Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2023
Observational StudyClinical characteristics of Aboriginal and Torres Strait Islander emergency department patients with suspected acute coronary syndrome.
To describe the demographics, presentation characteristics, clinical features and cardiac outcomes for Aboriginal and Torres Strait Islander patients who present to a regional cardiac referral centre ED with suspected acute coronary syndrome (ACS). ⋯ Aboriginal and Torres Strait Islander patients with suspected ACS have a high burden of traditional cardiac risk factors, regardless of whether they are eventually diagnosed with ACS. These patients may benefit from assessment for coronary artery disease regardless of age at presentation.
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Emerg Med Australas · Jun 2023
Impact of art and reflective practice on medical education in the emergency department.
There is heightened intrigue surrounding the application of arts-based pedagogy in medical education. Art encompasses multiple forms of expression and is used to convey specific meaning and emotion, whereas provoking critical reflection. Our aim was to explore the effectiveness of art and reflective practice in medical education, in the context of the ED. ⋯ The combination of art and reflection in medical education enhances reflective learning and can lead to transformative change, including the development of core doctoring values of service, empathy and respect for patient. There are clear benefits to medical education incorporating more arts-based pedagogy that promotes reflective exploration and interpretation of the psychosocial context of health and illness, delivery of more holistic models of care and their role as doctors.
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Emerg Med Australas · Jun 2023
Observational StudyEconomic consequences of injury in female Australian footballers: A prospective observational study of emergency department presentations.
Investigate the economic consequences of injuries to female Australian footballers from a health sector and societal perspective. ⋯ Injuries to female Australian footballers can produce substantial healthcare and societal costs, which has important implications for healthcare provision and prioritising and implementing injury prevention programmes and post-injury rehabilitation.
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Emerg Med Australas · Jun 2023
ReviewReview article: Use of the Team Emergency Assessment Measure in the rating of emergency teams' non-technical skills: A mapping review.
The present study aims to explore the utility of the Team Emergency Assessment Measure (TEAM) in relation to the enhancement of emergency team non-technical skills based on research conducted over the last decade. In this mapping review, a citation mining process identified 22 primary studies for inclusion, published between 2012 and 2022. It provides outcome data on emergency teams' non-technical skills following team training and/or real-life patient emergencies. ⋯ The review highlights a lack of studies evidencing quality improvement or clinical impact such as change of patient care practice or health service performance. There is a need to conduct well-designed studies that explore both technical and non-technical skills of resuscitation teams and METs. Currently, non-technical skills training and repeated performance evaluations using the TEAM contribute immensely to the proficiency of emergency teams.
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Emerg Med Australas · Jun 2023
Patterns of emergency department use in rural and metropolitan New South Wales by socioeconomic status: A population-based study.
To investigate the patterns of ED use in metropolitan and rural New South Wales (NSW) by socioeconomic status (SES). ⋯ Negative gradients in rates of ED presentations with increasing SES were observed in both metropolitan and rural NSW. At each SES quintile, rates of ED presentations were higher in rural compared to metropolitan areas. Further research exploring the underlying causal mechanisms leading to increased ED demand in rural NSW and socioeconomically disadvantaged populations is warranted.