Benefits of emergency department routine blood test performance on patients whose allocated triage category is not time critical: a retrospective study.

Introduction: Emergency department clinicians, and particularly nurses in triage, frequently perform routine blood tests on patients whose allocated triage category is not time critical (triage categories 3, 4 and 5 of the Australasian Triage Scale). Some observers have questioned the utility of routine blood testing in these acute healthcare settings given the cost and workload implications.

Methods: A quantitative method using retrospective observational design was utilised guided by STROBE checklist.

Acknowledgement and use of advance care directives and goals of care by emergency department staff: a mixed method post intervention study.

Introduction: Advance Care Planning (ACP) refers to a process that includes Advance Care Directives (ACD) and Goals of Care (GOC), a practice widely used for over three decades. Following the findings of an audit and a cross-sectional study in 2019 and 2021 respectively, we implemented several educational and other interventional strategies aimed at enhancing staff awareness and emphasizing the importance of recognizing and documenting of ACD/GOC. The aim of this study was to evaluate the acknowledgement and use of ACD and GOC by Emergency Department (ED) staff following these interventions.

Long-Term Echocardiographic and Clinical Outcomes After Invasive and Non-Invasive Therapies for Sub-Massive and Massive Acute Pulmonary Embolism.

Aim: Acute pulmonary embolism (PE) is a significant cause of mortality in the hospital setting. The objective of this study was to outline the long-term outcomes after surgical and non-surgical management for patients with massive and submassive PE.

Methods: Population cohort observational study evaluating all patients who presented to three tertiary hospitals in the state of Western Australia with access to cardiothoracic services over 5 years (2013-2018).

The use of honey in the perioperative care of tonsillectomy patients-A narrative review.

Tonsillectomy is one of the most common surgical procedures in childhood. While generally safe, it often is associated with a difficult early recovery phase with poor oral intake, dehydration, difficult or painful swallowing, postoperative bleeding, infection and/or otalgia. Better pain management and the availability of more child friendly medications are within the top consumer priorities in perioperative medicine, highlighting the importance of alternative pain treatments.

Are multiple projections necessary when assessing umbilical venous catheter placement in neonates? A retrospective study.

Introduction: There is variability in clinical practice regarding the number of radiographic views required to accurately determine umbilical venous catheter (UVC) tip position. Some units prefer performing a single anteroposterior (AP) view and others do both AP and lateral views. The aim of this study was to compare the need for one versus two radiographical views to accurately determine UVC tip position.

Malignant Lesions of the Oral Region.

This article focuses on the radiographic presentations of various malignant conditions that affect the oral region and delineates the role of CT, MR imaging, and PET in oral cancer imaging.

Cysts and Benign Odontogenic Tumors of the Jaws.

This article addresses jaw lesions including cysts and benign odontogenic tumors in terms of their definition and clinical and imaging features and discusses pertinent differential diagnoses..

A Green Approach to Natural Dyes in Dye-Sensitized Solar Cells.

Solar cells are pivotal in harnessing renewable energy for a greener and more sustainable energy landscape. Nonetheless, eco-friendly materials for solar cells have not been as extensive as conventional counterparts, highlighting a significant area for further investigation in advancing sustainable energy technologies. This study investigated natural dyes from cost-effective and environmentally friendly blueberries and mulberries.

Update on ladder plates for mandibular angle fractures.

Purpose Of Review: Fractures of the mandibular angle are surgically challenging with high rates of postoperative complications. Among established fixation techniques for these injuries, Champy's tension band approach with miniplate fixation has held prominence. Rigid fixation, using two plates, also remains commonly used.

The Effect of Transparent Conducting Oxide Films on WO-Based Electrochromic Devices with Conducting Polymer Electrolytes.

Over the past few decades, electrochromism has been a prominent topic in energy-saving applications, which is based on the mechanism of altering the optical transmittance of EC materials under the effect of a small applied voltage. Thus, tungsten oxide (WO) is a significant chemical compound typically applied in electrochromic devices (ECDs) as it is responsible for the optical transmittance variation. In this work, the WO films were produced through a sol-gel spin-coating method.

Improving the safety of anticoagulation initiation in patients discharged from the emergency department.

Objective: To improve the safety of anticoagulation initiation by increasing the proportion of patients reviewed by a pharmacist.

Methods: An electronic intervention was developed to ensure all patients prescribed anticoagulation on discharge were reviewed by an ED pharmacist. Safe anticoagulation initiation was compared for patients seen and not seen.

Learning from Covid 19 in a level 1 oral and maxillofacial trauma centre - Insights for the future.

The coronavirus disease 2019 caused by the Severe Acute Respiratory Syndrome Coronavirus-2 has resulted in many confirmed cases around the world. Sars-CoV-2 remains viable and infectious in aerosols dispersed in air and is viable on surfaces up to several days. Symptomatic patients are the main reservoir for transmission.

Evaluation of a calcium, magnesium and phosphate clinical ordering tool in the emergency department.

Objective: We developed a clinical tool comprising patient risk factors for having an abnormal calcium (Ca), magnesium (Mg) or phosphate (PO) level. We hypothesized that patients without a risk factor do not require testing. This study examined the tool's potential utility for rationalizing Ca, Mg and PO ordering in the emergency department (ED).

Fifteen-minute consultation: Outcomes of the extremely preterm infant (<27 weeks): what to tell the parents.

An extremely preterm infant is one born at less than 27 weeks' gestation. Over time, survival rates in this population have improved. This cohort remains at high risk of mortality and life-long morbidity.

Congenital knee dislocation: a rare and unexpected finding.

Congenital knee dislocation is a rare condition of unknown aetiology. It could be associated with syndromes or may occur as an isolated entity. The severity of the deformity determines the method of treatment.

Mechanistic impacts of long-term gamma irradiation on physicochemical, structural, and mechanical stabilities of radiation-responsive geopolymer pastes.

The mechanistic effects of long-term γ irradiation on the mineralogical, microstructural, structural, physical, and chemical properties of 40 wt% blast furnace slag + 60 wt% fly ash geopolymer pastes have been examined. Ambient curing for 28 days during normal equilibration was followed by exposure to Co irradiation (1574, 4822, 10,214 kGy). The material characteristics are controlled largely through the competing mechanisms of beneficial equilibration at initial lower dosages, which enhances gelation and crosslinking, and detrimental equilibration at subsequent higher dosages, which causes structural and microstructural destabilisation.

Remote monitoring of head and neck free flaps using near infrared spectroscopic tissue oximetry.

Purpose: Near infrared spectroscopy (NIRS) measures tissue oximetry and perfusion of free tissue transfer with the advantage of remote wireless monitoring for free tissue transfer. It has been widely used in breast and extremity reconstruction but has had limited adoption in the head and neck.

Materials And Methods: A retrospective review of head and neck microvascular reconstruction by three different surgical services over 15 months at one tertiary care hospital was performed.

The Role of miR-342 in Vascular Health. Study in Subclinical Cardiovascular Disease in Mononuclear Cells, Plasma, Inflammatory Cytokines and .

Cardiovascular disease (CVD) correlates with inflammation and a reduction in circulating endothelial progenitor cells (cEPCs). Recently, CVD was shown to be the main cause of mortality in individuals with type 1 diabetes (T1DM). In animals, miR-342 was shown to exert an anti-inflammatory effect in CVD.

Cardiopulmonary resuscitation and endotracheal intubation decisions for adults with advance care directive and resuscitation plans in the emergency department.

Background: Emergency departments routinely offer cardiopulmonary resuscitation and endotracheal intubation to patients in resuscitative states. With increasing longevity and prevalence of chronic conditions in Australia, there has been growing need to uptake and implement advance care directives and resuscitation plans. This study investigates the frequency of the presence of advance care directives and resuscitation plans and its utilisation in cardiopulmonary and endotracheal intubation decision making.

Adult Langerhans cell histiocytosis: An unusual cause of referred knee pain.

Langerhans cell histiocytosis (LCH) in adults is rare and regarded as an 'orphan disease.' The systemic symptoms of LCH can mimic many other undifferentiated diseases seen at the primary care level. Failure to diagnose and delays in referral are common pitfalls in the management of this disease.

Risk variables associated with abnormal calcium, magnesium and phosphate levels among emergency department patients.

Objective: The utility of calcium, magnesium and phosphate measurement in the ED is limited. We aimed to determine clinical risk variables for abnormal levels of these electrolytes in order to inform the development of an ordering guideline.

Methods: We performed a retrospective, observational study of patients who presented to a tertiary referral ED between January and June 2017.

Utility of calcium, magnesium and phosphate testing in the emergency department.

Objective: To determine how frequently calcium (Ca), magnesium (Mg) and phosphate (PO ) tests change ED patient management.

Methods: We undertook a retrospective observational study in an Australian tertiary referral ED. We enrolled adult patients (aged ≥18 years) who presented between 1 January and 30 June 2017 and who had a serum Ca, Mg or PO test ordered and completed during their ED stay.