Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2017
Diurnal variation in outcomes after out-of-hospital cardiac arrest in Asian communities: The Pan-Asian Resuscitation Outcomes Study.
The present study aimed to determine whether the time of out-of-hospital cardiac arrest (OHCA) is associated with survival rate and neurological outcome after OHCA, as well as to compare the effect size of time of OHCA across six Asian regions. ⋯ We found diurnal similarities in OHCA occurrence, as well as differences in survival rate and good neurological recovery rate among Asian regions.
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Emerg Med Australas · Oct 2017
Randomized Controlled TrialControlled clinical trial exploring the impact of a brief intervention for prevention of falls in an emergency department.
To establish the effectiveness of a brief intervention to prevent falls in older patients presenting to the ED post-discharge. ⋯ A brief intervention was associated with maintenance of function in fallers and reduced hospital admissions, without preventing falls post-discharge.
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Emerg Med Australas · Oct 2017
Epidemiology and outcomes of missing admission medication history in severe trauma: A retrospective study.
Anticoagulant and antiplatelet (ACAP) drugs are associated with increased mortality in trauma patients, therefore medication history on admission is important. Whether these medications are recorded on trauma admission has not been investigated, nor if absence of a medication history is associated with worse patient outcomes. ⋯ While a large number of severe trauma patients were admitted without a medication history, no-Hx patients did not appear at increased risk of adverse outcomes. ACAP patients had a higher mortality compared to no-ACAP highlighting the vulnerability of this group.
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Emerg Med Australas · Oct 2017
Visualising emergency department capacity in an 'Emergency Department Capacity Clock': A novel tool to assess and communicate overcrowding and access block.
Hospital-wide engagement is required to alleviate the problem of ED crowding and its associated adverse effects. To this end, the article describes a novel visualisation termed 'the ED Capacity Clock', which can be formatted using business intelligence software. This radial diagram represents ED capacity and its consumption in a format that can be understood intuitively and at a glance. The ED Capacity Clock is designed to promote common understanding and discussion between relevant hospital services and also acts as an auditing tool to monitor processes implemented to alleviate ED crowding.