Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2023
Sex differences among patients presenting to hospital with out-of-hospital cardiac arrest and shockable rhythm.
Sex differences in patients presenting with out-of-hospital cardiac arrest (OHCA) and shockable rhythm might be associated with disparities in clinical outcomes. ⋯ Among patients presenting with OHCA and a shockable rhythm, baseline sex and sex differences were not associated with disparities in short-term outcomes in contemporary systems of care.
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Emerg Med Australas · Apr 2023
Multicenter StudyAssociation between timing and adequacy of antibiotics and adverse outcomes in patients with sepsis and septic shock: A multicentre retrospective cohort study.
To investigate the association between the timing and adequacy of antibiotics administered to patients presenting with culture-positive sepsis and septic shock to the ED and in-hospital mortality and/or intensive care unit (ICU) admission. ⋯ In a large multicentre sample of patients with culture-positive sepsis, inadequacy of antibiotics was associated with higher risk of in-hospital mortality or ICU admission.
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Emerg Med Australas · Apr 2023
Prolonged length of stay is associated with reduced hand hygiene compliance in the emergency department: A single centre retrospective study.
To examine whether patient flow factors in the ED such as prolonged length of stay are associated with hand hygiene (HH) compliance. ⋯ The findings show that prolonged ED length of stay may explain, at least partly, lower rates of HH compliance. Improvements in ED HH compliance should also include strategies that enhance patient flow.
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Emerg Med Australas · Apr 2023
Observational StudyIncidence of traumatic brain injuries in head-injured children with seizures.
Incidence and short-term outcomes of clinically important traumatic brain injury (ciTBI) in head-injured children presenting to ED with post-traumatic seizure (PTS) is not described in current literature. ⋯ PTS was uncommon in head-injured children presenting to the ED but associated with an increased risk of ciTBI in those with reduced GCS on arrival.
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Emerg Med Australas · Apr 2023
Snapshot of suspected acute coronary syndrome assessment processes in the emergency department: A national cross-sectional survey.
The Snapshot of Suspected ACS Assessment (SSAASY) study aims to describe the assessment processes for patients with suspected acute coronary syndrome (ACS) in Australian EDs, and to compare these processes with the National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand (NHFA/CSANZ) guidelines. ⋯ The SSAASY study reported the strategies used to assess suspected ACS. In line with current NHFA/CSANZ guidelines, highly sensitive troponin assays are widely utilised. However, serial sampling intervals were longer than guideline recommendations, suggesting a translational gap between guidelines and clinical practice.