Emergency Medicine Australasia最新文献

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Evaluating the satisfaction of patients utilising the virtual emergency department service in southeast region of Melbourne 评估墨尔本东南地区使用虚拟急诊科服务的患者满意度
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-04-02 DOI: 10.1111/1742-6723.70034
Muhuntha Sri-Ganeshan MBBS, BSc, DTMH, FACEM, Amanda Harris BBioMedSc, Christopher Thuring MD, Gerard O'Reilly MBBS, MPH, MBiostat, Astat, FACEM, PhD, Biswadev Mitra MBBS, MHSM, FACEM, PhD, Andrew Underhill MBBS, FACEM, Claire Charteris MBBS, FACEM, Diana Egerton-Warburton MBBS, FACEM, PhD, Peter A Cameron MBBS, MD, FACEM, the Southeast Region Virtual Emergency Department (SERVED) Research Group
{"title":"Evaluating the satisfaction of patients utilising the virtual emergency department service in southeast region of Melbourne","authors":"Muhuntha Sri-Ganeshan MBBS, BSc, DTMH, FACEM,&nbsp;Amanda Harris BBioMedSc,&nbsp;Christopher Thuring MD,&nbsp;Gerard O'Reilly MBBS, MPH, MBiostat, Astat, FACEM, PhD,&nbsp;Biswadev Mitra MBBS, MHSM, FACEM, PhD,&nbsp;Andrew Underhill MBBS, FACEM,&nbsp;Claire Charteris MBBS, FACEM,&nbsp;Diana Egerton-Warburton MBBS, FACEM, PhD,&nbsp;Peter A Cameron MBBS, MD, FACEM,&nbsp;the Southeast Region Virtual Emergency Department (SERVED) Research Group","doi":"10.1111/1742-6723.70034","DOIUrl":"https://doi.org/10.1111/1742-6723.70034","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Evaluate patient satisfaction with paramedic and residential aged care facility (RACF) staff-initiated tele-emergency care through the Southeast Melbourne Virtual ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Patient satisfaction surveys were conducted across two of the constituent virtual EDs (VEDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 452 responses, 427 (94.5%) had no negative comments, with 341 (75.4%) rating the service 8 out of 10 or higher, and 83.4% would recommend the service to family or friends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Emergency telehealth services were favoured by patients, with ratings comparable to satisfaction scores in physical EDs. Upskilling of emergency clinicians for telehealth consultations and educational programmes could provide further improvements to patient experiences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749352","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}
引用次数: 0
High dose insulin is an inodilator, not an antidote in the poisoned patient! 大剂量胰岛素对中毒病人来说是一种兴奋剂,而不是解药!
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-31 DOI: 10.1111/1742-6723.70035
Katherine Z Isoardi BMed, PhD, Betty Chan MBBS, PhD, Angela L Chiew MBBS, PhD
{"title":"High dose insulin is an inodilator, not an antidote in the poisoned patient!","authors":"Katherine Z Isoardi BMed, PhD,&nbsp;Betty Chan MBBS, PhD,&nbsp;Angela L Chiew MBBS, PhD","doi":"10.1111/1742-6723.70035","DOIUrl":"https://doi.org/10.1111/1742-6723.70035","url":null,"abstract":"<p>High dose insulin therapy has become an increasingly popular treatment for poisonings over the last two decades. It is often mistakenly considered an antidote for poisonings of multiple drug classes, including beta-blocker and calcium channel blocker overdose. This misconception has encouraged overzealous and, at times, inappropriate use, particularly in patients who have vasoplegic shock following poisonings from drugs such as dihydropyridine calcium channel blockers. High dose insulin is not an antidote, but rather an inodilator. Its relatively slow onset of action, compared to catecholamine-based inotropes, of 15–60 min makes it best suited to second-line therapy for cardiogenic shock in poisonings. It has no role in isolated vasoplegic shock where it may exacerbate toxicity. It should be used concurrently with noradrenaline to counteract insulin-induced vasodilation. High dose insulin has predictable adverse effects of hypoglycaemia and electrolyte disturbances, particularly hypokalaemia, which can persist long beyond cessation.</p>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143741453","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}
引用次数: 0
Evaluation of a team-based approach for emergency department patients with time critical intracranial conditions 对急诊科颅内危重病人的团队治疗方法进行评估
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-25 DOI: 10.1111/1742-6723.70026
Skye Macleod FACEM, M.Med (Crit Care), BSc (Hons), Geoffrey Melville PhD, BAppSc, Aden Samimi-Duncan DMed, Shanawaz Khan MBBS, AFIH, FACEM, Simon Binks FACEM, BMedSci, BM, BS, Daniel Hernandez MBChB, FANZCA, Ravi Cherukuri MBBS, MCh, DNB (Neurosurgery), FRACS (Neurosurgery), Simon Keane FACEM, BSc (Aerospace Phys), MBBS, Kate Curtis RN, PhD, FCENA, FAAN
{"title":"Evaluation of a team-based approach for emergency department patients with time critical intracranial conditions","authors":"Skye Macleod FACEM, M.Med (Crit Care), BSc (Hons),&nbsp;Geoffrey Melville PhD, BAppSc,&nbsp;Aden Samimi-Duncan DMed,&nbsp;Shanawaz Khan MBBS, AFIH, FACEM,&nbsp;Simon Binks FACEM, BMedSci, BM, BS,&nbsp;Daniel Hernandez MBChB, FANZCA,&nbsp;Ravi Cherukuri MBBS, MCh, DNB (Neurosurgery), FRACS (Neurosurgery),&nbsp;Simon Keane FACEM, BSc (Aerospace Phys), MBBS,&nbsp;Kate Curtis RN, PhD, FCENA, FAAN","doi":"10.1111/1742-6723.70026","DOIUrl":"https://doi.org/10.1111/1742-6723.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Many time-critical neurosurgical brain conditions do not meet traditional ED major trauma or stroke team activation criteria and thus do not benefit from the associated expedited imaging and specialist review. To address this, a “Critical Head” protocol was developed. The aim was to determine the effect of this on time to CT scan, neurosurgical intervention (if indicated) and specialist team review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Quasi-experimental study, involving retrospective analyses of data of all potential Critical Head patients presenting to Wollongong ED from 1 January 2018 to 26 May 2023, with the protocol go-live on 7 March 2023. Descriptive statistics and study outcomes were compared before and after protocol implementation. R Studio 2024 was used for analyses and alpha was set to 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred and two patients were included (123 control/pre-intervention, 119 intervention). There was no significant difference in age, sex or presence of intracranial conditions between groups. Median time from triage to CT decreased in the intervention group by 15% (7 min, 47[33,95] to 40[25,66], <i>P</i> = 0.020). There was a 33% (67 min) reduction to surgery start time in the intervention (204[621752] to 137[108247] min, <i>P</i> = 0.042) (urgent neurosurgery). Reductions in time to specialist team reviews were observed in ICU (<i>n</i> = 86, 132[58192] to 42[6103] min, <i>P</i> &lt; 0.001) and neurosurgery (<i>n</i> = 158, 104[69 202] to 44[16111] min, <i>P</i> &lt; 0.001). ICU and hospital length of stay did not differ significantly, nor did Glasgow Coma Outcome Scale score at discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Critical Head protocol for patients with time-critical intracranial conditions reduced time to CT scan, operative intervention and specialist team review.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689751","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}
引用次数: 0
Scoping a paediatric emergency medicine unit* 扩展儿科急诊医学组*
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-19 DOI: 10.1111/1742-6723.70033
Marita S Bolic MBBS, Jamie Lew MBChB, FACEM PEM, Drew B Richardson BMedSc, MBBS (Hons), FACEM, GradCertME, MD
{"title":"Scoping a paediatric emergency medicine unit*","authors":"Marita S Bolic MBBS,&nbsp;Jamie Lew MBChB, FACEM PEM,&nbsp;Drew B Richardson BMedSc, MBBS (Hons), FACEM, GradCertME, MD","doi":"10.1111/1742-6723.70033","DOIUrl":"https://doi.org/10.1111/1742-6723.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the characteristics and potential patient cohorts suitable for a paediatric emergency medicine unit (PEMU), otherwise known as a short stay unit, at Canberra Hospital, a tertiary mixed adult/paediatric ED treating 98 000 patients annually.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Retrospective descriptive study of paediatric (aged &lt;16) presentations to Canberra Hospital ED between May and August 2022. Patients discharged from ED with a length of stay exceeding 4 h and those admitted non-surgically for less than 2 nights were deemed PEMU suitable; those requiring admission for &gt;2 nights were classed as inpatient ward admission (IWA) patients. Royal children's hospital clinical practice guidelines were used where available to classify the severity of disease via features apparent in ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight thousand three hundred and forty episodes were identified as paediatric ED presentations, with 1377 (64.8%, 95%CI 62.8–66.9) retrospectively PEMU suitable. This winter sample identified an average of 11.9 potential PEMU suitable cases daily. Chart review showed clinically mild bronchiolitis, mild asthma, anaphylaxis, mild gastroenteritis, afebrile seizure – no known seizure diagnosis, and simple febrile seizures had an excellent profile for PEMU, with subsequent ward admission rates of 17% or less. A mean 7-h stay would require 5 beds with 66% occupancy over 24 h.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Several common paediatric diagnoses are well-suited to a PEMU unit, with reasonable occupancy and length of stay. The low inpatient admission rate suggests less common diagnoses should also be regarded as suitable. Further research is required to identify other paediatric patients and diagnoses suitable for PEMU, and to ratify findings in a whole-of-year sample.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645716","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}
引用次数: 0
Emergency department presentations by trans and gender diverse people in Sydney, Australia: Retrospective case series 澳大利亚悉尼的跨性别和不同性别人群在急诊科的表现:回顾性病例系列
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-19 DOI: 10.1111/1742-6723.70031
Emily Symes MBBS, FACEM, Naomi Derrick BN, Thomas Hicks BN, MNurs, Rhys Ross-Browne MBBS, FACEM, Louisa Degenhardt PhD, Rachel Sutherland PhD, Radhika Seimon PhD, Michael Dinh MBBS, MPH, PhD, FACEM
{"title":"Emergency department presentations by trans and gender diverse people in Sydney, Australia: Retrospective case series","authors":"Emily Symes MBBS, FACEM,&nbsp;Naomi Derrick BN,&nbsp;Thomas Hicks BN, MNurs,&nbsp;Rhys Ross-Browne MBBS, FACEM,&nbsp;Louisa Degenhardt PhD,&nbsp;Rachel Sutherland PhD,&nbsp;Radhika Seimon PhD,&nbsp;Michael Dinh MBBS, MPH, PhD, FACEM","doi":"10.1111/1742-6723.70031","DOIUrl":"https://doi.org/10.1111/1742-6723.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Comprehensively describe patient and presentation characteristics of trans and gender diverse (TGD) people attending the ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective case series that evaluated TGD people of all ages presenting to a tertiary, inner-city ED in Sydney, New South Wales, over a 5-year period. TGD people were identified using the ED patient tracking system, triage text and clinical notes in the electronic medical records (eMR). Patient and presentation data were extracted and descriptively analysed, including clinical characteristics, mismatches in registered gender and name, and use of non-affirming language in discharge letters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 340 TGD patients with 1519 ED presentations were identified. The number of ED presentations per year by TGD people increased by 74.2% over 5 years. Presentations were prioritised Australasian Triage Scale category 1–3 in 76.7%. Hospital admission was required in 25.5%, and 8.7% left prior to treatment completion. Suicidal ideation was the most common presenting problem (13.8%) and mental health was the most common ED diagnostic category (29.4%). The gender and name registered in the eMR correctly matched the patient's current identity in 47.1% and 56.8%, respectively. Misgendering and/or deadnaming occurred in 22.6% of those receiving an ED discharge letter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Most TGD people identified by the present study had high acuity ED presentations, often presenting with acute mental health problems, and one-quarter were subsequently admitted to hospital. Mismatched patient details and misgendering and/or deadnaming on discharge letters were common. These findings highlight clear opportunities to improve the care of TGD people in the ED.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143645717","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}
引用次数: 0
Blood culture collection and administration of intravenous ceftriaxone by paramedics in patients with suspected sepsis (the pass trial) 疑似脓毒症患者血培养采集及护理人员静脉给药头孢曲松(通过试验)
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-18 DOI: 10.1111/1742-6723.70027
Daniel Cudini BEx Sci, BEmergHlth (Paramedic), Grad Dip EmergHlth (ICP), MACPara, Karen Smith BSc(Hons), Grad Cert Exec BA, Grad Dip Epi and Biostats, PhD, OAM, Jeffery Shao BMedSc/MD, Stephen Bernard MBBS, MD, FACEM, FCICM, FCCM, ASM, Daniel Okyere MBBS, MPH, Ziad Nehme BEmergHlth(Paramedic)(Hons), Grad Cert Clin Research Methods, PhD, FACPara, ASM, Emily Nehme BSc(Biomedical), MBiostat, PhD Candidate, David Anderson MStJ, BSc, MBChB, MBioeth, DipPallMed, FCICM, ASM, Nicole Magnuson BSc, MPH, Karin Thursky MBBS, BSc, MD, FRACP, Dhruv Mori MBBS, FACEM, De Witt Oosthuizen M.B.ChB, Dip EM, AMC, FACRRM, Andrew Udy BSc(Hons), Grad Cert Exec BA, Grad Dip Epi and Biostats, PhD
{"title":"Blood culture collection and administration of intravenous ceftriaxone by paramedics in patients with suspected sepsis (the pass trial)","authors":"Daniel Cudini BEx Sci, BEmergHlth (Paramedic), Grad Dip EmergHlth (ICP), MACPara,&nbsp;Karen Smith BSc(Hons), Grad Cert Exec BA, Grad Dip Epi and Biostats, PhD, OAM,&nbsp;Jeffery Shao BMedSc/MD,&nbsp;Stephen Bernard MBBS, MD, FACEM, FCICM, FCCM, ASM,&nbsp;Daniel Okyere MBBS, MPH,&nbsp;Ziad Nehme BEmergHlth(Paramedic)(Hons), Grad Cert Clin Research Methods, PhD, FACPara, ASM,&nbsp;Emily Nehme BSc(Biomedical), MBiostat, PhD Candidate,&nbsp;David Anderson MStJ, BSc, MBChB, MBioeth, DipPallMed, FCICM, ASM,&nbsp;Nicole Magnuson BSc, MPH,&nbsp;Karin Thursky MBBS, BSc, MD, FRACP,&nbsp;Dhruv Mori MBBS, FACEM,&nbsp;De Witt Oosthuizen M.B.ChB, Dip EM, AMC, FACRRM,&nbsp;Andrew Udy BSc(Hons), Grad Cert Exec BA, Grad Dip Epi and Biostats, PhD","doi":"10.1111/1742-6723.70027","DOIUrl":"https://doi.org/10.1111/1742-6723.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the feasibility of pre-hospital blood culture (BC) collection and intravenous (IV) antibiotic administration in patients with suspected sepsis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this open-label trial, BCs were collected in all participants, who were then randomised to ongoing care (control) or ongoing care plus 2 g IV ceftriaxone (intervention). Time to antibiotic administration was the primary outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-five patients were enrolled and randomised (21 control, 14 intervention). BCs were obtained in 89% (<i>n</i> = 31/35) and grew a pathogen in 42% (<i>n</i> = 13/31). Intervention patients received antibiotics a median of 108 (95% CI 34 to 170) minutes earlier (<i>P</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>BCs were successfully obtained by paramedics, and pre-hospital IV ceftriaxone resulted in expedited antibiotic administration.</p>\u0000 \u0000 <p>Clinical Trial Registration: ACTRN12618000199213.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143638912","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}
引用次数: 0
Identity in emergency medicine: Who are we and what are we doing? 急诊医学中的身份认同:我们是谁,我们在做什么?
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-17 DOI: 10.1111/1742-6723.70032
Thomas Hitchcock MBBS (UWA), MClinForMed (Monash), FACEM, FFAEM, FACLM, FFCFM
{"title":"Identity in emergency medicine: Who are we and what are we doing?","authors":"Thomas Hitchcock MBBS (UWA), MClinForMed (Monash), FACEM, FFAEM, FACLM, FFCFM","doi":"10.1111/1742-6723.70032","DOIUrl":"https://doi.org/10.1111/1742-6723.70032","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632919","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}
引用次数: 0
Paediatric resuscitation in regional Queensland: A simulation informed biopsy of current system challenges 在昆士兰地区儿科复苏:模拟告知活检当前系统的挑战
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-14 DOI: 10.1111/1742-6723.70028
Alexandra St-Onge-St-Hilaire MDCM FRCPC (pediatrics), Jason Acworth MBBS (Hons), FRACP (PEM), GradCertHlthcareSimulatn, Benjamin Lawton MBChB, FRACP (PEM), MPH, Myfanwy Williams BNursing; GradCertED; MNursing (Clinical Education), Louise Dodson BNursing, BHlthSc, GradCertClinSim, Benjamin Symon FRACP (PEM), BAnim
{"title":"Paediatric resuscitation in regional Queensland: A simulation informed biopsy of current system challenges","authors":"Alexandra St-Onge-St-Hilaire MDCM FRCPC (pediatrics),&nbsp;Jason Acworth MBBS (Hons), FRACP (PEM), GradCertHlthcareSimulatn,&nbsp;Benjamin Lawton MBChB, FRACP (PEM), MPH,&nbsp;Myfanwy Williams BNursing; GradCertED; MNursing (Clinical Education),&nbsp;Louise Dodson BNursing, BHlthSc, GradCertClinSim,&nbsp;Benjamin Symon FRACP (PEM), BAnim","doi":"10.1111/1742-6723.70028","DOIUrl":"https://doi.org/10.1111/1742-6723.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>An outreach education service, Simulation Training Optimising Resuscitation for Kids (STORK) identified opportunities to use their course (Optimus PRIME) to understand and help optimise regional paediatric resuscitation. Our objective was to document challenges faced by healthcare providers in rural, remote, and regional (RRR) health centres in Queensland during a paediatric resuscitation course and ensure information reached stakeholders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using <i>in situ</i> simulation, participants were prompted to identify real-life challenges during paediatric resuscitation. Participants co-generated solutions to these specific challenges and identified local advocates. Summaries for stakeholders included service strengths and improvement opportunities. Site follow-up identified actions taken and supported ongoing challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between March and December 2023, 40 Optimus PRIME courses were delivered. Thirty-nine course summaries were sent. Using the safety software in infusion pumps, 60% and 81% of sites were unable to correctly administer adrenaline or phenytoin, respectively. One or more pieces of paediatric oxygenation or ventilation equipment were lacking at 65% of sites. Participants working at 81% of sites were unfamiliar with the Queensland Health paediatric guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We highlight challenges for healthcare providers across Queensland and demonstrate educational teams can contribute to their resolution. Many problems perceived as local were occurring statewide. Our findings inform further advocacy. Our report informs opportunities for system optimisation and highlights inconsistencies in three key areas: infusion pump safety software, access to paediatric resuscitation equipment, and access to information technology. Statewide consistency synergising with local expertise is needed to ensure every child in Queensland has access to optimal resuscitation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 2","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612534","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}
引用次数: 0
Doing it all well: Resuscitation, observation and the need for deliberate practice 做好一切:复苏、观察和刻意练习的需要
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-13 DOI: 10.1111/1742-6723.70030
Clare A. Skinner
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引用次数: 0
Music in the emergency department and its association with delirium and other clinical outcomes 急诊科的音乐及其与谵妄和其他临床结果的关系
IF 1.7 4区 医学
Emergency Medicine Australasia Pub Date : 2025-03-13 DOI: 10.1111/1742-6723.70025
Hinpetch Daungsupawong, Viroj Wiwanitkit
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引用次数: 0
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