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. Wed, 08 Feb 2012 14:35:37 +0100 http://www.medworm.com/index.php?rid=5667605&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01527.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667605 Wed, 01 Feb 2012 05:00:00 +0100 5667605 http://www.medworm.com/index.php?rid=5667604&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01518.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667604 Wed, 01 Feb 2012 05:00:00 +0100 5667604 http://www.medworm.com/index.php?rid=5667603&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01524.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667603 Wed, 01 Feb 2012 05:00:00 +0100 5667603 http://www.medworm.com/index.php?rid=5667602&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01528.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667602 Wed, 01 Feb 2012 05:00:00 +0100 5667602 http://www.medworm.com/index.php?rid=5667601&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01473.x We report the case of a 24‐year‐old Torres Strait Islander woman who presented to a rural hospital ED with chest pain suspicious for myocardial ischaemia and was found to have an anterior ST‐elevation myocardial infarction. She was thrombolysed and transferred to a tertiary centre where subsequent angiography revealed atheromatous disease of the left anterior descending coronary artery. We believe this to be one of the youngest reported cases of myocardial infarction due to atheromatous coronary artery disease, and demonstrates important learning points regarding the demographics and risk factors of indigenous patients with chest pain. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667601 Wed, 01 Feb 2012 05:00:00 +0100 5667601 http://www.medworm.com/index.php?rid=5667600&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01531.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667600 Wed, 01 Feb 2012 05:00:00 +0100 5667600 http://www.medworm.com/index.php?rid=5667599&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01526.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5667599 Wed, 01 Feb 2012 05:00:00 +0100 5667599 http://www.medworm.com/index.php?rid=5609466&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2012.01522.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609466 Fri, 20 Jan 2012 19:16:15 +0100 5609466 http://www.medworm.com/index.php?rid=5609464&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2012.01521.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609464 Fri, 20 Jan 2012 19:16:13 +0100 5609464 http://www.medworm.com/index.php?rid=5609463&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2012.01520.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609463 Fri, 20 Jan 2012 19:16:11 +0100 5609463 http://www.medworm.com/index.php?rid=5609455&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01517.x Conclusion: There was no difference between EM and orthopaedics in the proportion of hips successfully relocated or complications in the ED; however, EM patients were discharged much sooner, with important resource implications. Procedures carried out in the OT were more successful than in the ED but resulted in prolonged hospital stays and were associated with more complications. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609455 Fri, 20 Jan 2012 19:15:22 +0100 5609455 http://www.medworm.com/index.php?rid=5609458&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01523.x Conclusion: The Victorian style of tag was found to be the most efficient in terms of the time to complete a triage. The New Zealand tags were the easiest to use, easiest to fill in and the most preferred tag by the participants. We recommend that one of these tags be adapted for use as a nationwide system. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609458 Thu, 19 Jan 2012 05:00:00 +0100 5609458 http://www.medworm.com/index.php?rid=5609457&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01525.x Conclusion: The avoidance of unnecessary transfers to hospital is beneficial to patients, the ambulance service and the ED. This study demonstrates that patients are very satisfied with their assessment and treatment by ECPs, endorsing the proposal that the scheme should be extended across the Wellington Region, and perhaps New Zealand. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609457 Thu, 19 Jan 2012 05:00:00 +0100 5609457 http://www.medworm.com/index.php?rid=5609456&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01530.x Conclusion: Critically ill patients with severe sepsis who had elevated troponin had increased hospital and intensive care mortality. However, cardiac troponin I did not independently predict hospital mortality. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5609456 Thu, 19 Jan 2012 05:00:00 +0100 5609456 http://www.medworm.com/index.php?rid=5598333&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01516.x Part 2: Goal Directed Resuscitation – Which Goals? Perfusion Targets will follow in the next issue.AbstractThe use of appropriate resuscitation targets or end‐points may facilitate early detection and appropriate management of shock. There is a fine balance between oxygen delivery and consumption, and when this is perturbed, an oxygen debt is generated. In this narrative review, we explore the value of global haemodynamic resuscitation end‐points, including pulse rate, blood pressure, central venous pressure and mixed/central venous oxygen saturations. The evidence supporting the reliability of these parameters as end‐points for guiding resuscitation and their potential limitations are evaluated. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5598333 Tue, 17 Jan 2012 05:00:00 +0100 5598333 http://www.medworm.com/index.php?rid=5487572&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01512.x AbstractTwenty‐five years on from the first fellowship examination of the College, it is timely to reflect on the issue of clinical longevity. The pressures of the emergency medicine workplace are relatively unique among the medical specialties, and might require unique solutions if emergency physicians are to continue clinical practice in the latter stages of their careers. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487572 Wed, 07 Dec 2011 05:00:00 +0100 5487572 http://www.medworm.com/index.php?rid=5598332&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01515.x AbstractHaemodynamic targets, such as cardiac output, mean arterial blood pressure and central venous oxygen saturations, remain crude predictors of tissue perfusion and oxygen supply at a cellular level. Shocked patients may appear adequately resuscitated based on normalization of global vital signs, yet they are still experiencing occult hypoperfusion. If targeted resuscitation is employed, appropriate use of end‐points is critical. In this review, we consider the value of directing resuscitation at the microcirculation or cellular level. Current technologies available include sublingual capnometry, video microscopy of the microcirculation and near‐infrared spectroscopy providing a measure of tissue oxygenation, whereas base deficit and lactate potentially provide a surrogate measure... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5598332 Thu, 01 Dec 2011 05:00:00 +0100 5598332 http://www.medworm.com/index.php?rid=5505599&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01505.x This article discusses the rationale for integrating a palliative approach in the ED. We need to engage our palliative care colleagues to increase clinical support to meet the needs of these vulnerable patients and to foster collaborative educational opportunities. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5505599 Thu, 01 Dec 2011 05:00:00 +0100 5505599 http://www.medworm.com/index.php?rid=5487586&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01514.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487586 Thu, 01 Dec 2011 05:00:00 +0100 5487586 http://www.medworm.com/index.php?rid=5487585&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01507.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487585 Thu, 01 Dec 2011 05:00:00 +0100 5487585 http://www.medworm.com/index.php?rid=5487581&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01493.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487581 Thu, 01 Dec 2011 05:00:00 +0100 5487581 http://www.medworm.com/index.php?rid=5487579&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01508.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487579 Thu, 01 Dec 2011 05:00:00 +0100 5487579 http://www.medworm.com/index.php?rid=5487578&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01501.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487578 Thu, 01 Dec 2011 05:00:00 +0100 5487578 http://www.medworm.com/index.php?rid=5487577&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01471.x We report successful management of a child who aspirated a nasal foreign body during physical examination in an outpatient department causing complete airway obstruction with special mention about different management options available for managing near total respiratory arrest from an aspirated foreign body in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487577 Thu, 01 Dec 2011 05:00:00 +0100 5487577 http://www.medworm.com/index.php?rid=5487576&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01460.x We report the case of an 84‐year‐old woman who presented to the ED with accidental hypothermia associated with myxoedema that was successfully managed by veno‐arterial extracorporeal blood rewarming. This case suggests that veno‐arterial extracorporeal rewarming appears to achieve a rapid and consistent rewarming rate and is less invasive and more readily available than cardiopulmonary bypass. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487576 Thu, 01 Dec 2011 05:00:00 +0100 5487576 http://www.medworm.com/index.php?rid=5487575&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01469.x AbstractPotassium chloride poisoning can be potentially life‐threatening, particularly in massive ingestions of sustained‐release preparations. Profound hyperkalaemia, developing over several hours, can lead to cardiac arrhythmias and death. This case series reports three episodes of sustained‐release potassium chloride poisoning in two individuals requiring whole bowel irrigation or haemodialysis. The first two episodes, in the same patient, illustrate the contrast between the successful use of decontamination versus the need for haemodialysis. The second case, in a child, illustrates the need for tertiary level paediatric expertise in managing this type of poisoning. Whole bowel irrigation with polyethylene glycol is a resource‐intensive procedure most beneficial when large numbe... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487575 Thu, 01 Dec 2011 05:00:00 +0100 5487575 http://www.medworm.com/index.php?rid=5487574&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01513.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487574 Thu, 01 Dec 2011 05:00:00 +0100 5487574 http://www.medworm.com/index.php?rid=5487573&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01498.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487573 Thu, 01 Dec 2011 05:00:00 +0100 5487573 http://www.medworm.com/index.php?rid=5487571&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01504.x Conclusions: Introduction of a panscan protocol increased the proportion of trauma patients receiving a radiation dose >20 mSv. This increased risk occurred regardless of age or injury severity. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5487571 Thu, 01 Dec 2011 05:00:00 +0100 5487571 http://www.medworm.com/index.php?rid=5458384&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01506.x Conclusion: The use of a GEB marginally increases the time taken to perform endotracheal intubation. Success rates for junior doctors attempting endotracheal intubation were not significantly different between the two techniques. Success rates for novice practitioners using a GEB were high after even limited instruction and practice. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5458384 Mon, 28 Nov 2011 05:00:00 +0100 5458384 http://www.medworm.com/index.php?rid=5458383&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01491.x Conclusions: Patients presenting with burns, orthopaedic conditions or with a limb location of pain are more likely to receive analgesia within 30 min in Australian EDs. Clinicians should be aware of possible trends in the delivery of timely analgesia to patients with pain. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5458383 Mon, 28 Nov 2011 05:00:00 +0100 5458383 http://www.medworm.com/index.php?rid=5458382&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01502.x Conclusions: Although the addition of BB to morphine and ketorolac appeared to show a statistically significant reduction in pain compared with morphine and ketorolac alone, a reduction of 1.2 cm on VAS is unlikely to be clinically significant. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5458382 Mon, 28 Nov 2011 05:00:00 +0100 5458382 http://www.medworm.com/index.php?rid=5387881&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01497.x AbstractDevelopment of any new profession is dependent on the development of a special body of knowledge that is the domain of the profession. Key to this is research. Following sustained lobbying, the Queensland Government agreed to establish an emergency medicine research fund as part of an Enterprise Bargaining Agreement in 2006. That fund is managed by the Queensland Emergency Medicine Research Foundation. The present article describes the strategic approaches of the Foundation in its first 3 years, the application of research funds, and foreshadows an evaluative framework for determining the strategic value of this investment. The Foundation has developed a range of personnel and project support funding programmes, and competition for funding has increased. Ongoing evaluation will s... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5387881 Fri, 04 Nov 2011 04:00:00 +0100 5387881 http://www.medworm.com/index.php?rid=5361360&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01500.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5361360 Thu, 27 Oct 2011 04:00:00 +0100 5361360 http://www.medworm.com/index.php?rid=5315115&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01492.x Conclusions: This growth in demand exceeds general population growth, and the variability between states both in utilization rates and overall trends defies immediate explanation. The growth in demand for ED services is a partial contributor to the crowding being experienced in EDs across Australia. There is a need for more detailed study, including qualitative analysis of patient motivations in order to identify the factors driving this growth in demand. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315115 Thu, 13 Oct 2011 04:00:00 +0100 5315115 http://www.medworm.com/index.php?rid=5477014&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01510.x AbstractSurgical airway access justifiably remains the final option for managing the ‘can't intubate can't ventilate’ situation, but available techniques are often complicated and might require special equipment. This paper reports on the real world experience of two experienced Australian medical specialists with backgrounds in Anaesthesia and Aeromedical Retrieval who performed 24 surgical airways, mainly under adverse prehospital conditions, over a combined 40 years of practice. All attempts were successful, the majority through a simple open ‘scalpel–finger–tube’ method, which is described here. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5477014 Sat, 01 Oct 2011 04:00:00 +0100 5477014 http://www.medworm.com/index.php?rid=5458381&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01511.x Conclusions: Inaccurate estimation of burn size remains a problem in children. The persistent miscalculation of burn size might be a result of the various methods employed in assessing burn area, the inclusion of simple erythema and inadequate training or exposure of first responders. Accurate assessment of TBSA‐B and burn depth in children remains elusive and would appear to require additional training and education. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5458381 Sat, 01 Oct 2011 04:00:00 +0100 5458381 http://www.medworm.com/index.php?rid=5387880&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01496.x AbstractA 41‐year‐old man presented to the ED with severe vertigo 2 days after a grappling injury while training in mixed martial arts. Imaging revealed a cerebellar infarct with complete occlusion of the right vertebral artery secondary to dissection. Management options are discussed as is the ongoing controversy regarding the safety of the sport. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5387880 Sat, 01 Oct 2011 04:00:00 +0100 5387880 http://www.medworm.com/index.php?rid=5361359&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01499.x Conclusions: Effective and sustainable system change requires a strategy that is initiated within the ED, targets opinion leaders, is supported by evidence, and engages all levels of ED staff. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5361359 Sat, 01 Oct 2011 04:00:00 +0100 5361359 http://www.medworm.com/index.php?rid=5348246&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01503.x Conclusions: Most doctors in this Australian tertiary hospital have a correct method for prescribing bolus and maintenance fluid rates. However, the potential for adverse events from i.v. fluid prescription remains. Further education in this area for junior doctors, introduction of standardized guidelines for fluid use and restriction of available fluid choice may reduce the risk of iatrogenic hyponatraemia in children. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5348246 Sat, 01 Oct 2011 04:00:00 +0100 5348246 http://www.medworm.com/index.php?rid=5315127&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01474.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315127 Sat, 01 Oct 2011 04:00:00 +0100 5315127 http://www.medworm.com/index.php?rid=5315126&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01481.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315126 Sat, 01 Oct 2011 04:00:00 +0100 5315126 http://www.medworm.com/index.php?rid=5315125&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01466.x AbstractA 31‐year‐old woman presented with spontaneous tension pneumothorax. This was initially treated with needle decompression, which led to massive haemothorax. Treatment and methods to reduce the likelihood of this complication are discussed. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315125 Sat, 01 Oct 2011 04:00:00 +0100 5315125 http://www.medworm.com/index.php?rid=5315124&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01452.x AbstractThis case report describes the use of ultrasound to diagnose pneumoperitoneum in an unstable patient with abdominal pain. Gas in peritoneum produces a specific sonographic appearance. The use of dynamic manoeuvres improves confidence in the ultrasound diagnosis of free gas. The Shifting Gas Artefact Sign is explained. The literature on sonographic detection of pneumoperitoneum is reviewed. The detection of pneumoperitoneum is a significant finding in non‐traumatic abdominal pain and also in blunt abdominal trauma. In both settings more research is required to validate the utility of the test in the acute setting. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315124 Sat, 01 Oct 2011 04:00:00 +0100 5315124 http://www.medworm.com/index.php?rid=5315123&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01438.x AbstractPhlegmesia cerulea dolens (PCD) is a rare complication of deep vein thrombosis characterized by massive venous thrombosis leading to arterial compromise and tissue ischaemia. PCD carries high morbidity and mortality and is an often times overlooked cause of acute limb ischaemia that must be recognized and treated promptly. Early referral for percutaneous catheter directed thrombectomy offers an alternative to thrombolysis in patients who present with venous gangrene or fail anticoagulation therapy. A case of PCD is presented in a 71‐year‐old woman with end‐stage renal disease 3 days after right femoral dialysis catheter placement. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315123 Sat, 01 Oct 2011 04:00:00 +0100 5315123 http://www.medworm.com/index.php?rid=5315122&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01459.x AbstractInjury is a major global health problem. India suffers more deaths from vehicle collisions than any other country. Since 2004 The Alfred Hospital in Melbourne, Australia has established strong linkages with Christian Medical College (CMC) in Ludhiana, the Punjab, India and Teaching Hospital Karapitiya (THK) in Galle, Sri Lanka, supporting trauma care capacity‐building. In response to the demand for a systematic approach to trauma care in India and Sri Lanka, The Alfred Trauma Team Training Program was developed, funded by the Australian Agency for International Development, The Alfred and its participating staff, CMC and THK. The aim of the programme was to enhance the understanding and skill in reception and resuscitation of critically injured patients in a cohort of providers o... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315122 Sat, 01 Oct 2011 04:00:00 +0100 5315122 http://www.medworm.com/index.php?rid=5315121&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01451.x Conclusion: Hospital access block was seen more often in larger hospitals and significantly associated with failure to meet the ‘Shorter Stays in ED’ health target, whereas ED overcrowding was seen in both small and large hospitals, but not associated with failure to meet the target. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315121 Sat, 01 Oct 2011 04:00:00 +0100 5315121 http://www.medworm.com/index.php?rid=5315120&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01489.x AbstractTo meet a critical and growing need for emergency physicians and emergency medicine resources worldwide, physicians must be trained to deliver time‐sensitive interventions and lifesaving emergency care. Currently, there is no globally recognized, standard curriculum that defines the basic minimum standards for specialist trainees in emergency medicine. To address this deficit, the International Federation for Emergency Medicine convened a committee of international physicians, health professionals and other experts in emergency medicine and international emergency medicine development to outline a curriculum for training of specialists in emergency medicine. This curriculum document represents the consensus of recommendations by this committee. The curriculum is designed to provi... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315120 Sat, 01 Oct 2011 04:00:00 +0100 5315120 http://www.medworm.com/index.php?rid=5315119&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01488.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315119 Sat, 01 Oct 2011 04:00:00 +0100 5315119 http://www.medworm.com/index.php?rid=5315118&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01490.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315118 Sat, 01 Oct 2011 04:00:00 +0100 5315118 http://www.medworm.com/index.php?rid=5315117&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01487.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315117 Sat, 01 Oct 2011 04:00:00 +0100 5315117 http://www.medworm.com/index.php?rid=5315116&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01482.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315116 Sat, 01 Oct 2011 04:00:00 +0100 5315116 http://www.medworm.com/index.php?rid=5315114&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01495.x AbstractEffective team management is a core element of expert practice in emergency medicine. Thus far, training in emergency medicine has focussed predominantly on proficiency in medical and technical skills, with emergency physicians acquiring these ‘non‐technical’ skills in an ad hoc manner or by trial and error with varying levels of success. This paper describes a set of behaviours that, when practised in conjunction with medical and technical expertise, can reduce the incidence of clinical error and contribute to effective teamwork and the smooth running of an ED. Teaching and practice of these behaviours is now a core element of training and skills maintenance in other high‐risk areas, such as aviation, and is becoming part of the routine training for anaesthetists. They add... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5315114 Sat, 01 Oct 2011 04:00:00 +0100 5315114 http://www.medworm.com/index.php?rid=5238437&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01485.x Conclusions: Calls to the VPIC regarding HF are relatively rare, but almost all calls regarding HF taken by the VPIC required hospital evaluation. The majority of exposures were accidental occupational dermal exposures in male adults and most of these were minor, requiring topical calcium gel only. Small exposures with higher concentrated HF can be fatal; however, there were no cases of severe toxicity in the present study. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5238437 Mon, 19 Sep 2011 04:00:00 +0100 5238437 http://www.medworm.com/index.php?rid=5196728&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01475.x Conclusion: For children with croup an oral dose of 0.15 mg/kg dexamethasone offers benefit by 30 min, much earlier than the 4 h suggested by the Cochrane Collaboration. This result might encourage doctors to treat more children with all severities of croup being less worried about potential side‐effects and delayed benefit. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5196728 Sat, 03 Sep 2011 23:00:00 +0100 5196728 http://www.medworm.com/index.php?rid=5184619&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01480.x Conclusions: The NHF/CSANZ guideline is superior to the TIMI risk score for risk stratification of suspected ACS in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5184619 Mon, 29 Aug 2011 23:00:00 +0100 5184619 http://www.medworm.com/index.php?rid=5144494&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01479.x Conclusion: Staffing the ED with a technical assistant was associated with improved ED performance for triage category three and average length of stay for triage category two patients. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5144494 Thu, 18 Aug 2011 23:00:00 +0100 5144494 http://www.medworm.com/index.php?rid=5144496&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01467.x Conclusion: Although the provision of timely and quality care is expected for all patients attending EDs, there exist multiple barriers to provision of adequate care for ED patients presenting with mental illness. Many of these are systems‐based and thus require systems‐based solutions. ED clinician's perceive that improved educational opportunities in mental health, however, might alleviate some barriers they face. Consideration should be given to a comprehensive, quantitative mental health‐related learning needs analysis of ED clinicians. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5144496 Tue, 16 Aug 2011 23:00:00 +0100 5144496 http://www.medworm.com/index.php?rid=5144495&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01468.x Conclusion: Mental health presentations to NSW EDs are increasing. There is a need to review emergency services to accommodate these changes. The reasons for this growth remain unclear and require formal prospective evaluation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5144495 Tue, 16 Aug 2011 23:00:00 +0100 5144495 http://www.medworm.com/index.php?rid=5110026&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01461.x Conclusion: Future research related to absenteeism, redeployment during actual pandemic events is urgently needed. Workforce data collection should be an integral part of organizational pandemic planning. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110026 Sun, 07 Aug 2011 23:00:00 +0100 5110026 http://www.medworm.com/index.php?rid=5110025&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01447.x Conclusions: Neither nitrous oxide/oxygen or fentanyl appeared to be superior to the other in relieving moderate to severe pain among emergency patients presenting with isolated limb fracture or dislocation. In an ED, increased use of nitrous oxide might reduce the overall need for opiate analgesia, and in our setting, the need for constant monitoring. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110025 Sun, 07 Aug 2011 23:00:00 +0100 5110025 http://www.medworm.com/index.php?rid=5304906&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01494.x Conclusion: Iranian EMTs experience a considerable amount of workplace violence. The present study highlights the recommendation for formal training programmes and clearer protocols about how to manage workplace violence, especially verbal abuse in the Iranian prehospital setting. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5304906 Mon, 01 Aug 2011 04:00:00 +0100 5304906 http://www.medworm.com/index.php?rid=5238436&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01486.x Conclusions: Variations in information quality and consistency of the EDIS/EMR raise concerns about the ‘fitness for purpose’ of the information for care and planning, information sharing, research and quality assurance. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5238436 Mon, 01 Aug 2011 04:00:00 +0100 5238436 http://www.medworm.com/index.php?rid=5226670&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01483.x Conclusion: In our study a positive result on PCR was not associated with a shorter hospital length of stay or a shorter duration of antibiotic therapy. This contrasts with previous reports on this topic and requires further evaluation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5226670 Mon, 01 Aug 2011 04:00:00 +0100 5226670 http://www.medworm.com/index.php?rid=5209518&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01470.x Conclusion: Exercise‐associated hyponatraemia occurs in trekkers on the Kokoda Trail. Strategies for prevention of exercise‐associated hyponatraemia should be delivered to trekkers via the trekking companies, chiefly focussing on only drinking in response to thirst. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5209518 Mon, 01 Aug 2011 04:00:00 +0100 5209518 http://www.medworm.com/index.php?rid=5196727&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01477.x Conclusions: A novel paediatric resuscitation course for medical students was developed and evaluated. This demonstrated significant objective improvements in student knowledge throughout the course, at course completion and at 8 month follow up. There were also significant subjective improvements in knowledge, confidence and ability to perform paediatric resuscitation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5196727 Sun, 31 Jul 2011 23:00:00 +0100 5196727 http://www.medworm.com/index.php?rid=5184618&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01484.x Conclusion: The SAT is a simple, rapid and useful measure of the level of agitation/sedation in patients with ABD. Increases in the score reliably indicated the need for further sedation. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5184618 Sun, 31 Jul 2011 23:00:00 +0100 5184618 http://www.medworm.com/index.php?rid=5162654&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01476.x Conclusions: The proportion of potentially preventable major trauma deaths at Perth secondary hospitals is low. The most notable group were the elderly after falls, and trauma system efforts should be focused on this group. Primary prevention of major trauma represents the biggest opportunity for improvements in trauma survival. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5162654 Sun, 31 Jul 2011 23:00:00 +0100 5162654 http://www.medworm.com/index.php?rid=5144493&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01478.x Conclusions: Individual units must decide where in the patient journey to introduce the charts for acute paediatric admissions based on the number of acute paediatric admissions and their severity as well as the availability and ability of staff to respond to calls. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5144493 Sun, 31 Jul 2011 23:00:00 +0100 5144493 http://www.medworm.com/index.php?rid=5120154&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01472.x Conclusion: Doctors and nurses reported deficits in confidence and knowledge in tasks and patient presentations that they might frequently be expected to manage. These data can be used to inform future curricula at both undergraduate and postgraduate levels. Ultimately, this might pave the way for improved care and management of patients with mental health problems presenting to the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5120154 Sun, 31 Jul 2011 23:00:00 +0100 5120154 http://www.medworm.com/index.php?rid=5110051&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01436.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110051 Sun, 31 Jul 2011 23:00:00 +0100 5110051 http://www.medworm.com/index.php?rid=5110050&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01439.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110050 Sun, 31 Jul 2011 23:00:00 +0100 5110050 http://www.medworm.com/index.php?rid=5110049&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01421.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110049 Sun, 31 Jul 2011 23:00:00 +0100 5110049 http://www.medworm.com/index.php?rid=5110048&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01437.x We describe an unusual case and its management. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110048 Sun, 31 Jul 2011 23:00:00 +0100 5110048 http://www.medworm.com/index.php?rid=5110047&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01453.x We report a case of necrotizing enterocolitis in a term neonate who presented at 16 days of age with bloody stool. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110047 Sun, 31 Jul 2011 23:00:00 +0100 5110047 http://www.medworm.com/index.php?rid=5110046&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_17.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110046 Sun, 31 Jul 2011 23:00:00 +0100 5110046 http://www.medworm.com/index.php?rid=5110045&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_16.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110045 Sun, 31 Jul 2011 23:00:00 +0100 5110045 http://www.medworm.com/index.php?rid=5110044&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_15.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110044 Sun, 31 Jul 2011 23:00:00 +0100 5110044 http://www.medworm.com/index.php?rid=5110043&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_14.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110043 Sun, 31 Jul 2011 23:00:00 +0100 5110043 http://www.medworm.com/index.php?rid=5110042&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_13.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110042 Sun, 31 Jul 2011 23:00:00 +0100 5110042 http://www.medworm.com/index.php?rid=5110041&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_12.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110041 Sun, 31 Jul 2011 23:00:00 +0100 5110041 http://www.medworm.com/index.php?rid=5110040&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_11.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110040 Sun, 31 Jul 2011 23:00:00 +0100 5110040 http://www.medworm.com/index.php?rid=5110039&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_10.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110039 Sun, 31 Jul 2011 23:00:00 +0100 5110039 http://www.medworm.com/index.php?rid=5110038&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_9.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110038 Sun, 31 Jul 2011 23:00:00 +0100 5110038 http://www.medworm.com/index.php?rid=5110037&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_8.x • Introduction to Resuscitation of the Newborn Infant. ARC and NZRC Guideline 2010• Planning for Neonatal Resuscitation and Identification of the Newborn Infant at Risk. ARC and NZRC Guideline 2010• Assessment of the Newborn Infant. ARC and NZRC Guideline 2010• Airway Management and Mask Ventilation of the Newborn Infant. ARC and NZRC Guideline 2010• Tracheal Intubation and Ventilation of the Newborn Infant. ARC and NZRC Guideline 2010• Chest Compressions during Resuscitation of the Newborn Infant. ARC and NZRC Guideline 2010• Medication or Fluids for the Resuscitation of the Newborn Infant. ARC and NZRC Guideline 2010• The Resuscitation of the Newborn Infant in Special Circumstances. ARC and NZRC Guideline 2010• After the Resuscitation of a Newborn Infa... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110037 Sun, 31 Jul 2011 23:00:00 +0100 5110037 http://www.medworm.com/index.php?rid=5110036&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_7.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110036 Sun, 31 Jul 2011 23:00:00 +0100 5110036 http://www.medworm.com/index.php?rid=5110035&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_6.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110035 Sun, 31 Jul 2011 23:00:00 +0100 5110035 http://www.medworm.com/index.php?rid=5110034&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_5.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110034 Sun, 31 Jul 2011 23:00:00 +0100 5110034 http://www.medworm.com/index.php?rid=5110033&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_4.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110033 Sun, 31 Jul 2011 23:00:00 +0100 5110033 http://www.medworm.com/index.php?rid=5110032&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_3.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110032 Sun, 31 Jul 2011 23:00:00 +0100 5110032 http://www.medworm.com/index.php?rid=5110031&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_2.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110031 Sun, 31 Jul 2011 23:00:00 +0100 5110031 http://www.medworm.com/index.php?rid=5110030&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01442_1.x • Introduction to Paediatric Advanced Life Support. ARC and NZRC Guideline 2010• Advanced Life Support for Infants and Children Diagnosis and Management. ARC and NZRC Guideline 2010• Flowchart for the Sequential Management of Life‐threatening Dysrhythmias in Infants and Children. ARC and NZRC Guideline 2010• Medications and Fluids in Paediatric Advanced Life Support. ARC and NZRC Guideline 2010• Management of Specific Dysrhythmias in Paediatric Advanced Life Support. ARC and NZRC Guideline 2010• Techniques in Paediatric Advanced Life Support. ARC and NZRC Guideline 2010• Management after Resuscitation in Paediatric Advanced Life Support. ARC and NZRC Guideline 2010 (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110030 Sun, 31 Jul 2011 23:00:00 +0100 5110030 http://www.medworm.com/index.php?rid=5110029&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01457.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110029 Sun, 31 Jul 2011 23:00:00 +0100 5110029 http://www.medworm.com/index.php?rid=5110028&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01458.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110028 Sun, 31 Jul 2011 23:00:00 +0100 5110028 http://www.medworm.com/index.php?rid=5110027&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01456.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110027 Sun, 31 Jul 2011 23:00:00 +0100 5110027 http://www.medworm.com/index.php?rid=5110024&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01455.x AbstractThe early management of patients who have sustained traumatic brain injury is aimed at preventing secondary brain injury through avoidance of cerebral hypoxia and hypoperfusion. Especially in hypotensive patients, it has been postulated that hypertonic crystalloids and colloids might support mean arterial pressure more effectively by expanding intravascular volume without causing problematic cerebral oedema. We conducted a systematic review to investigate if hypertonic saline or colloids result in better outcomes than isotonic crystalloid solutions, as well as to determine the safety of minimal volume resuscitation, or delayed versus immediate fluid resuscitation during prehospital care for patients with traumatic brain injury. We identified nine randomized controlled trials and on... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5110024 Sun, 31 Jul 2011 23:00:00 +0100 5110024 http://www.medworm.com/index.php?rid=4986689&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01440.x Conclusion: Review of patients led by a senior member of medical staff, at the patient bedside enables the timely identification and management of issues not communicated during the whiteboard handover process. This review is important when more patients are receiving treatment in the department. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4986689 Wed, 29 Jun 2011 23:00:00 +0100 4986689 http://www.medworm.com/index.php?rid=4978068&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01443.x Conclusion: The present study has shown that SETS can provide rapid and accurate diagnostic and treatment advice from a specialist for dermatological presentations to the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4978068 Tue, 28 Jun 2011 23:00:00 +0100 4978068 http://www.medworm.com/index.php?rid=4978071&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01449.x AbstractResearch about people who present on multiple occasions to the ED began in the 1980s. Despite this, little is known of their journey as patients. Understanding ED use as a journey can help clinicians improve how they meet the needs of this patient group. Multiple terms were used to identify research on the use of the ED. Papers were included if they had a primary focus on multiple presentations by the general ED population. Integrative review methods were used to extract findings related to the patients' journeys. The findings confirm a sequence of events and processes that provide an outline of the journey through the experience of people who present on multiple occasions. The journey concerns people's decisions to present and re‐present to the ED, their assessments on arrival, ... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4978071 Sun, 26 Jun 2011 23:00:00 +0100 4978071 http://www.medworm.com/index.php?rid=4978070&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01450.x Conclusions: Survival from cardiac arrest in our hospital compared well to similar centres and good neurological outcome was higher than reported previously. Reduced survival during the ‘After‐Hours’ period is cause for concern, and further research into the factors underlying this is required. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4978070 Sun, 26 Jun 2011 23:00:00 +0100 4978070 http://www.medworm.com/index.php?rid=4978069&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01451.x Conclusion: Hospital access block was seen more often in larger hospitals and significantly associated with failure to meet the ‘Shorter Stays in ED’ health target, whereas ED overcrowding was seen in both small and large hospitals, but not associated with failure to meet the target. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4978069 Sun, 26 Jun 2011 23:00:00 +0100 4978069 http://www.medworm.com/index.php?rid=4946719&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01441.x Conclusions: AWS performed best in normal and difficult airways. ML performed better than TVL and FOS in normal airways. Performances of ML, TVL and FOS were similar in difficult airways. Skills with AWS could be mastered rapidly. TVL and FOS required more practice to gain expertise. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4946719 Sun, 19 Jun 2011 23:00:00 +0100 4946719 http://www.medworm.com/index.php?rid=4923679&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01433.x The objective of the present study was to conduct a systematic review and meta‐analysis of randomized controlled trials, comparing metoclopramide with placebo, for preventing vomiting in patients who have received i.v. morphine for acute pain in the emergency setting, and to determine the level of evidence supporting the use of prophylactic metoclopramide in this population. Comprehensive systematic electronic searches were conducted of MEDLINE, EMBASE and the Cochrane Library for randomized controlled trials addressing the clinical question. Reference lists of identified articles were hand‐searched. Methodologically appropriate clinical trials identified in the search process were included in a meta‐analysis to provide a pooled estimate of effect. Three randomized controlled trials ... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4923679 Sat, 11 Jun 2011 23:00:00 +0100 4923679 http://www.medworm.com/index.php?rid=5098344&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01464.x Conclusion: The present article describes the development of a list of optimal examiner attributes, followed by implementation of an examiner peer review process. The authors recommend examiner peer review for high‐stakes examinations. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=5098344 Tue, 31 May 2011 23:00:00 +0100 5098344 http://www.medworm.com/index.php?rid=4986688&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01448.x Conclusions: Patients on police and medical orders differ considerably, but the impact of these differences on ED workload is small. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4986688 Tue, 31 May 2011 23:00:00 +0100 4986688 http://www.medworm.com/index.php?rid=4978067&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01445.x Conclusions: The quantitative assay for 16S rDNA might be a useful screening tool to detect severe sepsis in those whom it might not be clinically suspected. However, prospective studies are required to further assess the clinical usefulness of this assay. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4978067 Tue, 31 May 2011 23:00:00 +0100 4978067 http://www.medworm.com/index.php?rid=4961808&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01446.x Conclusion: Many patients with diagnoses other than AMI will have hsTNT above the reference level. Indiscriminate testing with hsTnT might lead to more patients requiring serial troponin testing and/or invasive further tests, which will have process and resource implications for EDs and health services. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4961808 Tue, 31 May 2011 23:00:00 +0100 4961808 http://www.medworm.com/index.php?rid=4946718&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01444.x Conclusions: Tropisetron was associated with a significantly lower vomiting rate and shows promise as an alternative anti‐emetic in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4946718 Tue, 31 May 2011 23:00:00 +0100 4946718 http://www.medworm.com/index.php?rid=4938208&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01408.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938208 Tue, 31 May 2011 23:00:00 +0100 4938208 http://www.medworm.com/index.php?rid=4938207&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01430.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938207 Tue, 31 May 2011 23:00:00 +0100 4938207 http://www.medworm.com/index.php?rid=4938206&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01429.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938206 Tue, 31 May 2011 23:00:00 +0100 4938206 http://www.medworm.com/index.php?rid=4938205&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01428.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938205 Tue, 31 May 2011 23:00:00 +0100 4938205 http://www.medworm.com/index.php?rid=4938204&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01432.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938204 Tue, 31 May 2011 23:00:00 +0100 4938204 http://www.medworm.com/index.php?rid=4938203&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01427.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938203 Tue, 31 May 2011 23:00:00 +0100 4938203 http://www.medworm.com/index.php?rid=4938202&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01431.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938202 Tue, 31 May 2011 23:00:00 +0100 4938202 http://www.medworm.com/index.php?rid=4938201&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01426.x AbstractLöfgren's syndrome is an acute‐onset presentation of sarcoidosis that can be easily missed in an ED setting. A case is reported of Löfgren's syndrome presenting as erythema nodosum with bilateral ankle oedema. Although rare, this diagnosis should be considered when examining a patient with erythema nodosum and articular symptoms. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938201 Tue, 31 May 2011 23:00:00 +0100 4938201 http://www.medworm.com/index.php?rid=4938200&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01425.x AbstractPericardial effusion is commonly seen in patients with hypothyroidism, but a massive pericardial effusion with obvious diastolic right ventricular compression is uncommon. We herein report a case of 73‐year‐old woman seen in the ED with generalized weakness and hypotension. Echocardiography revealed a massive pericardial effusion with diastolic right ventricular compression, and thyroid function testing revealed marked hypothyroidism. The pericardial effusion resolved after the administration of thyroid replacement therapy. This case reveals the importance of including hypothyroidism in the differential diagnosis of pericardia effusion. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938200 Tue, 31 May 2011 23:00:00 +0100 4938200 http://www.medworm.com/index.php?rid=4938199&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01412.x Conclusions: This cohort of agricultural workers were at considerable risk of experiencing acute coronary events, but many would make decisions about when and how to seek medical help for chest pain that are at odds with published community guidelines. These results highlight the need for education to improve knowledge of local emergency services and address behavioural barriers to accessing care. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938199 Tue, 31 May 2011 23:00:00 +0100 4938199 http://www.medworm.com/index.php?rid=4938198&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01413.x AbstractWe conducted a literature review to determine which laboratory investigations are useful for the ED evaluation of osteomyelitis. Thirty‐six relevant papers were identified. We concluded that in adult and paediatric patients with a clinically low level of suspicion of osteomyelitis, an age‐adjusted normal erythrocyte sedimentation rate (ESR) and C‐reactive protein (CRP) <5 mg/L should reassure the clinician that no further urgent investigation is required. For patients with risk factors for osteomyelitis or a clinically high level of suspicion, a normal ESR or CRP <5 mg/L should not rule out the diagnosis of osteomyelitis, especially in patients with puncture wounds or foot ulcers/infections. In patients with any suspicion of osteomyelitis and otherwise unexplained E... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938198 Tue, 31 May 2011 23:00:00 +0100 4938198 http://www.medworm.com/index.php?rid=4938197&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_20.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938197 Tue, 31 May 2011 23:00:00 +0100 4938197 http://www.medworm.com/index.php?rid=4938196&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_19.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938196 Tue, 31 May 2011 23:00:00 +0100 4938196 http://www.medworm.com/index.php?rid=4938195&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_18.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938195 Tue, 31 May 2011 23:00:00 +0100 4938195 http://www.medworm.com/index.php?rid=4938194&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_17.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938194 Tue, 31 May 2011 23:00:00 +0100 4938194 http://www.medworm.com/index.php?rid=4938193&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_16.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938193 Tue, 31 May 2011 23:00:00 +0100 4938193 http://www.medworm.com/index.php?rid=4938192&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_15.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938192 Tue, 31 May 2011 23:00:00 +0100 4938192 http://www.medworm.com/index.php?rid=4938191&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_14.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938191 Tue, 31 May 2011 23:00:00 +0100 4938191 http://www.medworm.com/index.php?rid=4938190&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_13.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938190 Tue, 31 May 2011 23:00:00 +0100 4938190 http://www.medworm.com/index.php?rid=4938189&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_12.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938189 Tue, 31 May 2011 23:00:00 +0100 4938189 http://www.medworm.com/index.php?rid=4938188&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_11.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938188 Tue, 31 May 2011 23:00:00 +0100 4938188 http://www.medworm.com/index.php?rid=4938187&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_10.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938187 Tue, 31 May 2011 23:00:00 +0100 4938187 http://www.medworm.com/index.php?rid=4938186&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_9.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938186 Tue, 31 May 2011 23:00:00 +0100 4938186 http://www.medworm.com/index.php?rid=4938185&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_8.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938185 Tue, 31 May 2011 23:00:00 +0100 4938185 http://www.medworm.com/index.php?rid=4938184&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_7.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938184 Tue, 31 May 2011 23:00:00 +0100 4938184 http://www.medworm.com/index.php?rid=4938183&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_6.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938183 Tue, 31 May 2011 23:00:00 +0100 4938183 http://www.medworm.com/index.php?rid=4938182&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_5.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938182 Tue, 31 May 2011 23:00:00 +0100 4938182 http://www.medworm.com/index.php?rid=4938181&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_4.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938181 Tue, 31 May 2011 23:00:00 +0100 4938181 http://www.medworm.com/index.php?rid=4938180&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_3.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938180 Tue, 31 May 2011 23:00:00 +0100 4938180 http://www.medworm.com/index.php?rid=4938179&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_2.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938179 Tue, 31 May 2011 23:00:00 +0100 4938179 http://www.medworm.com/index.php?rid=4938178&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01422_1.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938178 Tue, 31 May 2011 23:00:00 +0100 4938178 http://www.medworm.com/index.php?rid=4938177&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01424.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938177 Tue, 31 May 2011 23:00:00 +0100 4938177 http://www.medworm.com/index.php?rid=4938176&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01423.x (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938176 Tue, 31 May 2011 23:00:00 +0100 4938176 http://www.medworm.com/index.php?rid=4938175&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01434.x Conclusions: Patient perceptions of the lethality of their overdose are correlated with their suicidal intent as measured on the Pierce SIS, with a significant mismatch between patient perceptions and the toxicological risk assessment. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4938175 Tue, 31 May 2011 23:00:00 +0100 4938175 http://www.medworm.com/index.php?rid=4832239&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01418.x Conclusions: Procedural sedation practice across Australian EDs is varies considerably. Procedural sedation ‘best practice’ guidelines, based upon the findings of the present study and the available evidence, are recommended. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4832239 Mon, 16 May 2011 23:00:00 +0100 4832239 http://www.medworm.com/index.php?rid=4832238&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01419.x Conclusions: Sedation‐related events, especially airway events, are common but very rarely have an adverse outcome. Elderly patients, deeply sedated with short‐acting agents, are at particular risk. The results will help tailor sedation to individual patients. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4832238 Mon, 16 May 2011 23:00:00 +0100 4832238 http://www.medworm.com/index.php?rid=4832240&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01416.x Conclusions: Nurses appear positively disposed to engage with patients in regard to alcohol. However, greater support is needed to achieve the considerable significant public health benefits from this engagement. The findings point to several practical strategies that could be pursued to provide this support. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4832240 Sun, 15 May 2011 23:00:00 +0100 4832240 http://www.medworm.com/index.php?rid=4686930&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01396.x Conclusion: It is important that health‐care professionals are aware of the common presentations of problems following LAGB and have a basic paradigm for initial care. The present study identifies the presenting picture of various complications that can arise postoperatively, and describes an approach to the assessment and management of the LAGB patient in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4686930 Wed, 06 Apr 2011 23:00:00 +0100 4686930 http://www.medworm.com/index.php?rid=4686929&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01398.x AbstractIntravenous lipid emulsion (ILE) has been demonstrated to be effective in amelioration of cardiovascular and central nervous system sequelae of local‐anaesthetic and non‐local‐anaesthetic drug toxicity in animal models. Sequestration of lipophilic toxins to an expanded plasma lipid phase is credited as the predominant beneficial mechanism of action of ILE. Systematic review of published human experience is however lacking. We determined to report a comprehensive literature search of all human reports of ILE application in drug poisoning. Forty‐two cases of ILE use (19 local‐anaesthetic, 23 non‐local‐anaesthetic) were identified, with anecdotal reports of successful resuscitation from cardiovascular collapse and central nervous system depression associated with ILE adm... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4686929 Wed, 06 Apr 2011 23:00:00 +0100 4686929 http://www.medworm.com/index.php?rid=4677832&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01412.x Conclusions: This cohort of agricultural workers were at considerable risk of experiencing acute coronary events, but many would make decisions about when and how to seek medical help for chest pain that are at odds with published community guidelines. These results highlight the need for education to improve knowledge of local emergency services and address behavioural barriers to accessing care. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4677832 Sun, 03 Apr 2011 23:00:00 +0100 4677832 http://www.medworm.com/index.php?rid=4923678&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01435.x AbstractDebate around medical futility has produced a vast literature that continues to grow. Largely absent from the broader literature is the role of emergency medicine in either starting measures that prove to be futile, withholding treatment or starting the end of life communication process with patients and families. In this discussion we review the status of the futility debate in general, identify some of the perceived barriers in managing futile care in the ED including the ethical and legal issues, and establish the contribution of emergency medicine in this important debate. We conclude that emergency physicians have the clinical ability and the legal and moral standing to resist providing futile treatment. In these situations they can take a different path that focuses on comfor... Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4923678 Thu, 31 Mar 2011 23:00:00 +0100 4923678 http://www.medworm.com/index.php?rid=4832237&cid=s_28226_14_f&fid=28226&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1742-6723.2011.01420.x Conclusions: Procedures performed under sedation in the ED have a low failure rate. However, increased body weight and specific procedures, such as hip reduction, are associated with significantly higher failure rates. Special consideration should be given to these patient groups before undertaking sedation in the ED. (Source: Emergency Medicine Australasia) Emergency Medicine Australasia journals http://www.medworm.com/rss/comments.php?id=4832237 Thu, 31 Mar 2011 23:00:00 +0100 4832237