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X-ray imaging of multiple adjacent regions in paediatric patients: Potential utility for diagnosis and patient management. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-09-12 Dania Abu Awwad,Noor Akl,Franziska Jerjen,Ernest Ekpo
BACKGROUND In emergency presentations, it is not uncommon for patients to present with imaging requests of multiple body regions to detect concurrent injury. While current literature explores diagnostic efficacy of adjacent imaging for forearm fractures, there is limited research on its effectiveness across all extremities. This paper explores the diagnostic yield of X-ray adjacent imaging of the upper
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Establishing enablers and barriers to implementing the HIRAID® emergency nursing framework in rural emergency departments. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-08-30 Belinda Kennedy,Kate Curtis,Sarah Kourouche,Louise Casey,Dorothy Hughes,Vivienne Chapman,Margaret Fry
BACKGROUND Rural Australia has large geographic distances between emergency departments with variability of services and medical support. Emergency nurses must be appropriately skilled to assess and manage unpredictable and diverse presentations. HIRAID® is an evidence-based framework to support emergency nurses in assessment and care delivery. To inform implementation, the study aimed to identify
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Adherence to low back pain clinical guidelines in Australian hospital emergency departments: A public and private comparison. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-07-26 Claire L Samanna,Paul Buntine,Daniel L Belavy,Ron V Sultana,Clint T Miller,Vasilios Bill Nimorakiotakis,Patrick J Owen
Managing LBP via clinical practice guidelines in healthcare settings is recommended, yet burgeoning evidence suggests adherence is suboptimal in emergency department settings. Whether adherence differs between public and private settings is unknown. A retrospective audit of two Australian emergency departments matched 86 private patients to 86 public patients by age ( ± 5 years), sex (male/female)
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Paramedic clinical practice guideline development in Australia and New Zealand: A qualitative descriptive analysis. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-07-11 Sonja Maria,Marc Colbeck,Matt Wilkinson-Stokes,Adam Moon,Michelle Thomson,Joel Ballard,Lachlan Parker,Fraser Watson,James Oswald
BACKGROUND This collaborative study by The Australasian College of Paramedicine's Clinical Practice Guidelines (CPG) Working Group aimed to examine CPG development practices in Australian and New Zealand ambulance services. METHODS Employing a qualitative descriptive design, the research utilised thematic analysis to extract insights from interviews with eleven experts actively involved in CPG development
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Use of diagnostic tests in elderly patients consulting the emergency department. Analysis of the emergency department and elder needs cohort (EDEN-8). Australas. Emerg. Care (IF 2.1) Pub Date : 2024-07-03 Javier Jacob,Elena Fuentes,Juan González Del Castillo,Inmaculada Bajo-Fernández,Aitor Alquezar-Arbé,Eric Jorge García-Lamberechts,Sira Aguiló,Cesáreo Fernández-Alonso,Guillermo Burillo-Putze,Pascual Piñera,Pere Llorens,Sònia Jimenez,Adriana Gil-Rodrigo,Jorge Sánchez Tembleque-Sánchez,Maria Pilar López-Diez,Marta Iglesias-Vela,Rafael Antonio Pérez-Costa,Marién López-Pardo,Rebeca González-González,Marina
OBJECTIVE Analyse the association between the use of diagnostic tests and the characteristics of older patients 65 years of age or more who consult the emergency department (ED). METHODS We performed an analysis of the EDEN cohort that includes patients who consulted 52 Spanish EDs. The association of age, sex, and ageing characteristics with the use of diagnostic tests (blood tests, electrocardiogram
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What are the training needs of emergency department resuscitation nurses? A scoping review. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-07-03 Josephine Rheinberger,Kate Curtis,Andrea McCloughen,Taneal Wiseman
BACKGROUND The emergency resuscitation nurse is a challenging and specialised role at the forefront of critical care practice in the emergency department. Despite their extensive specialist knowledge and skill requirements, in Australia there is no state-wide or nationally agreed approach to how to best provide training that meets a set of fixed objectives and requisite skills for resuscitation nurses
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Determinants of work stress among emergency department nurses in Sleman, Yogyakarta, Indonesia. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-07-01 Happy Indah Kusumawati,Suis Galischawati,Sri Warsini,Bayu Fandhi Achmad,Nurul Aida Fatma,Nazhifah Salsabila Tiyani,Dewi Nirmalasari,Eko Budi Santoso
BACKGROUND The nursing field is the fourth most stressful occupation in the health sector. Emergency department nurses often face crises and unpredictable situations that can negatively affect their quality of life and the quality of care. This study aimed to investigate the determinants of work stress among ED nurses in Sleman, Yogyakarta, Indonesia. METHODS A descriptive cross-sectional study was
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The experiences of patients not conveyed after evaluation by emergency medical services in Southwest Finland - A qualitative survey study. Australas. Emerg. Care (IF 2.1) Pub Date : 2024-05-23 Anne Kuoppala,Eetu Skaffari,Timo Iirola,Hilla Nordquist
BACKGROUND The amount of non-critical Emergency Medical Services missions has been increasing. After examination and treatment, paramedics can decide, based on guidelines, not to convey the patient to a healthcare facility. This study aimed to investigate patients' experiences in non-conveyance situations in Southwest Finland. Our research questions were: 1) Which patient concerns were not addressed
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Exploring paramedic personality profiles and the relationship with burnout and employment retention: A scoping review Australas. Emerg. Care (IF 2.1) Pub Date : 2024-05-22 Chloe Betts, Alannah Stoneley, Tara Picker
Paramedics play a pivotal role in delivering emergency medical care, contributing to excellence in the prehospital environment and ensuring a seamless continuum of healthcare. Achieving this objective is subject to various factors. This review aims to explore, the relationship between paramedic personality profiles and key factors including stress, burnout and employment retention or attrition. The
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Vital signs monitoring in Australasian emergency departments: Development of a consensus statement from ACEM and CENA Australas. Emerg. Care (IF 2.1) Pub Date : 2024-05-20 Clifford J. Connell, Simon Craig, Carmel Crock, Lisa Kuhn, Julia Morphet, Maria Unwin
Emergency Department (ED) care is provided for a diverse range of patients, clinical acuity and conditions. This diversity often calls for different vital signs monitoring requirements. Requirements often change depending on the circumstances that patients experience during episodes of ED care. To describe expert consensus on vital signs monitoring during ED care in the Australasian setting to inform
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The significance of paramedic communication during women’s birth experiences: A scoping review Australas. Emerg. Care (IF 2.1) Pub Date : 2024-05-11 Haley J. Findlay, Judith K. Anderson, Karen L. Francis, Lisa M. Clegg, Sonja J. Maria
Internationally, over one-third of women experience birth trauma, leading to adverse mental health outcomes. Poor communication with healthcare professionals is a primary contributing factor. Paramedics attend various clinical presentations, including childbirth, yet their potential impact on women's birth experiences has been largely overlooked. A systematic literature search was conducted following
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Designing a standardised emergency nurse career pathway for use across rural, regional and metropolitan New South Wales, Australia: A consensus process Australas. Emerg. Care (IF 2.1) Pub Date : 2024-03-26 Kate Curtis, Margaret Murphy, Sarah Kourouche, Dot Hughes, Louise Casey, Julie Gawthorne, Saartje Berendsen-Russell, Tracey Couttie, Donna Skelly, Noelene Williams, Ramon Z. Shaban, Margaret Fry, Ryan Kloger, Josephine Rheinberger, Christina Aggar, Julie Considine
Emergency nurses are the first clinicians to see patients in the ED; their practice is fundamental to patient safety. To reduce clinical variation and increase the safety and quality of emergency nursing care, we developed a standardised consensus-based emergency nurse career pathway for use across Australian rural, regional, and metropolitan New South Wales (NSW) emergency departments. An analysis
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Exploring clinicians' insertion experience with a new peripheral intravenous catheter in the emergency department Australas. Emerg. Care (IF 2.1) Pub Date : 2024-03-15 Hui (Grace) Xu, Areum Hyun, Evelyn Kang, Nicole Marsh, Amanda Corley
Hospitals frequently introduce new medical devices. However, the process of clinicians adapting to these new vascular access devices has not been well explored. The study aims to explore clinicians’ experience with the insertion of a new guidewire peripheral intravenous catheter (PIVC) introduced in the emergency department (ED) setting. The study was conducted at two EDs in Queensland, Australia,
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Characteristics and outcomes of emergency department presentations brought in by police with and without an emergency examination authority: A state-wide cohort study Australas. Emerg. Care (IF 2.1) Pub Date : 2024-03-11 Julia Alcock, Julia Crilly OAM, Jamie Ranse, Rachel Wardrop
The aim of this study was to describe and compare the demographic characteristics, clinical characteristics and patient and health service outcomes of emergency department (ED) presentations brought in by police with and without an emergency examination authority. A retrospective cohort study of adult (≥ 18 years old) presentations brought in by police to EDs in Queensland, Australia from 01 January
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Providing end of life care in the emergency department: A hermeneutic phenomenological study Australas. Emerg. Care (IF 2.1) Pub Date : 2024-02-02 Ellie Burnitt, Laurie A. Grealish, Julia Crilly, Katya May, Jamie Ranse
Registered nurses report the experience of delivering end of life care in emergency departments as challenging. The study aim was to understand what it is like to be a registered nurse providing end of life care to an older person in the emergency department. A hermeneutic phenomenological study was conducted in 2021, using semi-structured interviews with seven registered nurses across two hospital
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The experiences of trans (binary and non-binary) patients accessing care in the emergency department: An integrative review Australas. Emerg. Care (IF 2.1) Pub Date : 2024-02-01 Jake A. Muller, Elizabeth M. Forster, Katina Corones-Watkins, Belinda Chaplin
Accessing care in the Emergency Department is often fraught with stress and heightened emotions due to illness or injury, and the complexity of navigating an often busy and overwhelming healthcare setting. For people who identify as trans (binary and non-binary), accessing Emergency Department care is often associated with additional stress or avoided due to fears of discrimination, or previous negative
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Examining emergency departments practices on advance care directives and medical treatment decision making using the victorian emergency minimum dataset Australas. Emerg. Care (IF 2.1) Pub Date : 2024-01-22 Abdi D. Osman, Jocelyn Howell, Paul Yates, Daryl Jones, George Braitberg
Existence of Advance Care Planning (ACP) documents including contact details of Medical Treatment Decision Makers (MTDM), are essential patient care records that support Emergency Department (ED) clinicians in implementing treatment concordant with patients’ expressed wishes. Based upon previous findings, we conducted a statewide study to evaluate the performance of Victorian public hospital emergency
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“Mind the gap”: An exploratory qualitative study of paramedics’ experiences attending older adults who fall in Western Australia Australas. Emerg. Care (IF 2.1) Pub Date : 2024-01-17 Paige Watkins, Peter Buzzacott, Hideo Tohira, Judith Finn, Deon Brink, Rudi Brits, Anne-Marie Hill
To explore paramedics’ experiences and perspectives about attending and managing older adults who had fallen. This qualitative, exploratory study used a purposive sample of paramedics in Western Australia. Participants had at least one year of clinical experience. Semi-structured interviews were undertaken. Data were analysed via an inductive thematic approach. Fourteen paramedics were interviewed
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Informing Utstein-style reporting guidelines for prehospital thrombolysis: A scoping review Australas. Emerg. Care (IF 2.1) Pub Date : 2024-01-16 Louis Jenkins, Tania Johnston, Richard Armour, Sonja Maria
Rural Australians with acute myocardial infarction (AMI) face higher mortality rates due to limited access to specialised cardiac services. Paramedic-administered prehospital thrombolysis (PHT) has emerged as an alternative to primary percutaneous intervention (pPCI) for patients facing barriers or delays to cardiac care. There is variability in PHT practices among Australian ambulance services, lacking
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Seizure or syncope: Is the history-based scale feasible to use in an emergency department setting? Australas. Emerg. Care (IF 2.1) Pub Date : 2023-12-05 Stevo Lukić, Aleksandar Stojanov
This study aimed to assess the efficacy of a screening questionnaire, based on historical criteria, in distinguishing between seizures and syncope in patients experiencing their first episode of transient loss of consciousness (TLOC) in a neurology emergency department. A prospective cohort of 159 patients with initial TLOC episodes underwent clinical observation and answered a nine-question screening
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Editorial: Resuscitation science for emergency care clinicians Australas. Emerg. Care (IF 2.1) Pub Date : 2023-11-25 Julie Considine
Abstract not available
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Education interventions and emergency nurses’ clinical practice behaviours: A scoping review Australas. Emerg. Care (IF 2.1) Pub Date : 2023-11-18 Julie Considine, Ramon Z. Shaban, Margaret Fry, Kate Curtis
Many education interventions in emergency nursing are aimed at changing nurse behaviours. This scoping review describes and synthesises the published research education interventions and emergency nurses’ clinical practice behaviours. Arksey and O’Malley’s methodological framework guided this review, which is reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension
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Assessment of inter-rater reliability of screening tools to identify patients at risk of medication-related problems across the emergency department continuum of care Australas. Emerg. Care (IF 2.1) Pub Date : 2023-11-14 Jessica D’lima, Simone E. Taylor, Elise Mitri, Andrew Harding, Jerry Lai, Elizabeth Manias
Following a national multicentre study, two emergency department (ED) screening tools were developed to determine risk of medication-related problems; one for use at ED presentation and another at ED discharge to the community. This study aimed to determine the inter-rater reliability amongst ED health professionals when applying these screening tools to a series of case scenarios. A prospective, cross-sectional
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Examining management plans for patients who frequently presented to the emergency department Australas. Emerg. Care (IF 2.1) Pub Date : 2023-11-01 Felicity Moon, Jonathan Knott, Siobhan Feely
Patients who frequently present to Emergency Department (ED) experience complex health and social needs. While research has examined interventions that aim to decrease frequent ED attendances, there is a need to understand the types of interventions provided to patients by hospital clinicians during presentations. Using qualitative content analysis, 82 management plans were evaluated to understand
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Virtual emergency care in Victoria: Stakeholder perspectives of strengths, weaknesses, and barriers and facilitators of service scale-up Australas. Emerg. Care (IF 2.1) Pub Date : 2023-10-16 Dai Pu, Peter Cameron, Wendy Chapman, Louise Greenstock, Lena Sanci, Michele L. Callisaya, Terry Haines
Virtual emergency services have been proposed as an alternative service model to conventional in-person emergency department attendance. Twenty participants were interviewed: 10 emergency medicine physicians, 4 health care consumers, and 6 other health care professionals. Conventional content analysis was performed on the interview transcriptions to identify perceived strengths and weaknesses of the
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The time-course of visual scanning behaviour of paramedicine students upon arrival at a simulated emergency call Australas. Emerg. Care (IF 2.1) Pub Date : 2023-10-13 Matthew J. Stainer, Alex J. MacQuarrie, Sean O’Loughlin, Andy Bell, Nick Abussi, Steve Whitfield, Elizabeth Cardell
Limited knowledge exists regarding how paramedics acquire an understanding of the scene they encounter upon arrival, despite their need to quickly gather information for effective clinical decision-making. This study examined visual scanning behaviour during the early stages of simulated emergency calls. Eye movements of 10 paramedicine students were recorded during simulated calls conducted in both
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Disaster preparedness among nurses in disaster-prone countries: A systematic review Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-29 Leodoro J. Labrague, Karen Hammad
Disaster preparedness is crucial for mitigating the impact of disasters and saving lives. Ensuring preparedness for disaster response and management, particularly among nurses in disaster-prone countries, is essential due to the serious threats disasters pose to affected populations. This study was conducted to appraise and synthesize the literature examining preparedness for disaster management and
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Characteristics of patients who return unplanned to the ED, and factors that contribute to their decision to return: Integrated results from an explanatory sequential mixed methods inquiry Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-22 Claire L. Hutchinson, Kate Curtis, Andrea McCloughen
Aim To identify common characteristics of patients who return to the ED unplanned and factors that may contribute to their decision to return. Background Return visits to the Emergency Department (ED) have been associated with adverse events and deficits in initial care provided. There is increasing evidence to suggest that many return visits may be preventable. Methods The results of primary quantitative
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Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-22 Alice Martins Irvine, Willoughby Moloney, Stephen Jacobs, Natalie Elizabeth Anderson
Although efforts to reduce aggression and violence in emergency departments are important, it is also critical to minimise harm and support staff where this occurs. This research describes support mechanisms emergency nurses value when they experience occupational aggression and violence. A mixed-methods design including thematic analysis of six interviews and descriptive analysis of fifty-one surveys
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Emergency department assessment and management of children with gastroenteritis Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-21 Kimberley Robson, Stéphane Bouchoucha, Julie Considine
Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis. This retrospective cohort study included 340 children aged 6–48 months. Data were collected by medical record audit for children presenting between
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Instructions to Authors Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-12
Abstract not available
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Australian emergency nurses' experiences of working with personal protective equipment during the COVID-19 pandemic. A qualitative study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-09 Penelope Dempster, Ana Hutchinson, Elizabeth Oldland, Stéphane L. Bouchoucha
Introduction The COVID-19 pandemic has exposed a need to understand the challenges associated with wearing Personal protective Equipment (PPE). The aim in this study was to explore emergency nurses’ experiences early in the COVID-19 pandemic in Australia and the impact of PPE use on their practice. Methods An explorative descriptive qualitative study was conducted between January 2022 and April 2022
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Teaching cardiopulmonary resuscitation using virtual reality: A randomized study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-09-04 P.M. Alcázar Artero, R. Greif, J.J. Cerón Madrigal, D. Escribano, M.T. Pérez Rubio, M.E. Alcázar Artero, P. López Guardiola, M. Mendoza López, R. Melendreras Ruiz, M. Pardo Ríos
Background The main functions of healthcare professionals include training and health education. In this sense, we must be able to incorporate new technologies and serious game to the teaching cardiopulmonary resuscitation. Methods a multicenter, comparative and cross-sectional study was carried out to assess the learning of resuscitation of a group that was trained with the use of serious gaming with
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Performance of the Interagency Integrated Triage Tool in a resource-constrained emergency department during the COVID-19 pandemic Australas. Emerg. Care (IF 2.1) Pub Date : 2023-08-17 Rob Mitchell, Wilma Sebby, Donna Piamnok, Alyxandra Black, Wips Amono, Sarah Bornstein, Colin Banks, Gerard O’Reilly, Peter Cameron
Background The Interagency Integrated Triage Tool (IITT) is a three-tier triage instrument recommended by the World Health Organization, but only the pilot version of the tool has been comprehensively assessed for its validity and reliability. This study sought to evaluate the performance of the IITT in a resource-constrained emergency department (ED) during the COVID-19 pandemic. Methods This prospective
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Relationship between transformational leadership, adverse patient events, and nurse-assessed quality of care in emergency units: The mediating role of work satisfaction Australas. Emerg. Care (IF 2.1) Pub Date : 2023-08-17 Leodoro J. Labrague
Background Effective leadership plays a pivotal role in healthcare settings, particularly in the fast-paced and high-pressure environment of the emergency room, as it is closely linked to patient safety and the overall quality of care. This study assessed the mediating role of work satisfaction in the relationship between nurses' perceptions of their nurse managers' transformational leadership, reported
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The role of emergency medical services in the management of in-hospital emergencies: Causes and outcomes of emergency calls – A descriptive retrospective register-based study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-08-17 Henna Myrskykari, Timo Iirola, Hilla Nordquist
Background Medical emergency teams (METs) are in place in some hospitals in Finland to respond to critical emergency events. However, in hospitals without dedicated METs, staff are instructed to call emergency medical services (EMS) to deal with emergencies. This study examined the reasons for calling EMS to hospitals and the outcomes of these calls. Methods Descriptive retrospective register-based
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Implementing community paramedicine: A known player in a new role. A narrative review Australas. Emerg. Care (IF 2.1) Pub Date : 2023-08-09 Evelien Spelten, Brodie Thomas, Julia van Vuuren, Ruth Hardman, David Burns, Peter O’Meara, Louise Reynolds
Background Community Paramedicine is a model of care which is effective and accepted by health professionals and the community. Community paramedicine delivers low acuity primary care to disadvantaged communities and addresses service gaps. We aimed to identify successful implementation of community paramedicine models and signalled opportunities and challenges. Methods A narrative review was conducted
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Integrative virtual nursing simulation in teaching cardiopulmonary resuscitation: A blended learning approach Australas. Emerg. Care (IF 2.1) Pub Date : 2023-08-08 Yan Li, Yunling Lv, Ramil D. Dorol, Junxiao Wu, Anna Ma, Qian Liu, Jin Zhang
Background Online learning resources facilitated educational development during the COVID-19 pandemic. This study focuses on the integration of online virtual simulation with interactive exercises and offline low-fidelity simulation for the first time to explore the impact on CPR skills. Methods First year nursing students from a medical college participated as volunteers in this study. They were divided
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As loud as a construction site: Noise levels in the emergency department Australas. Emerg. Care (IF 2.1) Pub Date : 2023-07-31 Corey Adams, Ramya Walsan, Rebecca McDonnell, Anthony Schembri
Background The Emergency Department (ED), while being an integral part of healthcare systems, frequently experiences noise levels surpassing the World Health Organization's recommended thresholds. These excessive noise levels could considerably compromise the safety and wellbeing of both patients and staff. Methods To evaluate noise levels throughout the ED environment, this study utilized dosimeters
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Staff perceptions of barriers to self-harm care in the emergency department: A cross-sectional survey study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-07-27 Hannah Richards, Gowri Rajaram, Michelle Lamblin, Jonathan Knott, Owen Connolly, Sarah Hetrick, Jo Robinson
Background Emergency departments (EDs) are often the first point of contact for people with self-harm; however, they do not always receive optimal care. The study objective was to examine the perspectives of ED staff who respond to self-harm presentations, perceived barriers to providing optimal, guideline-concordant care, and staff’s familiarity with existing guidelines. Methods An online cross-sectional
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Secondary traumatic stress in partners of paramedics: A scoping review Australas. Emerg. Care (IF 2.1) Pub Date : 2023-07-12
Background Paramedics experience post-traumatic stress in their work, and many paramedics turn to their intimate partner for support. However, exposure to traumatic event details can leave partners vulnerable to secondary traumatic stress. Despite substantial research into reducing stress and improving support for paramedics, few studies have investigated their partners’ trauma experiences and support
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Relationship between transition shock in novice emergency room nurses, quality of nursing care, and adverse patient events: The mediating role of emotional exhaustion Australas. Emerg. Care (IF 2.1) Pub Date : 2023-07-11
Background Transition shock, experienced during the first two years of employment, has been attributed to decreased clinical performance and an overall decrease in work productivity among newly graduated nurses, as well as compromised patient safety outcomes. This study tested the intermediary effect of emotional exhaustion on the association between transition shock in novice emergency room (ER) nurses
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Educational programs for implementing ultrasound guided peripheral intravenous catheter insertion in emergency departments: A systematic integrative literature review Australas. Emerg. Care (IF 2.1) Pub Date : 2023-07-07 Renee Stone, Rachel M. Walker, Nicole Marsh, Amanda J. Ullman
Background Ultrasound-guided peripheral intravenous catheter insertion has been identified as an effective method to improve the success rate of cannulation, thereby improving patient experience. However, learning this new skill is complex, and involves training clinicians from a variety of backgrounds. The aim of this study was to appraise and compare literature on educational methods in the emergency
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Occupational violence in a tertiary emergency department: A retrospective descriptive study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-06-16 Alexander Joyce, Richard Pellatt, Jamie Ranse, Amy Doumany, Emma Hall, Amy Sweeny, Gerben Keijzers
Objective Occupational violence in emergency departments (EDs) impacts staff and patients. Most hospitals have a response mechanism called a ‘Code Black’ or similar. We aimed to determine the incidence of Code Black activations in a tertiary ED and describe contributory factors, management strategies and adverse events. Methods Descriptive study in a tertiary ED in South-East Queensland in 2021. Adult
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Instructions to Authors Australas. Emerg. Care (IF 2.1) Pub Date : 2023-06-02
Abstract not available
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Impact of an emergency department rapid response system on inpatient clinical deterioration: A controlled pre-post study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-05-18 Belinda Munroe, Kate Curtis, Margaret Fry, Sharyn Balzer, Panchalee Perara, Tracey Couttie, Karlie Royston, Ping Yu, Natasha Tidswell, Julie Considine
Aim To determine the impact implementation of Emergency Department Clinical Emergency Response System (EDCERS) on inpatient deterioration events and identify contributing causal factors. Methods EDCERS was implemented in an Australian regional hospital, integrating a single parameter track and trigger criteria for escalation of care, and emergency, specialty and critical care clinician response to
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Preparing undergraduate student paramedics to consider their mental health during clinical placement in Australia Australas. Emerg. Care (IF 2.1) Pub Date : 2023-05-17 Anthony Weber, Briella Weber, Shannon Delport
Introduction This article explores the impact of mental health issues on paramedics in Australia, particularly Post-Traumatic Stress Disorder, caused by their exposure to high levels of stress. The prevalence of Post-Traumatic Stress Disorder is higher among paramedics than any other occupation, and this could be a cause for concern, especially for undergraduate student paramedics. The article examines
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Adherence to recommended guidelines for low back pain presentations to an Australian emergency department: Barriers and enablers Australas. Emerg. Care (IF 2.1) Pub Date : 2023-05-14 Janelle Heine, Peter Window, Sarah Hacker, Jordan Young, Gary Mitchell, Shea Roffey, Michelle Cottrell
Objective This study sought to evaluate the adherence to guidelines for the management of mechanical Low Back Pain within a single tertiary metropolitan Emergency Department setting. Our objectives were: 1. To identify the proportion of patients presenting to a single Emergency Department with mechanical Low Back Pain who received management in line with the guidelines; and 2. To understand and describe
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Factors that contribute to patient length of stay in the emergency department: A time in motion observational study Australas. Emerg. Care (IF 2.1) Pub Date : 2023-05-02 Karlie Payne, Dante Risi, Anna O’Hare, Simon Binks, Kate Curtis
Objectives Increased Emergency Department length of stay impacts access to emergency care and is associated with increased patient morbidity, overcrowding, reduced patient and staff satisfaction. We sought to determine the contributing factors to increased length of stay in our mixed ED. Methods A real-time observational study was conducted at Wollongong Hospital over a continuous 72-h period. Times
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Epidemiology and management of traumatic brain injury in a regional Queensland Emergency Department Australas. Emerg. Care (IF 2.1) Pub Date : 2023-04-17 Matthew I. Hiskens, Tesfaye S. Mengistu, Bauke Hovinga, Neale Thornton, Karen B. Smith, Gary Mitchell
Background There is a paucity of traumatic brain injury (TBI) data in Australia in the regional and rural context. This study aimed to investigate the epidemiology, severity, causes, and management of TBI in a regional north Queensland population to plan acute care, follow up, and prevention strategies. Methods This retrospective study analysed TBI patients presenting to Mackay Base Hospital Emergency
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Factors associated with willingness to perform basic life support in the community setting in Yogyakarta, Indonesia Australas. Emerg. Care (IF 2.1) Pub Date : 2023-03-22 Happy Indah Kusumawati, , Syahirul Alim, Bayu Fandhi Achmad, Arcellia Farosyah Putri
Background Cardiac arrest is one of the fatal medical emergencies which need to be treated immediately. Poor survival rates in the community settings are common because of limited and ineffective bystander basic life support (BLS). This study aimed to identify factors that are associated with the willingness to perform BLS in communities in Yogyakarta, Indonesia Methods A descriptive study was conducted
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Major traumatic pedestrian injury in Australia: Characteristics and in-hospital outcomes from the Australia New Zealand Trauma Registry Australas. Emerg. Care (IF 2.1) Pub Date : 2023-03-17 Kate Curtis, Anna Devlin, Emily McKie, Humaira Haider Mahin, Soni Putnis, Kate Hunter
Background The leading global cause of death for people aged 5–29 years is road traffic injury, a quarter of which is borne by pedestrians. The epidemiology of major hospitalised pedestrian injury across Australia is not reported. This study aims to address this gap using data from the Australia New Zealand Trauma Registry. Methods The registry hosts information on patients admitted to 25 major trauma
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Shaping the future design of paramedicine: A knowledge to action framework to support paramedic system modernization Australas. Emerg. Care (IF 2.1) Pub Date : 2023-03-15 Timothy Makrides, Madelyn P. Law, Linda Ross, Cameron Gosling, Joseph Acker, Peter O’Meara
Background Over the past two decades, the demands placed on modern paramedic systems has changed. Paramedic services can no longer continue to operate on a traditional response model where more ambulances are deployed to meet the rising demand of patients calling for their health needs. Recent research has explored system design in paramedicine and its relationship with organizational performance.
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Gender-based differences in assessment and management of acute abdominal pain in the emergency department: A retrospective audit Australas. Emerg. Care (IF 2.1) Pub Date : 2023-03-11 Megan Hayes, Ana Hutchinson, Debra Kerr
Background Previous research has identified gender-based differences in acute pain management in the emergency department [ED]. The aim of this study was to compare pharmacological management of acute abdominal pain in the ED by gender. Methods A retrospective chart audit was conducted at one private metropolitan ED including adult patients (18–80 years) who presented with acute abdominal pain in 2019