Emergency medicine Australasia : EMA
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To describe the mechanism, injury pattern and management of women who present to the ED with non-obstetric vulval trauma. ⋯ Non-obstetric vulval injuries are uncommon (incidence 3.7%). All cases require assessment for vaginal, urethral, anal and bony pelvis injuries. This might require examination under anaesthesia. Conservative management of haematomas in the absence of acute haematoma expansion is favoured. The need to screen for sexually transmissible infections and pregnancy is important. Social worker and psychological support is important to reduce the incidence of long-term psychological problems.
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Emerg Med Australas · Feb 2013
Case ReportsBehavioural disturbance requiring medical referral: A case of anti-N-methyl-D-aspartate receptor encephalitis in the emergency department.
A 17-year-old woman presented to the ED with behavioural disturbance and psychotic features. Brief dystonic jerks were noted so she was referred to the medical team. ⋯ Immunotherapy was instituted early and the clinical outcome was excellent. It is important to consider this condition in young women presenting with acute behavioural or psychotic symptoms.
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Emerg Med Australas · Feb 2013
Factors affecting length of stay for women presenting with early pregnancy complications to a public hospital emergency department.
This study aimed to determine factors associated with length of stay (LOS) for women presenting with early pregnancy complications to a public hospital ED. In particular, we sought to investigate the impact the involvement of the Clinical Midwife Consultant (CMC), specialising in early pregnancy care, had on the ED LOS. ⋯ This study was able to show factors significantly associated with ED LOS, many of which are not modifiable. The involvement of the CMC reduced LOS, whereas requiring an ultrasound assessment increased LOS. Thus, improvement could be achieved by greater access to a CMC and more rapid access to ultrasound services.
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Emerg Med Australas · Feb 2013
Letter Case ReportsParenteral antihistamines cause hypotension in anaphylaxis.