Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2020
Observational StudyRetrospective observational cohort study of out-of-hospital cardiac arrest outcomes in Tasmania 2010-2014.
This study aims to present overall survival rates to hospital discharge for out-of-hospital cardiac arrest (OHCA) in Tasmania and to identify predictors of survival. ⋯ Time to defibrillation for witnessed arrests, other than paramedic witnessed arrest was associated with better overall survival rates than unwitnessed OHCA. Further factors such as the event being of cardiac aetiology, bystander cardio-pulmonary resuscitation performed, initial presenting cardiac rhythm of ventricular fibrillation or ventricular tachycardia and decreasing age were all associated with increased probability of survival.
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Emerg Med Australas · Aug 2020
Patient perceptions of participation in emergency medicine research projects.
To determine if ED research reflects patient expectations. ⋯ Patient expectations are not always consistent with current practice. The expectation of consent prior to record access is worthy of further consideration.
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Emerg Med Australas · Aug 2020
Emergency department resuscitative thoracotomy at an adult major trauma centre: Outcomes following a training programme with standardised indications.
The objective of this study was to report the procedural incidence and patient outcomes after the 2009 introduction of an institutional resuscitative thoracotomy (RT) programme. Emergency physicians, general surgeons and emergency nursing trauma team members were trained to perform RT on thoracic trauma patients with an unresponsive systolic blood pressure (SBP) <70 mmHg within 30 min of arrival, prior to cardiothoracic team back-up. ⋯ A formal training and credentialing programme was associated with a low incidence of the procedure, yet achieved a survival rate of 25%, which is comparable to other reported literature.