Emergency medicine Australasia : EMA
-
Emerg Med Australas · Apr 2020
Electronic intravenous N-acetyl cysteine ordering tool: A retrospective review.
To examine if the electronic N-acetyl cysteine (NAC) order reduced prescribing errors. ⋯ The use of this electronic NAC order removed errors in NAC prescription and should be considered for prescribing and administering i.v. NAC.
-
Emerg Med Australas · Apr 2020
Clinician-led design for optimising flow: Seizing the opportunity for a new-build Australian Emergency Department.
A new ED build creates a unique opportunity to improve the way we provide clinical care. Often, the focus is primarily on increasing clinical cubicle numbers but this may have a negligible, or even negative impact on care delivery. ⋯ This relationship between clinicians and architects should remain collaborative but requires re-alignment. Independent, expert ED-specific designers can empower and provide valuable support for clinician-led design teams in their interactions with architects.
-
Emerg Med Australas · Apr 2020
Trend of emergency department presentations with a mental health diagnosis in Australia by diagnostic group, 2004-05 to 2016-17.
To examine trends of ED presentations with a mental health (MH) diagnosis in Australia and its jurisdictions by diagnostic group between 2004-05 and 2016-17. ⋯ Between 2004-05 and 2016-17, rates of ED presentations increased across most MH diagnostic groups, but particularly psychoactive substance use-related disorders. To reduce the need for MH crisis care in Australian EDs, strategies are required to reduce psychoactive substance use in the community, and policies may be needed to strengthen the capability of community MH services and primary care professionals to recognise, diagnose and treat earlier in the course of illness.
-
Emerg Med Australas · Apr 2020
Ambulance management of patients with penetrating truncal trauma and hypotension in Melbourne, Australia.
Penetrating truncal trauma with hypotension is uncommon in Australia. Current pre-hospital clinical practice guidelines based on overseas studies recommend expedited transport to definitive trauma care and that i.v. fluid should only be administered to maintain palpable blood pressure. ⋯ Penetrating truncal trauma with hypotension is rare in Melbourne, Australia with most patients having the injury caused by stabbing rather than shooting. Compared with outcomes reported in the USA and Europe, the mortality rate is low.
-
Emerg Med Australas · Apr 2020
Expectations and experiences of women presenting to emergency departments with early pregnancy bleeding.
To explore women's expectations and experiences when presenting to the ED with early pregnancy bleeding. ⋯ Early pregnancy bleeding is a distressing and anxiety-provoking experience for women attending the ED. Appropriate emotional support is critical to the holistic care for those seeking emergency care.