Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2016
Multicenter Study Comparative StudyEnd-of-life issues: Withdrawal and withholding of life-sustaining healthcare in the emergency department: A comparison between emergency physicians and emergency registrars: A sub-study.
We investigated and compared the importance of the considerations and discussions when withdrawing and withholding life-sustaining healthcare between emergency physicians (EP) and emergency registrars (ER). ⋯ We found that ER were more likely to withdraw/withhold life-sustaining healthcare, provide partial treatment, rate different considerations as important and their patients took longer to die than that of EP. Focused education and training might improve decision-making consistency between physicians and training registrars.
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Emerg Med Australas · Dec 2016
Observational StudyChanging paediatric emergency department model of care is associated with improvements in the National Emergency Access Target and a decrease in inpatient admissions.
To assess the impact on patient flow as noted by the National Emergency Access Target (NEAT), with the introduction of a new Paediatric ED (PEM ED) model of care. ⋯ NEAT times improved after changing the PEM ED model of care. Further studies may assist identifying which of the specific features within the new model are most effective for improving patient flow.
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Emerg Med Australas · Dec 2016
Randomized Controlled TrialA randomised controlled trial of paracetamol and ibuprofen with or without codeine or oxycodone as initial analgesia for adults with moderate pain from limb injury.
Compare pain relief from non-opioid, codeine and oxycodone analgesic regimens in adults with moderate pain from limb injury. ⋯ At 30 min, analgesic effects of non-opioid, codeine and oxycodone groups were non-inferior.
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Emerg Med Australas · Dec 2016
Blunt chest trauma in a non-specialist centre: Right treatment, right place?
To compare patient characteristics, management and outcomes for patients admitted with isolated blunt chest trauma, managed by medical or surgical teams. ⋯ Amongst patients with isolated blunt chest trauma, those managed by medical teams were older, had more comorbidities and were more likely to have become injured with a low trauma fall than those managed by surgical teams. They had less access to analgesic options, developed pneumonia more often and had higher mortality.