Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2022
The Impact of COVID-19 Vaccinations on Emergency Department Presentations.
The aim of the present study was to describe the burden of patients presenting to the ED with symptoms occurring after receiving a COVID-19 vaccination. ⋯ There was a notable proportion of ED attendances related to recent COVID-19 vaccination administration, many of which were associated with lengthy ED stays and had multiple investigations. In the majority of cases, the patients were able to be discharged home from the ED.
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Emerg Med Australas · Dec 2022
Observational StudyCharacteristics, clinical findings and outcomes of acute aortic dissection: A comparison between an Australian emergency department and the International Registry of Acute Aortic Dissection.
Acute aortic dissection (AAD) is a rare, life-threatening condition for which the International Registry of Acute Aortic Dissection (IRAD) remains the most detailed clinical resource. The present study compared the characteristics, clinical findings and outcomes of patients presenting to Liverpool Hospital, NSW, Australia (LPOOL) with AAD to those in IRAD. Secondary aims were to identify LPOOL patient variables associated with 30-day mortality and to assess the impact of transfer times in the ED on 30-day mortality. ⋯ The characteristics, clinical features and outcomes of patients with AAD presenting to LPOOL appeared similar to those reported by IRAD. The identification of independent mortality predictors serves to improve the understanding of local AAD presentations. Reducing ED to ICU transfer times may increase 30-day survival and further interdisciplinary research should be considered.
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Emergency physicians often experience significant cognitive load and task interruptions in the ED. This combination results in cognitive errors and poor patient outcomes. Quality research about this topic is scarce. Raising awareness of personal thinking processes (metacognition) is one way of reducing the unfavourable impact of task interruptions on cognition.