Background: Cervical collars are used as standard care for neck immobilisation after cervical spine injury. Although evidence for the most effective type of collar is lacking, there is evidence regarding adverse patient outcomes when managed in a semi or rigid collar. In response to the evidence of complications and adverse effects when using a hard collar, a large Australian adult trauma hospital that specializes in spinal care, changed its policy from hard to soft collars when managing acute cervical spine injury.
View Article and Find Full Text PDFConcurrent with the increase in the number of local gyms and the number of people engaged in fitness pursuits, exercise-related emergency department (ED) presentations have also increased. Identifying these injuries and the associated activities and equipment will help inform prevention strategies and potentially reduce the burden on the healthcare system. We reviewed the presentations to an Australian tertiary hospital ED resulting from running/jogging and gym-based exercise from 2005 to 2018.
View Article and Find Full Text PDFStudies report the benefit of medical scribes in the emergency department on patient throughput, clinical documentation, patient outcomes, and provider and patient satisfaction. However, studies are silent on the benefits of being a scribe for premedical and medical students. The senior author interviewed 8 scribes who were applying for medical school and 9 medical students who had been scribes prior to medical school.
View Article and Find Full Text PDFObjective: The Ottawa subarachnoid haemorrhage (SAH) rule suggests that alert patients older than 15 years with a severe nontraumatic headache reaching maximum intensity within 1 h and absence of high-risk variables effectively have a SAH ruled out. We aimed to determine the proportion of emergency department (ED) patients with any headache fulfilling the entry criteria for the Ottawa SAH rule.
Patients And Methods: The Ottawa SAH rule was applied retrospectively in a substudy of a prospective snapshot of 34 EDs in Queensland, Australia, carried out over 4 weeks in September 2014.
Emerg Med Australas
October 2017
Objectives: The objective of this study was to describe demographic and clinical characteristics including features that were consistent with subarachnoid hemorrhage (SAH), use of diagnostic tests, emergency department (ED) discharge diagnoses, and disposition of adult patients presenting with an acute headache to EDs statewide across Queensland, Australia. In addition, potential variations in the presentation and diagnostic workup between principal-referral and city-regional hospitals were examined.
Methods: A prospective cross-sectional study was conducted over 4 weeks in September 2014.
The increasing burden of documentation experienced by doctors threatens the efficiency in EDs and increases the likelihood of documentation errors. Medical scribes afford the opportunity to allay this burden by removing a large component of the doctors' documentation task. Scribes have been embedded successfully in US EDs, and the effects have been mostly advantageous.
View Article and Find Full Text PDFThe attainment of a work-life balance is an important issue for recruitment, retention and workforce planning. This paper aims to report on the free text data provided by the aged-care sector nurses around perceptions of important work-life issues. Data were written responses of aged-care nurses to the open-ended request at the end of a survey, which asked them to list up to five political/social/environmental issues concerning them outside of their work.
View Article and Find Full Text PDFInt J Nurs Pract
August 2011
This study compared temperament and character traits of Australian registered nurses and general practitioners. A cross-sectional quantitative design used the Temperament and Character Inventory. Total sample size was 426.
View Article and Find Full Text PDFAim. The aim of this qualitative analysis - a component of a larger survey study, was to provide insights and understandings about intrinsic and extrinsic work values for nurses in aged-care. Background.
View Article and Find Full Text PDFNurses are at high risk of incurring workplace violence during their working life. This paper reports the findings on a cross-sectional, descriptive, self-report, postal survey in 2007. A stratified random sample of 3000 of the 29 789 members of the Queensland Nurses Union employed in the public, private and aged care sectors resulted in 1192 responses (39.
View Article and Find Full Text PDFAust Fam Physician
September 2009
Background: Overweight and obesity are major risk factors for chronic disease. Physical activity plays an important role in increasing wellbeing and reducing weight. General practitioners' advice and intervention can help patients increase their physical activity.
View Article and Find Full Text PDFThe role of the breast care nurse (BCN) in the Queensland's Supporting Rural Women With Breast Cancer Project was evaluated by mixed methodology. Through questionnaire and interview, patients provided views about the nurse's role under the categories of awareness, access, coordination, information, and psychosocial, emotional, and practical support. Of the 51 participants, 37 resided in rural and remote areas.
View Article and Find Full Text PDFObjective: Since 1994 a state-wide program has been operating in Queensland to provide non-metropolitan secondary school students with information about health careers. Determination of the factors influencing the career decisions of rural and remote students was one objective of the evaluation of that program.
Design: Telephone interviews.
Objective: Since 1994, as part of the Health Careers in the Bush program, Queensland Health has run residential workshops to provide secondary school students from rural and remote areas with information about health careers. This study reports on the influence of the program on tertiary course selection.
Design: Self-administered mail survey and telephone interviews.
Thirty-five live births were recorded over a 5-year period from three subspecies of the mitis (Sykes and blue) monkey (Cercopithecus mitis) maintained outdoors in single-male harem breeding groups. There was no indication of birth seasonality. Females of one subspecies, C.
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