Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2023
Exploring a hospital's response to children who have no fixed address.
To explore how a tertiary metropolitan public healthcare provider supported children who presented with 'no fixed address' (NFA). ⋯ The hospital system did not effectively identify or respond to the psychosocial needs of children with NFA.
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The objectives of the present study were to report the proportion of older teenagers, including the subgroup operating a motor vehicle, presenting to an adult major trauma centre after injury with a positive blood alcohol concentration (BAC) over a 12-year period. ⋯ A substantial proportion of older teenagers included in the registry had alcohol exposure prior to trauma. Despite a modest down-trending incidence, the need for continuing preventive measures is emphasised. In particular, preventive efforts should be targeted at male, older teenagers undertaking drinking activities on weekend days and driving motor vehicles.
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Emerg Med Australas · Apr 2023
EVESTA: Emergency VESTibular Algorithm and its impact on the acute management of benign paroxysmal positional vertigo.
To synthesise evidence-based research concerning the assessment and management of acute dizziness via construction of a comprehensive clinical algorithm. Assess its clinical impact with an aim to improve the acute management of benign paroxysmal positional vertigo (BPPV) within Wyong Public Hospital ED in four key recommendations. ⋯ Diagnosis and management of acute dizziness is challenging within the ED. Synthesis of best practice into a clinical algorithm has improved the diagnosis and evidence-based treatment of BPPV. There is continued opportunity to improve the efficiency and effectiveness in the management of both central and peripheral acute dizziness within the ED.