Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2021
Core components of a staff wellness strategy in emergency departments: A clinician-informed nominal group study.
Busy, high-stress EDs prompt many work-based interventions to address staff wellness, with mixed success. The aim of the present study was to enable ED clinicians to systematically identify core components of a work-based strategy to improve their working environment and/or coping. ⋯ Ensuring appropriate systems, services and support for ED staff should be a priority at local departmental, wider organisational and governmental levels. ED clinicians are ideally placed to identify such systems, services and supports. Managers and policy makers can use these findings to inform the implementation of interventions in EDs.
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Emerg Med Australas · Feb 2021
Epidemiology, treatment and outcome of patients with lower respiratory tract infection presenting to emergency departments with dyspnoea (AANZDEM and EuroDEM studies).
Lower respiratory tract infection (LRTI) is a frequent cause of dyspnoea in EDs, and is associated with considerable morbidity and mortality. We described and compared the management of this disease in Europe and Oceania/South-East Asia (SEA) cohorts. ⋯ More patients with LRTI in Europe presented with cardio-respiratory comorbidities, they received more adjunct therapies and had a higher intensive care unit admission rate than patients from Oceania/SEA, although mortality was similar between the two cohorts.
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Emerg Med Australas · Feb 2021
ReviewReview article: Up (to) date for Australian Toxicology and Toxinology guidelines.
Poisoned patients commonly present to EDs. The optimal management of these patients is constantly evolving as new evidence emerges. Textbooks cannot be updated regularly enough to incorporate these changes, and their advice may not reflect the current practice of experts. ⋯ Important key changes include: updated advice on decontamination, particularly use of activated charcoal; stepwise escalation in supportive care, including guidance on the most appropriate inotropes for each agent and antidote recommendations for specific poisoning scenarios. Toxicology and Toxinology covers more than 100 poisoning topics and offers more detailed risk assessment, management and disposition advice. It is a valuable evidence-based resource for the management of poisoned patients.
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Emerg Med Australas · Feb 2021
Association between potential primary care emergency service and general practitioner care utilisation in New South Wales.
To examine patterns of potential primary care (PPC) ED presentations and any association between PPC ED presentations and frequency of general practitioner (GP) care utilisation in New South Wales, Australia. ⋯ GP care utilisation was associated with reduced risk for any PPC ED presentations after adjusting for comorbidity index and the other factors.