Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2011
Multicenter StudyFactors associated with failure to successfully complete a procedure during emergency department sedation.
To determine factors associated with failure to successfully complete a procedure during sedation in the ED. ⋯ Procedures performed under sedation in the ED have a low failure rate. However, increased body weight and specific procedures, such as hip reduction, are associated with significantly higher failure rates. Special consideration should be given to these patient groups before undertaking sedation in the ED.
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Emerg Med Australas · Aug 2011
Multicenter StudyProcedural sedation practices in Australian Emergency Departments.
The aim of the present study was to describe procedural sedation practices undertaken in a spectrum of Australian EDs. ⋯ Procedural sedation practice across Australian EDs is varies considerably. Procedural sedation 'best practice' guidelines, based upon the findings of the present study and the available evidence, are recommended.
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Emerg Med Australas · Aug 2011
Multicenter StudyRisk factors for sedation-related events during procedural sedation in the emergency department.
To determine the nature, incidence and risk factors for sedation-related events during ED procedural sedation, with particular focus on the drugs administered. ⋯ Sedation-related events, especially airway events, are common but very rarely have an adverse outcome. Elderly patients, deeply sedated with short-acting agents, are at particular risk. The results will help tailor sedation to individual patients.
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Emerg Med Australas · Aug 2009
Multicenter StudyEmergency Department diagnosis of pulmonary embolism is associated with significantly reduced mortality: a linked data population study.
We characterized patients admitted via ED with a principal hospital discharge diagnosis of pulmonary embolism (PE) and compared mortality of those diagnosed in the ED with those diagnosed after admission. ⋯ Making the diagnosis of PE in ED was associated with a substantial survival advantage that persisted after hospital discharge.
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Emerg Med Australas · Jun 2009
Multicenter StudyPain management practices in paediatric emergency departments in Australia and New Zealand: a clinical and organizational audit by National Health and Medical Research Council's National Institute of Clinical Studies and Paediatric Research in Emergency Departments International Collaborative.
To audit pain management practices and organization in paediatric ED across Australia and New Zealand. ⋯ We found a notable lack of pain assessment documentation and delays to analgesia. There is a need to improve pain assessment and management, although a majority of paediatric ED surveyed had important organizational and educational structures in place. Issues to explore include use of opioids in migraine and the underuse of femoral nerve blocks.