Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2022
Effect of computed tomography scanner location on time-to-computed tomography in the emergency department: A before and after study.
To compare time metrics associated with a temporary disruption to ED computed tomography (CT) scanner location from adjacent to the ED with direct access from resuscitation rooms, to a location remote to the ED. ⋯ Although rapid, proximate access to CT scanning is often considered desirable in terms of the management of trauma and other time-critical emergencies, the wider time and resource implications demonstrated in this study suggest a potential broader benefit to co-located CT scanning in ED. Our experience could be considered in future re-design of EDs.
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Emerg Med Australas · Jun 2022
Effects of staff grade, overcrowding and presentations on emergency department performance: A regression model.
To examine the effect of staffing levels by experience of medical officers and overcrowding on ED key performance indicators (KPIs). ⋯ Increasing numbers of FACEM and non-FACEM SDM, but not junior staff, and a reduction in overcrowding as measured by the number of admitted patients boarded in the ED at 8 am, were associated with improvements in the ED performance.
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Emerg Med Australas · Jun 2022
Early reduction of acute anterior shoulder dislocations in a ski field setting.
The present study describes the management of suspected shoulder dislocations in ski field clinics. ⋯ This short report raises the possibility that early anterior shoulder reduction in a ski field clinic can be safe without imaging, in select cases. Prospective studies including patient centred data are recommended.