Emergency medicine Australasia : EMA
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The present study analyses Oceania's protest and conflict events (2021-2022) to aid healthcare systems better understand the scope of the issue. ⋯ Australia faced pandemic-related protests; Papua New Guinea grappled with tribal violence, posing healthcare challenges. A comprehensive approach emphasising disaster preparedness, regional cooperation and addressing root causes is crucial to bolster healthcare systems.
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Emerg Med Australas · Feb 2025
Effect of case identification changes on pre-hospital intubation performance indicators in an Australian helicopter emergency medical service.
A 45-min interval from injury to intubation has been proposed as a performance indicator for severe trauma patient management. In the Sydney pre-hospital system a previous change in case identification systems was associated with activation delay. We aimed to determine if this also decreased the proportion of patients intubated within this benchmark. ⋯ Time from emergency call to intubation was significantly shorter in the HEMS screening period where all non-trapped cases less than 50 km distant were intubated within the 45-min benchmark. There was no distance where intubation within 45 min could be assured for non-trapped patients in the central control period due to dispatch delays.
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Emerg Med Australas · Feb 2025
Effects of a Virtual Trauma Clinic on admissions and length of stay for minor to moderate trauma.
To investigate the feasibility of a Virtual Trauma Clinic (VTC) for patients with minor to moderate trauma, and evaluate patient satisfaction and outcomes. ⋯ Patients with minor to moderate trauma have ongoing care needs with high rates of pain, psychological distress and disability remaining prevalent long after discharge. VTC provided an innovative strategy for hospital avoidance with high levels of patient satisfaction and no adverse effects on safety. The overall quality of care for these patients was enhanced through the provision of standardised, patient-centred and multidisciplinary follow-up.
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Emerg Med Australas · Feb 2025
De-implementing low-value care in emergency medicine: A framework for sustainable improvement.
The continued use of low-value care interventions is a persisting challenge across the healthcare system despite targeted international efforts to reduce their use. These practices result in considerable economic and carbon costs. ⋯ We outline the interventions and the proportions by which they were reduced. We provide a step-by-step framework that provides a model for other hospital departments or primary care centres to initiate their own de-implementation process for low-value care practices within their setting.