Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2022
From little things, big things grow: An exploratory analysis of the national cost of peripheral intravenous catheter insertion in Australian adult emergency care.
To estimate the total economic impact of peripheral intravenous catheter (PIVC) or cannula insertion and use in adult Australian EDs, including those cannulas that remain unused for therapeutic purposes. ⋯ The figures developed in the present study represent an important educational opportunity to encourage thoughtful consideration of all interventions, no matter how small. ED cannula insertion represents a large economic and health cost to Australia's health system, many of which remain unused. There are no national data sets that record complications associated with PIVCs and we highlight the urgent need for improved data.
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Emerg Med Australas · Dec 2022
Video versus direct laryngoscopy by specialist paramedics in New South Wales: Preliminary results from a new airway registry.
Video laryngoscopy (VL) is increasingly used as an alternative to direct laryngoscopy (DL) to improve airway visualisation and endotracheal intubation (ETI) success. Intensive Care Paramedics in New South Wales Ambulance, Australia started using VL in 2020, and recorded success in a new advanced airway registry. We used this registry to compare VL to DL. ⋯ This analysis of a new airway registry used by specialist paramedics in New South Wales shows a substantial increase in overall and first-pass intubation success with the use of VL when compared to DL.
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Emerg Med Australas · Dec 2022
Emergency Department adult presentations from the COVID-19 hotel quarantine program in Victoria, Australia: a retrospective cohort study of admissions and presenting complaints.
The present study aims to describe presentations to the designated ED from the Victorian COVID-19 hotel quarantine program. ⋯ The study demonstrates that the number of ED presentations from quarantine was low (<1 presentation/day). COVID Quarantine Victoria and Alfred Health put significant resources into the program to allow most returned international travellers to be safely cared for within a hotel and thus reduce the burden on the public hospital system.