Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2013
Improvement in emergency department length of stay using an early senior medical assessment and streaming model of care: A cohort study.
Australian EDs are required to conform to the National Emergency Access Target (NEAT): patients must be discharged within 4 h of arrival. The aim of the present study was to determine if a model of care called Senior Assessment and Streaming (SAS) would increase the proportion of patients achieving NEAT. ⋯ Through the introduction of SAS, the present study has demonstrated that providing early senior medical assessment can improve an ED's ability to meet NEAT.
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Emerg Med Australas · Oct 2013
A cohort study of chest pain patients discharged from the emergency department for early outpatient treadmill exercise stress testing.
Guidelines on intermediate-risk chest pain, based on consensus alone, recommend inpatient provocative testing after infarct exclusion. Inpatient testing exceeds capacity in many hospitals, so guidelines concede outpatient testing within 72 h is acceptable. We performed a cohort study of chest pain patients having early outpatient treadmill exercise stress testing (EST). ⋯ Outpatient treadmill EST an average of 10 days post-discharge from emergency with chest pain did not result in adverse events despite reasonably high positive stress test rates. Consensus-based recommendations for inpatient testing or outpatient testing within 72 h of discharge should be reviewed in light of these data.
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Emerg Med Australas · Oct 2013
Letter Case ReportsDiagnosis of triceps tendon rupture with bedside ultrasonography.
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Emerg Med Australas · Oct 2013
Letter Case ReportsUnusual case of cervicofacial surgical emphysema.