Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2024
Nationwide status of aeromedical pre-hospital and retrieval medicine in Australia.
To survey the current structure, capability and operational scope of pre-hospital and retrieval aeromedical teams across Australia. ⋯ Aeromedicine in Australia has many consistent elements, but variable contexts have resulted in a diversity of operational models.
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Emerg Med Australas · Oct 2024
Observational StudyGender differences in female and male Australian football concussion injury: A prospective observational study of emergency department presentations.
To examine gender differences in Australian football (AF)-related concussion presentations to EDs in regional Australia. ⋯ Concussion rates for community-level AF presentations to regional EDs were similar between genders. Serious head injury was rare, although hospital admission for observation was common. Concurrent injuries were common, with associated neck injury most often identified. Match play accounted for the majority of head injuries.
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Emerg Med Australas · Oct 2024
Evaluating the effectiveness of the maximum permitted dose of midazolam in seizure termination: Insights from New South Wales, Australia.
Out-of-hospital seizures demand rapid management. Midazolam plays a key role in stopping seizures. At times the first dose of midazolam proves insufficient, necessitating additional doses. Within the New South Wales Ambulance (NSWA) service, the upper limit for midazolam administration is set at 15 mg. However, the outcomes and safety of using midazolam at this maximum dosage have not been thoroughly investigated. ⋯ In New South Wales, Australia, administering the maximum dose of midazolam to seizure patients is rare but proves effective in approximately half of the refractory seizure cases. Therefore, assessing the potential for additional doses of midazolam or the use of a second-line agent is advisable.