Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2019
Letter Case ReportsKounis syndrome: Anaphylaxis causing coronary occlusion.
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Emerg Med Australas · Oct 2019
Older age is associated with a reduced likelihood of ambulance transport to a trauma centre after major trauma in Perth.
To describe the characteristics and outcomes of older adult (≥65 years) major trauma patients in comparison with younger adults (16-64 years). To determine whether older age is associated with a reduced likelihood of transport (directly or indirectly) to a major trauma centre and whether this is associated with in-hospital mortality. ⋯ Older adults who were not transported to the trauma centre had an increased odds of in-hospital mortality. However, older age was associated with a significantly reduced likelihood of trauma centre transport. With the aging population, the development of specific prehospital triage criteria to enable the complexities of this higher-risk population to be identified is important.
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Emerg Med Australas · Oct 2019
Observational StudySub-optimal treatment of paediatric migraine in an emergency department: An observational study.
To describe treatment of children presenting to an Australian ED with a final ED diagnosis of migraine. ⋯ Treatment of migraine in children was not consistent with the available evidence regarding agents' relative effectiveness. The use of opiates is concerningly high.
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Emerg Med Australas · Oct 2019
Security interventions are frequently undocumented in emergency department clinical notes.
To compare the documentation of security interventions in ED presentations between clinical notes and security records. ⋯ The rate of documentation of security interventions in clinical notes was less than 50%. Documentation of critical information, including alerts and risks, in the clinical notes is an essential component of communication that the multi-disciplinary team use to ensure patient safety. Strategies aimed at improving the documentation of security interventions in clinical notes will help to optimise risk management and the safety of patients, staff and visitors along the continuum of care.