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OBJECTIVE To measure communication loads on clinical staff in an acute clinical setting, and to describe the pattern of informal and formal communication events, Australia. DESIGN Observational study. SETTING Two emergency departments, one rural and one urban, in New South Wales hospitals, between June and July 1999. PARTICIPANTS Twelve clinical staff(More)
Debate around medical futility has produced a vast literature that continues to grow. Largely absent from the broader literature is the role of emergency medicine in either starting measures that prove to be futile, withholding treatment or starting the end of life communication process with patients and families. In this discussion we review the status of(More)
AIM To determine if the introduction of preformatted patient record charts improved documentation by doctors in a rural emergency department. METHODS All medical records of patients who were discharged from the emergency department were collected and analysed for a period of two weeks (control). The preformatted patient charts were then introduced for a(More)
AIMS To report five cases of adverse effects associated with the ingestion of "Herbal Ecstasy" tablets and discuss possible mechanisms of toxicity. METHOD Composition of the "Herbal Ecstasy" tablets was determined by discussions with distributors and with MEDSAFE: Reference to relevant texts and an internet and Medline literature search was used to(More)
OBJECTIVE To study any change in reference accuracy in the Australasian emergency medicine journal (now known as Emergency Medicine Australasia), in the 10 years since a previous analysis was undertaken. METHOD A sample of 100 randomly selected references was compared with the results from the previous analysis. RESULTS There was a significant reduction(More)
AIM To establish the effectiveness of early magnetic resonance imaging (MRI) in the diagnosis of scaphoid fracture in patients with suggestive clinical findings (but a normal initial X-ray) in an Australian major-referral emergency department METHODS A prospective study of patients who presented within 24 hours after trauma with clinical findings(More)
OBJECTIVE To describe the mechanism, injury pattern and management of women who present to the ED with non-obstetric vulval trauma. METHODS A retrospective, single-institution case series was carried out. Data were sourced from medical records of women who presented to the ED and Royal Brisbane and Women's Hospital between 2007 and 2011. Records of(More)
OBJECTIVE To assess the accuracy of references in articles published in Emergency Medicine, and to categorize these errors. METHODS All the references in Volume 12 of Emergency Medicine were listed and numbered consecutively. A sample of 100 references was then selected. Each reference was then checked, initially on an electronic database, with the(More)
In 2006, the American Board of Emergency Medicine co-sponsored hospice and palliative medicine as a recognized medical subspecialty. There is recognition of the need for these skills to be available in EDs in the USA. This article discusses the rationale for integrating a palliative approach in the ED. We need to engage our palliative care colleagues to(More)