Emergency medicine Australasia : EMA
-
Emerg Med Australas · Feb 2021
Meta AnalysisSystematic review and meta-analysis of oral paracetamol versus combination oral analgesics for acute musculoskeletal injuries.
The aim of this systematic review and meta-analysis was to determine if a combination of analgesics conveys any significant clinical benefit over paracetamol alone in managing acute musculoskeletal injuries. ⋯ Paracetamol monotherapy is a reasonable first-line analgesic for acute musculoskeletal injuries as combining additional oral agents does not result in any significant additional analgesic effect.
-
Emerg Med Australas · Feb 2021
ReviewReview article: Implicit bias towards Aboriginal and Torres Strait Islander patients within Australian emergency departments.
Aboriginal and Torres Strait Islander peoples continue to suffer adverse experiences in healthcare, with inequitable care prevalent in emergency settings. Individual, institutional and systemic factors play a significant part in these persisting healthcare disparities, with biases remaining entrenched in healthcare institutions. ⋯ Furthermore, it may contribute to distrust of medical professionals resulting in higher rates of leave events and hinder racial minorities from seeking care or following treatment recommendations. The aim of this review is to analyse the effect of implicit bias on patient outcomes in the ED in international literature and explore how these studies correlate to an Australian context.
-
Emerg Med Australas · Feb 2021
Evaluating an emergency department-based mental health liaison nurse service: A multi-site translational research project.
We aimed to translate and evaluate a model of mental health liaison nursing (MHLN) care that was embedded within EDs. ⋯ Findings from the present study indicate that a model of ED-based MHLN care developed in a metropolitan setting was successfully translated to two rural sites. However, the model needs to adhere to certain key principles, and be adequately resourced in order to be sustainable and improve outcomes for ED patients and access to community care.
-
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.
-
Emerg Med Australas · Feb 2021
Consent and refusal of treatment by older children in emergency settings.
The law recognises that children can exert an increasing level of autonomy and decision-making about their healthcare as they mature, and that intelligence and maturity levels will vary from one child to the next. Therefore, the parameters for when older children can consent to healthcare can be a complex area for clinicians to navigate. Refusal of treatment provides additional challenges for clinicians because the law is less clear about when older children can be involved in refusing treatment which is in their best interests. This article outlines relevant legislation concerning child consent to treatment across Australian jurisdictions and examines refusal of treatment by children using the 2018 case of Mercy Hospitals Victoria v D1 & Anor.