Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2019
Observational StudyRetrospective descriptive observational study of patients who presented to an Australian hospital emergency department with neck soft tissue injury.
To describe clinical presentation and management of neck soft tissue injury in an Australian ED. ⋯ There is large practice variation in management of neck soft tissue injury in ED. Over half of the patients received CT scans with modest yield. Opioids were commonly used both in ED and on discharge. There is need for a standard management plan to be developed for patients presenting with acute neck soft tissue injury.
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Emerg Med Australas · Oct 2019
Attitudes and beliefs of Australian emergency department clinicians on antimicrobial stewardship in the emergency department: A qualitative study.
To explore the attitudes and beliefs of Australian ED clinicians towards antimicrobial stewardship in the ED. ⋯ Australian ED clinicians were aware of antimicrobial resistance. Many perceive injudicious antimicrobial use as problematic. Consideration of ED clinicians' perceived barriers and facilitators might enhance implementation of antimicrobial stewardship programmes in EDs.
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Emerg Med Australas · Oct 2019
Security interventions are frequently undocumented in emergency department clinical notes.
To compare the documentation of security interventions in ED presentations between clinical notes and security records. ⋯ The rate of documentation of security interventions in clinical notes was less than 50%. Documentation of critical information, including alerts and risks, in the clinical notes is an essential component of communication that the multi-disciplinary team use to ensure patient safety. Strategies aimed at improving the documentation of security interventions in clinical notes will help to optimise risk management and the safety of patients, staff and visitors along the continuum of care.
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Emerg Med Australas · Oct 2019
Planning for the future: Modelling daily emergency department presentations in an Australian capital city.
To describe and model a decade of ED presentations in metropolitan Melbourne, Australia, from July 2000 to June 2010 and to validate the model of ED presentations by testing the model's performance in forecasting the subsequent 2 year period of daily presentations, from July 2010 to June 2012. ⋯ We have produced and validated a model for predicting daily ED presentations across a major city. Even though ED presentations are multifactorial, city-wide daily presentations are predictable and explained by a small number of variables. The model will have implications for future health planning.