Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2024
Growing burden of gamma-hydroxybutyrate intoxication on emergency department resource utilisation.
Recreational gamma-hydroxybutyrate (GHB) use is rising in Australia. We aimed to describe ED presentation patterns related to GHB over time and the impact this has on ED resource use. ⋯ GHB presentations to ED are rising and the impact on acute bed space and clinical resources is significant.
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Emerg Med Australas · Oct 2024
Observational StudyGender differences in female and male Australian football concussion injury: A prospective observational study of emergency department presentations.
To examine gender differences in Australian football (AF)-related concussion presentations to EDs in regional Australia. ⋯ Concussion rates for community-level AF presentations to regional EDs were similar between genders. Serious head injury was rare, although hospital admission for observation was common. Concurrent injuries were common, with associated neck injury most often identified. Match play accounted for the majority of head injuries.
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Emerg Med Australas · Oct 2024
Cost-effectiveness analysis of an ambulance service-operated specialised cardiac vehicle with mobile extracorporeal cardiopulmonary resuscitation capacity for out-of-hospital cardiac arrests in Queensland, Australia.
Extracorporeal CPR (E-CPR) has been primarily limited to the in-hospital setting. A few systems around the world have implemented pre-hospital mobile E-CPR in the form of a dedicated cardiac vehicle fitted with specialised equipment and clinicians required for the performance of E-CPR on-scene. However, evidence of the outcomes and cost-effectiveness of mobile E-CPR remain to be established. We evaluated the cost-effectiveness of a hypothetical mobile E-CPR vehicle operated by Queensland Ambulance Service in the state of Queensland, Australia. ⋯ Pre-hospital E-CPR may be cost-effective. Successful implementation of a pre-hospital E-CPR programme requires substantial planning, training, logistics and operational adjustments.