Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2021
Emergency department management of severely injured children in New South Wales.
Presentations to EDs for major paediatric injury are considerably lower than for adults. International studies report lower levels of critical intervention, including intubation, required in injured children. A New South Wales study demonstrated an adverse event rate of 7.6% in children with major injury. Little is known about the care and interventions received by children presenting to Australian EDs with major injury. ⋯ A small proportion of children arriving in the ED post-major trauma have deranged clinical observations and receive critical interventions. The limited exposure in the management of trauma in paediatric patients requires measures to ensure clinicians have adequate training, skills and confidence to manage these clinical presentations in all EDs.
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Emerg Med Australas · Dec 2021
Identifying and quantifying general practice-type emergency department presentations.
This research aims to (i) identify general practice-type (GP-type) presentations to EDs in South-East Queensland, Australia and (ii) compare and quantify the clinical, socio-demographic and time-varying characteristics between GP-type and non-GP-type presentations. ⋯ Existing methods for identifying GP-type presentations have drawbacks, and modified methods are required to better identify these types of presentations. Temporal effects not previously investigated in Australian studies, such as holidays, are significantly associated with GP-type presentations. These findings aid strategic planning and interventions to support review of GP-type presentations, instead, in primary-care facilities, and such interventions may be assistive in some EDs more than others.
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Emerg Med Australas · Dec 2021
Use of continuous positive airway pressure and non-invasive ventilation for respiratory failure in an Australian aeromedical retrieval service: A retrospective case series.
The purpose of the present study was to investigate the use of respiratory support via continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV) in a medical retrieval service in Queensland, Australia, with reference to transport considerations and patient safety. ⋯ The use of NIV and CPAP appears to have a low-risk profile in aeromedical retrieval even for prolonged periods of time in an adult population.