Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2011
Case ReportsErythema multiforme major due to occupational exposure to the herbicides alachlor and butachlor.
Alachlor and butachlor are commonly used chloroacetanilide herbicides. They are cytotoxic, but there have been rare reported cases of alachlor or butachlor induced erythema multiforme major. We report the case of a 38-year-old farmer with erythema multiforme major due to the occupational exposure to alachlor/butachlor. ⋯ These results confirmed the diagnosis of erythema multiforme major. The patient was admitted and received systemic and topical steroids. After 18 days, most lesions had healed, and he was discharged.
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Emerg Med Australas · Feb 2011
Comparative StudyNo effect of time of day at presentation to the emergency department on the outcome of patients who are admitted to the intensive care unit.
To determine if an association exists between the time of day when a patient presents to ED and their outcome for those admitted directly to the ICU. ⋯ The time of day patients arrive at the ED has no association with length of stay in ED, intensive care or hospital, time on the ventilator, or mortality for those who are admitted to the ICU.
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Emerg Med Australas · Feb 2011
Emergency department knowledge management in the age of Web 2.0: evaluation of a new concept.
The objective of the present study was to describe the implementation of an organizational learning model and evaluate the effectiveness and usability of an application used to facilitate it in an ED setting. ⋯ We demonstrate the implementation of an organizational learning model based on independent online sites networking together within an organization. This appears to be both usable and acceptable to staff members working in a large ED as a means of knowledge management.
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Emerg Med Australas · Feb 2011
Scapular manipulation for reduction of anterior shoulder dislocation without analgesia: results of a prospective study.
To the best of knowledge, this was the first study of scapular manipulation technique (SMT) in Asia. We conducted this prospective study to report our experiences of reducing anterior shoulder dislocation by SMT without analgesia in a large study group in Iran. ⋯ The results of our study showed that SMT even without medication is a safe, rapid and relatively painless technique in reducing anterior shoulder dislocation in the ED that might reduce medical resource utilization and can be cost-effective.
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Emerg Med Australas · Feb 2011
The Emergency Medicine Capacity Assessment Study: perceived resource requirements to support a major increase in intern numbers in Australian emergency departments.
A 70% increase in graduating interns is projected in Australia from 2007 to 2012. Emergency medicine is a key term in the intern year. There is little information on the preparedness of EDs for this increase, and what resources will be required. ⋯ We recommend attention to ED communications infrastructure, an increase in rostered supervisory time for senior ED medical staff, and the provision of additional ED medical educators to teach interns.