Emergency medicine Australasia : EMA
-
Emerg Med Australas · Oct 2019
Letter Review Case ReportsLiraglutide toxicity presenting to the emergency department: A case report and literature review.
-
Emerg Med Australas · Oct 2019
Observational StudyEarly referral for endoscopy is the most appropriate management strategy in cases of food bolus obstruction.
To investigate the characteristics of patients presenting with oesophageal food bolus obstruction (FBO) who achieve early resolution of symptoms, and to assess the impact of medical therapies on the overall time course of FBO. ⋯ Time from symptom onset to presentation is the only predictor of early resolution from FBO, while medical therapy is ineffective in relieving obstruction and may delay definitive therapy. We recommend the use of an institutional management plan to facilitate early access to endoscopy in cases of FBO.
-
Emerg Med Australas · Oct 2019
Observational StudyRetrospective descriptive observational study of patients who presented to an Australian hospital emergency department with neck soft tissue injury.
To describe clinical presentation and management of neck soft tissue injury in an Australian ED. ⋯ There is large practice variation in management of neck soft tissue injury in ED. Over half of the patients received CT scans with modest yield. Opioids were commonly used both in ED and on discharge. There is need for a standard management plan to be developed for patients presenting with acute neck soft tissue injury.
-
Emerg Med Australas · Oct 2019
Does ambulatory and fast track allocation reduce immersion in acute and resuscitation training, and impair career satisfaction and job longevity for emergency medicine registrars?
Although dedicated sections for non-acute care in the ED is recognised to improve patient flow and reduce ED congestion, there is anecdotal feedback that it detracts from work satisfaction and potentially career longevity and sustainability. Although allocation to fast track shifts reflects contemporary emergency medicine as practiced in Australasia, it may reduce registrar immersion on acute and resuscitation training.
-
Emerg Med Australas · Oct 2019
Pre-hospital outcomes of adult out-of-hospital cardiac arrest of presumed cardiac aetiology in Queensland, Australia (2002-2014): Trends over time.
To describe temporal trends in incidence of pre-hospital outcomes from adult out-of-hospital cardiac arrest (OHCA) of presumed cardiac aetiology attended by Queensland Ambulance Service (QAS) paramedics between 2002 and 2014, by age, gender, geographical remoteness and socio-economic status. ⋯ Incidence of withholding resuscitation and ROSC sustained to hospital have independently increased over time. Factors of middle age, more rural location and lower socio-economic status should all be targeted in the development and implementation of future strategies.