCIs. Physiological disruptions may alter the way SCI patients present with COVID-19. ⋯ The reliance on caregivers for activities of daily living can, as an example, increase the human resource requirement of an ED. Considering the vulnerabilities and complexities of patients with SCI, the community should prioritise prevention of COVID-19 infections in this group. In the event that they do present to an ED, planning for and understanding their complexities will facilitate optimal management.
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Addressing and limiting burnout and its significant impacts on emergency physicians is an important and ongoing challenge, requiring much more than a focus on individual resilience. This is a key understanding which guides and informs the Australasian College for Emergency Medicine's holistic approach and advocacy efforts when it comes to the wellness of emergency physicians and the health systems in which they operate.
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Emerg Med Australas · Aug 2020
Directors of emergency medicine's beliefs about, barriers to, and enablers of solutions to emergency department crowding and access block.
To identify opportunities for directors of emergency medicine (DEMs) to lead change efforts to address ED crowding and access block. ⋯ Addressing the political and cultural forces that sustain ED crowding and access block are key adaptive challenges requiring DEM leadership.