Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2005
Comparative StudyPrehospital intubation and chest decompression is associated with unexpected survival in major thoracic blunt trauma.
Application of the Trauma and Injury Severity Score (TRISS) to a trauma population identifies patients with 'unexpected survival'. This study used TRISS analysis to identify 'unexpected survivors' suffering major thoracic trauma, who survived to hospital discharge. Further analysis determined prehospital interventions that appeared to contribute to 'unexpected survival'. ⋯ For patients sustaining severe thoracic blunt trauma, prehospital intubation and chest decompression appear to be associated with unexpected survival. A low GCS at scene is not predictive of 'unexpected survival' or 'expected death'.
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Emerg Med Australas · Oct 2005
Non-urgent presentations to a paediatric emergency department: parental behaviours, expectations and outcomes.
To identify factors that influence the attendance of children with non-urgent medical problems to a tertiary paediatric ED and to define parental expectations of the hospital visit. ⋯ The expectations of parents who attend the paediatric ED with children who have non-urgent chronic complaints are high. Rapid access to outpatient clinics might provide an acceptable alternative for these patients, and free valuable ED resources.