Articles: emergency-services.
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Observational Study
Disparities in pain management among transgender patients presenting to the emergency department for abdominal pain.
Transgender and gender-diverse (TGD) individuals have a gender identity or expression that differs from the sex assigned to them at birth. They are an underserved population who experience health care inequities. Our primary objective was to identify if there are treatment differences between TGD and cisgender lesbian/gay/bisexual/queer (LGBQ) or heterosexual individuals presenting with abdominal pain to the emergency department (ED). ⋯ There was no difference in frequency of pain assessment, regardless of gender identity or sexual orientation. More cisgender men, compared to TGD and cisgender women, received opioids for their pain.
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Emerg Med Australas · Feb 2025
What proportion of women presenting to the emergency department with early pregnancy bleeding receive appropriate care?
To determine the proportion of women presenting to EDs across a regional health district, with early pregnancy bleeding, who received appropriate care. ⋯ Variation in care for women presenting with early pregnancy bleeding to ED was identified. There is an evidence-practice gap and need for inquiry into barriers and facilitators to prescribed clinical practice for this population.
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Emerg Med Australas · Feb 2025
Experience, knowledge, practices and attitudes of emergency department medical staff regarding teledermatology.
The present study aimed to assess self-reported experience, knowledge, practices and attitudes of ED medical staff regarding teledermatology. ⋯ Skin photography image quality, knowledge and adherence to medicolegal policy were poor among ED medical staff. Education could reduce risk and improve outcomes.
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Emerg Med Australas · Feb 2025
Prisoners in the emergency department: Lessons from a recent inquest.
The recent coronial finding in Victoria into the death of Joshua (Josh) Kerr highlights some of the challenges of treating patients who are in custody and under the supervision of custodial staff (prison officers or police) in the ED. Issues include ED clinicians' duty of care, roles and responsibilities of ED staff and custodial staff and the need for processes that facilitate collaboration and communication between ED clinicians and custodial staff.
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Observational Study
Patient assessment of the CAPE: A solution to negative pressure isolation in an emergency department.
The Collapsible Aerosolized Particle Enclosure (CAPE) is a negative pressure patient isolation device designed to protect patients and clinicians from aerosolized infectious particles. The CAPE is intended to provide a safe environment for care receipt and delivery when isolation capacity is limited. The goal of this study was to evaluate the acceptability of receiving care in the CAPE from the emergency department (ED) patient perspective. ⋯ In this pilot, prospective, observational study with adult ED patients, the majority of patients found the CAPE comfortable and safe, providing adequate space, and easily accessed. Use of the CAPE with ED patients was feasible and acceptable in our setting, supporting its use as a promising method for expanding isolation space during times of limited negative pressure capacity.