Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2023
Rational clinical approach to transient ischaemic attack, stroke and associated mimics: A retrospective cohort study.
The present study was performed to identify the individual clinical features and risk factors most strongly associated with the diagnosis of transient neurological symptoms with a cerebrovascular cause (transient ischaemic attack (TIA) or stroke), as compared to common TIA mimics (including retinal ischaemia, migraine and seizure). ⋯ The present study demonstrated that specific clinical features and risk factors were associated with the final diagnosis at TIA clinic. These clinical features may assist with diagnosis of TIA in centres without access to a vascular neurologist.
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Emerg Med Australas · Oct 2023
Timing of antibiotics in febrile children meeting sepsis criteria at a paediatric emergency department.
Delay in antibiotic administration in paediatric sepsis is associated with increased mortality and prolonged organ dysfunction. This pre-intervention study evaluated performance in paediatric sepsis management. ⋯ There was frequent delay in administering antibiotics in children meeting local sepsis criteria, more commonly in young infants. Reasons contributing to delay were specific to young children along with departmental factors that will require addressing through targeted quality improvement interventions.
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Emerg Med Australas · Oct 2023
Will code one day run a code? Performance of language models on ACEM primary examinations and implications.
Large language models (LLMs) have demonstrated mixed results in their ability to pass various specialist medical examination and their performance within the field of emergency medicine remains unknown. ⋯ Large language models, by passing the ACEM primary examination, show potential as tools for medical education and practice. However, limitations exist and are discussed.