Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2019
ReviewReview article: A primer for clinical researchers in the emergency department: Part VIII. Implementation science: An introduction.
New research findings may not lead to change in practice, or a change at the front line may be delayed by years. A number of terms have been used to describe efforts and strategies to speed a change in evidence-based practice, such as: implementation science, knowledge translation, research translation and others. ⋯ There are now theoretical frameworks and evolving evidence providing guidance how to change clinician behaviour and, specifically, emerging evidence on how to achieve this in the emergency setting. This review will provide an introduction to implementation science and illustrate how to target evidence practice gaps using ED examples.
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Emerg Med Australas · Jun 2019
Review Meta AnalysisReview article: Outcomes of patients who are not transported following ambulance attendance: A systematic review and meta-analysis.
The aim of this systematic review and meta-analysis was to evaluate the outcomes of patients who are not transported to hospital following ambulance attendance. A database search was conducted using PubMed, Medline, Embase, CINAHL and Cochrane Library. Studies were included if they analysed the outcomes of patients who were not transported following ambulance attendance. ⋯ Studies found varying estimates for the proportion of patients discharged at the scene that subsequently presented to ED. Few patients were admitted to hospital when the non-transport decision was initiated by EMS, indicating EMS triage is a relatively safe practice. More research is needed to elucidate the context of non-transport decisions and improve access to alternative pathways.
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Emerg Med Australas · Jun 2019
Observational StudyStructured Interdisciplinary Bedside Rounds in an Australian tertiary hospital emergency department: Patient satisfaction and staff perspectives.
To compare patient satisfaction levels, staff perspectives and the time required using Structured Interdisciplinary Bedside Rounds (SIBR; Emory University, Atlanta, GA, USA) versus traditional medical ward rounds (TR) in the ED. ⋯ Our study highlights the benefits that could be gained through SIBR technique over the TR method. Better workforce and resource planning is needed to support the sustainable implementation of SIBR in ED.
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Emerg Med Australas · Jun 2019
ReviewReview article: Postoperative bariatric patients in the emergency department: Review of surgical complications for the emergency physician.
With the rise of obesity in adult populations in the western world there has been a concurrent rise in bariatric procedures to address this problem. Although the safety of bariatric procedures has improved significantly over the past 20 years, there are still a number of serious surgical complications that can occur in the postoperative period that emergency physicians need to be familiar with. ⋯ This review will cover the more common bariatric procedures that are being performed today. It will discuss the complications, clinical presentations and management of these patients that emergency physicians should be familiar with.
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Emerg Med Australas · Jun 2019
Observational StudyAn early warning system for emerging drugs of concern in the emergency department: Protocol for the Western Australian Illicit Substance Evaluation (WISE) study.
An ever-increasing number of novel psychoactive substances are being detected worldwide. These emerging drugs have been demonstrated to cause toxicity in clusters, and deaths have been reported. We urgently need to learn more about their effects. We report the protocol for the Western Australian Illicit Substance Evaluation (WISE) study, a research project investigating illicit drug use in the ED. ⋯ We consider the novel approach outlined forms a template for an early warning system for emerging drugs of concern, while also providing vital and comprehensive information on current drugs of abuse, their clinical effects and their impact on the health system.