Just a head knock? Emergency physicians need to get serious about concussion

IF 1.7 4区 医学 Q2 EMERGENCY MEDICINE
Alan J Pearce PhD, Peter Wirth MBBS, FACEM, Michelle Fitts PhD
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引用次数: 0

Abstract

Attention and awareness regarding concussion injury in Australia have significantly increased in the last decade. Although most of this increase is because of discussion regarding concussions from sporting endeavours, the majority of concussions are from non-sport environments including motor vehicle crashes, workplace incidents, falls, accidents, assault and intimate partner violence. In all cases, hospital EDs are the first point of contact, yet as argued in our Opinion here, there are concerns regarding the consistency of care protocols, because of a number of reasons, as well as management and follow-up clinical practices. Our Opinion is to provide a constructive discussion as well as calling for ACEM to support research to provide evidence-based data. Finally, we provide some recommendations that could be implemented immediately to improve clinical practice for presentations of concussion injuries in EDs.

只是头部撞击?急诊医生需要认真对待脑震荡。
在过去十年中,澳大利亚对脑震荡伤害的关注和认识有了显著提高。尽管这种增长主要是由于有关体育运动造成脑震荡的讨论,但大多数脑震荡是在非体育运动环境中造成的,包括机动车碰撞、工作场所事故、跌倒、意外事故、攻击和亲密伴侣暴力。在所有情况下,医院急诊室都是第一接触点,但正如我们在此发表的《意见》中所论述的,由于多种原因,人们对护理方案的一致性以及管理和后续临床实践存在担忧。我们的意见旨在提供建设性的讨论,并呼吁 ACEM 支持研究,以提供循证数据。最后,我们提出了一些可立即实施的建议,以改善急诊室脑震荡损伤的临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Emergency Medicine Australasia
Emergency Medicine Australasia 医学-急救医学
CiteScore
3.70
自引率
13.00%
发文量
217
审稿时长
6-12 weeks
期刊介绍: Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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