Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2020
Domestic and family violence, non-lethal strangulation and social work intervention in the emergency department.
To review domestic and family violence (DFV) and non-lethal strangulation (NLS) presentations to an ED with 24-h social work. ⋯ Social work referral for DFV is regularly missed despite 24-h access. Assessment of NLS in ED requires improvement and standardised national guidelines.
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Emerg Med Australas · Aug 2020
Randomized Controlled TrialPropofol for migraine in the emergency department: A pilot randomised controlled trial.
To test the administration of intravenous (i.v.) propofol at a procedural sedation dose compared to standard therapy for initial management of migraine in the ED. ⋯ Initial management of migraine with i.v. propofol at procedural sedation doses significantly reduced TTD compared to standard therapy. We did not detect any significant safety concerns although the study was not adequately powered to detect safety of the intervention and requires validation.
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Emerg Med Australas · Aug 2020
Shetty test in ankle and foot trauma: An emergency department pilot study assessing specificity and sensitivity.
To assess the potential impact of the Shetty test over Ottawa ankle foot rules (OAFR) on plain imaging utilisation in the ED. ⋯ Shetty test may safely reduce unneeded radiographs in ED. Further research is warranted.
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Emerg Med Australas · Aug 2020
Multicenter Study Observational StudyThe Australasian Resuscitation In Sepsis Evaluation: Fluids or vasopressors in emergency department sepsis (ARISE FLUIDS), a multi-centre observational study describing current practice in Australia and New Zealand.
To describe haemodynamic resuscitation practices in ED patients with suspected sepsis and hypotension. ⋯ Current resuscitation practice in patients with sepsis and hypotension varies widely and occupies the spectrum between a restricted volume/earlier vasopressor and liberal fluid/later vasopressor strategy.