MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Emergency Medicine Australasia' source. Sat, 20 Mar 2010 14:11:15 +0100 http://www.medworm.com/index.php?rid=3241227&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2010.01256.x Patients with chest discomfort or other symptoms suggestive of acute coronary syndrome are one of the most common categories seen in many Emergency Departments (EDs). Although the recognition of patients at high risk of acute coronary syndrome has improved steadily, identifying the majority of chest pain presentations who fall into the low-risk group remains a challenge. Research in this area needs to be transparent, robust, applicable to all hospitals from large tertiary centres to rural and remote sites, and to allow direct comparison between different studies with minimum patient spectrum bias. A standardized approach to the research framework using a common language for data definitions must be adopted to achieve this. The aim was to create a common framework for a standardized data de... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3241227 Fri, 05 Feb 2010 00:00:00 +0100 3241227 http://www.medworm.com/index.php?rid=3241229&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01254.x Conclusion: Verbal dyspnoea score, alone and in combination with heart rate and arrival transport, can accurately predict admission. Once validated they might be useful in assessing, prioritizing and making rapid site of care decisions for breathless patients presenting to the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3241229 Thu, 04 Feb 2010 00:00:00 +0100 3241229 http://www.medworm.com/index.php?rid=3241228&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01255.x Conclusion: These data suggest ultrasound in the hands of emergency doctors might be useful as an initial screening tool for detection of soft tissue foreign bodies. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3241228 Thu, 04 Feb 2010 00:00:00 +0100 3241228 http://www.medworm.com/index.php?rid=3252111&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2010.01252.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3252111 Mon, 01 Feb 2010 00:00:00 +0100 3252111 http://www.medworm.com/index.php?rid=3252110&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2010.01251.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3252110 Mon, 01 Feb 2010 00:00:00 +0100 3252110 http://www.medworm.com/index.php?rid=3252109&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2010.01250.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3252109 Mon, 01 Feb 2010 00:00:00 +0100 3252109 http://www.medworm.com/index.php?rid=3086377&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01249.x Conclusion: The present study identified sports as a major cause of HI in the Victorian paediatric emergency setting with Australian Rules football the most commonly involved sport. Further prevention initiatives should consider targeting Australian Rules football and equestrian activities. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3086377 Tue, 15 Dec 2009 00:00:00 +0100 3086377 http://www.medworm.com/index.php?rid=3086378&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01246.x Conclusions: Oligoanalgesia for fracture neck of femur in Australian ED is common and time to analgesia tends to be relatively slow. Regional techniques are infrequently used despite their recognized efficacy. Strategies for improving pain management in this cohort of ED patients need to be explored. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3086378 Mon, 14 Dec 2009 00:00:00 +0100 3086378 http://www.medworm.com/index.php?rid=3068616&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01248.x Conclusions: The present study demonstrated that the use of 70% isopropyl alcohol swabs does not significantly affect BAL when used before venepuncture. This has implications that challenge current forensic blood alcohol sample acquisition. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3068616 Wed, 09 Dec 2009 00:00:00 +0100 3068616 http://www.medworm.com/index.php?rid=3046028&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01245.x Conclusions: Working dimensions are smaller in the Indian group compared with western publications. Endotracheal tubes ranging from size 3.0 to 6.0 might be used for cricothyroidotomy in the adult south Indian population. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3046028 Wed, 02 Dec 2009 00:00:00 +0100 3046028 http://www.medworm.com/index.php?rid=3024157&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01239.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024157 Wed, 25 Nov 2009 14:01:18 +0100 3024157 http://www.medworm.com/index.php?rid=3024176&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01247.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024176 Tue, 24 Nov 2009 00:00:00 +0100 3024176 http://www.medworm.com/index.php?rid=3024175&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01238.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024175 Tue, 24 Nov 2009 00:00:00 +0100 3024175 http://www.medworm.com/index.php?rid=3024174&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01243.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024174 Tue, 24 Nov 2009 00:00:00 +0100 3024174 http://www.medworm.com/index.php?rid=3024173&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01237.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024173 Tue, 24 Nov 2009 00:00:00 +0100 3024173 http://www.medworm.com/index.php?rid=3024172&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01236.x We report the case of a patient with neurofibromatosis who developed massive haemothorax as a result of spontaneous rupture of the left vertebral artery and left subclavian artery. The case was a diagnostic and management challenge. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024172 Tue, 24 Nov 2009 00:00:00 +0100 3024172 http://www.medworm.com/index.php?rid=3024171&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01235.x We describe the successful endovascular management of the injury using a self-expanding stent and propose this as the preferred surgical option where the artery is not completely transected. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024171 Tue, 24 Nov 2009 00:00:00 +0100 3024171 http://www.medworm.com/index.php?rid=3024170&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01244.x Conclusions: The strategic approach outlined in the present paper offers a model for EMS arrangements throughout Australia. We propose that the Council of Australian Governments should require each state and Territory to maintain an EMS committee. These state EMS committees should have a broad portfolio of responsibilities. They should provide leadership and direction to the development of the EMS and ensure coordination and quality of outcomes. A national EMS committee with broad representation and broad scope should be established to coordinate the national development of Australia's EMS. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024170 Tue, 24 Nov 2009 00:00:00 +0100 3024170 http://www.medworm.com/index.php?rid=3024169&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01234.x A 'Medical Expert' witness is one who has been accepted by the court as having special knowledge of the subject about which they are testifying and as a result is allowed to give evidence of their medical opinion. In contrast, ordinary witnesses can only give evidence regarding facts that they have observed. Emergency medicine is one of a few speciality areas of medicine more likely to be involved in legal proceedings. Preparing the emergency physician to be an expert witness is an invaluable part of their training. Education in this area should concentrate on the purpose of the evidence, the legal framework in which it is delivered and the specific skill requirements of medical expert witnesses. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024169 Tue, 24 Nov 2009 00:00:00 +0100 3024169 http://www.medworm.com/index.php?rid=3024168&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01233.x The objective of the present study was to determine emergency physicians' training, experience and perceptions as expert witnesses. Emergency physicians of an adult tertiary referral and teaching hospital participated in a pilot survey regarding their experiences in report writing and in court as expert witnesses. The 28-item survey also examined the amount of formalized forensic medical teaching that emergency physicians had received during their training. Of the participants, 41% (95% CI 21.6[ndash]64.1; 7/17) had never received any undergraduate or postgraduate training in forensic medicine, 11/17 (65%, 95% CI 41.2[ndash]82.8) had provided a written expert opinion for court, and 12/17 (71%, 95% CI 46.6[ndash]87.0) had attended court as an expert witness. All participants considered them... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024168 Tue, 24 Nov 2009 00:00:00 +0100 3024168 http://www.medworm.com/index.php?rid=3024167&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01230.x This report documents the efforts taken to contact trace and provide best practice care for all those exposed to the index case. It also provides a snapshot of community prevalence information on immunity to measles. One hundred per cent of contacted children (n= 24) eligible for vaccination were immunized, whereas 96% of adults surveyed or tested (n= 44) had assumed or proven immunity. However, six infants aged between 6 and 9 months were exposed and might have been a sufficiently large reservoir to facilitate the ongoing spread of measles in the community, if contact tracing and preventative measures had not occurred. This scenario also highlights the need to consider measles in the ED, particularly among travellers, with urgent isolation of suspected cases in the ED according to guideli... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024167 Tue, 24 Nov 2009 00:00:00 +0100 3024167 http://www.medworm.com/index.php?rid=3024166&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01232.x Paediatric limb fracture is a common injury that presents frequently to the ED. The primary objective of the present study was to determine whether ibuprofen provides better analgesia than paracetamol for paediatric patients discharged with acute limb fractures. A prospective, randomized controlled study was conducted in a children's ED. Children aged 5[ndash]14 years with an acute limb fracture were randomized to be prescribed paracetamol 15 mg/kg/dose every 4 h or ibuprofen 10 mg/kg/dose every 8 h. Objective (child-reported) pain scores using the 'Faces' pain scale were measured over a 48 h period. Child-reported pain did not differ significantly between the paracetamol and ibuprofen groups (mean pain score paracetamol 2.8 [95% CI 2.4[ndash]3.4]vs 2.7 [95% CI 2.1[ndash]3.3], P= 0.73). Pa... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024166 Tue, 24 Nov 2009 00:00:00 +0100 3024166 http://www.medworm.com/index.php?rid=3024165&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01231.x Anecdotally critical incident debriefing (CID) is an important topic for staff in paediatric ED. The present study aimed to determine current baseline CID practices and perceived needs of ED staff. A questionnaire regarding CID practice was circulated to all 13 Paediatric Research in Emergency Departments International Collaborative (PREDICT) sites in Australia and New Zealand (including all tertiary paediatric ED), and completed by 1 senior doctor and 1 senior nurse. All PREDICT sites participated (13 nurses, 13 doctors). Seventy per cent did not currently have a hospital protocol on debriefing and 90% did not have ED-specific guidelines. The most commonly debriefed topics were death of a patient, multi-trauma and sudden infant death syndrome, also ranked highest in importance for debrief... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024165 Tue, 24 Nov 2009 00:00:00 +0100 3024165 http://www.medworm.com/index.php?rid=3024164&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01241.x Conclusions: Around one-third of all patients receiving care in these ED surveys were experiencing access block. There is evidence that flow through New South Wales ED has improved. The data suggest that most hospitals have passed the point of efficiency. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024164 Tue, 24 Nov 2009 00:00:00 +0100 3024164 http://www.medworm.com/index.php?rid=3024163&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01240.x Conclusion: An abnormal ED troponin result appears to be associated with increased risk of subsequent hospitalization and death within 28 days of discharge. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024163 Tue, 24 Nov 2009 00:00:00 +0100 3024163 http://www.medworm.com/index.php?rid=3024162&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01229.x Conclusions: In a large Australian ED, less than 1% of patients presenting with symptoms suggestive of coronary syndrome were discharged and subsequently had a 30 day adverse event. Reducing this proportion by admitting patients with traditional risk factors would markedly increase hospital workload. Opportunities exist to improve both the safety and efficiency of chest pain assessment in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024162 Tue, 24 Nov 2009 00:00:00 +0100 3024162 http://www.medworm.com/index.php?rid=3024161&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01228.x Conclusion: The present study has demonstrated that blowing into a 10 mL Terumo syringe, to move the plunger, generated 40 mmHg intrathoracic pressure, thereby meeting the recommended intrathoracic pressure for optimum VM performance. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024161 Tue, 24 Nov 2009 00:00:00 +0100 3024161 http://www.medworm.com/index.php?rid=3024160&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01227.x This article reviews the evidence for the role of pelvic examination in the assessment of early pregnancy bleeding in the ED. A Medline search was conducted and 43 articles were included in this review. Applicable research is largely observational and of a low level of evidence. However, available data indicate that the role of pelvic examination in the assessment of early pregnancy bleeding is limited, providing that there is prompt access to transvaginal ultrasound examination. Pelvic examination does not provide further diagnostic information over ultrasonography used in conjunction with beta human chorionic gonadotropin assays. The routine use of pelvic examination is not supported by the literature. However, when ultrasonography and beta human chorionic gonadotropin testing are unavai... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024160 Tue, 24 Nov 2009 00:00:00 +0100 3024160 http://www.medworm.com/index.php?rid=3024159&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01226.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024159 Tue, 24 Nov 2009 00:00:00 +0100 3024159 http://www.medworm.com/index.php?rid=3024158&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01225.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=3024158 Tue, 24 Nov 2009 00:00:00 +0100 3024158 http://www.medworm.com/index.php?rid=2888073&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01224.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888073 Mon, 12 Oct 2009 23:00:00 +0100 2888073 http://www.medworm.com/index.php?rid=2888072&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01222.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888072 Mon, 12 Oct 2009 23:00:00 +0100 2888072 http://www.medworm.com/index.php?rid=2888071&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01221.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888071 Mon, 12 Oct 2009 23:00:00 +0100 2888071 http://www.medworm.com/index.php?rid=2888070&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01220.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888070 Mon, 12 Oct 2009 23:00:00 +0100 2888070 http://www.medworm.com/index.php?rid=2888069&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01219.x This article describes the experience of an emergency physician from Australia in a Paediatric Accident and Emergency department in Blantyre, Malawi. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888069 Mon, 12 Oct 2009 23:00:00 +0100 2888069 http://www.medworm.com/index.php?rid=2888068&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01218.x Increased awareness of idiopathic hypertrophic pyloric stenosis (IHPS) and readily available ultrasonographic diagnosis might mean that 'classic' presentations are becoming less common. We sought to describe the epidemiology, clinical features and outcomes of children with IHPS in the modern era. A retrospective case review of all cases of IHPS presenting to a single tertiary paediatric hospital over an 11 year period was conducted. Inclusion criteria were met by 329 children with confirmed IHPS. Eighty-four per cent of patients were male and 19% were born premature. Premature infants tended to present later, reflecting postmenstrual age. The median age at presentation was 5 weeks (range 0[ndash]31) with median symptom duration of 7 days (range 1[ndash]95). At least one classic symptom or ... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888068 Mon, 12 Oct 2009 23:00:00 +0100 2888068 http://www.medworm.com/index.php?rid=2888067&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01217.x The present study aimed to describe the knowledge and attitudes of parents and carers in performing cardiopulmonary resuscitation on infants and children. A self-administered questionnaire distributed to a convenience sample of parents and carers attending the Emergency Department of The Children's Hospital at Westmead, Australia from February to March 2008. Main outcome measures were the prevalence of previous cardiopulmonary resuscitation training, willingness and confidence to perform cardiopulmonary resuscitation on infants and children compared with adults, and an objective assessment of knowledge of current resuscitation guidelines. A total of 348 parents and carers were surveyed; 53% had received previous cardiopulmonary resuscitation training, 75% prior to the previous year. There ... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888067 Mon, 12 Oct 2009 23:00:00 +0100 2888067 http://www.medworm.com/index.php?rid=2888066&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01216.x The primary objective of the present study was to determine the effectiveness of intranasal fentanyl analgesia in children aged 1[ndash]3 years with acute moderate to severe pain presenting to the ED. We also aimed to gather information on the safety and acceptability of intranasal fentanyl in this age group. Two paediatric ED enrolled children aged 1[ndash]3 years, with acute moderate or severe pain. Intranasal fentanyl was administered (1.5 µg/kg) via a mucosal atomiser device using a 50 µg/mL solution of fentanyl. Physiological parameters (heart rate, respiratory rate, oxygen saturations and level of consciousness) were measured at regular intervals. Objective pain assessment was completed using the Faces, Legs, Arms, Cry, Consolability (FLACC) score. Forty-six children presenting wit... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888066 Mon, 12 Oct 2009 23:00:00 +0100 2888066 http://www.medworm.com/index.php?rid=2888065&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01223.x Conclusions: Older people presenting to ED should be nutritionally screened. Malnutrition prevalence of 15% was documented and was associated with an increased risk of frail mechanical falls and hospital admission. The Malnutrition Screening Tool was a simple and practical screen for ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888065 Mon, 12 Oct 2009 23:00:00 +0100 2888065 http://www.medworm.com/index.php?rid=2888064&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01215.x Conclusion: The facilities surveyed reported that advance care directives are the exception rather than the rule. Where they were developed some facilities did not ensure regular review, dissemination of the information nor consistent involvement of the GP. This demonstrates low utilization and poor application, which has implications for care appropriate to patients' wishes and for resource use within the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888064 Mon, 12 Oct 2009 23:00:00 +0100 2888064 http://www.medworm.com/index.php?rid=2888063&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01214.x Conclusion: The implementation of electronic ordering has important implications for ED functioning and the delivery of patient care. The complexity of the ED makes it vulnerable to disruption caused by inadequate system design and ineffective channels of communication across the hospital. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888063 Mon, 12 Oct 2009 23:00:00 +0100 2888063 http://www.medworm.com/index.php?rid=2888062&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01213.x There is a critical and growing need for emergency physicians and emergency medicine resources worldwide. To meet this need, physicians must be trained to deliver time-sensitive interventions and life-saving emergency care. Currently, there is no internationally recognized, standard curriculum that defines the basic minimum standards for emergency medicine education. To address this lack, the International Federation for Emergency Medicine (IFEM) convened a committee of international physicians, health professionals and other experts in emergency medicine and international emergency medicine development, to outline a curriculum for foundation training of medical students in emergency medicine. This curriculum document represents the consensus of recommendations by this committee. The curri... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888062 Mon, 12 Oct 2009 23:00:00 +0100 2888062 http://www.medworm.com/index.php?rid=2888061&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01212.x Status epilepticus (SE) is divided into convulsive and non-convulsive types; both are associated with significant morbidity and mortality. Although convulsive SE is easily recognized, non-convulsive SE remains an elusive diagnosis as physical signs are varied and subtle. Successful management depends on a comprehensive approach that involves diagnostic testing and pharmacological interventions while ensuring cerebral oxygenation and perfusion at all times. There are a limited number of well-designed studies to support the development of evidence-based recommendations for the management of SE, especially for the management of non-convulsive status. Benzodiazepines, specifically lorazepam, continue to be the most commonly recommended first-line therapy; best treatment for refractory status c... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888061 Mon, 12 Oct 2009 23:00:00 +0100 2888061 http://www.medworm.com/index.php?rid=2888060&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01211.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2888060 Wed, 30 Sep 2009 23:00:00 +0100 2888060 http://www.medworm.com/index.php?rid=2710426&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01210.x This article discusses the general concepts of shock and the indicators for inotrope and vasopressor use, revises the various agents available and reviews the current evidence for their use. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2710426 Tue, 18 Aug 2009 23:00:00 +0100 2710426 http://www.medworm.com/index.php?rid=2710427&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01209.x Conclusion: Cervical and lumbar spine injuries and rib fractures are significantly associated with T-spine fracture. The presence of these injuries should raise suspicion of concomitant T-spine injury. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2710427 Mon, 17 Aug 2009 23:00:00 +0100 2710427 http://www.medworm.com/index.php?rid=2651506&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01193.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651506 Thu, 30 Jul 2009 10:58:52 +0100 2651506 http://www.medworm.com/index.php?rid=2651520&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01208.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651520 Tue, 28 Jul 2009 23:00:00 +0100 2651520 http://www.medworm.com/index.php?rid=2651519&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01207.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651519 Tue, 28 Jul 2009 23:00:00 +0100 2651519 http://www.medworm.com/index.php?rid=2651518&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01206.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651518 Tue, 28 Jul 2009 23:00:00 +0100 2651518 http://www.medworm.com/index.php?rid=2651517&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01205.x A 72-year-old presented with features of sepsis, neurological sequelae and chest pain after a radiofrequency ablation for AF. Chest CT scan revealed a life-threatening condition not previously reported in emergency medicine journals. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651517 Tue, 28 Jul 2009 23:00:00 +0100 2651517 http://www.medworm.com/index.php?rid=2651516&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01204.x Conclusions: The influence of different types of factors appears to differ between rural and metropolitan FACEM and this information might assist in the formulation of strategies aimed at increasing the rural workforce. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651516 Tue, 28 Jul 2009 23:00:00 +0100 2651516 http://www.medworm.com/index.php?rid=2651515&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01203.x Conclusion: The belief that ketamine, in the doses used for ED PPS, causes frequent emergence delirium is flawed. A pleasant emergence phenomenon is common, but is not distressing for the child, and has no long-term (up to 30 days) negative sequelae. Rarely, there is anxiety or distress on awakening from ketamine sedation, which settles spontaneously. This should not deter emergency physicians from using ketamine for PPS. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651515 Tue, 28 Jul 2009 23:00:00 +0100 2651515 http://www.medworm.com/index.php?rid=2651514&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01202.x Conclusion: The improved outcomes for children with croup presenting to our paediatric ED have been maintained with a reduced, single oral dose of 0.15 mg/kg of dexamethasone. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651514 Tue, 28 Jul 2009 23:00:00 +0100 2651514 http://www.medworm.com/index.php?rid=2651513&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01201.x Conclusions: The number of access block patients at the time of arrival directly predicts delay to operation in this setting. This suggests that access block occupancy is a marker of hospital dysfunction. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651513 Tue, 28 Jul 2009 23:00:00 +0100 2651513 http://www.medworm.com/index.php?rid=2651512&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01200.x Conclusion: The study highlights the importance of the initial 'on arrival' and 'post-reduction' X-rays in the ED. Displaced fractures are more likely to go onto poor outcome, as are inadequately reduced fractures. Medical officers working in ED should be aware of the importance of measuring the dorsal angle. They should be referring patients with >15° dorsal angulation to orthopaedics early. Reduction should not be accepted until the dorsal angle has been adequately corrected. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651512 Tue, 28 Jul 2009 23:00:00 +0100 2651512 http://www.medworm.com/index.php?rid=2651511&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01199.x Conclusions: The combination of transcricothyroid membrane ultrasonography and ultrasonographic lung-sliding evaluation could be useful in confirming endotracheal intubation in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651511 Tue, 28 Jul 2009 23:00:00 +0100 2651511 http://www.medworm.com/index.php?rid=2651510&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01198.x Conclusions: The i-Stat POC device produces similar results in the hands of experienced and occasional operators in ED. There is good agreement between the POC and laboratory at levels used to diagnose infarction by older, more specific criteria. When compared using new lower cut-offs, the i-Stat had poor sensitivity. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651510 Tue, 28 Jul 2009 23:00:00 +0100 2651510 http://www.medworm.com/index.php?rid=2651509&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01197.x Conclusion: We identified significant problems with the consistency of triage for mental health and pregnancy presentations. Further research is needed to improve the guidelines on the implementation of the Australasian Triage Scale for these populations. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651509 Tue, 28 Jul 2009 23:00:00 +0100 2651509 http://www.medworm.com/index.php?rid=2651508&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01196.x Conclusion: Making the diagnosis of PE in ED was associated with a substantial survival advantage that persisted after hospital discharge. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651508 Tue, 28 Jul 2009 23:00:00 +0100 2651508 http://www.medworm.com/index.php?rid=2651507&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01195.x Despite a decline in the Australian overall asthma mortality, near-fatal/critical asthma continues to be a significant management issue for emergency physicians and intensivists. Near-fatal asthma is a unique subtype of asthma, with a variety of clinical presentations, requiring rapid and aggressive intervention. The pharmacological and non-pharmacological management of near-fatal asthma remains very complex. The present review discusses recent advances and evidence for current available strategies targeting this time critical emergency. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2651507 Tue, 28 Jul 2009 23:00:00 +0100 2651507 http://www.medworm.com/index.php?rid=2623326&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01194.x This article will summarize the current literature and propose assessment and management recommendations to guide emergency physicians who will be required to review these patients. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2623326 Tue, 21 Jul 2009 23:00:00 +0100 2623326 http://www.medworm.com/index.php?rid=2477825&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01192.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477825 Fri, 12 Jun 2009 04:00:00 +0100 2477825 http://www.medworm.com/index.php?rid=2477824&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01191.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477824 Fri, 12 Jun 2009 04:00:00 +0100 2477824 http://www.medworm.com/index.php?rid=2477823&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01190.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477823 Fri, 12 Jun 2009 04:00:00 +0100 2477823 http://www.medworm.com/index.php?rid=2477822&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01189.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477822 Fri, 12 Jun 2009 04:00:00 +0100 2477822 http://www.medworm.com/index.php?rid=2477821&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01188.x We report on an 8-year-old girl with Plasmodium falciparum malaria complicated by splenic abscess during the course of her infection. The diagnosis of malaria was based upon the demonstration of trophozoites of P. falciparum in the peripheral blood smear. The trophozoites of the same organism were visualized on the Giemsa-stained smear prepared from the percutaneous splenic aspirate specimen. The patient failed to respond to parenteral Artesunate alone, which demanded emergent splenectomy. To our knowledge, this is the first report of splenic abscess complicating the course of childhood P. falciparum malaria in the English literature. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477821 Fri, 12 Jun 2009 04:00:00 +0100 2477821 http://www.medworm.com/index.php?rid=2477818&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01187.x Retrograde tracheal intubation (RTI) is an airway management technique requiring relatively simple skills that can be learned easily and retained. However, proper RTI equipment is not generally available in many ED. RTI requires through-the-needle catheters and flexible-tip guidewires, which are included in the more generally available central venous catheterization set. We performed RTI using the central venous catheterization set in two patients with obstructed airways where specific RTI equipment was unavailable and demonstrated successful intubation in both cases. Our method might be a useful alternative for RTI in situations where the purpose-specific equipment is unavailable. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477818 Fri, 12 Jun 2009 04:00:00 +0100 2477818 http://www.medworm.com/index.php?rid=2477816&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01186.x We present three cases and discuss their management. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477816 Fri, 12 Jun 2009 04:00:00 +0100 2477816 http://www.medworm.com/index.php?rid=2477814&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01185.x Conclusion: Our study did not reflect the current public perception of drink spiking. Drink spiking with sedative or illicit drugs appears to be rare. If drink spiking does occur, ethanol appears to be the most common agent used. Of greater concern was the frequency of illicit drug use and excessive ethanol consumption within the study population, making it difficult to determine whether a person had truly had a drink spiked. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477814 Fri, 12 Jun 2009 04:00:00 +0100 2477814 http://www.medworm.com/index.php?rid=2477812&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01184.x Conclusion: We found a notable lack of pain assessment documentation and delays to analgesia. There is a need to improve pain assessment and management, although a majority of paediatric ED surveyed had important organizational and educational structures in place. Issues to explore include use of opioids in migraine and the underuse of femoral nerve blocks. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477812 Fri, 12 Jun 2009 04:00:00 +0100 2477812 http://www.medworm.com/index.php?rid=2477810&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01183.x Conclusion: NF in a dose of 4 µg/kg given via a standard nebulizer provided clinically significant improvements in pain scores, comparable to IVM. NF should be considered as a treatment option for use in children presenting in acute pain. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477810 Fri, 12 Jun 2009 04:00:00 +0100 2477810 http://www.medworm.com/index.php?rid=2477808&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01182.x Conclusions: Acute behavioural disturbance was common in the present study, and underlying causes were predominantly organic in nature. A team approach appears to be valuable in managing these incidents. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477808 Fri, 12 Jun 2009 04:00:00 +0100 2477808 http://www.medworm.com/index.php?rid=2477806&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01181.x Conclusions: The documented management of frequent attenders with mental disorders at a general hospital ED appeared to be less than optimal. Furthermore, the majority of those frequent attenders also attended other general hospital ED in the same city, and this did not appear to be recognized. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477806 Fri, 12 Jun 2009 04:00:00 +0100 2477806 http://www.medworm.com/index.php?rid=2477804&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01180.x Conclusions: PB was poorly done by the general public and health professionals. Crepe bandages rarely generated optimal pressures compared with elasticized bandages, but training did improve participants' ability to apply elasticized bandages. PB recommendations should be modified to specify appropriate bandage types. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477804 Fri, 12 Jun 2009 04:00:00 +0100 2477804 http://www.medworm.com/index.php?rid=2477802&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01179.x Conclusion: The education initiative resulted in a significant improvement in the evidence-based use of metoclopramide. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477802 Fri, 12 Jun 2009 04:00:00 +0100 2477802 http://www.medworm.com/index.php?rid=2477801&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01178.x Conclusion: When tested in isolation, there appears to be deficits in the equipment skills of advanced ED trainees who are expected to be proficient in transport medicine. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477801 Fri, 12 Jun 2009 04:00:00 +0100 2477801 http://www.medworm.com/index.php?rid=2477800&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01177.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2477800 Mon, 01 Jun 2009 04:00:00 +0100 2477800 http://www.medworm.com/index.php?rid=2350404&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01176.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350404 Tue, 21 Apr 2009 04:00:00 +0100 2350404 http://www.medworm.com/index.php?rid=2350403&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01175.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350403 Tue, 21 Apr 2009 04:00:00 +0100 2350403 http://www.medworm.com/index.php?rid=2350402&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01174.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350402 Tue, 21 Apr 2009 04:00:00 +0100 2350402 http://www.medworm.com/index.php?rid=2350401&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01173.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350401 Tue, 21 Apr 2009 04:00:00 +0100 2350401 http://www.medworm.com/index.php?rid=2350400&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01172.x The objectives of the Capacity-Building programme were to develop the emergency and trauma service capability at Teaching Hospital Karapitiya in Galle. Over 15 months, ED clinicians, from the Alfred Hospital and Royal Children's Hospital in Melbourne, provided training in the Emergency Treatment Unit of the main referral hospital for the south of Sri Lanka. This programme, completed in June 2008, significantly improved the hospital's ability to conduct trauma resuscitation, and to attain an increased level of disaster preparedness. In addition, valuable lessons were noted that will guide future initiatives in trauma care training in similar contexts. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350400 Tue, 21 Apr 2009 04:00:00 +0100 2350400 http://www.medworm.com/index.php?rid=2350399&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01139.x Conclusion: This survey shows significant support for a separate local training programme for emergency medicine in the country. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350399 Tue, 21 Apr 2009 04:00:00 +0100 2350399 http://www.medworm.com/index.php?rid=2350398&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01171.x Conclusion: The intensity of laryngoscope light across a clinically plausible range does not affect time to intubation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2350398 Tue, 21 Apr 2009 04:00:00 +0100 2350398 http://www.medworm.com/index.php?rid=2333320&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01165.x Conclusion: Patients with complex chest injuries in whom difficulties in initial pleural drainage are encountered are at increased risk of developing a post-traumatic empyema and have a prolonged hospital stay. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333320 Fri, 17 Apr 2009 04:00:00 +0100 2333320 http://www.medworm.com/index.php?rid=2333321&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01167.x Conclusion: The application of mechanical ventilation was similar to descriptions reported in the critical care literature both in Australia and internationally. Decision-making responsibilities were shared by ED medical and nursing staff. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333321 Tue, 14 Apr 2009 04:00:00 +0100 2333321 http://www.medworm.com/index.php?rid=2333325&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01163.x Conclusions: A more complete blockade is achieved earlier using the US-assisted technique. The US-assisted technique will become the technique of choice for FNB in this department. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333325 Mon, 13 Apr 2009 04:00:00 +0100 2333325 http://www.medworm.com/index.php?rid=2333324&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01164.x Thoracolumbar spine injury is a common complication of blunt multitrauma and up to one third of fractures are associated with spinal cord dysfunction. Delayed fracture diagnosis increases the risk of neurological complications. While validated screening guidelines exist for traumatic c-spine injury equivalent guidelines for thoracolumbar screening are lacking. We conducted a literature review evaluating studies of thoracolumbar injury in trauma patients to generate indications for thoracolumbar imaging. We performed MEDLINE and Pubmed searches using MeSH terms "Wounds, Nonpenetrating", "Spinal Fractures", "Spinal Injuries" and "Diagnostic Errors", MeSH/subheading terms "Thoracic Vertebrae/injuries" and "Lumbar Vertebrae/injuries" and keyword search terms "thoracolumbar fractures", "thoraco... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333324 Mon, 13 Apr 2009 04:00:00 +0100 2333324 http://www.medworm.com/index.php?rid=2333323&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01166.x Conclusions: The present study demonstrates that auditing both ED deaths and 48 h deaths identifies additional issues relevant to the ED compared with auditing ED deaths alone or relying on standard hospital incident reporting. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333323 Mon, 13 Apr 2009 04:00:00 +0100 2333323 http://www.medworm.com/index.php?rid=2333322&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01168.x Conclusion: Recommendations arising from the present study as to how handover could be improved are the need for a common language between paramedics and staff in the ED, for shared experiences and understanding between the members of the team and for the development of a standardized approach to handover from paramedics to ED receiving staff. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2333322 Mon, 13 Apr 2009 04:00:00 +0100 2333322 http://www.medworm.com/index.php?rid=2307615&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01169.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2307615 Tue, 07 Apr 2009 04:00:00 +0100 2307615 http://www.medworm.com/index.php?rid=2307644&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01144.x Conclusion: In acute non-traumatic limp, X-rays of the hips diagnose slipped upper femoral epiphysis, as such they should be routinely used from the age of 9 years upwards. Below this age they are of little value. Inflammatory markers have utility in risk-stratifying children and selecting a group in whom to proceed with definitive tests to exclude osteomyelitis or septic hip. Children with a short history and minimal symptoms can be managed with appropriate follow up and no investigations. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2307644 Sun, 29 Mar 2009 04:00:00 +0100 2307644 http://www.medworm.com/index.php?rid=2139996&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01159.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2139996 Thu, 29 Jan 2009 04:36:15 +0100 2139996 http://www.medworm.com/index.php?rid=2139998&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01160.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2139998 Wed, 28 Jan 2009 05:00:00 +0100 2139998 http://www.medworm.com/index.php?rid=2139997&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2009.01161.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2139997 Wed, 28 Jan 2009 05:00:00 +0100 2139997 http://www.medworm.com/index.php?rid=2114602&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01142.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114602 Thu, 01 Jan 2009 05:00:00 +0100 2114602 http://www.medworm.com/index.php?rid=2114601&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01141.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114601 Thu, 01 Jan 2009 05:00:00 +0100 2114601 http://www.medworm.com/index.php?rid=2114600&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01140.x Conclusions: This is the largest GHB-related case series to date. Attendance rate doubled during the study, and peaked at times of lowest staffing. Poly-substance ingestion is common. Attendances are of high acuity with decreased conscious state and airway threat. With close conservative management, most recover quickly without adverse sequelae. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114600 Thu, 01 Jan 2009 05:00:00 +0100 2114600 http://www.medworm.com/index.php?rid=2114599&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01138.x Conclusion: Use of INF in our paediatric ED setting was associated with a significantly reduced time to analgesia for patients requiring immediate analgesia compared with parenteral morphine. Since the introduction of an INF protocol to our department in mid-2005, INF use has increased, with a corresponding decrease in the use of morphine and a reduction in i.v. access for analgesia. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114599 Thu, 01 Jan 2009 05:00:00 +0100 2114599 http://www.medworm.com/index.php?rid=2114598&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01137.x Conclusion: There was no significant objective difference between the two mannequins. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114598 Thu, 01 Jan 2009 05:00:00 +0100 2114598 http://www.medworm.com/index.php?rid=2114597&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01136.x Conclusion: Clinical documentation of external injuries in major trauma is poor. This is presumably because of many factors, including time pressures and high-stress environments. A possible strategy to improve this documentation is routine photography, which should offer both clinical and legal benefits. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114597 Thu, 01 Jan 2009 05:00:00 +0100 2114597 http://www.medworm.com/index.php?rid=2114596&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01135.x Conclusion: We could not identify a significant survival benefit attributable to the addition of a doctor, although numbers for this comparison were small. Predicting missions where flight physicians might provide benefit remain imprecise and should be a priority area for prospective evaluation. We have demonstrated that in the absence of special circumstances, a helicopter response within 100 km from base does not improve time to definitive care. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114596 Thu, 01 Jan 2009 05:00:00 +0100 2114596 http://www.medworm.com/index.php?rid=2114595&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01134.x Conclusion: Documentation improved slightly following the intervention, but was still unsatisfactory. We believe that to achieve an adequate level of documentation in the medical record for an episode of intubation, there needs to be a formal and structured mechanism, either via mandatory use of a specifically designed form and/or by participation in an organized data registry. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114595 Thu, 01 Jan 2009 05:00:00 +0100 2114595 http://www.medworm.com/index.php?rid=2114594&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01133.x Conclusion: Documentation of pain scores and provision of i.v. morphine is generally poor. Children are less likely than adults to have a pain score documented, or receive i.v. morphine when presenting with appendicitis. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114594 Thu, 01 Jan 2009 05:00:00 +0100 2114594 http://www.medworm.com/index.php?rid=2114593&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01132.x Conclusion: A verbal numerical SOB rating scale is a valid measure of breathlessness in the ED, and might therefore provide useful insight into a symptom that is otherwise unmeasurable. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114593 Thu, 01 Jan 2009 05:00:00 +0100 2114593 http://www.medworm.com/index.php?rid=2114592&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01131.x Conclusions: There is a need to develop and implement a validated, standardized national triage tool for mental health patients. The ATS per se is insufficient to ensure acceptable interrater reliability, particularly during busy periods in the ED, and between states. Given the influence the ATS has on key outcomes, it is imperative for this tool to be robust. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114592 Thu, 01 Jan 2009 05:00:00 +0100 2114592 http://www.medworm.com/index.php?rid=2114591&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01130.x Animal bites are a significant public health problem, with an estimated 2% of the population bitten each year. The majority of bites are from dogs and risk factors include young children, men, certain dog breeds and unrestrained dogs. The risk of infection following bites differs among animal species and is dependent on animal dentition and oral flora. Recent studies have demonstrated a broad range of pathogens isolated from infected bite wounds, with Pasteurella species being the predominant isolate from dog and cat bite wounds. Controversy exists about the use of prophylactic antibiotics; however, they are currently only recommended for high-risk bite wounds. Two fatal cases of Australian bat lyssavirus have been reported and bats are the only identified reservoir in Australia. All bat b... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114591 Thu, 01 Jan 2009 05:00:00 +0100 2114591 http://www.medworm.com/index.php?rid=2114590&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01129.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114590 Thu, 01 Jan 2009 05:00:00 +0100 2114590 http://www.medworm.com/index.php?rid=2114589&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01128.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114589 Thu, 01 Jan 2009 05:00:00 +0100 2114589 http://www.medworm.com/index.php?rid=2114588&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01127.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=2114588 Mon, 01 Dec 2008 05:00:00 +0100 2114588 http://www.medworm.com/index.php?rid=1613130&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2008.01086.x This article reviews the available evidence on HS solutions as they relate to emergency medicine, and develops a set of recommendations for its use. To conclude, HS is recommended as an alternative to mannitol for treating raised intracranial pressure in traumatic brain injury. HS is also recommended for treating severe and symptomatic hyponatremia, and is worth considering for both recalcitrant tricyclic antidepressant toxicity and for cerebral oedema complicating paediatric diabetic ketoacidosis. HS is not recommended for hypovolaemic resuscitation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1613130 Sun, 13 Jul 2008 04:00:00 +0100 1613130 http://www.medworm.com/index.php?rid=1490714&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01095.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR We report the case of a 33-year-old man presenting with seizures following a 3 week, non-specific febrile illness characterized by progressive confusion. Despite the presence of risk factors, his HIV serology was negative and he had no premorbid ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490714 Tue, 03 Jun 2008 00:32:54 +0100 1490714 http://www.medworm.com/index.php?rid=1490716&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01097.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 284, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490716 Tue, 03 Jun 2008 00:31:52 +0100 1490716 http://www.medworm.com/index.php?rid=1490715&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01096.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 280-283, June 2008. Abstract Cough is a frequent reason for ED consultation. When one considers the epidemiological data, whooping cough must be considered in the differential of subacute cough. Clinical symptomatology is slightly different in the adult and unvaccinated ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490715 Tue, 03 Jun 2008 00:31:52 +0100 1490715 http://www.medworm.com/index.php?rid=1490717&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01098.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 285-286, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490717 Tue, 03 Jun 2008 00:31:40 +0100 1490717 http://www.medworm.com/index.php?rid=1490713&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01094.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 271-275, June 2008. Abstract In 2001, a nationwide study revealed deficiencies in the emergency care of seriously ill and injured children in Vietnam. In response, a project was initiated to conduct the Advanced Paediatric Life Support course in Vietnam and ascertain ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490713 Tue, 03 Jun 2008 00:31:27 +0100 1490713 http://www.medworm.com/index.php?rid=1490709&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01091.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 196-198, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490709 Tue, 03 Jun 2008 00:31:26 +0100 1490709 http://www.medworm.com/index.php?rid=1490712&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01093.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 267-270, June 2008. Abstract In the prospective Royal Darwin Hospital snakebite study, pressure-immobilization first aid (PI) was used more often than in previous studies. However, bandages were not uncommonly too loose or not applied to the whole limb and immobilization ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490712 Tue, 03 Jun 2008 00:31:25 +0100 1490712 http://www.medworm.com/index.php?rid=1490710&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01092.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 199-200, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490710 Tue, 03 Jun 2008 00:31:25 +0100 1490710 http://www.medworm.com/index.php?rid=1490711&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01100.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 209-215, June 2008. Abstract Objective: To perform a review of the efficacy of adenosine, including its potential role as first-line treatment in unstable supraventricular tachycardia (SVT) and its use in wide complex tachycardias and diagnosing difficult arrhythmias. The ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490711 Tue, 03 Jun 2008 00:31:05 +0100 1490711 http://www.medworm.com/index.php?rid=1490708&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01090.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 193-195, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490708 Tue, 03 Jun 2008 00:31:04 +0100 1490708 http://www.medworm.com/index.php?rid=1490718&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01101.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 3, Page 287-289, June 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1490718 Tue, 03 Jun 2008 00:31:03 +0100 1490718 http://www.medworm.com/index.php?rid=1424844&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01085.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Objective:  To investigate the nature and acuity of medical presentations of patrons and staff attending the Melbourne 2006 Commonwealth Games (M2006) venues and festival live sites. Design and setting:  Retrospective case series chart audit of ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1424844 Wed, 07 May 2008 18:18:49 +0100 1424844 http://www.medworm.com/index.php?rid=1424845&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01089.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Objective:  The Emergency Triage Education Kit was designed to optimize consistency of triage using the Australasian Triage Scale. The present study was conducted to determine the interrater reliability of a set of scenarios for inclusion in the ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1424845 Tue, 06 May 2008 23:47:23 +0100 1424845 http://www.medworm.com/index.php?rid=1424846&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01088.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Objectives:  Several organizations offer review courses designed to guide final-year (postgraduate year five) residents' study for their certification examination. The effect of these courses on residents' confidence is unknown. Self-confidence ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1424846 Tue, 06 May 2008 23:47:22 +0100 1424846 http://www.medworm.com/index.php?rid=1424847&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01086.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR This article reviews the available evidence on HS solutions as they relate to emergency medicine, and ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1424847 Tue, 06 May 2008 23:47:20 +0100 1424847 http://www.medworm.com/index.php?rid=1424848&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01087.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Objectives:  To evaluate a patient flow streaming system within a teaching hospital's ED, using functional principles to separate patients into two streams on the basis of complexity rather than acuity, severity or disposition. Methods:  The ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1424848 Tue, 06 May 2008 23:47:19 +0100 1424848 http://www.medworm.com/index.php?rid=1363076&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01079.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR The objectives of the study were: (i) to survey staff perceptions of causes of delay in patients' journeys through the ED; (ii) to identify and analyse key constraints to patient flow using real-time diagnostic/decision support ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1363076 Thu, 10 Apr 2008 18:19:07 +0100 1363076 http://www.medworm.com/index.php?rid=1363077&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01077.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Objective:  To evaluate the impact of a streaming model, previously validated in metropolitan EDs, on selected performance indicators in a regional ED. Method:  Multiple linear regression models were applied to monthly time series data from 43 ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1363077 Thu, 10 Apr 2008 08:14:01 +0100 1363077 http://www.medworm.com/index.php?rid=1363078&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01078.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 0, Issue 0, Page ???, OnlineEarly Articles. Abstract Cardiac output is considered an important parameter when assessing the cardiovascular status of a critically ill patient. Both non-invasive (e.g. bioimpedance, echocardiography) and invasive methods (Swan Ganz catheter) have been used to measure ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1363078 Thu, 10 Apr 2008 08:13:24 +0100 1363078 http://www.medworm.com/index.php?rid=1335780&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01075.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 185-186, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335780 Sat, 29 Mar 2008 00:56:42 +0100 1335780 http://www.medworm.com/index.php?rid=1335782&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01082.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 187-188, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335782 Sat, 29 Mar 2008 00:56:40 +0100 1335782 http://www.medworm.com/index.php?rid=1335770&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01066.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 112-120, April 2008. Abstract Objectives:  To trial high-dose midazolam sedation protocol for uncooperative patients with suspected psychostimulant-induced behavioural disorders. End-points were effectiveness and safety. Methods:  A prospective pilot study was undertaken ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335770 Sat, 29 Mar 2008 00:56:38 +0100 1335770 http://www.medworm.com/index.php?rid=1335777&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01072.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR We present a case of 80-year-old man who had headache of 1 day duration and gross subdural haemorrhage in the absence of any history of noticeable trauma, leading to descending transtentorial herniation and secondary brain stem haemorrhages ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335777 Sat, 29 Mar 2008 00:56:25 +0100 1335777 http://www.medworm.com/index.php?rid=1335768&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01064.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 101-104, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335768 Sat, 29 Mar 2008 00:56:17 +0100 1335768 http://www.medworm.com/index.php?rid=1335774&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01069.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 164-166, April 2008. Abstract The Australian funnel-web spider, arguably the most venomous spider in the world, is distributed along the Australian eastern seaboard, typically preferring moist, cool, sheltered habitats such as rainforests. Prior surveys around Brisbane have ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335774 Sat, 29 Mar 2008 00:56:11 +0100 1335774 http://www.medworm.com/index.php?rid=1335784&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01080.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 192, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335784 Sat, 29 Mar 2008 00:55:48 +0100 1335784 http://www.medworm.com/index.php?rid=1335769&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01065.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 105-111, April 2008. Abstract Extracorporeal shock-wave lithotripsy remains a widely utilized treatment modality for renal and some ureteric calculi. The treatment is generally considered very safe. However, minor complications occur in a significant number of patients. ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335769 Sat, 29 Mar 2008 00:55:48 +0100 1335769 http://www.medworm.com/index.php?rid=1335778&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01073.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 183-184, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335778 Sat, 29 Mar 2008 00:55:37 +0100 1335778 http://www.medworm.com/index.php?rid=1335775&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01070.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 167-174, April 2008. Abstract Man has used hallucinogenic plants and mushrooms for centuries. The characteristics of these plants that led to their incorporation into important ritualistic and spiritual traditions, however, have also resulted in their widespread propagation ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335775 Sat, 29 Mar 2008 00:55:37 +0100 1335775 http://www.medworm.com/index.php?rid=1335767&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01063.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 97-100, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335767 Sat, 29 Mar 2008 00:55:25 +0100 1335767 http://www.medworm.com/index.php?rid=1335776&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01071.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 175-179, April 2008. Abstract In response to the Indian Ocean tsunami of December 2004, the Health for the South Project was developed for Sri Lanka. The capacity-building component of this project involves the provision of trauma and emergency care training to the staff of ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335776 Sat, 29 Mar 2008 00:55:06 +0100 1335776 http://www.medworm.com/index.php?rid=1335771&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01067.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 121-128, April 2008. Abstract Objective:  To evaluate the feasibility and efficacy of routine opportunistic screening and brief intervention (BI) by ED staff to reduce high-risk alcohol consumption. Methods:  This was an open, randomized controlled trial with allocation ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335771 Sat, 29 Mar 2008 00:54:54 +0100 1335771 http://www.medworm.com/index.php?rid=1335773&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01062.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 144-148, April 2008. Abstract Objective: To determine perceived preparedness of Australian hospital-based prevocational doctors for resuscitation skills and management of emergencies, and to identify differences between doctors who perceive themselves well prepared and ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335773 Sat, 29 Mar 2008 00:54:32 +0100 1335773 http://www.medworm.com/index.php?rid=1335781&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01081.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 187, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335781 Sat, 29 Mar 2008 00:54:30 +0100 1335781 http://www.medworm.com/index.php?rid=1335772&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01068.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 136-143, April 2008. Abstract Objective:  To explore the association of morphine use with factors influencing time to initial analgesia (T-A). Methods:  A retrospective cohort review was conducted. Morphine data were collected from a register for restricted drugs located in ... (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335772 Sat, 29 Mar 2008 00:53:49 +0100 1335772 http://www.medworm.com/index.php?rid=1335783&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01076.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 189-191, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335783 Sat, 29 Mar 2008 00:53:36 +0100 1335783 http://www.medworm.com/index.php?rid=1335779&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01074.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue 2, Page 184-185, April 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1335779 Sat, 29 Mar 2008 00:53:08 +0100 1335779 http://www.medworm.com/index.php?rid=1240816&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1742-6723.2008.01061.x%3Fai%3Dvi%26mi%3D4mpuw%26af%3DR Emergency Medicine Australasia, Volume 20, Issue s1, Page A37-A38, February 2008. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=1240816 Tue, 19 Feb 2008 00:12:11 +0100 1240816