Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2016
Accuracy of working diagnosis by paramedics for patients presenting with dyspnoea.
The present study aims to determine the agreement between paramedic and ED or hospital working diagnosis in dyspnoeic patients. ⋯ There was moderate agreement between paramedic and ED or hospital diagnosis. The number of cases with no clearly documented working diagnosis suggested that a singular working diagnosis may not always serve the complexity of presentation of some dyspnoea patients: more open descriptors such as 'mixed disease' or 'atypical features' should be encouraged.
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This perspective article summarises the experience of conducting a multicentre research project. We describe expected and unexpected hurdles we experienced as well as suggesting possible solutions for researchers embarking on multicentre studies.
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Emerg Med Australas · Oct 2016
Changing my perspective: How the development of emergency medicine in Sri Lanka can inform the Australasian experience.
When compared to an Australasian ED, the two major differences in the emergency medicine practice at Teaching Hospital Karapitiya are which patients are selected at triage and how those selected present. These differences have caused me to reflect on emergency medicine practice in Australasia and wonder if this practice is sustainable.