Emergency medicine (Fremantle, W.A.)
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Emerg Med (Fremantle) · Sep 2001
ReviewEthical relationships in paediatric emergency medicine: moving beyond the dyad.
Most areas of health-services research concentrate on a dyadic relationship between doctor and patient. In paediatric emergency medicine it may be necessary to focus on a more complicated relationship because the parents of the child play an important role in the delivery of medical services. ⋯ Such models allow the inclusion of the parents and possibly other family members, medical providers and community members. If the paediatric setting is considered in such a framework, it may be possible to deliver a more socially beneficial medical service.
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Emerg Med (Fremantle) · Sep 2001
Delayed ultrasound in patients with abdominal pain and vaginal bleeding during the first trimester of pregnancy.
To determine if patients with abdominal pain and vaginal bleeding during the first trimester of pregnancy who have a low clinical likelihood of ectopic pregnancy are put at risk of adverse events by delaying ultrasonography 12-18 h after emergency department presentation. ⋯ Preliminary results suggest that pregnant patients with abdominal pain and vaginal bleeding in the first trimester who meet specific low-risk clinical criteria could potentially have ultrasound delayed 12-18 h without risk of adverse event. Further prospective studies are warranted to confirm the safety of this strategy.
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Emerg Med (Fremantle) · Sep 2001
Comparative StudyThe use of emergency contraception in Australasian emergency departments.
To review the prescribing of emergency contraception by emergency departments in Australasia and compare it with other providers. ⋯ Emergency departments are accessed by patients requesting contraception following unprotected intercourse or contraceptive failure. The prescribing of emergency contraception in Australasian emergency departments is comparable with other providers but substantial improvements could be made. Suggestions to assist this improvement include written clinical guidelines and patient information and purpose-made medication packs.
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Emerg Med (Fremantle) · Sep 2001
Clinical TrialAccuracy of emergency department bedside ultrasonography.
To determine which focused ultrasound examinations can be interpreted accurately by emergency physicians who have limited training and experience. To determine whether image quality and/or the operator's level of confidence in the findings correlates with accurate scan interpretation. ⋯ Neophytes can accurately perform and interpret aortic scans; additional training and/or experience appear to be necessary to achieve proficiency in conducting most of the other scans studied. Inexperienced operators are unable to discern whether their scan interpretations will prove accurate.