Emergency Medicine Australasia最新文献

{"title":"Local Anaesthetic Dosing and Toxicity Knowledge in Australian Emergency Departments: A Multicentre Cross-Sectional Survey","authors":"Andrew Follows,&nbsp;Ben Rose,&nbsp;Andrew Ross,&nbsp;Abby McCaughey","doi":"10.1111/1742-6723.70352","DOIUrl":"10.1111/1742-6723.70352","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Local anaesthetic systemic toxicity (LAST) is a rare but potentially fatal complication of local anaesthetic (LA) use. This study assessed knowledge of LA dosing, LAST recognition and management among emergency clinicians in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicentre cross-sectional survey was conducted at three emergency departments in Queensland, Australia. The survey assessed recall knowledge of recommended maximum local anaesthetic doses, recognition and management of LAST, and self-reported clinician confidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 114 participating clinicians, fewer than half correctly identified the recommended maximum dose for any of the four evaluated LA agents, including for their preferred agent for regional anaesthetic techniques. Correct responses ranged from 18.4% for bupivacaine to 48.2% for lidocaine. Cardiovascular manifestations of LAST were the most frequently recognised features; 21.9% of respondents could not recall any features of LAST. 57.9% of respondents identified lipid emulsion therapy as a management strategy; however, only 10.5% correctly stated a dosing regimen and 6.1% knew its location within their department. Knowledge of doses, LAST recognition and management all significantly improved with clinician seniority. Self-reported confidence was positively associated with knowledge of LAST recognition and management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Emergency clinicians in this survey demonstrated substantial knowledge gaps in safe LA dosing, LAST recognition and aspects of management. These findings support a need for targeted education and system-level interventions to improve preparedness for this potentially life-threatening emergency.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70352","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929312","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":"Toxicological and Clinical Characteristics of Fatal Cases in the Emerging Drugs Network of Australia—Victoria (EDNAV) Clinical Registry 2020–2025","authors":"James White,&nbsp;Sarah J. Hampton,&nbsp;Shaun Greene","doi":"10.1111/1742-6723.70347","DOIUrl":"10.1111/1742-6723.70347","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to characterise the analytical toxicology findings and clinical features of fatal cases recorded in the Emerging Drugs Network of Australia—Victoria (EDNAV) clinical registry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>EDNAV is a state-wide toxicosurveillance system capturing de-identified demographic, clinical and analytical data from ED presentations with illicit drug-related toxicity. Venous blood samples are screened for illicit, pharmaceutical and novel psychoactive substances (NPS) using liquid chromatography–quadrupole time-of-flight mass spectrometry. We conducted a retrospective observational case series of fatal registry cases recorded between September 2020 and December 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-six fatal cases were identified (0.9% of 5026 EDNAV cases). Most patients were male (89%) with a median age of 33 years. Out-of-hospital cardiac arrest occurred in 67% of cases. Polysubstance exposure predominated (91%), with a median of three substances detected per case. Mixed stimulant–sedative patterns were most common (64%), followed by opioid–benzodiazepine (19%) and stimulant-only (7%). The most frequent individual detections were methamphetamine (54%), heroin (52%), diazepam (37%), cocaine (20%) and MDMA (17%). NPS accounted for 7.8% of detections, were never identified in isolation and were predominantly novel benzodiazepines (80%). Hypoxic brain injury was the most common terminal complication (72%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Fatal cases were characterised by near-universal polysubstance detections, with methamphetamine and heroin the most frequent individual detections. Most deaths occurred out of hospital, with many patients presenting with irreversible hypoxic brain injury. NPS were rare and co-occurred with traditional illicit substances. Community-based interventions including bystander resuscitation, early emergency service activation and take-home-naloxone represent the highest-yield strategies to reduce mortality from illicit substance use in Victoria.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918780","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":"Paediatric Procedural Sedation and Analgesia in Emergency Departments: A Delphi Consensus Study","authors":"Nuria Cahís,&nbsp;Judith Sánchez-Manubens,&nbsp;Irene Baena,&nbsp;Aurora Eslava,&nbsp;Eduardo Marín,&nbsp;Adrián Ranera,&nbsp;Roberto Velasco,&nbsp;Raquel Corripio","doi":"10.1111/1742-6723.70344","DOIUrl":"10.1111/1742-6723.70344","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop a national expert consensus on procedural sedation and analgesia practices in paediatric emergency departments in Spain and identify priority areas for standardisation, safety and implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a modified two-round Delphi study with a panel of 28 clinicians with expertise in paediatric emergency care and procedural sedation from 23 centres in different regions of Spain. Participants rated key domains related to patient selection, fasting, monitoring, staffing, pharmacological strategies, training and safety standards. We used a predefined threshold of ≥ 70% agreement to establish consensus in both rounds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The panel reached strong consensus across core domains of paediatric procedural sedation practice, including minimum safety requirements, monitoring standards, staff competencies and organisational priorities. Strong agreement supported the standardisation of procedural sedation processes. Areas of residual disagreement highlighted persistent variation in implementation and resource availability across departments. Pharmacological preferences differed according to the clinical scenario; ketamine was preferred for more painful procedures, but drug preferences for less invasive procedures or imaging procedures varied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This national Delphi consensus provides a pragmatic framework to support safer and more consistent procedural sedation practice in paediatric emergency departments. Although the study included only centres in Spain, it addressed operational and clinical challenges common worldwide, and its findings are likely relevant for all emergency departments seeking to improve paediatric sedation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911112","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":"Acid–Base Phenotypes in Sedative Toxidrome: Characterisation, Agent-Specific Patterns and Clinical Associations","authors":"Pramod Chandru,&nbsp;Naren Gunja","doi":"10.1111/1742-6723.70336","DOIUrl":"10.1111/1742-6723.70336","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Acid–base patterns and their association with clinical outcomes have not been characterised using venous-specific reference ranges in a sedative-specific cohort. We aimed to characterise acid–base phenotypes in sedative toxidrome using venous-specific thresholds, examine agent-specific associations and evaluate relationships to adverse outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study of 374 consecutive patients referred to a toxicology service with sedative poisoning between November 2022 and November 2023. VBG data (pH, pCO₂, HCO₃ and lactate) were classified into acid–base phenotypes using venous-specific reference ranges (venous respiratory acidosis: pH &lt; 7.31, pCO₂ &gt; 51 mmHg; hypercapnia with preserved pH: pH 7.31–7.41, pCO₂ &gt; 51 mmHg). Outcomes of interest were endotracheal intubation, ICU admission and in-hospital complications. Associations were assessed using chi-squared tests, Mann–Whitney <i>U</i> tests and ROC curve analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>VBG was obtained in 330 of 374 patients (88.2%). Venous respiratory acidosis occurred in 54 patients (16.4%), hypercapnia with preserved pH in 81 (24.5%) and normal venous pH in 153 (46.4%). Opioid exposures had the highest hypercapnic burden (59%) compared with anti-psychotic exposures (20%; <i>p</i> &lt; 0.001). Venous respiratory acidosis was associated with ICU admission (40.7% vs. 17.0%, <i>p</i> = 0.001) and complications (64.8% vs. 32.7%, <i>p</i> &lt; 0.001). Among hypercapnic patients, pCO₂ ≥ 65 mmHg was associated with ICU admission in 50.0%. Venous pH had the strongest discriminative performance across outcomes (AUC 0.631–0.683).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Venous respiratory acidosis identifies a high-risk subgroup. Hypercapnic burden varies substantially by agent class. These findings support routine early VBG measurement in sedative overdose and highlight the importance of venous-specific thresholds when interpreting point-of-care acid–base results.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148905410","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":"Access Block and Ambulance Ramping: The Canaries of the Healthcare System","authors":"Justin Boyle,&nbsp;Andrew Staib,&nbsp;Clair Sullivan,&nbsp;Sankalp Khanna,&nbsp;Ibrahima Diouf,&nbsp;Hamed Hassanzadeh,&nbsp;Jin Yoon,&nbsp;Vahid Riahi,&nbsp;Mahnaz Samadbeik,&nbsp;Emma Bosley,&nbsp;James Lind","doi":"10.1111/1742-6723.70327","DOIUrl":"10.1111/1742-6723.70327","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify evidence-based factors leading to the global challenge of hospital access block and inform strategies to improve emergency access performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods approach was followed comprising an umbrella review of published systematic reviews, qualitative analysis of the perspectives of patients and healthcare workers, and quantitative analysis of contextual factors and 6 years of ambulance, emergency inpatient and ward movement records for the 25 largest public hospitals in Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A key set of findings and recommendations were identified to improve emergency access that are practical and actionable. These comprise the introduction of inpatient discharge metrics and monitoring to shift focus from the front door of hospitals to the ‘back door’; increasing support for primary care, community care, aged care, NDIS and vulnerable groups; maintaining demand-side strategies such as increasing inpatient-equivalent care alternatives (e.g., hospital in the home, acute care within nursing home services); investment in prehospital flow; improving hospital processes such as extended-hour discharge lounges; improving workforce; and revising funding policies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study findings fill a gap in the evidence regarding challenges and recommendations for improving patient flow within hospital emergency departments and across the broader health system. Focussing efforts at the ‘back end’ of the inpatient journey is a critical step to improve emergency care outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900264","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":"Using Sydney Triage to Admission Risk Tool With Artificial Intelligence (START-AI) to Predict Inpatient Admitting Specialty for Emergency Department Patients: Single Centre Deep Learning Analysis","authors":"Michael Dinh,&nbsp;Elizabeth Corbett,&nbsp;Thuy Truc Ngo,&nbsp;Eliot Salmon,&nbsp;Saleem Ahmed Khan,&nbsp;Farhana Pethani,&nbsp;Nicholas Moore,&nbsp;Irena Koprinska","doi":"10.1111/1742-6723.70341","DOIUrl":"10.1111/1742-6723.70341","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate whether the Sydney Triage to Admission Risk Tool with Artificial Intelligence (START-AI) model could be used to predict specific inpatient admitting teams based on clinical notes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a pre-trained language model analysis using electronic medical record data from an inner-city tertiary referral hospital emergency department (ED) in Sydney, Australia. All adult patients who were admitted to an inpatient ward between January 2023 and June 2025 were included. A fine-tuned Bidirectional Encoder Representation of Transformer (Bio-ClinicalBERT) used in the original START-AI analysis was trained on ED medical case history notes to predict one of twenty specialist inpatient admitting teams.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 40,054 cases were analysed. The overall weighted average area under receiver operating characteristic curve (AUROC) was 0.97 (95% CI: 0.96, 0.98). For individual classes of inpatient admitting teams, AUROC ranged from 0.91 for infectious diseases to 0.99 for psychiatry and gynaecology. The overall weighted average precision (positive predictive value) was moderate at 0.71 (95% CI: 0.71, 0.72). The model correctly classified around three quarters of the dataset (accuracy 0.75 (95% CI: 0.74, 0.076)). Accuracy in correctly assigning one of the two most probable admitting teams by the model was 0.88 (95% CI: 0.88, 0.89).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A pre-trained language model used in START-AI was able to accurately predict the inpatient admitting team for ED patients requiring admission based on ED medical case history notes in a single centre study. Further exploration and validation are warranted to assess clinical utility and broader feasibility of the modelling approach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886741","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":"Criteria for Safe Hospital Discharge in Bronchiolitis: A Systematic Review","authors":"Meredith L. Borland,&nbsp;Kate Loveys,&nbsp;Franz E. Babl,&nbsp;Elizabeth Cotterell,&nbsp;Libby Haskell,&nbsp;Sharon O'Brien,&nbsp;Ed Oakley,&nbsp;Emma J. Tavender,&nbsp;Catherine L. Wilson,&nbsp;Stuart R. Dalziel,&nbsp;the Paediatric Research in Emergency Departments International Collaborative (PREDICT) Network","doi":"10.1111/1742-6723.70339","DOIUrl":"10.1111/1742-6723.70339","url":null,"abstract":"<p>Bronchiolitis is the leading cause of hospital presentation and admission for infants in Australasia. We aimed to synthesise current evidence on the effect of discharge criteria for infants (aged &lt; 12 months) who are presenting to or are admitted to hospital with bronchiolitis, to inform a binational guideline recommendation update. Systematic searches were conducted on MEDLINE, EMBASE, PubMed, Cochrane Library and CINAHL (last search 19 February 2025) for non-randomised studies evaluating hospital discharge criteria in bronchiolitis. The primary outcomes were length of stay (LOS) and readmission rates. The risk of bias (ROBINS-I) and certainty of the evidence (GRADE) were appraised, and findings were narratively synthesised. GRADE evidence-to-decision methodology, expert consensus voting and interest-holder consultation were used to finalise the recommendation update. Two retrospective observational studies were included (<i>N</i> = 2697) (low to very low quality), reporting on unique discharge criteria. In both studies, use of the discharge criteria was associated with a significant reduction in LOS relative to alternative protocols. There was no significant difference in readmission rates observed in either study. There was low to very low certainty evidence across outcomes due to risk of bias, indirectness and imprecision. The review findings informed a recommendation update for safe discharge criteria in the 2025 Australasian Bronchiolitis Guideline update. Updated, prescriptive discharge criteria and flow chart were developed, covering clinical stability, oxygen saturation/support, feeding difficulties, caregiver confidence and education on deterioration, social factors and follow-up. The revised criteria provide clinicians with increased certainty in decision-making in bronchiolitis, albeit with further research needed.</p>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879458","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":"Ultrasound Archiving in the Emergency Department: Implementation, Governance and 4-Year Outcomes at an Australian Tertiary Emergency Department","authors":"Vijay Manivel,&nbsp;Behzad Mirmiran,&nbsp;Claire Helm,&nbsp;Cindy Hastings","doi":"10.1111/1742-6723.70342","DOIUrl":"10.1111/1742-6723.70342","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Image archiving is one of the least developed aspects of emergency department ultrasound (ED-US) in Australasia, despite its recognised role in governance, education, quality assurance (QA) and medicolegal protection. A middleware-based ED-US image workflow solution was installed at Nepean Hospital ED in October 2021. We describe our implementation and 4-year experience with a dedicated ED-US archiving solution at a tertiary Australian ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Single-centre retrospective analysis of service implementation, technical requirements, governance, QA and operational outcomes over a 4-year period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Archived 7281 ED-US studies across 15 modalities between October 2021 and April 2026, with annual volume growing from 1083 (2022) to 2224 (2025). Bidirectional EMR connectivity, worklist generation, seamless DICOM image transfer, segregation of clinical from educational studies, structured reporting, interdepartmental image access, automated trainee logbooks and structured QA review are implemented. No failures occurred, and no data were lost. Costs of implementation and maintenance depend on vendor negotiation and local IT costings; the dominant recurring cost is clinician time, not software. The most challenging aspects were IT resource allocation, multivendor integration and governance workload. The automated logbook alone saves each trainee approximately 2 h/week. No medicolegal incidents were reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A structured ED-US archive and workflow are achievable and sustainable in an Australian tertiary ED. In our case, it strengthened accountability, quality of scans, education, research, interdepartmental collaboration and institutional risk management. Our experience provides Australasian EDs with a practical starting point for planning their own implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873398","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":"From Other Journals","authors":"Sierra Beck,&nbsp;Ammara Doolabh,&nbsp;Tahnee Dunlop,&nbsp;Abhishek Mitra,&nbsp;Muhuntha Sri-Ganeshan,&nbsp;Joseph Ting,&nbsp;Danielle Wood","doi":"10.1111/1742-6723.70329","DOIUrl":"https://doi.org/10.1111/1742-6723.70329","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148942176","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":"A 17-Year Descriptive Analysis of Firework-Related Eye Injuries on Territory Day in Northern Australia","authors":"Jason R. Daley,&nbsp;Syeda Amel Safi,&nbsp;Ananyaa Devanathan,&nbsp;Jason Lau,&nbsp;Dhanesh Perera,&nbsp;Sandra Brownlea,&nbsp;Zhiqiang Wang,&nbsp;Krishna Tumuluri,&nbsp;Sanditha Wickramasinghe","doi":"10.1111/1742-6723.70334","DOIUrl":"10.1111/1742-6723.70334","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Territory Day is celebrated annually on 1st July in the Northern Territory, the only time and place in Australia with unrestricted access to fireworks. While fireworks contribute to the festive atmosphere, they also pose significant risks, particularly to ocular health. This study investigates the incidence, injury types, and outcomes of firework-related eye injuries on Territory Day for the last 17 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective case series of firework-related eye injuries from 2008 to 2024 presenting to top end hospitals on Territory Day, with 24th July used as a comparison day. Data was collected from electronic and paper-based medical records. Patient demographics, injury type/mechanism, treatment, and visual outcomes were analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-eight cases of firework-related eye injuries were identified. 77.1% were male, with a mean age of 25.2 years. Eye injuries involved the eyelid/adnexa (58.3%), anterior segment (87.5%) and posterior segment (16.7%). The median ED length of stay was 3.0 h (IQR: 2.0–4.8 h). Posterior segment injuries were seven-times more likely to be admitted to hospital (<i>p = 0.024</i>). Most injuries (60.4%) occurred in spectators rather than firework operators. 83.3% of injured individuals lacked eye protection. Firework-related eye injuries accounted for 35.0% (95% CI: 27.0%–43.0%) of all ocular injuries across Territory Days. One hundred and thirty seven ocular injury presentations were recorded on Territory Day, compared with 95 on the comparison day.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Firework-related eye injuries represent a preventable cause of ocular morbidity. Public education, appropriate regulation, and community-based interventions may help reduce the risk of firework-related ocular injury and support safer celebrations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"38 5","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864018","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}