Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2024
Summer alcohol-related emergency department workload and occupancy in Australasia 2019-2022.
Alcohol is a major public health issue and the ACEM funds regular 'snapshot' surveys of the prevalence of alcohol-related presentations in EDs. The present study uses these data to investigate ED occupancy and alcohol- and methamphetamine-related presentations at the time of the COVID-19 pandemic. ⋯ The present study demonstrates that the COVID-19 pandemic did not affect summer alcohol-related ED presentations in Australasia but was associated with an unsustainable increase in ED crowding.
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Emerg Med Australas · Oct 2024
Randomized Controlled TrialThe Buddy Study: Local reach, adoption and implementation following a randomised controlled trial of conservative management of fifth metacarpal neck fractures.
To understand the reach, adoption and implementation of the evidence that buddy strapping for uncomplicated fifth metacarpal neck fractures is non-inferior to plaster casting. ⋯ Even in a department where primary research is conducted, implementation requires ongoing attention to factors impacting reach and adoption.
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Emerg Med Australas · Oct 2024
Short waits, happy patients and expert care, moving basic musculoskeletal care from the emergency department to a physiotherapist-led diversion pathway.
Patients with musculoskeletal conditions (MSKCs) are highly prevalent in ED. This project explores the impact of the pilot phase of a 'diversion pathway', which directed patients with MSKCs from the ED waiting room to an outpatient clinic led by advanced-scope physiotherapists. ⋯ A new pathway resulted in reduced LOS, reduced DNW, high patient satisfaction and more people being discharged within 4 h for diverted patients compared to usual ED care. The pathway increased ED capacity, improved key ED performance metrics and safely expedited care delivery for patients.
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Emerg Med Australas · Oct 2024
Nationwide status of aeromedical pre-hospital and retrieval medicine in Australia.
To survey the current structure, capability and operational scope of pre-hospital and retrieval aeromedical teams across Australia. ⋯ Aeromedicine in Australia has many consistent elements, but variable contexts have resulted in a diversity of operational models.
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Emerg Med Australas · Oct 2024
Health consumers' ethical concerns towards artificial intelligence in Australian emergency departments.
To investigate health consumers' ethical concerns towards the use of artificial intelligence (AI) in EDs. ⋯ Health consumers view AI as an emerging technology that they want to see comprehensively regulated to ensure it functions safely and securely with EDs. Without considerations made for the ethical design, implementation and use of AI technologies, health consumer trust and acceptance in the use of these tools will be limited.