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OBJECTIVE To examine the relationship between hospital and emergency department (ED) occupancy, as indicators of hospital overcrowding, and mortality after emergency admission. DESIGN Retrospective analysis of 62 495 probabilistically linked emergency hospital admissions and death records. SETTING Three tertiary metropolitan hospitals between July 2000(More)
BACKGROUND Current 2005 guidelines for advanced cardiac life support strongly recommend immediate defibrillation for out-of-hospital cardiac arrest. However, findings from experimental and clinical studies have indicated a potential advantage of pretreatment with chest compression-only cardiopulmonary resuscitation (CPR) prior to defibrillation in improving(More)
OBJECTIVE To quantify the change in door to needle time when delivery of thrombolytic treatment of acute myocardial infarction was changed from the coronary care unit to the emergency department. DESIGN A comparative observational study using prospectively collected data. SETTING Coronary care unit and emergency department of an Australian teaching(More)
Many injury severity scoring tools have been developed over the past few decades. These tools include the Injury Severity Score (ISS), New ISS (NISS), Trauma and Injury Severity Score (TRISS) and International Classification of Diseases (ICD)-based Injury Severity Score (ICISS). Although many studies have endeavored to determine the ability of these tools(More)
OBJECTIVE To describe the policy and practice relating to cardiopulmonary resuscitation (CPR) and defibrillation in cardiac arrest in Australian hospitals. DESIGN Cross-sectional postal survey conducted in December 2001, using a semi-structured, four-page questionnaire. PARTICIPANTS Australian hospitals with more than 10 beds. MAIN OUTCOME MEASURES(More)
Background: Methoxyflurane administered via an inhaler is a common analgesic agent used by ambulance services in Australia; however little published data exists as to its efficacy or effectiveness in this setting. There have been several reports that have suggested that the use of Methoxyflurane may be associated with the occurrence of hepatitis and renal(More)
BACKGROUND As demand for Emergency Department (ED) services continues to exceed increases explained by population growth, strategies to reduce ED presentations are being explored. The concept of ambulance paramedics providing an alternative model of care to the current default 'see and transport to ED' has intuitive appeal and has been implemented in(More)
Despite its use since the 1960s, the safety or effectiveness of adrenaline as a treatment for cardiac arrest has never been comprehensively evaluated in a clinical trial. Although most studies have found that adrenaline increases the chance of return of spontaneous circulation for short periods, many studies found harmful effects on the brain and raise(More)
BACKGROUND Back pain is a significant cause of disability in the community, but the impact on Emergency Departments (EDs) has not been formally studied. Patients with back pain often require significant time and resources in the ED. AIMS To examine the characteristics of patients presenting with back pain to the ED, including final diagnosis, demographics(More)