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Hospitalisations for non‐specific low back pain in people presenting to South Australian public hospital emergency departments Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-19 Joseph F Orlando, Anne LJ Burke, Matthew Beard, Michelle Guerin, Saravana Kumar
ObjectiveThe present study sought to investigate predictors of hospitalisation in adults diagnosed with non‐specific low back pain (LBP) and/or sciatica from an ED.MethodsA 5‐year, multicentre retrospective observational study was conducted across six public hospitals (metropolitan and regional) using data from electronic medical records. Patient presentations were identified using LBP diagnostic codes
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Associations with early vomiting when using intranasal fentanyl and nitrous oxide for procedural sedation in children: A secondary analysis of a randomised controlled trial Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-13 Emmanuelle Fauteux‐Lamarre, Stephen Hearps, Michelle McCarthy, Nuala Quinn, Andrew Davidson, Donna Legge, Katherine J Lee, Greta M Palmer, Sandy M Hopper, Franz E Babl
ObjectiveIntranasal (IN) fentanyl and nitrous oxide (N2O) can be combined to provide procedural sedation and analgesia to children. This combination is advantageous because of rapid onset of action and non‐parenteral administration, but is associated with increased vomiting. We sought to describe the associations of demographic and procedural factors with early vomiting when using this combination
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Exploring the value, enablers and barriers of being a clinician‐coach: A qualitative pilot study of clinician‐coaches in emergency medicine Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-13 Andrew Rixon, Samuel Wilson, Lee Wong, Elizabeth Elder
ObjectiveTo explore how clinicians understand coaching and their clinician‐coach practice in emergency medicine.MethodsParticipants were surveyed about the value of coaching and their beliefs about the enablers of, and barriers to, being a clinician‐coach.ResultsThree themes were developed for the value of coaching: empowerment and growth; enhanced interpersonal dynamics; and reflective transformation
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Trauma system management of adults with severe burns in Victoria, Australia Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-12 Heather Cleland, Peter Cameron, Belinda Gabbe
ObjectivesThe aim of the present study was to examine the profile, management and outcomes of adult patients with severe burns within the Victorian State Trauma System (VSTS).MethodsData from the Victorian State Trauma Registry (VSTR) was analysed to characterise patient and injury characteristics and review pre‐hospital management and clinical outcomes of adult patients with severe burns.ResultsThere
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Recommendations for developing a comprehensive point‐of‐care ultrasound (POCUS) program in the emergency department: an Emergency Medicine Ultrasound Group advocacy statement Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-05 Luke Phillips, Alastair Maclean, Josh Monester, Joanne Douglas, Stacey Davidson, Gabriela King
ObjectivesPoint‐of‐care ultrasound (POCUS) use is widespread in EDs and throughout those practising medicine. Between institutions and specialities, there is widespread variety and training. With this comes the risk of patient harm and backlash to a clinically useful modality. Our objective is to form a statement that encompasses current published and unpublished guidance for creating and maintaining
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Optimising POCUS programs: A summary of EMUG's recommendations for the development and maintenance of ED POCUS programs Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-05 Luke Phillips, Alastair Maclean, Josh Monester, Joanne Douglas, Stacey Davidson, Gabriela King
ObjectivesPoint‐of‐care ultrasound (POCUS) use is widespread in EDs and throughout those practising medicine. Between institutions and specialities, there is widespread variety and training. With this comes risk of patient harm and backlash to a clinically useful modality. Our objective is to form a statement that encompasses current published and unpublished guidance for creating and maintaining robust
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Pre‐hospital ‘dirty adrenaline’: A descriptive case series of patients receiving peripheral dilute adrenaline infusions in Central Australian remote nurse‐led clinics prior to aeromedical retrieval Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-09-04 David Braham, Daniel W S Adams, Richard Johnson
Objectives‘Dirty adrenaline’ is the informal term used for a rapidly made peripheral dilute adrenaline infusion in the emergency treatment of shock, most commonly 1 mg adrenaline in 1 L 0.9% NaCl. It has long been part of the remote clinician's arsenal despite no supporting scientific literature. Remote clinics in Central Australia can be hours away from critical care support. The region's high prevalence
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Tales of functional neurological disorder from the ED Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-28 Aaron Quay
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Functional neurological disorder: A rule‐in diagnosis Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-27 Felix B Schuch
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Prehospital management of functional neurological disorder Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-27 Penelope Larcombe
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Review article: Back to life from being declared dead in the Resus Bay: An integrative review of the phenomenon of autoresuscitation and learning for ED Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-27 Joanna Manton
This is a literature review of ED autoresuscitation. The impetus for this review was a case which revealed a lack of understanding about Lazarus syndrome among ED staff. The primary objective was to see the proportion of cases who survived neurologically intact to discharge and the time frame when this occurred after death had been declared. A secondary outcome was to see whether these studies mention
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Review article: The nature of terror medicine Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-22 George Braitberg
In recent years, the landscape of disasters, conflicts and terror events has become more frequent and complex. Climate change, armed conflicts, terrorism, disinformation, cyber‐attacks, inequality and pandemics now present significant challenges to humanity. Emergency physicians today are likely to encounter ideologically motivated violent extremism or terrorist actions by radicalised lone actors.
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Can rotational thromboelastometry rapidly identify theragnostic targets in isolated traumatic brain injury? Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-19 Abhiram D Hiwase,Christopher D Ovenden,Lola M Kaukas,Mark Finnis,Zeyu Zhang,Stephanie O'Connor,Ngee Foo,Benjamin Reddi,Adam J Wells,Daniel Y Ellis
OBJECTIVE Coagulation assessment in traumatic brain injury (TBI) typically relies upon laboratory-based standard coagulation tests (SCTs), including the activated partial thromboplastin time (aPTT), INR and platelet count. Rotational thromboelastometry (ROTEM) sigma is an alternative point-of-care assay; however, its role in isolated TBI is under-evaluated. The present study aims to assess the prognostic
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UnTWISTing the BALS: A study of predictive accuracy of clinical scoring tools for testicular torsion identification in adults Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-12 Chase T Schultz‐Swarthfigure, Anne‐Maree Kelly
ObjectiveTesticular torsion is an uncommon but time‐critical condition in EDs. If the diagnosis is missed or delayed, there are significant medicolegal and patient fertility implications. Scoring tools are advocated for use in children but have limited validation in adults. The aim of the present study was to explore the predictive accuracy of the testicular torsion scoring tools, Testicular Workup
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Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-05 Muhuntha Sri‐Ganeshan, Biswadev Mitra, Georgia Soldatos, Rachel Rosler, Neil Goldie, Robert Meek, Madeleine Howard, Michelle Bertolucci, Diana Egerton‐Warburton, Rachel Manderson, Vince Luzuriaga, Fergus McGee, Gerard M O'Reilly, Peter A Cameron
ObjectiveTo evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs.MethodsA cohort study of residents requesting transfer to the ED via ambulance within participating health networks' catchments from April to June 2022.ResultsTwo hundred thirty‐eight VED consultations occurred with 79% (188/238)
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Factors associated with difficult intravenous access in the paediatric emergency department: A prospective cohort study Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-05 Lucy Dunstan, Amy L Sweeny, Clayton Lam, Bianca Goucher, Stuart Watkins, Shane George, Peter J Snelling
ObjectivesAlthough it is the most performed invasive procedure, peripheral intravenous catheter (PIVC) insertion in children can be difficult. The primary objective of the study was to identify the factors associated with difficult intravenous access (DIVA) in the paediatric ED, including patient, proceduralist and situational factors.MethodsThis was a single‐centre prospective observational cohort
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Impact of an educational intervention utilising a three‐dimensional‐printed model for ultrasound‐guided intra‐articular injections of the dislocated shoulder Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-02 Conor Cosgrave, Megan Anakin, Phil Blyth, Louisa Baillie, Sierra Beck
ObjectiveIntra‐articular injection of local anaesthetic provides safe and effective analgesia for patients with shoulder dislocation. We designed a three‐dimensional‐printed ultrasound model of the shoulder to educate ED clinicians on use of this technique. We aimed to evaluate the impact of a 1‐h training session using this model on participants' knowledge, skills and clinical practice.MethodsThis
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Emergency department staff opinion on newly introduced phlebotomy services in the department. A cross‐sectional study incorporating thematic analysis Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-02 Abdi D Osman, Daryl Yeak, Michael Ben‐Meir, George Braitberg
ObjectivesThe demand for ED services, both in terms of patient numbers and complexity has risen over the past decades. According to reports, there has been an increase in the ED patient presentation rate from 330 per 1000 to 334 per 1000 between 2018–2019 and 2022–2023. Consequently, new care models have been introduced to address this surge in demand, mitigate associated risks and improve overall
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Is clinician reported practice in Western Australian emergency departments aligned with direct discharge pathway protocols for minor self‐limiting fractures? A multi‐centre professional survey Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-02 Piers Truter, Irene Pelletier, Sophie Coates, Louise Giglia‐Smith, Karen Richards, David Mountain, Caroline Bulsara, Katrina Spilsbury, Dale W Edgar
ObjectiveTo determine ED clinician's current management for five common minor self‐limiting fractures (MSLF) and evaluate practice against evidence‐informed direct discharge pathway (DD) protocols.MethodsA survey was provided to doctors, nurse practitioners and advanced scope physiotherapists working in seven metropolitan, public health EDs in Perth, Australia. The relative odds of ED location (e.g
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Ocular trauma in badminton: A 5‐year review of badminton‐related eye injury emergency department presentations Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-02 Nicholas Dewhurst, Devangna Tangri, Janan Arslan, Gizem Ashraf, Rahul Chakrabarti, Carmel Crock
ObjectiveTo examine the nature and severity of badminton‐related ocular injuries in Melbourne, Australia.MethodsThis is a retrospective chart review. A search of the medical records was conducted for patients presenting to the ED at The Royal Victorian Eye and Ear Hospital, with badminton‐related eye injuries from June 2018 to May 2023. Data were extracted, focusing on injury mechanism, patient demographics
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'You mean you're not doing it already?' A national sentinel toxico-surveillance system for detecting illicit, emerging and novel psychoactive drugs in presentations to emergency departments. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-01 Daniel M Fatovich,Paul Dessauer,Nadine Ezard,
Patients presenting to the ED after using illicit drugs, including novel psychoactive substances, are a unique source of information on substances that are directly causing acute harm in the community. Conventionally, illicit drug intoxications are assessed and managed in EDs based on self-report and presenting symptoms, with no objective data on the causative agent. The Emerging Drugs Network of Australia
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Risk factors for older people re‐presenting to the emergency department with falls: A case–control analysis Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-08-01 Charlene San Juan, Linda Appiah‐Kubi, Joanna Mitropoulos, Lorne Thomson, Athena Demosthenous, Anne‐Maree Kelly
ObjectiveFalls are a leading cause for ED presentations among older adults. Existing secondary falls prevention interventions have not been shown to decrease fall‐related ED re‐presentation, indicating a need to better understand contributing factors. Our aim was to evaluate risk factors for fall re‐presentations among the older patient population presenting to the ED.MethodsThis is a single‐centre
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Making the most of what we have: What does the future hold for Emergency Department data? Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-31 Simon Craig, Gerard M O'Reilly, Diana Egerton‐Warburton, Peter Jones, Martin P Than, Viet Tran, David Taniar, Katie Moore, Abraham Alvandi, Joseph Tuxen‐Vu, Anselm Wong, Julia Morphet, David Pilcher, Peter Cameron
Over 10 million ED visits occur each year across Australia and Aotearoa New Zealand. Outside basic administrative data focused on time‐based targets, there is minimal information about clinical performance, quality of care, patient outcomes, or equity in emergency care. The lack of a timely, accurate or clinically useful data collection represents a missed opportunity to improve the care we deliver
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Trauma team activation for older patients with pelvic fractures: Are current criteria adequate? Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-26 Frances Williamson, Elaine Cole
ObjectivesThe present study aimed to identify the impact of age on current trauma team activation (TTA) processes and outcomes for patients with pelvic fractures.MethodsAdult patients with moderate and/or severe pelvic fractures (Abbreviated Injury Scale ≥ 2) between 1 January 2016 and 31 December 2021 were included utilising major trauma hospital data in Queensland. Characteristics of older (age ≥
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Long‐term trends in incidence and outcomes of rib fractures: A population‐based data linkage study from New South Wales, Australia Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-25 Eliot Salmon, Matthew Oliver, Kendall Bein, Melanie Berry, Christopher Partyka, Radhika Seimon, Hardeep Singh, Michael Dinh
ObjectiveDetermine long‐term trends in population‐based incidence and outcomes of rib fracture hospitalisations.MethodsThis was a data linkage study of rib fracture cases identified between 2015 and 2022 in New South Wales, Australia. Routinely collected health data were linked between ED, admitted patient and death registry data collection. The primary outcomes were age‐specific incidence of rib fracture
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Evaluating soft collars in pre-hospital cervical spine immobilisation: A cohort study on neurological outcomes, patient comfort and paramedic perspectives. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-24 Liam Bruton,Martin Nichols,Stephanie Looi,Thomas Evens,Jason C Bendall,Kimberley J Davis,
OBJECTIVE Cervical spinal immobilisation procedures often include rigid cervical collars which, despite associated complications, may provide less immobilisation than previously thought. The present study reports the incidence of worsening neurological outcomes following soft collar application, and additionally reports patient comfort, compliance with spinal immobilisation, and paramedic perspectives
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Growing burden of gamma‐hydroxybutyrate intoxication on emergency department resource utilisation Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-19 Ingrid Berling, Katherine Isoardi, Keith Harris, Michael A Downes, Caitlyn Lovett, Geoffrey K Isbister
ObjectiveRecreational gamma‐hydroxybutyrate (GHB) use is rising in Australia. We aimed to describe ED presentation patterns related to GHB over time and the impact this has on ED resource use.MethodsRetrospective review of prospective data collection from two clinical toxicology units based in Queensland and New South Wales.ResultsThere were 751 GHB‐related presentations to the two units (Newcastle
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Australia's first cardiac emergency department: Patient profile, activity and performance in the initial 6 months Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-18 Adam C Cohen, Robert Meek, Georgina Hayden, Adam Damianopoulos, Neil Goldie, Joel J Y Lim, Alex Duong, Diana Egerton‐Warburton
ObjectiveTo profile the initial 6‐month experience at the Victorian Heart Hospital (VHH) cardiac emergency (CE). The primary objective was to describe VHH CE patient characteristics, including presenting complaint, final diagnosis and disposition. Secondary objectives were to report on patient numbers, patient source and quality indicator performance including ambulance off‐load by 40 min, waiting
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Emerging clinical applications of large language models in emergency medicine Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 Jon Herries
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Trainee Focus debate: Artificial intelligence will have a negative impact on emergency medicine Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 Adelene Hilbig
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The potential impact of artificial intelligence on emergency department overcrowding and access block Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 Jonathon Stewart, Michael Innes, Adrian Goudie
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From other journals Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 Sierra Beck, Bridget Honan, James L Mallows, Joseph Ting
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Artificial intelligence in medicine: The rise of machine learning Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 James M Colalillo, Joshua Smith
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Trainee Focus debate: Artificial intelligence will have a positive impact on emergency medicine Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-17 Ryan Metcalfe
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Navigating competing tensions: A qualitative study of experiences and perceptions of leadership among emergency medicine doctors Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-11 Suzanne Rayner, Hayden Richards, Georgie B Lee, Elleanor Lee, Andrew Rixon
ObjectivesEmergency medicine (EM) doctors are often required to manage a diverse set of complex challenges; navigating direct patient care, systemic issues and inter‐professional interactions. Leadership is well recognised as crucial in optimising both the delivery and the quality of patient care. There is a clear need to gain greater understanding of the reality of EM leadership through exploring
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Response to ‘Racism is healthcare: We need to talk’ Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-10 Muhuntha Sri‐Ganeshan
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Assessing the predictors for paediatric intensive care unit for inter‐hospital transfer patients on high‐flow nasal cannula or continuous positive airway pressure ventilation at a tertiary Australian paediatric hospital Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-08 Valerie Astle, Meredith Louise Borland, Kim Betts, Simon Erickson, Belinda Gowen
ObjectiveThe aim of the present study was to assess the predictors of need for paediatric intensive care unit (PICU) admission for inter‐hospital transfer patients to a tertiary paediatric hospital ED on high flow (HF) or continuous positive airway pressure (CPAP) ventilation.MethodsSingle‐centre retrospective study of patients transferred to the state's tertiary paediatric hospital. Demographic information
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More than meets the eye: Lid and conjunctival injuries in cases of non‐sexual assault are frequently accompanied by non‐fatal strangulation Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-07-03 Vanita Parekh, Janine McMinn, Anna Brkic, David Williams, Caleb Boxx, Laura Bailey, Kate Reid
ObjectiveTo determine the associations between lid and conjunctival injuries (LACI), non‐fatal strangulation (NFS) and domestic family violence (DFV) in non‐sexual assault.MethodsThe present study involves an analysis of LACI in a clinical audit of 85 sequential non‐sexual assault presentations.ResultsLACI was present in 26.9% of non‐sexual assault cases, and 47.4% of LACI patients also experienced
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Impact of lifeguard oxygen therapy on the resuscitation of drowning victims: Results from an Utstein Style for Drowning Study Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-20 Ogilvie Thom, Kym Roberts, Susan Devine, Peter A Leggat, Richard C Franklin
IntroductionNo published evidence was identified regarding the use of oxygen in the treatment of drowning in two recent systematic reviews. The aim of our study was to investigate the impact of on scene, pre‐Emergency Medical Services (EMS) oxygen therapy by lifeguards in the resuscitation of drowning victims.MethodWe conducted a retrospective case match analysis of drowning patients presenting to
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Health consumers' ethical concerns towards artificial intelligence in Australian emergency departments. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-18 Sam Freeman,Jonathon Stewart,Rebecca Kaard,Eden Ouliel,Adrian Goudie,Girish Dwivedi,Hamed Akhlaghi
OBJECTIVES To investigate health consumers' ethical concerns towards the use of artificial intelligence (AI) in EDs. METHODS Qualitative semi-structured interviews with health consumers, recruited via health consumer networks and community groups, interviews conducted between January and August 2022. RESULTS We interviewed 28 health consumers about their perceptions towards the ethical use of AI in
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Nationwide status of aeromedical pre-hospital and retrieval medicine in Australia. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-05 John Hollott,Scott Gelzinnis,Mary Morgan,Alan Garner
OBJECTIVE To survey the current structure, capability and operational scope of pre-hospital and retrieval aeromedical teams across Australia. METHODS The medical directors of all Australian civilian adult aeromedical retrieval organisations with pre-hospital teams and/or doctors for inter-hospital critical care patient transport were contacted in a survey to qualitatively assess capacity and team structure
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Virtual Toxicology Service decreases the average length of stay of poisoned patients and saves bed days. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-04 Iain McNeill,Andrew Staib,Katherine Z Isoardi
OBJECTIVE We aimed to assess the impact a Virtual Toxicology Service had on the ALOS of poisoned patients. METHODS This single-centre before-after study compares the ALOS of poisoned patients (diagnosis-related group X62, poisoning/toxic effects of drugs and other substances) following the introduction of a Virtual Toxicology Service in 2020. RESULTS The ALOS decreased from 0.89 days in the 2-year
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Just a head knock? Emergency physicians need to get serious about concussion. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-04 Alan J Pearce,Peter Wirth,Michelle Fitts
Attention and awareness regarding concussion injury in Australia have significantly increased in the last decade. Although most of this increase is because of discussion regarding concussions from sporting endeavours, the majority of concussions are from non-sport environments including motor vehicle crashes, workplace incidents, falls, accidents, assault and intimate partner violence. In all cases
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Repeated intentional foreign body ingestion, what can be done? Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-04 Paris Hoey,Kimberley Ryan,Clancy McDonald,Nathan J Brown,Kym Boon,Florian Grimpen,Mark Appleyard
Repeated intentional foreign body ingestion (RIFBI) in patients with Emotionally Unstable Personality Disorder (EUPD) is a common clinical presentation to the emergency department. The relationship between repeated foreign body ingestion and a co-existent personality disorder diagnosis is complex, making it challenging to manage. Our institution implemented a novel interdisciplinary model of care for
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Evaluating the effectiveness of the maximum permitted dose of midazolam in seizure termination: Insights from New South Wales, Australia. Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-06-03 Pieter Francsois Fouche,Martin Nichols,Raquel Abrahams,Kristina Maximous,Jason Bendall
OBJECTIVE Out-of-hospital seizures demand rapid management. Midazolam plays a key role in stopping seizures. At times the first dose of midazolam proves insufficient, necessitating additional doses. Within the New South Wales Ambulance (NSWA) service, the upper limit for midazolam administration is set at 15 mg. However, the outcomes and safety of using midazolam at this maximum dosage have not been
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‘Vitamin B17’: Killing more than cancer Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-29 Ingrid Berling, Jared Brown, Brendan Toy
ObjectiveVitamin B17 tablets are sold (online) as an alternative cancer therapy medication. Its use however is not benign, given that it is metabolised into hydrogen cyanide. We aimed to measure the number of calls received by the New South Wales Poisons Information Centre (NSW PIC) regarding Amygdalin exposures.MethodsA retrospective review of all amygdalin/cyanogenic glycoside product ingestion exposure
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Cost‐effectiveness analysis of an ambulance service‐operated specialised cardiac vehicle with mobile extracorporeal cardiopulmonary resuscitation capacity for out‐of‐hospital cardiac arrests in Queensland, Australia Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-29 Tan N Doan, Stephen Rashford, Emma Bosley
ObjectiveExtracorporeal CPR (E‐CPR) has been primarily limited to the in‐hospital setting. A few systems around the world have implemented pre‐hospital mobile E‐CPR in the form of a dedicated cardiac vehicle fitted with specialised equipment and clinicians required for the performance of E‐CPR on‐scene. However, evidence of the outcomes and cost‐effectiveness of mobile E‐CPR remain to be established
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Bedside urine testing for fentanyl in self‐reported heroin users in a tertiary Brisbane emergency department Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-27 Keith Harris, Amanda G Holford, Benjamin G Learmont, Katherine Z Isoardi
ObjectiveTo determine if patients presenting to our toxicology unit following self‐reported heroin use had positive urine immunoassay testing for fentanyl or its analogues.MethodsUrine samples from consenting patients were tested at the bedside for the presence of opiates or fentanyl and its analogues.ResultsOver a 30‐month period, 58 patients were recruited. All samples tested positive for opiates
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Gender differences in female and male Australian football concussion injury: A prospective observational study of emergency department presentations Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-27 Julian Stella, Stephen D Gill, Nicole Lowry, Tom Reade, Tim Baker, Kate Kloot, Georgina Hayden, Matthew Ryan, Hugh Seward, Richard S Page
ObjectiveTo examine gender differences in Australian football (AF)‐related concussion presentations to EDs in regional Australia.MethodsA prospective observational study of patients presenting to 1 of the 10 EDs in Western Victoria, Australia, with an AF‐related concussion was conducted. Patients were part of a larger study investigating AF injuries over a complete AF season, including pre‐season training
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Implementation of an eFAST guideline and teaching to improve documentation practices and saving of ultrasound images Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-20 Joseph Rossi, Anthony Van Assche
ObjectivesTo investigate whether implementation of a hospital‐based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images.MethodsA retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three‐month periods in 2023.ResultsGuideline and
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From other journals Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-20 Sierra Beck, Bridget Honan, James L Mallows, Joseph Ting
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Summer alcohol‐related emergency department workload and occupancy in Australasia 2019–2022 Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-15 Drew B Richardson, Daniel M Fatovich, Diana Egerton‐Warburton
ObjectiveAlcohol is a major public health issue and the ACEM funds regular ‘snapshot’ surveys of the prevalence of alcohol‐related presentations in EDs. The present study uses these data to investigate ED occupancy and alcohol‐ and methamphetamine‐related presentations at the time of the COVID‐19 pandemic.MethodsSurvey‐based point prevalence study of EDs in Australia and New Zealand conducted at 02:00
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Computed tomography pulmonary angiogram ordering, adherence to decision rules and yield in the emergency department: An observational study Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-03 Saransh Kumar Saini, Zain Saleem Khan, Victor Do, Gerben Keijzers
ObjectivePulmonary embolism (PE) frequently requires diagnosis through CT pulmonary angiogram (CTPA). Appropriate application of evidence‐based clinical decision tools can reduce unnecessary CTPAs. This study assessed adherence to and the efficacy of various aspects of the Queensland Health suspected PE diagnostic pathway, including Wells score, PE rule out criteria (PERC) and age‐adjusted D‐dimer
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Racism in healthcare: We need to talk Emerg. Med. Australas. (IF 1.7) Pub Date : 2024-05-02 Vincent Kehoe
In order to tackle racism in healthcare, it must be rooted out, carefully and mindfully, by all those who work in the field. Of late, there is much talk to enact institutional change; however, I believe there is a paucity of commentary to encourage individual responsibility. Here I present a personal experience which I believe illustrates a frequent occurrence whereby racism is falsely identified in