Australasian Emergency Care最新文献

Prehospital advanced versus basic life support: A cohort study comparing survival to hospital for major trauma patients in New Zealand. 院前高级生命支持与基本生命支持：一项比较新西兰重大创伤患者住院生存率的队列研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-10-11 DOI: 10.1016/j.auec.2025.09.008

Nicola Campbell, Rebbecca Lilley, Gabrielle Davie, Kate Morgaine, Bridget Dicker, Bridget Kool

{"title":"Prehospital advanced versus basic life support: A cohort study comparing survival to hospital for major trauma patients in New Zealand.","authors":"Nicola Campbell, Rebbecca Lilley, Gabrielle Davie, Kate Morgaine, Bridget Dicker, Bridget Kool","doi":"10.1016/j.auec.2025.09.008","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.008","url":null,"abstract":"Objective: To examine the relationship between prehospital Advanced Life Support (ALS) and survival to hospital for major trauma patients in New Zealand and explore its implications for Emergency Medical Service (EMS) practice.Methods: A mixed-methods explanatory design was used. Data on major trauma patients attended by road EMS (December 2016-November 2018) was analysed. A multivariable model with propensity scores estimated the odds of survival for patients receiving Advanced versus Basic Life Support (BLS). Semi-structured interviews conducted with EMS stakeholders were analysed using thematic analysis.Results: Among 1118 patients, 661 (59 %) received ALS. Only 52 (5 %) did not survive to hospital. Multivariable modeling estimated ALS recipients had 1.5 times higher odds of survival than BLS-only recipients (OR 1.49, 95 % CI 0.66-3.35). Interviews with five EMS clinical leaders highlighted two likely influences: clinical judgment and evidence use. Despite imprecise quantitative findings, stakeholders supported ALS based on clinical judgment.Conclusions: A tension between population-level results and provision of care based on clinical judgement exists. Quantitative analysis found no evidence that ALS offers a survival benefit, although considerable uncertainty exists, whereas stakeholders perceive ALS has clinical and equity benefits. Future research should assess equity, disability, and quality of life outcomes of ALS.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281962","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

Caring at the crossroads: Exploring end-of-life challenges for advanced heart failure patients in saudi emergency departments. 十字路口的关怀：探索沙特急诊科晚期心力衰竭患者的临终挑战。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-30 DOI: 10.1016/j.auec.2025.09.004

Ali Jaber Alqahtani, Geoffrey Keith Mitchell, Lisa Crossland, Hanan Mesfer Alyami

{"title":"Caring at the crossroads: Exploring end-of-life challenges for advanced heart failure patients in saudi emergency departments.","authors":"Ali Jaber Alqahtani, Geoffrey Keith Mitchell, Lisa Crossland, Hanan Mesfer Alyami","doi":"10.1016/j.auec.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.004","url":null,"abstract":"Background: Patients with advanced heart failure often present to hospital emergency departments during acute health crises near the end of life. While emergency departments focus on medical stabilization, they may not adequately address the emotional, spiritual, and personal needs of patients during this critical period.Methods: This qualitative study was conducted at a major tertiary hospital in Saudi Arabia. Semi-structured interviews were conducted with twelve patients diagnosed with advanced heart failure to explore their experiences of end-of-life care in the emergency department. Thematic analysis was used to interpret the data.Results: Four key themes emerged. Cultural and religious influences shaped how patients perceived their illness and guided medical decisions, often involving strong reliance on faith and family. Patient readiness and awareness varied, influencing communication preferences and attitudes toward treatment. Care experiences in the emergency department reflected both appreciation for acute interventions and concerns about inadequate communication, privacy, and spiritual care. System-level barriers such as overcrowding, limited staffing, and the absence of structured advance care planning restricted the delivery of holistic, person-centered care.Conclusions: These findings highlight the need for culturally informed, communication-focused, and system-responsive approaches to end-of-life care in emergency departments, particularly within Saudi Arabia and comparable healthcare systems.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208295","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

Facilitators and barriers to triage efficiency in adult emergency departments: An integrative literature review. 成人急诊科分诊效率的促进因素和障碍：综合文献综述。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-26 DOI: 10.1016/j.auec.2025.09.006

Minghui Zou, Lucie Ramjan, Kelly Thompson, Gladis Kabil

{"title":"Facilitators and barriers to triage efficiency in adult emergency departments: An integrative literature review.","authors":"Minghui Zou, Lucie Ramjan, Kelly Thompson, Gladis Kabil","doi":"10.1016/j.auec.2025.09.006","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.006","url":null,"abstract":"Purpose: Triage is a critical process for patient prioritisation in emergency departments (EDs) that aims to rapidly allocate patients to the appropriate level of emergency care commensurate with clinical urgency. Triage completion is expected within two to five minutes while ensuring patient safety. The purpose of this review is to identify the facilitators and barriers to triage efficiency in EDs and provide an overview of how these factors impact the triage process.Procedures: An integrative literature review was conducted with a structured search across six databases, including CINAHL, Embase, Medline, Scopus, ProQuest, and PubMed. Twenty studies met the inclusion criteria and were narratively synthesised.Findings: Factors affecting triage efficiency were grouped under four themes. Process-related factors such as workflow designs, electronic triage support decision tools, \"quick look\" triage approaches, and system inefficiencies; nurse-related factors like experience, educational attainment, cognitive approach, and fatigue; environmental and system-related pressures such as interruptions, high patient volume, overcrowding, and availability of adequate triage spaces and equipment; and patient factors, including patient complexity, all shaped triage efficiency.Conclusion: Triage efficiency is a dynamic and context-sensitive outcome shaped by multiple factors. Some factors are modifiable, and further studies are needed to explore targeted interventions and their impact on triage efficiency in emergency care.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182396","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

Advancing triage quality: Practical considerations for implementing the Australasian Triage Scale indicators. 推进分诊质量：实施澳大拉西亚分诊量表指标的实际考虑。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-20 DOI: 10.1016/j.auec.2025.09.005

Parth Aphale, Himanshu Shekhar, Shashank Dokania

引用次数: 0

Seen, heard, supported: Recognising and responding to Female Genital Mutilation/Cutting in the Australian emergency department. 看到、听到、支持：承认和应对澳大利亚急诊科的女性生殖器切割/切割。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-16 DOI: 10.1016/j.auec.2025.06.003

Haddijatou Hughes

引用次数: 0

Predictors of end-of-life care among emergency nurses: A cross-sectional study in Korea. 韩国急诊护士临终关怀的预测因素：一项横断面研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-15 DOI: 10.1016/j.auec.2025.09.003

Ji Seon Lee, Sook Jung Kang

{"title":"Predictors of end-of-life care among emergency nurses: A cross-sectional study in Korea.","authors":"Ji Seon Lee, Sook Jung Kang","doi":"10.1016/j.auec.2025.09.003","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.003","url":null,"abstract":"Background: With emergency departments (EDs) facing growing demand to provide end-of-life care (EOLC), it has become more important to identify the factors that influence the EOLC practices of ED nurses. This study examined the effects of nursing professional values, the nursing work environment, and compassion competence on the EOLC practices of ED nurses.Methods: This cross-sectional descriptive study was conducted with 136 ED nurses in Korea. Statistical analysis was conducted to examine the relationships among key variables and identify significant predictors of EOLC practices.Results: EOLC practices exhibited a significant positive correlation with nursing professional values (r = .43), the work environment (r = .42), and compassion competence (r = .60; all p < .001). Compassion competence was the strongest predictor of EOLC practices (β = 0.497, p < .001), explaining 39 % of the variance.Conclusions: Compassion competence was the most influential factor affecting EOLC practices among ED nurses. These findings highlight the need to incorporate compassion training into ongoing education and create supportive environments that promote emotionally attuned care, even in high-pressure emergency settings.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076169","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

Frontline mental resilience: Lessons learned from the pandemic experience. 一线心理复原力：从大流行经验中吸取的教训。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-12 DOI: 10.1016/j.auec.2025.09.002

Pooja Khurana, Raja Zirwatul Aida Binti Raja Ibrahim, Khatijah Omar, Azlinzuraini Binti Ahmad

{"title":"Frontline mental resilience: Lessons learned from the pandemic experience.","authors":"Pooja Khurana, Raja Zirwatul Aida Binti Raja Ibrahim, Khatijah Omar, Azlinzuraini Binti Ahmad","doi":"10.1016/j.auec.2025.09.002","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.002","url":null,"abstract":"Background: The COVID-19 pandemic affected frontline Healthcare Workers (HCWs) immensely, subjecting them to extreme psychological distress. The current study assesses the burnout, anxiety, depression, PTSD, and resilience levels among HCWs and analyses the efficacy of institutional mental health interventions.Methods: A cross-sectional longitudinal study design that combined quantitative surveys and qualitative interviews was employed. There were 500 HCWs from public hospitals, private hospitals, primary healthcare centres, and emergency response teams who took part. Validated measures included the Maslach Burnout Inventory (MBI), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PTSD Checklist (PCL-5), and Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics, chi-square tests, t-tests, and logistic regression were used in data analysis.Results: Psychological distress was common, with 42.5 % burnout, 35.2 % anxiety, 29.8 % depression, and 21.4 % PTSD. Long hours (OR = 1.85, p < 0.001), high patient volume (OR = 1.67, p < 0.001), and absence of PPE (OR = 1.52, p = 0.002) were major contributors, and robust workplace support (OR = 0.75, p = 0.037) was protective. Qualitative interviews revealed key themes, including persistent sleep disturbances, Mental Health Support, Emotional and Social consequences, Impact on relationships and fear of infecting family members.Conclusion: HCWs experienced extreme psychological distress throughout the pandemic, which requires additional mental health policies, organizational support, and greater access to digital interventions.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058815","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

Reframing paediatric mental health screening and assessment in emergency care through a biopsychosocial lens: A call for system-level integration. 通过生物心理社会视角重构儿科精神健康筛查和紧急护理评估：呼吁系统级整合。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-10 DOI: 10.1016/j.auec.2025.09.001

Kristina Maximous, Sonja Maria, Andreia Schineanu

{"title":"Reframing paediatric mental health screening and assessment in emergency care through a biopsychosocial lens: A call for system-level integration.","authors":"Kristina Maximous, Sonja Maria, Andreia Schineanu","doi":"10.1016/j.auec.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.auec.2025.09.001","url":null,"abstract":"Background: Paediatric mental health crises are an escalating burden in global emergency care, with suicide the second leading cause of death among 10-19-year-olds. Emergency settings often represent the first point of contact for children in psychological distress. However, fragmented implementation, limited use of holistic approaches, and an absence of validated screening tools in paramedicine, contribute to missed opportunities for early intervention.Methods: This scoping review followed the Joanna Briggs Institute (JBI) methodological framework and PRISMA-ScR guidelines and sourced literature from key databases from 2004 to 2024. Included studies involved validated screening or assessment tools for children aged 0-19 used in emergency care contexts. Data were extracted, charted, and thematically analysed using a biopsychosocial (BPS) lens to evaluate tool design, clinical feasibility, and relevance.Results: Thirty studies met inclusion criteria, identifying 21 screening and 10 assessment tools, mainly used in hospital-based emergency departments. None were applied in paramedicine. Only five tools aligned with the BPS model. Key barriers included time constraints, training deficits, care discontinuity, and limited inclusivity for culturally and linguistically diverse or neurodivergent populations.Conclusion: There is an urgent need for BPS-informed, developmentally appropriate tools tailored for paramedic use to improve equitable, child-centred emergency mental health care.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042257","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

Letter to the Editor: The clinical frailty scale offers little utility as part of a prediction model for community-dwelling older fallers at risk of re-presenting to the emergency department. 致编辑的信：临床虚弱量表作为预测模型的一部分，对社区居住的老年人再次出现在急诊科的风险几乎没有效用。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-06 DOI: 10.1016/j.auec.2025.08.007

Syed Tawassul Hassan, Ahsan Zaidi, Muhammad Misam Raza, Aayan Salman

引用次数: 0

Preparedness of Tongan emergency nurses to respond to disasters: A mixed-method study. 汤加急救护士应对灾害的准备：一项混合方法研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-02 DOI: 10.1016/j.auec.2025.08.006

Mapu-Mei-He-Ngalu Kauhalaniua, Karen S Hammad

{"title":"Preparedness of Tongan emergency nurses to respond to disasters: A mixed-method study.","authors":"Mapu-Mei-He-Ngalu Kauhalaniua, Karen S Hammad","doi":"10.1016/j.auec.2025.08.006","DOIUrl":"https://doi.org/10.1016/j.auec.2025.08.006","url":null,"abstract":"Background: The emergency department (ED) serves as the access point for people requiring treatment during disasters, meaning emergency nurses are typically the first responders in such situations. Tonga's location on the Ring of Fire, has led to the Kingdom experiencing numerous disasters, making it imperative that emergency nurses are well-prepared to respond.Method: This study utilized a Convergent Parallel Mixed-Method approach. A survey that collected qualitative and quantitative data was conducted among emergency nurses working on the five main islands of Tonga.Results: A total of 43 emergency nurses responded to the survey with a response rate of 92 %. A key finding of the study is that Tongan emergency nurses are moderately prepared to respond to disasters.Discussion: Five themes emerged from this study, disaster planning, previous disaster response experience, disaster related training, resourcing, external obligations, and readiness to respond.Conclusion: To our knowledge this is the first study to explore the preparedness of Tongan emergency nurses to respond to disasters. While the findings of this study may not be generalizable to other settings, they may be beneficial to other Pacific Island Countries and Territories and small island developing nations.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994659","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