Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2021
Electronic Medical Record Platform Enhancements During COVID-19 to Support Identify-Isolate-Inform (3I) Strategy for Initial Detection and Management of Patients.
Singapore was one of the earliest countries affected by COVID-19, outside China. EDs in Singapore faced a surge of confirmed cases of COVID-19 patients, which stretched their resources. ⋯ During this pandemic, information technology integration, modifications to the electronic medical record and essential enhancements to the dashboard were implemented in a timely manner to match the clinical needs. Considerations for an isolation facility within an ED are especially important for future outbreaks.
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Emerg Med Australas · Feb 2021
The International Federation for Emergency Medicine report on emergency department crowding and access block: A brief summary.
To develop comprehensive guidance that captures international impacts, causes, and solutions related to ED crowding and access block. ⋯ The IFEM report is a comprehensive document intended to be used in whole or by section to inform and address aspects of ED crowding and access block. Overall, ED crowding is a multifactorial issue requiring systems-wide solutions applied at local, regional, and national levels. Access block is the predominant contributor of ED crowding in most parts of the world.
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Emerg Med Australas · Feb 2021
Ketamine: Is the current 200 mg product fit for purpose in the emergency department?
To describe the magnitude of ketamine doses administered in the ED, to identify an appropriate product to minimise risk of administration errors and diversion. ⋯ Over three-quarters of ketamine doses were ≤50 mg; therefore, 50 mg in 1 mL may be an appropriate product.
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Emerg Med Australas · Feb 2021
Observational StudyDoes location of rapid influenza diagnostic testing influence treatment time and ancillary testing in a paediatric emergency department?
Influenza causes a significant burden of disease. Our aim was to assess whether location of rapid influenza diagnostic testing (RIDT) for patients with influenza-like illness (ILI) has an impact on ED treatment time or ancillary testing. ⋯ Location of RIDT may not have a significant impact on treatment time, ancillary testing and treatment with antibiotics. When RIDT was not performed, patients had the shortest treatment time.