Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2020
Does facility type and location impact upon patient experiences in emergency departments? Secondary analysis of a state-wide, cross-sectional survey.
To identify the extent to which patient experiences in the ED differ depending on facility type (based on bed numbers, services available and annual separations), and location (level of remoteness). ⋯ Patients attending smaller and more rurally located EDs reported more positive experiences than those attending larger, metropolitan EDs on two of the 13 topic areas. However, these differences were marginal. Future research should aim to determine what constitutes clinically meaningful differences between groups when comparing patient-reported experience scores, and understand the characteristics of small and rural EDs that may be associated with better patient experiences.
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Emerg Med Australas · Aug 2020
Antibiotic prescribing in patients who presented to the emergency department with dog bites: A descriptive review of current practice.
To describe the current practice of prophylactic antibiotic prescribing for patients presenting to the ED with a dog bite, and compare management against existing guidelines. ⋯ Prophylactic antibiotics are extensively used for patients with dog bites. There is scope to rationalise antibiotic use and route of antibiotic administration in patients with dog bites.
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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.
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Emerg Med Australas · Jun 2020
Paediatric intubation in Australasian emergency departments: A report from the ANZEDAR.
To describe the epidemiology, clinical practice and outcomes of paediatric ED intubation in Australia and New Zealand. ⋯ Paediatric intubation in Australasian EDs is rare from a departmental and individual provider viewpoint. Success rates are similar to contemporary international registries. Complications are common and ongoing collaborative multicentre audit with resultant quality improvement is desirable to facilitate improved success and reduced complications.