Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2016
ReviewReview article: Diagnostic accuracy of risk stratification tools for patients with chest pain in the rural emergency department: A systematic review.
Risk stratification tools for patients presenting to rural EDs with undifferentiated chest pain enable early definitive treatment in high-risk patients. This systematic review compares the most commonly used risk stratification tools used to predict the risk of major adverse cardiac event (MACE) for patients presenting to rural EDs with chest pain. A comprehensive search of MEDLINE and Embase for studies published between January 2011 and January 2015 was undertaken. ⋯ The HFA/CSANZ guidelines achieved zero cases of MACE but discharged only 1.3% of patients. EDACS-ADP can potentially increase diagnostic efficiency of patients presenting at ED with chest pain. Further assessment of tool in a rural context is recommended.
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Emerg Med Australas · Oct 2016
Walk them or no leg to stand on! Diagnostic delay of neurologic conditions in young children.
Diagnosis of low incidence neurological conditions can be a challenge in paediatric emergency medicine. Neurological examination in young children can be very difficult, and medical staff may not previously have encountered conditions like acute demyelinating encephalomyelitis. We propose that the simple process of walking a child (provided they were previously ambulant) is the crucial step in the neurological examination. We present three cases to demonstrate this important part of the examination.
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Emerg Med Australas · Oct 2016
Biography Historical ArticleLeo Marneros (22 May 1964-31 March 2016).