Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2008
Junior doctor strike model of care: Reduced access block and predominant Fellow of the Australasian College for Emergency Medicine staffing improve emergency department performance.
To describe the response and analyse ED performance during a 5-day junior doctor strike. ⋯ FACEM staffing and reduced access block were significant factors in improved ED performance.
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Emerg Med Australas · Oct 2008
Implementation of a guideline for computed tomography head imaging in head injury: a prospective study.
To improve appropriate ordering of head computed tomography (CT) in patients presenting with a head injury by applying an evidence-based head injury guideline. ⋯ The Southernhealth Head Injury Guideline is safe and easy to apply to minor and major head injuries.
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Recent articles have described the increasing frequency of use of propofol as a sedating agent in the ED, and praise the safety profile of propofol when used in this manner. We describe a patient who developed torsade de pointes followed by ventricular fibrillation while undergoing propofol sedation for closed reduction of a mid-shaft fracture of the tibia and fibula. Possible reasons for the event are discussed, and suggestions are made for areas of further research.