Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2020
Understanding parent-reported factors that influence children and young people's anxiety and depression presentations to emergency departments: A multi-site study.
Victorian ED data show increased presentations for anxiety and depression in children. We aimed to determine parent-reported factors contributing to these presentations. ⋯ Parents bring their children to the ED for many reasons. Policy makers, managers and clinicians should work with parents to develop alternative approaches that provide families with community-based support, particularly for younger children and after hours, in order to provide an appropriate source of care for children and young people with anxiety and depression.
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Emerg Med Australas · Oct 2020
Children and adolescents with severe acute behavioural disturbance in the emergency department.
Mental health (MH) presentations to ED are increasing in children and adolescents. Little is known about patients with severe acute behavioural disturbance (ABD). We set out to describe patients with ABD severe enough to trigger an acute crisis team response in ED (termed 'Code Grey') and how they differ from other MH patients. ⋯ Children and adolescents with severe ABD differ from other MH presentations and often require physical or chemical restraint. Anticipatory management plans may be valuable for repeat presenters.
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Emerg Med Australas · Oct 2020
Multi-site study exploring the experiences of security staff responding to mental health, drug health and behavioural challenges in the emergency department.
This multi-site study aimed to give voice to the views and experiences of security staff in assisting with the response to the growing number of people with mental health, drug health and behavioural problems attending EDs. ⋯ Expecting non-clinicians to undertake a clinical role (often under stressful circumstances involving close patient contact) places security staff and patients in a precarious position. Greater clarity regarding the role of security staff and information that allows them to adequately and safely undertake their work is required. If security staff are expected to participate in patient care then access to relevant information and the ability to document their activities and patient interactions should be provided. The vital support role that security staff perform needs to be valued and respected.
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Emerg Med Australas · Oct 2020
Specialised vestibular physiotherapy in the emergency department: A pilot safety and feasibility study.
To evaluate the safety and feasibility of vestibular physiotherapy in the ED, and its impact on adherence to evidence-based clinical practice. ⋯ The results of the present study support extending the role of physiotherapists to managing peripheral vestibular dysfunction in the ED.