Emergency Medicine Australasia最新文献

{"title":"Authors' Reply to Merz et al. on eCPR in New Zealand","authors":"S. Wiebe, A. Boehm","doi":"10.1111/1742-6723.70136","DOIUrl":"https://doi.org/10.1111/1742-6723.70136","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Proportion of Emergency Department Headache Patients With Normal Neurology Have a Serious Secondary Headache Cause? A HEAD Study Report","authors":"Anne Maree Kelly,&nbsp;Kevin H. Chu,&nbsp;Win Sen Kuan,&nbsp;Gerben Keijzers,&nbsp;Frances B. Kinnear,&nbsp;Alejandro Cardozo-Ocampo,&nbsp;the HEAD Study and HEAD Colombia Investigators","doi":"10.1111/1742-6723.70138","DOIUrl":"https://doi.org/10.1111/1742-6723.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To estimate the proportion of Emergency Department (ED) headache patients without neurological features who are diagnosed with a serious secondary headache cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Patients without a known history of cerebral conditions and with a normal neurological assessment were included. The outcome of interest was the proportion of patients diagnosed with a serious secondary headache cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred ninety-one patients were diagnosed with a serious secondary headache cause (191/3951, 4.8%, 95% CI 4.2%–5.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Absence of neurological features alone cannot be used to reliably exclude a serious secondary headache cause in ED patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urgent Care Centre Eligible Presentations in a Remote Emergency Department","authors":"Jack Johnstone,&nbsp;Chris Perry,&nbsp;Ellice Rigby,&nbsp;Lisa Capps,&nbsp;Richard Johnson","doi":"10.1111/1742-6723.70135","DOIUrl":"https://doi.org/10.1111/1742-6723.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to identify presentations to the Alice Springs Emergency Department that could be managed in an Urgent Care Centre (UCC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We reviewed 1 year of ED presentation data at Alice Springs Hospital (ASH) from August 2022 to August 2023 and used a sequence of exclusion criteria to identify patients most likely to be eligible for UCC management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our model indicated that 35.0% of ED presentations at ASH during this period could have been managed in a UCC. Only 41.5% of these presentations (14.5% of total presentations) occurred during UCC operating hours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>According to this model, a significant proportion of ED presentations could potentially be managed in a UCC, although a large proportion of these occurred outside of UCC opening hours. The impact of the introduction of a UCC into a remote community on ED presentations, patient experience, patient outcomes and the broader system requires further study.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ‘Second Shift’ in Emergency Medicine: Strengths and Barriers of the Gendered Double Burden","authors":"Jennifer Jamieson,&nbsp;Zoe Ling,&nbsp;Krupa Mehta,&nbsp;Jocelyn Howell","doi":"10.1111/1742-6723.70133","DOIUrl":"https://doi.org/10.1111/1742-6723.70133","url":null,"abstract":"<div>\u0000 \u0000 <p>The ‘double burden’ (or ‘second shift’) describes the workload of people in paid employment who are also responsible for unpaid domestic work. Globally, most of this work is shouldered by women and is often undervalued. For women working in Emergency Medicine, the double burden is likely to have impacts on career progression and leadership opportunities, as well as present challenges around competing demands of a rotating roster and domestic labour. With a higher and earlier attrition rate from emergency medicine, the loss of female clinicians has enormous implications for the EM workforce. The double burden has often been viewed as a challenge and a barrier to women; however, employing a strengths-based lens reveals that the experience of the double burden may lead to more empathetic and inclusive leadership models with greater innovation and gender equity within emergency department teams.</p>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Viscoelastic Haemostatic Assay Landscape in Queensland, Australia: An Analysis of Use, Indications and Integration","authors":"Akmez Latona,&nbsp;Samantha Lennard,&nbsp;Mark Rane,&nbsp;James Winearls,&nbsp;Biswadev Mitra","doi":"10.1111/1742-6723.70131","DOIUrl":"https://doi.org/10.1111/1742-6723.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Viscoelastic haemostatic assays (VHAs) guide transfusion decisions in bleeding patients. We assessed testing volumes, clinical indications and patient characteristics in a statewide population in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study included all patients who underwent rotational thromboelastometry (ROTEM) or thromboelastography (TEG) across Queensland Health hospitals (1 January 2019 to 15 April 2025), using data from AUSLAB, the statewide laboratory information system and surveyed all hospitals for VHA device availability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Of 39 VHA devices, 31 were transmitting to AUSLAB, with 43,220 tests performed in 21,178 patients, during 18,389 admissions and 6418 ED presentations; 92.0% were ROTEM (<i>n</i> = 39,776) and 8.0% TEG (<i>n</i> = 3444). Most tests occurred during inpatient care (<i>n</i> = 35,527, 82.2%) versus ED (<i>n</i> = 7693, 17.8%). Indications included trauma (<i>n</i> = 23,875, 55.2%), non-variceal gastrointestinal bleeding (<i>n</i> = 4238, 9.8%), obstetrics (<i>n</i> = 3307, 7.7%) and chronic liver disease (CLD) (<i>n</i> = 3853, 8.9%), including 1097 (2.5%) with variceal bleeding.</p>\u0000 \u0000 <p>Emergency department (ED) use increased overall (IRR 1.14; 95% CI 1.12–1.15), including trauma (IRR 1.15), CLD (1.16), variceal bleeding (1.12) and non-variceal bleeding (1.12) (all <i>p</i> &lt; 0.001); obstetric use in ED did not change significantly (IRR 0.93; 95% CI 0.86–1.00). Inpatient use also increased (IRR 1.21; 95% CI 1.21–1.22), including trauma (IRR 1.22), CLD (1.16), variceal (1.10), non-variceal bleeding (1.17) and obstetrics (1.07) (all <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>VHA use increased in both ED and inpatient settings, with prominent use in trauma and CLD. The results indicate growing recognition by clinicians of VHA's value in guiding haemorrhage management. The need for a consistent, evidence-based approach to testing and interpretation of results is paramount.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Interim Care Plans for Direct Inpatient Admissions on Emergency Department Length of Stay: A Retrospective Single-Site Matched-Cohort Study","authors":"Henry Tsao,&nbsp;Adam Cureton,&nbsp;Rory Thompson,&nbsp;Claire Merry,&nbsp;Dale Ramdath,&nbsp;Sanjaya Herath,&nbsp;Philip Jones,&nbsp;Edward Pink,&nbsp;John Sutherland","doi":"10.1111/1742-6723.70132","DOIUrl":"https://doi.org/10.1111/1742-6723.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Investigate the effect of interim care plans (ICP) for direct inpatient general medical and cardiology admissions on Emergency Department (ED) length of stay (LOS), and whether ICP were associated with adverse patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a single-site retrospective study across 12 months in 2023, where ICP was implemented from 1st January. Adults presenting to ED and admitted under general medicine or cardiology, but not requiring high dependency unit care, were included. Patients admitted under ICP (ICP group) were matched to those admitted without ICP (NO-ICP group) via variable ratio up to 1:4 (ICP:NO-ICP) based on age (±10 years), sex, date of presentation (±7 days) and presentation time (day, evening or night). Patients in the NO-ICP group were excluded if vital signs at the time of triage or referral did not fulfil the ICP criteria. The primary outcome was ED LOS, with secondary outcomes including time to inpatient referral, time to bed booking, hospital LOS, and Medical Emergency Team (MET) calls within 24 h after referral.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ICP facilitated admissions were associated with shorter ED LOS compared with admissions without ICP (ICP 535.16 [342.28–728.03] min (median [interquartile range]); NO-ICP 995.00 [642.49–1347.51] min, <i>p</i> &lt; 0.001). However, there was no difference in total hospital LOS (<i>p</i> = 0.28) or rate of adverse events between ICP and NO-ICP groups (Odds ratio 0.73; 95% confidence interval 0.24–2.21).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This single-site study suggests that the ICP model of care for direct inpatient admissions was associated with reduced ED LOS, without increasing adverse outcomes for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Did Not Wait Patients: Low-Risk for Admission and Deterioration","authors":"Daniel Stewart,&nbsp;Miles Greenberg,&nbsp;Simon Heppell,&nbsp;Jonathan Storrar","doi":"10.1111/1742-6723.70134","DOIUrl":"https://doi.org/10.1111/1742-6723.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the proportion of patients who are admitted to hospital following a ‘did not wait’ (DNW) encounter that are related to the initial episode of care, and to assess the frequency of clinical deterioration in this cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective observational study conducted at Dubbo Health Service in Western New South Wales, Australia, using patient-level data from 29 May to 1 October 2023. Patients with a DNW episode recorded anywhere within the Western NSW Local Health District who subsequently presented to Dubbo Emergency Department (ED) and were admitted within 28 days were included. Clinical records were reviewed to determine if the admission was related to the original DNW episode and whether clinical deterioration had occurred.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 14,247 ED presentations, 1123 (7.4%) were classified as DNW. 315 patients re-presented to Dubbo ED within 28-days of a DNW episode of care and 32 were admitted to hospital. 26 of these admissions were related to the initial DNW episode, and 5 patients with admissions related to the initial DNW episode showed evidence of clinical deterioration (0.4% of the DNW cohort).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The majority of DNW episodes did not result in clinical deterioration or related hospital admission. These findings support existing evidence that challenges the assumption of high risk among DNW patients and suggest that health systems should re-evaluate performance metrics and resource investments focused on reducing DNW episodes of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food as a Component of Patient-Centred Care in Emergency Departments: Preliminary Findings","authors":"Vicki Barrington,&nbsp;Vanessa Carter,&nbsp;Andrew Tagg,&nbsp;Danielle Hitch","doi":"10.1111/1742-6723.70126","DOIUrl":"https://doi.org/10.1111/1742-6723.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore the role of food in patient-centred care for culturally diverse communities within Emergency Departments (ED).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The ‘Not Just a Meal’ project conducted four focus groups with 28 Culturally and Linguistically Diverse (CALD) participants, examining ED food experiences and preferences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ED food was perceived as cold, unappealing, and culturally inappropriate, heightening vulnerability and leaving dietary needs unmet for patients and carers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ED food provision must improve to enhance care equity and outcomes. Practice innovation, policy reform, and multi-site studies are needed to scale these preliminary findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Services and Economic Impacts of the Limit of Detection in Emergency Department (LEGEND) Rule-Out Strategy in Australian Emergency Departments: A Stepped-Wedge Cluster Randomised Trial","authors":"Olivia Dobson,&nbsp;Louise Cullen,&nbsp;William Parsonage,&nbsp;Laura Stephensen,&nbsp;David Brain,&nbsp;Steven Mcphail,&nbsp;Emma Hall,&nbsp;Niranjan Gaikwad,&nbsp;Siegfried Perez,&nbsp;Katrina Starmer,&nbsp;Gregory Starmer,&nbsp;Jaimi Greenslade,&nbsp;the LEGEND investigators","doi":"10.1111/1742-6723.70129","DOIUrl":"https://doi.org/10.1111/1742-6723.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to describe healthcare utilisation and costs associated with the assessment of suspected acute coronary syndrome (ACS) under standard care and to compare these outcomes with the Limit of Detection in Emergency Department (LEGEND) strategy, an accelerated diagnostic pathway identifying low-risk patients using a single highly sensitive troponin (hs-cTnI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A stepped-wedge cluster randomised trial was conducted in four Queensland hospitals. Each transitioned from standard care (2016 ACS guidelines) to the LEGEND intervention at randomised intervals. Data were collected for index presentations and 6-month outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data were collected from 5347 patients in the standard care phase and 4597 in the LEGEND intervention phase. The intervention reduced mean ED length of stay (−72.0 min, 95% CI: −85.0 to −59.0 min) and inpatient admissions (−2.3%, 95% CI: −4.2% to −0.4%). For low-risk patients, the intervention further reduced ED length of stay (−97.0 min, 95% CI: −120.5 min to −73.5) and inpatient admissions (−4.2%, 95% CI: −6.9 to −1.6%). Exercise stress testing (EST) utilisation decreased by 3.6% (95% CI: 2.3%–4.9%) overall and 7.7% (95% CI: 5.0%–10.4%) among low-risk patients during the intervention phase. Total costs decreased from $6849 to $5794 per patient overall, saving $1055 per patient and from $2847 to $2129 per low-risk patient, saving $718 per patient.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The LEGEND strategy demonstrated reduced resource utilisation and costs compared to guideline-based ACS assessment, particularly for low-risk patients. Widespread adoption could improve the efficiency and cost-effectiveness of ACS assessment in the healthcare system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144927270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Complexity of the Emergency Department as Seen by People With Psychosocial Disability and an NDIS Plan and the Clinicians Caring for Them","authors":"Heather McIntyre,&nbsp;Laura Hayes,&nbsp;Mark Loughhead,&nbsp;Anit Manudhane,&nbsp;Caroline Allen,&nbsp;Dean Barton-Smith,&nbsp;Brooke Bickley,&nbsp;Louis Vega,&nbsp;Jewels Smith,&nbsp;Ursula Wharton,&nbsp;Nicholas Procter","doi":"10.1111/1742-6723.70123","DOIUrl":"https://doi.org/10.1111/1742-6723.70123","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with a National Disability Insurance Scheme (NDIS) plan and a psychosocial disability (PSD) at times may require emergency care for physical or mental health needs. As such, it is important to examine the suitability of the emergency department to provide care for people with PSD and an NDIS plan, and to understand how emergency clinicians engage with the NDIS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study compared ED clinicians experiences of caring for people with a PSD and an NDIS plan in the ED with the experiences of the people they care for.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Two national online surveys were conducted with people with a PSD and an NDIS plan and ED clinicians. All qualitative responses were analysed thematically, and descriptive statistics for quantitative data were prepared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Clinicians (<i>n</i> = 30) and consumers (<i>n</i> = 44) agree that ED staff need more training in mental health care; the ED environment and model of care are unsuitable and may cause trauma for people seeking care and clinicians. People with PSD and an NDIS plan report that ED clinicians are not aware that the NDIS provides disability support only. ED staff report that they do not have faith in the NDIS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Training for clinical staff in what the NDIS provides, mental health trained staff being available, and suitable environments would provide better outcomes for people with a PSD and an NDIS plan when presenting to the ED. Creating communication pathways between the ED and the NDIS to assist with service integration would ensure continuity of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144923751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}