Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2013
Use of ultrasound for non-trauma patients in the emergency department.
In the past decade, there has been substantial knowledge translation in the use of ultrasound (US) by critical care physicians to aid diagnosis of the non-trauma patient. This study aimed to determine emergency doctors' level of training in ultrasonography, pattern of US use in regular practice and barriers to US use for the non-trauma patient presenting to an emergency department. ⋯ Among ED personnel, use of US to diagnose several non-traumatic conditions was low, but specific training was associated with significantly more US use. Increased training and availability of US-experienced supervisors might further improve utility of this important adjunct to the practice of emergency medicine.
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Emerg Med Australas · Jun 2013
Case ReportsDuboisia ingestion: An unusual cause of anticholinergic poisoning.
A male landscaper presented with an acute confusional state following intentional ingestion of Duboisia myoporoides. With supportive care, he made an uneventful recovery after 24 h. Clinical features, investigation and management of Duboisia poisoning are discussed.
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Emerg Med Australas · Jun 2013
Disease pattern and chronic illness in rural China: the Hong Kong Red Cross basic health clinic after 2008 Sichuan earthquake.
Medical teams might have difficulties preparing for deployment to rural towns due to a lack of prior information. The study objective was to identify the health needs and chronic disease prevalence of rural Chinese following a major earthquake. ⋯ We identified that the management of chronic diseases was an important issue, especially with the high prevalence of hypertension found in our study. Medical responders need to be aware of the potential pre-existing disease burden in the community, with the possible exacerbation in post-disaster situations. Careful planning on the use of treatment guidelines with particular focus on the local health resources available and issues with continuation of care will provide better care for the patients.
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Emerg Med Australas · Jun 2013
Private hospital emergency departments in Australia: challenges and opportunities.
Public hospital EDs in Australia have become increasingly congested because of increasing demand and access block. Six per cent of ED patients attend private hospital EDs whereas 45% of the population hold private health insurance. ⋯ This study is the first public description of patients attending private EDs in Australia. Private EDs have a significant role to play in acute medical care and in providing access to private hospitals which could alleviate pressure on public EDs. This study demonstrates the need for consolidated data based on a consistent data set and data dictionary to enable system-wide analysis, benchmarking and evaluation.