Emergency medicine Australasia : EMA
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Emerg Med Australas · Dec 2018
Testing a new form to document 'Goals-of-Care' discussions regarding plans for end-of-life care for patients in an Australian emergency department.
There is limited literature to inform the content and format of Goals-of-Care forms, for use by doctors when they are undertaking these important conversations. ⋯ Having a Goals-of-Care form in emergency medicine is supported; the ideal contents of the form was not determined.
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As an emerging country with the fourth largest population in the world, Indonesia's purchasing power has strengthened, leading to socioeconomic changes that affect its healthcare system. Additionally, there is a surge of healthcare utilisation after the implementation of a new national insurance scheme, particularly within emergency departments. Similar to other low- to middle-income countries, Indonesia has not prioritised the progress of emergency medicine despite existing evidence that suggests that the early intervention of many acute conditions lowers the rates of morbidity and mortality. This article will review the past and current state of emergency medicine in Indonesia. ⋯ The development of emergency medicine in Indonesia is in its infancy and will require rapid improvement to meet its country's demand. Academic, private and government sectors need to collaborate to promote and invest in emergency medicine.
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Emerg Med Australas · Dec 2018
Epidemiology of trauma patients attended by ambulance paramedics in Perth, Western Australia.
The aim of the study was to describe the epidemiology of trauma in adult patients attended by ambulance paramedics in Perth, Western Australia. ⋯ The trauma incidence rate increased over time and the majority of patients had low-acuity injuries. Focusing research, training and resources solely on high-acuity patients will not cater for the needs of the majority of patients.