Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2021
Incidence, bystander emergency response management and outcomes of out-of-hospital cardiac arrest at exercise and sport facilities in Australia.
Despite growing emphasis on automated external defibrillators (AEDs) at sport venues in Australia, the risk of cardiac events at such locations is unknown. The aim of the present study was to investigate the incidence of out-of-hospital cardiac arrest (OHCA) at exercise and sport facilities (ESF) in Australia and the impact of effective bystander-initiated CPR and AED use on return of spontaneous circulation (ROSC) to hospital admission. ⋯ These findings have implications for policy development by government agencies and major sport and exercise organisations to improve bystander CPR and AED. This can help to ensure that ESF can properly respond to cardiac emergencies to save lives.
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Emerg Med Australas · Feb 2021
Impact of a new specialist alcohol and drug brief intervention service model integrated into the emergency department: An interrupted time series analysis.
To describe and examine the impact of a new specialist drug and alcohol brief intervention team (DABIT) model integrated into the ED on the identification of individuals at risk of future alcohol and other drug (AOD)-related harm. A cost-outcome analysis was conducted to assess the impact on costs per referral. ⋯ Integration of a specialist brief intervention AOD model to support ED care may increase uptake of specialist AOD treatment and could be beneficial from an economic efficiency viewpoint.
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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
Factors predictive for computed tomography use and abnormality in paediatric head injuries in Australia and New Zealand.
To investigate patient-level factors predictive for computed tomography of the brain (CTB) use and abnormality in head injured children in Australia and New Zealand. ⋯ Patient-level drivers of CTB use in children in Australia and New Zealand are consistent with international data.