Emergency medicine Australasia : EMA
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To establish the incidence and pattern of injuries in patients presenting to hospital with tram-related injuries. ⋯ Most cases of trauma related to trams have minor injuries and are discharged following ED management. Primary prevention of falls in trams and the separation of pedestrians from trams are key areas requiring immediate improvement. In the face of increasing trauma associated with trams, continuing safety surveillance and targeted public safety messages are important to sustain trams as safe and effective mode of transport.
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Emerg Med Australas · Aug 2010
Emergency clinician performed ultrasound: availability, uses and credentialing in Australian emergency departments.
To determine the current availability, uses and credentialing processes of emergency clinician performed ultrasound (EDUS) in Australian ED. ⋯ Emergency department ultrasound is widely available in Australia. Only 60% of surveyed ED had a credentialing process in place for EDUS. This may be of concern given the current Australasian College for Emergency Medicine policy regarding EDUS.
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Emerg Med Australas · Aug 2010
Analysis of junior doctor supervision in Australasian emergency departments.
Supervision of junior doctors in ED is vital but limited literature exists on how it is provided. ⋯ There are significant differences between supervision requirements for PGY1 and PGY2. A minority of ED in Australasia do not have 24 h supervision by PGY3 or higher. Few ED have written guidelines for supervising PGY1 and PGY2. The majority of registrar supervision occurs without consultant oversight. Legislature requirements for supervision in ED are variable between regions.
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Emerg Med Australas · Aug 2010
Can e-learning improve medical students' knowledge and competence in paediatric cardiopulmonary resuscitation? A prospective before and after study.
To determine whether the use of an e-learning package was able to improve the knowledge and competence of medical students, in a simulated paediatric resuscitation. ⋯ E-learning does improve both the knowledge and competence of medical students in paediatric cardiopulmonary resuscitation at least in the simulation environment.
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Emerg Med Australas · Aug 2010
Chest pain in pacemaker patients, the answer is not always antiplatelets and anticoagulants: a four-case series.
Chest pain in pacemaker patients can be difficult to evaluate due to alterations in QRS and ST segments on the surface ECG. A high prevalence of ischaemic heart disease in this population also serves to influence the differential diagnosis. We highlight four cases, all with simple yet informative imagery, in an attempt to alert clinicians of worrying signs.