Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2025
A pilot trial exploring the use of music in the emergency department and its association with delirium and other clinical outcomes.
To assess potential feasibility of a targeted music intervention trial in older ED patients and association with clinical outcomes. ⋯ Self-selected use of a targeted music intervention was feasible in a cohort of older ED patients. While we were likely underpowered to detect associations between intervention and outcome, collection of selected outcome measures proved feasible; these may be helpful in larger scale studies. Exploration of barriers and facilitators to use, as well as preferred delivery methods, are likely to be helpful in wider investigations of music therapy in this high-risk cohort.
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Emerg Med Australas · Feb 2025
Multicenter Study Observational StudySources and content of advice sought by parents/guardians prior to emergency department attendance.
To describe sources of advice and the recommendations given to parents/guardians prior to attending ED with their child. ⋯ Most parents and guardians sought advice from a single source prior to attending an ED. The most common source of advice was consultation with a general practitioner and the most common recommendation was to attend ED immediately, or if their child's condition worsened.
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Emerg Med Australas · Feb 2025
Utility of computed tomography brain scans in intubated patients with overdose.
Describe the yield of computed tomography brain (CTB) scans in patients intubated for drug overdose. ⋯ Routine imaging of patients intubated for overdose without clinical indication is unjustified.
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Emerg Med Australas · Feb 2025
What proportion of women presenting to the emergency department with early pregnancy bleeding receive appropriate care?
To determine the proportion of women presenting to EDs across a regional health district, with early pregnancy bleeding, who received appropriate care. ⋯ Variation in care for women presenting with early pregnancy bleeding to ED was identified. There is an evidence-practice gap and need for inquiry into barriers and facilitators to prescribed clinical practice for this population.
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Emerg Med Australas · Feb 2025
Can rotational thromboelastometry rapidly identify theragnostic targets in isolated traumatic brain injury?
Coagulation assessment in traumatic brain injury (TBI) typically relies upon laboratory-based standard coagulation tests (SCTs), including the activated partial thromboplastin time (aPTT), INR and platelet count. Rotational thromboelastometry (ROTEM) sigma is an alternative point-of-care assay; however, its role in isolated TBI is under-evaluated. The present study aims to assess the prognostic utility of ROTEM sigma in isolated TBI. ⋯ ROTEM sigma expedites the detection of clinically significant coagulopathy in isolated TBI. EXTEM and FIBTEM CT values are more rapidly attainable than INR and comparable in predicting head injury-related death.