Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2023
Drug and alcohol intoxication in major trauma: Associations, trends and outcomes over a decade.
Drug and alcohol intoxication is common among injured patients altering trauma presentation and characteristics. However, uncertainty exists regarding the effect of intoxication on injury severity, as well as outcomes. The present study aims to provide an update on substance-use patterns and their association with traumatic presentation and outcome within a contemporary Australian context. ⋯ Within this contemporary Australian population, we demonstrate escalating rates of drug intoxication and declining rates of alcohol intoxication prior to trauma. Intoxication was associated with more frequent violent and non-accidental injury, and despite no difference in severity, it was associated with worse outcomes.
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Emerg Med Australas · Oct 2023
Introduction of QScript real-time prescription monitoring system was associated with a fall in pregabalin poisoning presentations to a clinical toxicology unit.
To investigate the impact of QScript implementation on pregabalin-related poisoning presentations to the ED. ⋯ The introduction of QScript was associated with a reduction in pregabalin-related poisoning presentations.
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Emerg Med Australas · Oct 2023
Will code one day run a code? Performance of language models on ACEM primary examinations and implications.
Large language models (LLMs) have demonstrated mixed results in their ability to pass various specialist medical examination and their performance within the field of emergency medicine remains unknown. ⋯ Large language models, by passing the ACEM primary examination, show potential as tools for medical education and practice. However, limitations exist and are discussed.
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Emerg Med Australas · Oct 2023
ReviewClosing the miscommunication gap: A user guide to developing picture-based communication tools for Aboriginal and Torres Strait Islander peoples in emergency departments.
To document an illustration-based methodology for culturally safe communication between Indigenous patients and clinicians in an urban ED. ⋯ Co-design methodologies can guide improvements in culturally safe clinical communication with First Nations patients in EDs.