Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2022
ReviewReview article: Management of hyperemesis gravidarum and nausea and vomiting in pregnancy.
Nausea and vomiting in pregnancy (NVP) are common in early pregnancy but there is a wide spectrum of severity in terms of the duration and acuity of symptoms throughout gestation. Adverse maternal and fetal outcomes have been seen in women who experience severe symptoms, also known as hyperemesis gravidarum (HG). Evidence-based, assessment and management can reduce symptom severity, avoid physical and psychological deterioration and minimise the impact on quality of life and function. ⋯ Outpatient management is optimal but admission may be required for refractory symptoms, organ dysfunction or concurrent significant co-morbidities. Emergency management of NVP and HG requires an appropriate pathway of care to support women until the natural resolution of their condition. Both underuse of safe therapies and overuse of ineffective medication must be avoided.
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Emerg Med Australas · Feb 2022
Observational StudyValidity and reliability of the Interagency Integrated Triage Tool in a regional emergency department in Papua New Guinea.
The Interagency Integrated Triage Tool (IITT) is a novel, three-tier triage system recommended by the World Health Organization. The present study sought to assess the validity and reliability of a pilot version of the tool in a resource-limited ED in regional Papua New Guinea. ⋯ There is limited published data regarding the predictive validity and inter-rater reliability of the IITT. In this pragmatic study, the pilot version of the tool demonstrated adequate performance. Evaluation in other emergency care settings is recommended.
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Emerg Med Australas · Feb 2022
Characteristics of patients with COVID-19 hospitalised in South Australia during the first wave of the pandemic.
To describe the first wave of hospitalisations of patients testing positive for COVID-19 in South Australia. ⋯ The study sheds light on the characteristics of patients with COVID-19 hospitalised in South Australia.