Emergency Medicine Australasia
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Erratum
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Tags: Erratum Source Type: journals
From Other Journals
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Michael Yeoh Tags: From Other Journals Source Type: journals
Os vesalianum pedis misdiagnosed as fifth metatarsal avulsion fracture
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Ozkan Kose Tags: Letters to the Editor Source Type: journals
Differential diagnosis of pneumoperitoneum caused by liposuction abdominoplasty
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Dong Hoon Lee, Chan Woong Kim, Yong Seok Kim, Tae Hui Bae Tags: Letters to the Editor Source Type: journals
Paediatric emergency medicine in the developing world: The Queen Elizabeth Central Hospital, Blantyre, Malawi
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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)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Jeremy S Furyk Tags: International Emergency Medicine Source Type: journals
Pyloric stenosis: A retrospective study of an Australian population
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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 po...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Lisa M Gotley, A Blanch, R Kimble, K Frawley, Jason P Acworth Tags: Paediatric Emergency Medicine Source Type: journals
Knowledge and attitude towards paediatric cardiopulmonary resuscitation among the carers of patients attending the Emergency Department of the Children's Hospital at Westmead
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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 resuscita...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Jonathan Cu, Phuong Phan, Fenton M O'Leary Tags: Paediatric Emergency Medicine Source Type: journals
Intranasal fentanyl in 1–3-year-olds: A prospective study of the effectiveness of intranasal fentanyl as acute analgesia
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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) we...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Joanne Cole, Michael Shepherd, Phillip Young Tags: Paediatric Emergency Medicine Source Type: journals
Malnutrition associated with increased risk of frail mechanical falls among older people presenting to an emergency department
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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)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Angela P Vivanti, Cameron K McDonald, Michelle A Palmer, Michael Sinnott Tags: Original Research Source Type: journals
Prevalence of advance care directives in aged care facilities of the Northern Illawarra
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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)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Andrew J Bezzina Tags: Original Research Source Type: journals
Challenges associated with electronic ordering in the emergency department: A study of doctors' experiences
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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)
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Sanj Fernando, Andrew Georgiou, Anna Holdgate, Johanna I Westbrook Tags: Original Research Source Type: journals
International Federation for Emergency Medicine model curriculum for medical student education in emergency medicine
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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 curri...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Cherri Hobgood, Venkataraman Anantharaman, Glen Bandiera, Peter Cameron, Pinchas Halperin, James Holliman, Nicholas Jouriles, Darren Kilroy, Terrence Mulligan, Andrew Singer Tags: Position Paper Source Type: journals
Review article: Convulsive and non-convulsive status epilepticus: An emergency medicine perspective
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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 ...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Amish M Shah, Anita Vashi, Andy Jagoda Tags: Reviews Source Type: journals
Developments in international emergency medicine
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - September 30, 2009 Category: Emergency Medicine Authors: Peter Cameron, Cherri Hobgood, Terrence Mulligan Tags: Editorial Source Type: journals
Review article: Inotrope and vasopressor use in the emergency department
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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)
Source: Emergency Medicine Australasia - August 18, 2009 Category: Emergency Medicine Authors: Ainslie Senz, Leo Nunnink Source Type: journals
Injuries significantly associated with thoracic spine fractures: A case–control study
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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)
Source: Emergency Medicine Australasia - August 17, 2009 Category: Emergency Medicine Authors: Ranjit Singh, David McD Taylor, Donna D'Souza, Alexandra Gorelik, Patrick Page, Pramit Phal Source Type: journals
Diagnosing pulmonary embolism in the emergency department: Maybe we do matter, after all
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - July 30, 2009 Category: Emergency Medicine Authors: Jeffrey A Kline Tags: Editorial Source Type: journals
From Other Journals
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Michael Yeoh Tags: From Other Journals Source Type: journals
Intranasal fentanyl paediatric clinical practice guidelines
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: David Herd, Meredith Borland Tags: Letters to the Editor Source Type: journals
Treatment of migraine in Australian emergency departments
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Anne-Maree Kelly, Jonathan Knott, Scott Bennetts, Sue Huckson Tags: Letters to the Editor Source Type: journals
Atrio-oesophageal fistula: An emergent complication of radiofrequency ablation
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Wayne Hazell, David Heaven, Alex Kazemi, Dean Fourie Tags: Case Report Source Type: journals
Factors influencing rural versus metropolitan work choices for emergency physicians
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Robert Meek, Steven Doherty, Adrienne Deans Tags: Rural and Remote Care Source Type: journals
What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Greg Treston, Anthony Bell, Rob Cardwell, Gavin Fincher, Dip Chand, Geoff Cashion Tags: Paediatric Emergency Medicine Source Type: journals
27 years of croup: An update highlighting the effectiveness of 0.15 mg/kg of dexamethasone
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Milana Dobrovoljac, Gary C Geelhoed Tags: Paediatric Emergency Medicine Source Type: journals
Emergency department access block occupancy predicts delay to surgery in patients with fractured neck of femur
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Drew Richardson, Kristin LH McMahon Tags: Original Research Source Type: journals
Emergency department management of Colles-type fractures: A prospective cohort study
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: William Blakeney, Laurence Webber Tags: Original Research Source Type: journals
Confirmation of endotracheal intubation by combined ultrasonographic methods in the emergency department
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Soon Chang Park, Ji Ho Ryu, Seok Ran Yeom, Jin Woo Jeong, Suck Ju Cho Tags: Original Research Source Type: journals
Validation of a point of care troponin assay in real life emergency department conditions
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Conrad Loten, John Attia, Carolyn Hullick, John Marley, Patrick McElduff Tags: Original Research Source Type: journals
Factors influencing consistency of triage using the Australasian Triage Scale: Implications for guideline development
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Marie F Gerdtz, Matthew Chu, Marnie Collins, Julie Considine, Dianne Crellin, Natisha Sands, Carmel Stewart, Wendy E Pollock Tags: Original Research Source Type: journals
Emergency department diagnosis of pulmonary embolism is associated with significantly reduced mortality: A linked data population study
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Conclusion: Making the diagnosis of PE in ED was associated with a substantial survival advantage that persisted after hospital discharge. (Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: George A Jelinek, Sharyn L Ingarfield, David Mountain, Nicholas P Gibson, Ian G Jacobs Tags: Original Research Source Type: journals
Review article: Management of acute severe and near-fatal asthma
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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)
Source: Emergency Medicine Australasia - July 28, 2009 Category: Emergency Medicine Authors: Anthony D Holley, Robert J Boots Tags: Reviews Source Type: journals
Review article: Emergency department implications of the TASER
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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)
Source: Emergency Medicine Australasia - July 21, 2009 Category: Emergency Medicine Authors: Megan Robb, Benjamin Close, Jeremy Furyk, Peter Aitken Source Type: journals
Erratum
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Tags: Erratum Source Type: journals
From Other Journals
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Michael Yeoh Tags: From Other Journals Source Type: journals
Intravenous olanzapine – another option for the acutely agitated patient?
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Esther W Chan, Jonathan C Knott, David McD Taylor, Georgina A Phillips, David CM Kong Tags: Letters to the Editor Source Type: journals
Emergency department overcrowding: Time for a quantitive measure
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Alan E O'Connor Tags: Letters to the Editor Source Type: journals
Childhood Plasmodium falciparum malaria complicated by splenic abscess
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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...
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Rajoo Thapa, Apurba Ghosh, Tapanjyoti Banerjee Tags: Case Reports Source Type: journals
Successful retrograde tracheal intubation using a central venous catheterization set: two cases
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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 sit...
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Je Hyeok Oh, Sung Eun Kim, Sang Jin Lee Tags: Case Reports Source Type: journals
White-eyed blowout fracture: Another look
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We present three cases and discuss their management. (Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Patrick Mehanna, Daniel Mehanna, Andrew Cronin Tags: Case Reports Source Type: journals
Prospective study of 101 patients with suspected drink spiking
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Paul Quigley, Dania M Lynch, Mark Little, Lindsay Murray, Ann-Maree Lynch, Sean J O'Halloran Tags: Toxicology Source Type: journals
Pain management practices in paediatric emergency departments in Australia and New Zealand: A clinical and organizational audit by National Health and Medical Research Council's National Institute of Clinical Studies and Paediatric Research in Emergency Departments International Collaborative
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: David W Herd, Franz E Babl, Yuri Gilhotra, Sue Huckson Tags: Paediatric Emergency Medicine Source Type: journals
Nebulized fentanyl versus intravenous morphine in children with suspected limb fractures in the emergency department: A randomized controlled trial
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Jeremy S Furyk, Walter J Grabowski, Lisa H Black Tags: Paediatric Emergency Medicine Source Type: journals
Structured team approach to the agitated patient in the emergency department
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Michael A Downes, Paul Healy, Colin B Page, Jennifer L Bryant, Geoffrey K Isbister Tags: Original Research Source Type: journals
Frequent attenders with mental disorders at a general hospital emergency department
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Michael DG Wooden, Tracy M Air, Geoffrey D Schrader, Barbara Wieland, Robert D Goldney Tags: Original Research Source Type: journals
Investigating pressure bandaging for snakebite in a simulated setting: Bandage type, training and the effect of transport
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Elizabeth Canale, Geoffrey K Isbister, Bart J Currie Tags: Original Research Source Type: journals
Education initiative improves the evidence-based use of metoclopramide following morphine administration in the emergency department
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Conclusion: The education initiative resulted in a significant improvement in the evidence-based use of metoclopramide. (Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Bernard SK Yeoh, David McD Taylor, Simone E Taylor Tags: Original Research Source Type: journals
Evaluation of emergency medicine trainees' ability to use transport equipment
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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)
Source: Emergency Medicine Australasia - June 12, 2009 Category: Emergency Medicine Authors: Manoj Samuel, Julian Stella Tags: Original Research Source Type: journals
Importance of excessive ethanol ingestion in the patient with suspected drink spiking
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - June 1, 2009 Category: Emergency Medicine Authors: David Wells, Maureen Phillips Tags: Editorial Source Type: journals
From Other Journals April 2009
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - April 21, 2009 Category: Emergency Medicine Authors: Michael Yeoh Tags: From Other Journals Source Type: journals
Response to Bragg M letter: 'Alternate models of care and the role of the emergency nurse practitioner'
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(Source: Emergency Medicine Australasia)
Source: Emergency Medicine Australasia - April 21, 2009 Category: Emergency Medicine Authors: Kylie Wilson, Peter Cameron, Natasha Jennings Tags: Letters to the Editor Source Type: journals
