Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2021
Meta AnalysisSystematic review and meta-analysis of oral paracetamol versus combination oral analgesics for acute musculoskeletal injuries.
The aim of this systematic review and meta-analysis was to determine if a combination of analgesics conveys any significant clinical benefit over paracetamol alone in managing acute musculoskeletal injuries. ⋯ Paracetamol monotherapy is a reasonable first-line analgesic for acute musculoskeletal injuries as combining additional oral agents does not result in any significant additional analgesic effect.
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Emerg Med Australas · Feb 2021
Epidemiology, treatment and outcome of patients with lower respiratory tract infection presenting to emergency departments with dyspnoea (AANZDEM and EuroDEM studies).
Lower respiratory tract infection (LRTI) is a frequent cause of dyspnoea in EDs, and is associated with considerable morbidity and mortality. We described and compared the management of this disease in Europe and Oceania/South-East Asia (SEA) cohorts. ⋯ More patients with LRTI in Europe presented with cardio-respiratory comorbidities, they received more adjunct therapies and had a higher intensive care unit admission rate than patients from Oceania/SEA, although mortality was similar between the two cohorts.
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Emerg Med Australas · Feb 2021
Multicenter StudyEpidemiology and clinical features of emergency department patients with suspected and confirmed COVID-19: A multisite report from the COVED Quality Improvement Project for July 2020 (COVED-3).
The aim of the present study was to describe the epidemiology and clinical features of patients presenting to the ED with suspected and confirmed COVID-19. ⋯ In this prospective multi-site study from July 2020, a substantial proportion of ED patients required SARS-CoV-2 testing, isolation and enhanced infection prevention and control precautions. Presence of SARS-CoV-2 on nasopharyngeal swab was not associated with death or mechanical ventilation.
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Emerg Med Australas · Feb 2021
Association between potential primary care emergency service and general practitioner care utilisation in New South Wales.
To examine patterns of potential primary care (PPC) ED presentations and any association between PPC ED presentations and frequency of general practitioner (GP) care utilisation in New South Wales, Australia. ⋯ GP care utilisation was associated with reduced risk for any PPC ED presentations after adjusting for comorbidity index and the other factors.
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Emerg Med Australas · Feb 2021
Association of blood pressure changes with survival after paramedic rapid sequence intubation in out-of-hospital patients with stroke.
Rapid sequence intubation (RSI) is used to secure the airway of some patients with stroke. Recent observational studies suggest that RSI is associated with poorer survival, and that decreases in systolic blood pressure (BP) following RSI could be a cause of worse survival. The present study aims to find if decreased systolic BP after paramedic RSI is associated with poorer survival in stroke patients transported by ambulance. ⋯ Paramedic RSI-related decrease in systolic BP is associated with improved survival in those with intra-cerebral or subarachnoid haemorrhage but not ischaemic stroke.