Australasian Emergency Care最新文献_第7页

Mild and moderate traumatic brain injury: Screening, documentation, and referral to concussion services. 轻度和中度创伤性脑损伤：筛查，记录和转介到脑震荡服务。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-04-09 DOI: 10.1016/j.auec.2025.03.007

Mahdi Zangi, John W Pickering, Alice Theadom, Martin Than, Deborah L Snell

{"title":"Mild and moderate traumatic brain injury: Screening, documentation, and referral to concussion services.","authors":"Mahdi Zangi, John W Pickering, Alice Theadom, Martin Than, Deborah L Snell","doi":"10.1016/j.auec.2025.03.007","DOIUrl":"10.1016/j.auec.2025.03.007","url":null,"abstract":"<p><strong>Background and aim: </strong>Screening of traumatic brain injuries (TBI) using different clinical assessment tools would facilitate diagnosis and effective inpatient follow-up. We aimed to describe rates of diagnosis, classification, documentation, and referral practices for TBI inpatients.</p><p><strong>Material and methods: </strong>In a retrospective cohort study, we reviewed electronic clinical records of adult patients admitted to a hospital ward with head trauma from an emergency department (ED) in 2021. Data included demographics, injury, TBI diagnoses, and referral to concussion services. Factors predicting ED physician documentation and referral to concussion services were identified.</p><p><strong>Results: </strong>Of approximately 34,000 adults admitted from the ED, 1059 presented with head trauma, and 609 (57.5 %) were diagnosed with TBI. There were 553 mild/moderate TBI cases with an incidence rate of 103.4 per 100,000 adult population in Canterbury. 14 % (n = 77) were referred to a concussion service. Predictors of ED-documented TBI included non-isolated head injury (OR:0.60), head CT request (OR:9.12), injured in street/public areas (OR:2.03). Older age and non-isolated head injury decreased odds of concussion service referral (0.96 and 0.46, respectively), while female and ED-documented TBI increased odds of referral (5.8 and 28, respectively).</p><p><strong>Conclusion: </strong>Better documentation of mild/moderate TBI might facilitate health care access, with efficient clinical decision making.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":"213-220"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011173","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

Emergency department staff perceptions of representation through an observational documentary series. 通过观察纪录片系列急诊科员工的代表性的看法。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-04-30 DOI: 10.1016/j.auec.2025.04.001

Felicity Moon, Angela Dean, Mark J Putland

{"title":"Emergency department staff perceptions of representation through an observational documentary series.","authors":"Felicity Moon, Angela Dean, Mark J Putland","doi":"10.1016/j.auec.2025.04.001","DOIUrl":"10.1016/j.auec.2025.04.001","url":null,"abstract":"<p><strong>Background: </strong>The representation of healthcare professionals in television has been subject to critique due to the depictions of stereotypical tropes between professional disciplines. Production of factual television programs requires healthcare professionals to perform their roles for a diverse audience, and ideally presents an accurate portrayal of patient care.</p><p><strong>Methods: </strong>We used an anonymous mixed-method survey framed by symbolic interactionism and Goffman's theory of presentation of self to explore how staff negotiate representation during the filming of an observational documentary in an Emergency Department. Quantitative data were analysed using descriptive statistics and qualitative data using thematic analysis.</p><p><strong>Results: </strong>In total 105 staff completed the survey, predominantly nurses and physicians. They reported mixed responses to the impact of filming on professional performance and clinical care. Two themes from the qualitative data revealed that staff sought ideal representation through television production, while also being required to engage in additional work to adjust to the filming team, manage team dynamics, and provide appropriate patient care.</p><p><strong>Conclusion: </strong>Filming of documentaries provides the opportunity for healthcare professionals to engage in representation. However, there is a need to challenge dominant depictions of medical-nursing hierarchies, and present a broader variety of clinical presentations.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":"227-232"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034366","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

Effects of cold needle and ShotBlocker applied in the emergency department on pain and satisfaction in intramuscular injection pain: A randomized controlled trial. 急诊科应用冷针和注射阻断剂对肌内注射疼痛的疼痛和满意度的影响：一项随机对照试验。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-02-08 DOI: 10.1016/j.auec.2025.02.001

Yadigar Ordu, Hilal Türkben Polat, Kadir Küçükceran

{"title":"Effects of cold needle and ShotBlocker applied in the emergency department on pain and satisfaction in intramuscular injection pain: A randomized controlled trial.","authors":"Yadigar Ordu, Hilal Türkben Polat, Kadir Küçükceran","doi":"10.1016/j.auec.2025.02.001","DOIUrl":"10.1016/j.auec.2025.02.001","url":null,"abstract":"<p><strong>Background: </strong>The most commonly reported side effect of intramuscular injection is pain. Cold needles and ShotBlocker can be used as non-pharmacological methods for pain relief. This study aims to determine the effect of cold needle and ShotBlocker on pain and satisfaction in intramuscular injection pain.</p><p><strong>Methods: </strong>This is a triple-blind, randomized controlled study. The study was conducted on 120 patients (40: control, 40: cold needle, 40: ShotBlocker) who presented to the emergency department of a university hospital in Turkey for cyanocobalamin injection in July-August 2024. Data were collected using a patient identification form, visual pain scale (VPS), and injection satisfaction scale. SPSS statistical package (version 22.0; SPSS, Inc., USA) was used to analyze the data.</p><p><strong>Results: </strong>In the study, the groups were found to be similar except for age and continuous drug use. The pain scores of the control group were significantly higher than those of the cold needle and ShotBlocker groups. Injection satisfaction was significantly higher in the cold needle and ShotBlocker groups than in the control group.</p><p><strong>Conclusion: </strong>Both the Cold Needle and the ShotBlocker can be used as effective methods to reduce pain associated with intramuscular injections and improve injection satisfaction. Both methods are non-pharmacological, inexpensive, and easy to use, and they can be used safely and effectively in all clinical settings.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":"157-162"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383693","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

Adherence to ambulance performance indicators and patient outcomes after stroke: An Australian data linkage study. 坚持救护车性能指标和中风后患者的结果：澳大利亚的数据链接研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-07-04 DOI: 10.1016/j.auec.2025.04.002

Amminadab L Eliakundu, Joosup Kim, Karen Smith, Monique F Kilkenny, Mulugeta M Birhanu, Kathleen L Bagot, Emily Nehme, Shelley Cox, Bruce C V Campbell, Ben Clissold, Helen M Dewey, Jodie Rabaut, Henry Ma, Christopher F Bladin, Dominique A Cadilhac

{"title":"Adherence to ambulance performance indicators and patient outcomes after stroke: An Australian data linkage study.","authors":"Amminadab L Eliakundu, Joosup Kim, Karen Smith, Monique F Kilkenny, Mulugeta M Birhanu, Kathleen L Bagot, Emily Nehme, Shelley Cox, Bruce C V Campbell, Ben Clissold, Helen M Dewey, Jodie Rabaut, Henry Ma, Christopher F Bladin, Dominique A Cadilhac","doi":"10.1016/j.auec.2025.04.002","DOIUrl":"10.1016/j.auec.2025.04.002","url":null,"abstract":"<p><strong>Background: </strong>The impact of Emergency Medical Service (EMS) stroke performance indicators on patient outcomes is unclear. We aimed to evaluate adherence to EMS indicators (15 minutes response, 60 minutes transport to a stroke centre or both) and associations with treatment access and patient outcomes.</p><p><strong>Method: </strong>Retrospective cohort study using data from the Australian Stroke Clinical Registry and ambulance records from Victoria (2015-2017) for patients (≥18 years) with stroke transported by ambulance. Multivariable regression models were used to evaluate EMS adherence to performance indicators and outcomes of interest.</p><p><strong>Results: </strong>Among 4206 patients (72 years; 42 % female), EMS indicators were less frequently met for patients in regional areas (aOR: 0.27; 95 % CI: 0.17, 0.43). Socio-economic disparities were observed, with patients in advantaged areas less likely to receive an ambulance response within 15 minutes. Adherence to EMS performance indicators was associated with shorter off-stretcher time and increased thrombolytic therapy use (aOR: 1.62; 95 % CI: 1.24, 2.11). EMS adherence to performance indicators did not significantly impact functional independence, or health-related quality of life.</p><p><strong>Conclusions: </strong>EMS adherence to performance indicators improved off-stretcher time and thrombolytic therapy use but was influenced by geographic and socio-economic status. Refining EMS performance targets and tailoring public and EMS education on stroke is needed.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":"233-239"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568137","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

Screening and assessment of falls risk in the emergency department. 急诊科跌倒风险的筛选和评估。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-09-01 Epub Date: 2025-03-16 DOI: 10.1016/j.auec.2025.03.003

Paul Fulbrook, Sandra J Miles, Faye Jordan, Sarah Hazelwood, Hwee Yong Debbie Lee

{"title":"Screening and assessment of falls risk in the emergency department.","authors":"Paul Fulbrook, Sandra J Miles, Faye Jordan, Sarah Hazelwood, Hwee Yong Debbie Lee","doi":"10.1016/j.auec.2025.03.003","DOIUrl":"10.1016/j.auec.2025.03.003","url":null,"abstract":"<p><strong>Background: </strong>Falls are a source of harm, repeat emergency department visits and hospital admission for older adults. Undertaking a comprehensive geriatric screening including falls-risk is recommended in guidelines for optimal older adult emergency department care.</p><p><strong>Methods: </strong>A pragmatic prospective cohort study was undertaken to evaluate use of further falls-risk screening in older adults in a large tertiary Australian hospital emergency department. Primary outcome measures of interest were length of stay; discharge destination; 30-day and 90-day re-presentations.</p><p><strong>Results: </strong>Of 651 eligible cases, 320 were randomly recruited for further screening following consent. The implementation cohort spent an average 45 m longer in the emergency department with a greater proportion admitted to the short stay unit, staying there longer than a comparison cohort. There were significantly fewer 30-day fall-related representations (2.9 %) in the implementation cohort.</p><p><strong>Conclusions: </strong>Despite a small reduction in emergency department re-presentation within 30 days in the implementation cohort, hospital admission was not reduced. Further research is needed to examine any cost-benefit ratio of additional falls-risk screening and intervention in emergency departments.</p>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":"179-185"},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639704","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

Mitigating conflict between emergency department and inpatient staff due to access block 缓解急诊部门和住院人员因通道阻塞而产生的冲突。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-06-01 Epub Date: 2025-02-12 DOI: 10.1016/j.auec.2025.01.003

Benjamin Aston , Gideon de Jong , Sarah Tillott

引用次数: 0

How confident are Queensland paramedics with seizure recognition, differentiation, and management? A pilot study 昆士兰护理人员对癫痫的识别、鉴别和管理有多自信？一项初步研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-06-01 Epub Date: 2025-01-29 DOI: 10.1016/j.auec.2025.01.002

Jordan J. Hill , Brooke L. Hill , Brett Williams

{"title":"How confident are Queensland paramedics with seizure recognition, differentiation, and management? A pilot study","authors":"Jordan J. Hill , Brooke L. Hill , Brett Williams","doi":"10.1016/j.auec.2025.01.002","DOIUrl":"10.1016/j.auec.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Paramedics in Australia present as the opportune medical personnel to initiate medical intervention of seizure presentations and perform a fundamental role in the prevention of seizure associated morbidity and mortality. Despite being well equipped to manage seizures, no literature exists regarding their confidence to recognise, differentiate, or manage seizures.</div></div><div><h3>Methods</h3><div>An online cross-sectional survey was undertaken by 168 paramedics practicing clinically for the Queensland Ambulance Service in Australia. The survey assessed paramedic perceived self-confidence surrounding seizure presentations. Non-parametric Kruskal-Wallis <em>H</em>-Test and post hoc pairwise comparisons were conducted to assess between group differences in relation to practicing qualifications, and years of service.</div></div><div><h3>Results</h3><div>Paramedics were confident in generalised convulsive seizure recognition and management, however, displayed less confidence surrounding non-convulsive, focal, and psychogenic seizure classifications. Critical care paramedics reported higher confidence than advanced care and graduate paramedics across various seizure presentation elements (<em>p</em> < 0.05). Paramedics with greater than 10 years of service reported higher confidence than those with fewer years of service, particularly less than two years.</div></div><div><h3>Conclusion</h3><div>Future education and professional development opportunities for paramedics require a greater focus on the development of self-confidence, with mechanisms implemented to increase paramedics’ exposure to the broad spectrum of seizure presentations.</div></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"28 2","pages":"Pages 142-149"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069840","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

Maintenance of normothermia in the out-of-hospital setting: A pilot comparative crossover study of a foil blanket versus self-warming blanket 院外环境中正常体温的维持：铝箔毯与自温毯的试点比较交叉研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-06-01 Epub Date: 2024-12-18 DOI: 10.1016/j.auec.2024.12.001

Kathleen M. O’Leary , Rebecca Henderson , Joanne N. Caldwell Odgers , Benjamin N. Meadley

{"title":"Maintenance of normothermia in the out-of-hospital setting: A pilot comparative crossover study of a foil blanket versus self-warming blanket","authors":"Kathleen M. O’Leary , Rebecca Henderson , Joanne N. Caldwell Odgers , Benjamin N. Meadley","doi":"10.1016/j.auec.2024.12.001","DOIUrl":"10.1016/j.auec.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypothermia can increase mortality in certain patients. Paramedics apply cotton and foil \"space\" blankets for warming, yet their effectiveness remains uncertain. This pilot study aimed to evaluate combining cotton blankets with a self-warming blanket versus a combination of cotton blankets and a foil blanket in an out-of-hospital simulation.</div></div><div><h3>Methods</h3><div>Eight participants were allocated to warming with either two cotton blankets and one foil blanket, or two cotton blankets and one self-warming blanket, with the alternate method applied in a subsequent session. Participants were cooled using an ice-vest and fan until shivering onset, after which the warming method was applied. Simulation involved transitioning through three environments: baseline (22 °C), cooling/warming (16 °C), and “ambulance” (27 °C). Core temperature was monitored via oesophageal probe, skin temperature via thermistors (recorded every minute), and tympanic temperature and thermal sensation and comfort were recorded five minutely.</div></div><div><h3>Results</h3><div>There were minor differences in thermal sensation. For the primary outcome there was no significant difference between blanket methods (core: foil 36.98 ± 0.08 °C vs. self-warming 36.95 ± 0.10 °C, P > 0.05).</div></div><div><h3>Conclusion</h3><div>The combination of cotton and self-warming blankets did not exhibit superiority compared to cotton and foil blankets in out-of-hospital simulation. Future research should explore alternative warming methodologies to optimise normothermia maintenance.</div></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"28 2","pages":"Pages 116-122"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856911","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

Emergency care experiences of patients known to palliative care services and their family: A qualitative interview study 姑息治疗患者及其家属的急诊护理经验：一项质性访谈研究。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-06-01 Epub Date: 2024-12-30 DOI: 10.1016/j.auec.2024.12.003

Reuben Sutton , Natalie Elizabeth Anderson , Merryn Gott

{"title":"Emergency care experiences of patients known to palliative care services and their family: A qualitative interview study","authors":"Reuben Sutton , Natalie Elizabeth Anderson , Merryn Gott","doi":"10.1016/j.auec.2024.12.003","DOIUrl":"10.1016/j.auec.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>With aging and comorbid populations and healthcare services under pressure, emergency department presentations related to palliative care needs are increasing. Little is known about patient and family experiences of care in this context. This study explores the emergency department care experiences of palliative patients and their family members.</div></div><div><h3>Methods</h3><div>Semi-structured interviews with patients known to palliative care services who had presented to an urban emergency department within the study recruitment period. Six patients and five family members were interviewed. Reflexive thematic analysis methodology was underpinned by social constructivism.</div></div><div><h3>Findings</h3><div>Participants often described misalignment between emergency care priorities and their own, which was sometimes associated with challenges, including dehumanisation. However, participants also shared stories of supported self-advocacy, associated with positive care experiences.</div></div><div><h3>Conclusion</h3><div>This research identifies challenges patients and their family experience when accessing emergency department care. Symptom management, time, environment, and advocacy were impactful aspects of patient and family experience. There is a need to develop and support palliative care skills and knowledge within EDs, and adapt the environment to provide a safe space for sensitive communication and person-centred care.</div></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"28 2","pages":"Pages 129-135"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911184","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

Gender bias in text-to-image generative artificial intelligence depiction of Australian paramedics and first responders 澳大利亚护理人员和急救人员的文本到图像生成人工智能描述中的性别偏见。

IF 2.1 4区医学

Australasian Emergency Care Pub Date : 2025-06-01 Epub Date: 2024-12-02 DOI: 10.1016/j.auec.2024.11.003

Geoffrey Currie , Johnathan Hewis , Phillip Ebbs

{"title":"Gender bias in text-to-image generative artificial intelligence depiction of Australian paramedics and first responders","authors":"Geoffrey Currie , Johnathan Hewis , Phillip Ebbs","doi":"10.1016/j.auec.2024.11.003","DOIUrl":"10.1016/j.auec.2024.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>In Australia, almost 50 % of paramedics are female yet they remain under-represented in stereotypical depictions of the profession. The potentially transformative value of generative artificial intelligence (AI) may be limited by stereotypical errors, misrepresentations and bias. Increasing use of text-to-image generative AI, like DALL-E 3, could reinforce gender and ethnicity biases and, therefore, is important to objectively evaluate.</div></div><div><h3>Method</h3><div>In March 2024, DALL-E 3 was utilised via GPT-4 to generate a series of individual and group images of Australian paramedics, ambulance officers, police officers and firefighters. In total, 82 images were produced including 60 individual-character images, and 22 multiple-character group images. All 326 depicted characters were independently analysed by three reviewers for apparent gender, age, skin tone and ethnicity.</div></div><div><h3>Results</h3><div>Among first responders, 90.8 % (<em>N = 296</em>) were depicted as male, 90.5 % (<em>N = 295</em>) as Caucasian, 95.7 % (<em>N = 312</em>) as a light skin tone, and 94.8 % (<em>N = 309</em>) as under 55 years of age. For paramedics and police the gender distribution was a statistically significant variation from that of actual Australian workforce data (all p < 0.001). Among the images of individual paramedics and ambulance officers (<em>N = 32</em>), DALL-E 3 depicted 100 % as male, 100 % as Caucasian and 100 % with light skin tone.</div></div><div><h3>Conclusion</h3><div>Gender and ethnicity bias is a significant limitation for text-to-image generative AI using DALL-E 3 among Australian first responders. Generated images have a disproportionately high misrepresentation of males, Caucasians and light skin tones that are not representative of the diversity of paramedics in Australia today.</div></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"28 2","pages":"Pages 103-109"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774990","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