Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2010
Case ReportsHepatic portal venous gas in a patient with intestinal necrosis.
This report describes a case of hepatic portal venous gas (HPVG) in a patient with intestinal ischaemia and necrosis resulting from an obstructing lesion in the sigmoid colon. CT images demonstrating a large amount of HPVG are presented.
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Emerg Med Australas · Apr 2010
The Emergency Medicine Capacity Assessment Study: anticipated impact of a major increase in intern numbers in Australian ED.
To identify emergency medicine (EM) staff perceptions of EM intern rotation, the capacity of ED to accept an increase in intern numbers of 70%, attitudes of staff towards the increase, and its anticipated impact on management of ED, patient care and learning opportunities. ⋯ The increase in interns peaking in 2012 represents a significant change to the health system that will challenge the capacity of ED. Although ED internship is perceived as an indispensable learning opportunity, maintaining the ED experience with a rapid influx of interns will not occur without problems.
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Emerg Med Australas · Apr 2010
Case ReportsBowel perforations induced by multiple magnet ingestion.
We report two cases of bowel perforation that presented to the ED after ingesting multiple magnets as diagnosed with exploratory laparotomy. Foreign body ingestion is a common occurrence in the paediatric population. Diagnosis is often delayed because it is difficult to obtain a precise history of foreign body ingestion. ⋯ The incidence, which is rare, of magnet ingestion with complications has increased as a result of the popularity of magnetic toys. This case report highlights the complications that might occur with multiple magnet ingestion. We aim to alert physicians that multiple magnet ingestion can be a serious matter.
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Emerg Med Australas · Apr 2010
An intervention to encourage ambulance paramedics to bring patients' own medications to the ED: impact on medications brought in and prescribing errors.
To undertake and evaluate a multifaceted intervention to encourage paramedics to bring patients' own medications (POM) to the ED. ⋯ The multifaceted intervention encouraging paramedics to bring POM to ED was effective. POM were brought into ED more frequently and prescribing errors reduced.
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Emerg Med Australas · Apr 2010
Editorial CommentInterns in the ED: the real challenges of increasing numbers.