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
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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A retrospective analysis of enquiries made to the New Zealand National Poisons Centre (NZNPC) in 2018; which includes direct contacts through telephone of caller, patient and exposure substance characteristics, and indirect contacts through the internet of page hits by New Zealand (NZ) healthcare professionals on the TOXINZ poisons information database. ⋯ In 2018, the NZNPC provided assessment and/or advice in 64 358 enquiries, comprising 25 330 direct contacts and 39 028 indirect contacts. The NZNPC provides specialised services regularly used by both members of the public and healthcare professionals that contributes to the clinical management of poisoned and potentially poisoned patients in NZ.
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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.