Internal medicine journal
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Internal medicine journal · Feb 2022
No Fever, No Worries? A Retrospective Audit of Bacteraemic Patients in the Emergency Department.
Early identification and treatment of serious infections improve clinical outcomes. Previous studies have found that septic patients without fever are more likely to die than those with fever, due to delay in antibiotic administration. ⋯ There was no significant difference in receipt of antibiotics within 4 h or 24 h ED arrival between the febrile and afebrile groups. However, afebrile patients experienced higher 30-day mortality. While most bacteraemic patients received antibiotics within 24 h, only half received antibiotics within 4 h, representing a key area for improvement.
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Internal medicine journal · Feb 2022
Regional Victoria physician subspecialty training and workforce: the current state of play.
This report outlines the advantages and barriers to working and training in regional Victoria with an aim to provide future researchers with data points to address the maldistribution of medical specialists in regional Australia. Some of the advantages are positive job satisfaction, collegiality and good work-life balance, while increased workload and insufficient number of specialists were reported as disadvantages.