Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2017
Paediatric lumbar punctures: How do paediatric and emergency doctors differ?
The objective of the study was to identify any differences between emergency physicians and emergency trainees and paediatricians and paediatric trainees in performing paediatric lumbar punctures (LPs). ⋯ Paediatricians and paediatric trainees are more likely to be confident in performing LP in very young children than are emergency physicians and emergency trainees. They are more likely to perform fundoscopy prior to the procedure, but are much less likely to encourage parental presence during the LP.
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Emerg Med Australas · Jun 2017
Observational StudyPatient satisfaction with procedural sedation in the emergency department.
The aim of this study was to determine patient satisfaction with procedural sedation as a function of nature of the procedure and depth of sedation. ⋯ Generally, the level of patient satisfaction is high. Greater satisfaction is associated with deeper sedation, sedation with propofol and non-orthopaedic procedures.
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Emerg Med Australas · Jun 2017
Randomized Controlled TrialEconomic evaluation of nasogastric versus intravenous hydration in infants with bronchiolitis.
Bronchiolitis is the most common lower respiratory tract infection in infants and the leading cause of hospitalisation. We aimed to assess whether intravenous hydration (IVH) was more cost-effective than nasogastric hydration (NGH) as a planned secondary economic analysis of a randomised trial involving 759 infants (aged 2-12 months) admitted to hospital with a clinical diagnosis of bronchiolitis and requiring non-oral hydration. No Australian cost data exist to aid clinicians in decision-making around interventions in bronchiolitis. ⋯ Intervention-specific costs account for <10% of total costs of bronchiolitis admissions, with NGH having a small cost saving across all sites.