Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2010
Case ReportsGetting the blues at a rock concert: a case of severe methaemoglobinaemia.
Methaemoglobin is the form of haemoglobin in which the iron moiety of the haem group has been oxidized from the ferrous to the ferric state. Methaemoglobinaemia is due to either an increase in the production of the oxidized haem moiety or due to decreased conversion back to the reduced form. This article presents a case of amyl nitrite-induced methaemoglobinaemia and discusses the diagnosis and treatment of this disorder.
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In 2009 emergency medicine had not been officially established as a specialty in Vietnam. As a result of a non-government organization identifying the need to improve the delivery of emergency care, the Vietnam2010 Symposium in Emergency Medicine was held in Hue in March 2010. This involved 1 week of activity including: an Emergency Medicine Conference, providing lectures and practical workshops in topics of emergency medicine; a Deans' Conference, dedicated to the development of emergency medicine as a specialty; a Disaster and EMS Conference; and an Emergency Nursing Conference. ⋯ A consensus document committing to the development of emergency medicine as a specialty in Vietnam was signed by multiple national and international governmental, university and emergency medicine representatives. Challenges included a tendency for international flagbearers from mature systems to promote the specialty according to local expectations, with a consequent emphasis on vertical specialty topics and on technology, and the running of medical and nursing conferences separately. Vietnam now needs a medium-term plan to develop the specialty to ensure these initial steps are translated into a sustainable capacity to provide emergency care nationally.
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Emerg Med Australas · Oct 2010
Screening for type 2 diabetes with random finger-prick glucose and bedside HbA1c in an Australian emergency department.
To determine if screening for undiagnosed type 2 diabetes mellitus (T2DM) and pre-diabetes is feasible in an Australian ED; to estimate the prevalence of T2DM and pre-diabetes in the Australian ED population. ⋯ This inner city tertiary ED has a high prevalence of T2DM, diagnosed and undiagnosed, with over a quarter of our population probably affected [corrected]. Although ED screening might have a high yield, opportunistic screening is not feasible, with difficulties in staff engagement and patient follow up for diagnostic testing. Future studies might consider finger-prick fasting blood glucose through a patient's general practitioner for diagnosis.