Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2020
Does prescribing of immediate release oxycodone by emergency medicine physicians result in persistence of Schedule 8 opioids following discharge?
To identify the prevalence of oxycodone immediate release (IR) prescribed during an ED admission and the persistence of Schedule 8 (S8) opioids following an ED admission. ⋯ These findings suggest that prescribing of IR oxycodone within ED is lower than previous studies. Additionally, the progression to regular chronic opioid use following an ED admission where IR oxycodone was given was relatively low with 3.0% of opioid naïve patients being approved for indications related to chronic non-cancer pain in the following 6 months.
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Emerg Med Australas · Jun 2020
Variations in the care of agitated patients in Australia and New Zealand ambulance services.
The objective of the present study is to examine variations in paramedic care of the agitated patient, including verbal de-escalation, physical restraint and sedation, provided by ambulance services in Australia and New Zealand. ⋯ There were wide variations across the ambulance services in terms of the assessment of agitation, as well as the use of physical restraint and sedation.
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Emerg Med Australas · Jun 2020
Burnout is the canary in the coalmine; the solution is not stronger canaries.
Strategies to increase personal wellness and resilience are being increasingly promoted by organisations as a response to occupational burnout. Thought leaders in burnout research believe that this approach is unlikely to be effective as it does not address the underlying causes of burnout which is poor workplace design.
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Emerg Med Australas · Jun 2020
Distant supervision of trainee emergency physicians undertaking a remote placement: A preliminary evaluation.
Clinical supervision is an essential part of post-graduate medical training. The current study investigated emergency medicine trainees' experiences and preferences regarding distant supervision via information and communication technology (ICT). ⋯ According to trainees, distant supervision had positive and negative effects on their supervision experiences, professional development and on patient management. Trainees used ICT infrequently. The trainee's perspectives on the ideal components of a remote placement programme are presented.