Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2019
Review Meta AnalysisReview article: Outcomes of patients who are not transported following ambulance attendance: A systematic review and meta-analysis.
The aim of this systematic review and meta-analysis was to evaluate the outcomes of patients who are not transported to hospital following ambulance attendance. A database search was conducted using PubMed, Medline, Embase, CINAHL and Cochrane Library. Studies were included if they analysed the outcomes of patients who were not transported following ambulance attendance. ⋯ Studies found varying estimates for the proportion of patients discharged at the scene that subsequently presented to ED. Few patients were admitted to hospital when the non-transport decision was initiated by EMS, indicating EMS triage is a relatively safe practice. More research is needed to elucidate the context of non-transport decisions and improve access to alternative pathways.
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Emerg Med Australas · Jun 2019
Patient attitudes towards analgesia and their openness to non-pharmacological methods such as acupuncture in the emergency department.
To investigate patient attitudes to analgesia, opioids and non-pharmacological analgesia, including acupuncture, in the ED. ⋯ Most patients were generally satisfied with ED analgesia and were open to non-pharmacologic analgesia including acupuncture.