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OBJECTIVE Access block refers to the situation where patients in the emergency department (ED) requiring inpatient care are unable to gain access to appropriate hospital beds within a reasonable time frame. We systematically evaluated the relationship between access block, ED overcrowding, ambulance diversion, and ED activity. METHODS This was a(More)
INTRODUCTION The outcome after out of hospital cardiac arrest is dismal. Thrombolysis during CPR has been advocated. Our hypothesis was that early administration of bolus thrombolysis could lead to improved survival from out of hospital cardiac arrest. METHODS A prospective, randomised, double blind placebo controlled trial. All victims of out of hospital(More)
OBJECTIVE To describe the epidemiology of electrical fatalities in Western Australia between 1976 and 1990. DATA SOURCES Data for the study were gathered from hospital records, autopsy reports and findings from State Energy Commission and coronal investigations. DATA EXTRACTION Information that was abstracted included age, sex, occupation, voltage,(More)
OBJECTIVES To describe an experience of emergency department (ED) overcrowding and ambulance bypass. METHODS A prospective observational study at Royal Perth Hospital, a major teaching hospital. Episodes of ambulance bypass and their characteristics were recorded. RESULTS From 1 July 1999 to 30 June 2001, there were 141 episodes of ambulance bypass(More)
OBJECTIVES The objective of this study was to assess the accuracy and safety of two pre-defined checklists to identify prehospital post-ictal or hypoglycemic patients who could be discharged at the scene. METHODS A retrospective cohort study of lower acuity, adult patients attended by paramedics in 2013, and who were either post-ictal or hypoglycemic, was(More)
The prognosis of out of hospital cardiac arrest (OHCA) is dismal. Recent reports indicate that high dose magnesium may improve survival. A prospective randomized double blind placebo controlled trial was conducted at the emergency department (ED) of Royal Perth Hospital, a University teaching hospital. Patients with OHCA of cardiac origin received either 5(More)
OBJECTIVE To determine whether cardiac monitoring is required in children sustaining electric shock at Australian household voltage. METHODOLOGY Records of patients admitted via the Emergency Department of Princess Margaret Hospital for Children, Perth, Australia, for the period 1968-96 were retrospectively reviewed. The initial ECG findings of patients(More)
OBJECTIVE To decide who should be monitored after exposure to household 240 volt 50 Hz alternating current electric shocks. DESIGN AND SETTING Records of patients admitted to the Intensive Care Unit of Royal Perth Hospital for the period 1978-1987 were retrospectively reviewed. A literature review was also performed to compare previous findings with our(More)
BACKGROUND To compare low-dose abdominal computed tomography (LDCT) with plain abdominal radiography (AR) in the primary investigation of acute abdominal pain to determine if there is a difference in diagnostic yield, the number of additional investigations required and hospital length of stay (LOS). METHODS This randomized controlled trial was approved(More)