Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2015
ReviewReview article: Potential of medical scribes to allay the burden of documentation and enhance efficiency in Australian emergency departments.
The increasing burden of documentation experienced by doctors threatens the efficiency in EDs and increases the likelihood of documentation errors. Medical scribes afford the opportunity to allay this burden by removing a large component of the doctors' documentation task. Scribes have been embedded successfully in US EDs, and the effects have been mostly advantageous. The present paper provides a brief overview of the function of scribes and their potential contribution to Australian EDs.
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Emerg Med Australas · Dec 2015
Public health in Australasian emergency departments: Attitudes, barriers and current practices.
To understand the attitudes of consultant emergency medicine physicians and advanced trainees and the perceived barriers to public health interventions in Australasian EDs. ⋯ Public health and health promotion are perceived by the majority of emergency medicine physicians as important in emergency medicine; however, substantial barriers exists to their implementation. Development of an evidence-based approach to public health interventions, which are effective and feasible in the ED environment, will facilitate a more comprehensive approach to public health initiatives in emergency medicine.
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Emerg Med Australas · Dec 2015
Randomised control trial of humidified high flow nasal cannulae versus standard oxygen in the emergency department.
The aim of the study was to determine if oxygen delivered through humidified high flow nasal cannulae (HHFNC) reduced the need for escalation in ventilation management and work of breathing in the ED patients presenting with acute undifferentiated shortness of breath compared with standard oxygen therapy. ⋯ The use of high flow nasal cannula oxygenation was associated with improved respiratory state in selected patients presenting to the ED with acute undifferentiated shortness of breath.
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Prognostic models are commonly used in the clinical setting. The objective of the study is to evaluate the prognostic accuracy of the Rapid Emergency Medical Score (REMS) or alternate models. ⋯ The availability of a validated tool such as Retrieval REMS assists recognition of high-risk patients and consideration of this risk in retrieval mission planning and response.