Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2023
Outcomes in traumatic cardiac arrest patients who underwent advanced life support.
Survival following a traumatic cardiac arrest (TCA) remains poor despite research focused on specific management and guideline adaptation. Previous research has identified factors including age, arresting rhythm, injury severity and distance from hospital to be associated with prehospital TCA outcomes. The present study aimed to review the local incidence of TCA to inform local practice within a mature trauma system. ⋯ These results support the identification and immediate management of TCA. No patients survived if they did not achieve ROSC by hospital arrival, questioning the role for aggressive management beyond the ED in this cohort. Future research will focus on the identification of patients with potentially positive survival outcomes and further define futile intervention factors.
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To report the frequency of electric scooter-related trauma and association with alcohol and other drug (AOD) use. ⋯ Urgent preventive measures with a focus on reducing AOD exposure and promoting of helmet use is indicated.
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Emerg Med Australas · Apr 2023
Exploring a hospital's response to children who have no fixed address.
To explore how a tertiary metropolitan public healthcare provider supported children who presented with 'no fixed address' (NFA). ⋯ The hospital system did not effectively identify or respond to the psychosocial needs of children with NFA.
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The objectives of the present study were to report the proportion of older teenagers, including the subgroup operating a motor vehicle, presenting to an adult major trauma centre after injury with a positive blood alcohol concentration (BAC) over a 12-year period. ⋯ A substantial proportion of older teenagers included in the registry had alcohol exposure prior to trauma. Despite a modest down-trending incidence, the need for continuing preventive measures is emphasised. In particular, preventive efforts should be targeted at male, older teenagers undertaking drinking activities on weekend days and driving motor vehicles.
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Emerg Med Australas · Apr 2023
High-dose vasoactive agents in aeromedical retrievals for septic shock: A role for vasopressin?
To determine the number of patients retrieved by aeromedical teams for septic shock requiring vasopressor support who meet criteria for vasopressin therapy under the Surviving Sepsis Campaign 2021 guidelines. ⋯ A sufficient percentage of patients on vasopressors for septic shock require vasopressin therapy to meet current best treatment guidelines, and the inclusion of vasopressin in retrieval drug kits should be considered by Australian aeromedical services.