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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)
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)
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)
Access Block and Emergency Department (ED) Overcrowding are well defined phenomena that have been described as the most serious issue confronting EDs. This paper provides a summary of the current evidence on the subject from around the world. In addition to the following evidence, one must always remember that this problem is associated with a large amount(More)
BACKGROUND Most hospitals have a Cardiac Arrest Team, activated after cardiopulmonary arrest. The Medical Emergency Team (MET) is a newer concept, encompassing a proactive response to a wide range of emergencies with the aim of preventing irreversible organ failure and cardiopulmonary arrest. AIM To describe the application of the MET model to the(More)
BACKGROUND Mortality from trauma in rural areas is increased compared with the urban environment. We aimed to describe the relationship between trauma deaths and various categories of remoteness in rural areas, in Western Australia (WA). METHODS We used Death Registry data from July 1, 1997 to June 30, 2006. Deaths were allocated to one of the five(More)
OBJECTIVE To evaluate telephone advice given in an emergency department. DESIGN Prospective, observational study. SETTING A community-based emergency department in a semi-rural/outer metropolitan setting, between August and November 1995. PARTICIPANTS All people telephoning the emergency department for medical advice. METHODS Details of all calls,(More)
BACKGROUND Metropolitan and rural Western Australia (WA) major trauma transport times are extremely different. We compared outcomes from these different systems of care. METHODS Major trauma (Injury Severity Score, ISS>15) data from the Royal Flying Doctor Service (RFDS) and Trauma Registries, 1 July 1997-30 June 2006. Two groups were studied: Metro(More)
INTRODUCTION Within a trauma system, pre-hospital care is the first step in managing the trauma patient. Timely and appropriate transport of the injured patient to the most appropriate facility is important. Many trauma systems mandate that serious trauma cases are transported directly to a level I trauma center unless transfer to a closer hospital is(More)
INTRODUCTION There is a trend towards accelerated management of acute atrial fibrillation (AF) in the emergency department (ED). We report our experience with biphasic cardioversion of acute AF. METHODS This was a prospective, descriptive study at a tertiary hospital ED over a 6 month period. Acute AF was defined as symptoms that had been present for <48(More)