Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2007
Randomized Controlled TrialRandomized controlled trial of an instructional DVD for clinical skills teaching.
To determine the efficacy of clinical skills teaching using a DVD-based teaching medium (interventional group) compared with the traditional, four-step, face-to-face approach (control group). The clinical skill selected for the study was that of paediatric intraosseous (IO) needle insertion. ⋯ The study suggests that the use of instructional DVD for clinical skills teaching results in improved learning outcomes compared with the traditional face-to-face didactic teaching method.
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Emerg Med Australas · Jun 2007
Emergency department deaths despite active management: experience from a tertiary care centre in a low-income country.
To determine the frequency and causes of ED deaths despite active management, in a tertiary care centre of a low-income country. ⋯ Sepsis is the leading cause of death in patients of all age groups in the ED of this hospital.
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Emerg Med Australas · Jun 2007
Do family members interfere in the delivery of care when present during invasive paediatric procedures in the emergency department?
To determine whether family members interfere with patient care when present during invasive procedures performed on their children in the ED. ⋯ When family members are encouraged to stay for invasive procedures performed on their child, and careful explanation of the procedure, sedation, possible complications, choice of medication for sedation and possible side-effects is undertaken, family member interference is extremely rare.
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Emerg Med Australas · Jun 2007
Validation of emergency physician ultrasound in diagnosing hydronephrosis in ureteric colic.
Patients presenting to the ED with obstructive nephropathies benefit from early detection of hydronephrosis. Out of hours radiological imaging is expensive and disruptive to arrange. Emergency physician ultrasound (EPU) could allow rapid diagnosis and disposition. If accurate it might avert the need for formal radiological imaging, exclude an obstruction and improve patient flow through the ED. ⋯ Although the accuracy of detection of hydronephrosis after focused training in EPU is encouraging, further experience and training might improve the accuracy of EPU and allow its use as a screening tool.