Emergency medicine Australasia : EMA
-
Emerg Med Australas · Oct 2023
Implementation of an integrated emergency department acute atrial fibrillation pathway safely reduces cardioversions and hospitalisations: A comparative pre-post study.
Atrial fibrillation/flutter (AF/AFL) accounts for high rates of ED presentations and hospital admissions. There is increasing evidence to suggest that delaying cardioversion for acute uncomplicated AF is safe, and that many patients will spontaneously revert to sinus rhythm (SR). We conducted a before-and-after evaluation of AF/AFL management after a change in ED pathway using a conservative 'rate-and-wait' approach, incorporating next working day outpatient clinic follow-up and delayed cardioversion if required. ⋯ Using a conservative 'rate-and-wait' strategy with early follow-up for patients presenting to ED with AF/AFL can safely reduce unnecessary cardioversions and avoidable hospitalisations.
-
Emerg Med Australas · Oct 2023
ReviewClosing the miscommunication gap: A user guide to developing picture-based communication tools for Aboriginal and Torres Strait Islander peoples in emergency departments.
To document an illustration-based methodology for culturally safe communication between Indigenous patients and clinicians in an urban ED. ⋯ Co-design methodologies can guide improvements in culturally safe clinical communication with First Nations patients in EDs.
-
Emerg Med Australas · Oct 2023
Generative artificial intelligence: Can ChatGPT write a quality abstract?
ChatGPT is a generative artificial intelligence chatbot which may have a role in medicine and science. We investigated if the freely available version of ChatGPT can produce a quality conference abstract using a fictitious but accurately calculated data table as applied by a non-medically trained person. ⋯ ChatGPT or similar programmes, with careful review of the product by authors, may become a valuable scientific writing tool. The scientific and medical use of generative artificial intelligence, however, raises many questions.
-
Emerg Med Australas · Oct 2023
Mental health emergency presentations across the Barwon South West region in Victoria, Australia: An epidemiological investigation.
To examine mental health emergency presentations across the Barwon South West, Victoria, Australia - an area comprising a range of urban and rural localities. ⋯ Neurotic, stress-related and somatoform disorders and mental and behavioural disorders due to psychoactive substance use were the most frequent types of presentations recorded across the sample. RAHDaR represented a small but meaningful contribution to the data.
-
Emerg Med Australas · Oct 2023
Determination of emergency nurse practitioner and plastic surgery trainee disposition decision agreement for plastic surgery emergency department presentations: A prospective study.
To examine if there was a high degree of agreement for disposition decisions of emergency nurse practitioners (ENP) compared to plastic surgery trainees (PST) for plastic surgery presentations. ⋯ Disposition decisions by ENP and PST were the same in most cases and had a high overall level of agreement. This may lead to greater autonomy of ENP care and reduced ED length of stay and occupancy.