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Full-Text Articles in Medicine and Health Sciences
Public Use And Perceptions Of Emergency Departments: A Population Survey, Gerry Fitzgerald, Ghasem Tooloo, Peter Aitkin, Gerben Keijzers, Paul Scuffham
Public Use And Perceptions Of Emergency Departments: A Population Survey, Gerry Fitzgerald, Ghasem Tooloo, Peter Aitkin, Gerben Keijzers, Paul Scuffham
Gerben Keijzers
Objectives: To inform demand management strategies aimed at reducing congestion in EDs by: (i) identifying public use of EDs, decision-making and reasons; and (ii) measuring acceptance of alternative care models. Methods: A cross-sectional telephone survey of a random sample of Queensland population aged 18 years or older residing in a dwelling unit in Queensland that could be contacted on a land-based telephone service was conducted. One person per household was selected according to a predetermined algorithm to ensure sex and regional balance were interviewed. The main outcome measures were: ED use, attitudes towards ED staff and services, and alternative models …
Clinical Research Priorities In Emergency Medicine, Gerben Keijzers, Ogilvie Thom, David Taylor, Jonathan Knott
Clinical Research Priorities In Emergency Medicine, Gerben Keijzers, Ogilvie Thom, David Taylor, Jonathan Knott
Gerben Keijzers
To determine the clinical research priorities of Fellows of the Australasian College for Emergency Medicine (ACEM) in order to inform the strategic research agenda specific to multicentre clinical research. Methods: An anonymous survey of all ACEM Fellows (FACEMs) listed on the ACEM researcher database was conducted between January and March 2013. Results: Of 108 FACEMs invited to participate, 54 (50%) responded. Over half of respondents (61%) had a higher research degree but only a minority (24%) had funded research positions. The top research categories identified as priorities were resuscitation, trauma, cardiology, ED ultrasound, acute behavioural disturbance and geriatrics. The most …
Intracranial Subdural Empyema: A 10-Year Case Series, Heath French, Nathan Schaefer, Gerben Keijzers, David Barison, Sarah Olson
Intracranial Subdural Empyema: A 10-Year Case Series, Heath French, Nathan Schaefer, Gerben Keijzers, David Barison, Sarah Olson
Gerben Keijzers
Background: Intracranial subdural empyema (ISDE) is a pyogenic infection located in the space between the dura and arachnoid mater. Early diagnosis, prompt initiation of antimicrobial therapy, and surgical drainage are essential to reduce morbidity and mortality. This case series analyzes the presentation and management of ISDE in Queensland, Australia, over a 10-year period. Methods: Thirty-six patients with ISDE were treated at Gold Coast University Hospital, Princess Alexandra Hospital, Townsville Hospital, and Royal Brisbane Hospital. The patients’ medical records were analyzed to ascertain patient demographics, etiology, presentation, and management. Results: A slight male preponderance occurred in the cohort of 36 patients …
Does A Single Dose Of Intravenous Dexamethasone Reduce Symptoms In Emergency Department Patients With Low Back Pain And Radiculopathy (Sebra)? A Double-Blind Randomised Controlled Trial, Ravichandra Balakrishnamoorthy, Isabelle Horgan, Siegfried Perez, Michael Steele, Gerben Keijzers
Does A Single Dose Of Intravenous Dexamethasone Reduce Symptoms In Emergency Department Patients With Low Back Pain And Radiculopathy (Sebra)? A Double-Blind Randomised Controlled Trial, Ravichandra Balakrishnamoorthy, Isabelle Horgan, Siegfried Perez, Michael Steele, Gerben Keijzers
Gerben Keijzers
Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial of 58 adult ED patients with LBPR, conducted in one tertiary and one urban ED. The intervention was 8 mg of intravenous dexamethasone (or placebo) in addition to current routine care. The primary outcome was the change in VAS pain scores between presentation and 24 h. Secondary outcomes included VAS pain scores at 6 weeks, ED …
Do Smartsite Antireflux Valves Limit The Flow Rate Of 0.9% Normal Saline Through Intravenous Cannulas?, David Liu, Gerben Keijzers
Do Smartsite Antireflux Valves Limit The Flow Rate Of 0.9% Normal Saline Through Intravenous Cannulas?, David Liu, Gerben Keijzers
Gerben Keijzers
The aim of the study was to determine whether the placement of a SmartSite antireflux valve between a bag of fluid with line giving set and an intravenous cannula decreases the flow rate. Fluid flow rates were compared in paired experiments with and without an antireflux valve using a pressure infuser or allowing fluid to flow by gravity only for four different sizes of intravenous cannulas (20–14 G). Antireflux valves significantly decreased the fluid flow rates for all cannula sizes, irrespective of whether a pressure infuser was used. The decrease in the flow rate was most marked for larger cannulas …
Impact Of Influenza Across 27 Public Emergency Departments In Australia: A 5-Year Descriptive Study, Justin Boyle, Julia Crilly, Gerben Keijzers, Marianne Wallis, James Lind, Ross Sparks, Louise Ryan
Impact Of Influenza Across 27 Public Emergency Departments In Australia: A 5-Year Descriptive Study, Justin Boyle, Julia Crilly, Gerben Keijzers, Marianne Wallis, James Lind, Ross Sparks, Louise Ryan
Gerben Keijzers
Objective: To describe the incidence, characteristics and outcomes of patients with influenza-like symptoms presenting to 27 public hospital emergency departments (EDs) in Queensland, Australia. Methods: A descriptive retrospective study covering 5 years (2005-9) of historical data from 27 hospital EDs was undertaken. State-wide hospital ED Information System data were analysed. Annual comparisons between influenza and non-influenza cases were made across the southern hemisphere influenza season (June-September) each year. Results: Influenza-related presentations increased significantly over the 5 years from 3.4% in 2005 to 9.4% in 2009, reflecting a 276% relative increase. Differences over time regarding characteristics of patients with influenza-like symptoms, …
Clinical Research Priorities In Emergency Medicine. Results Of A Consensus Meeting And Development Of A Weighting Method For Assessment Of Clinical Research Policies, Ogilvie Thom, Gerben Keijzers, Suzanne Davies, David Taylor, Jonathan Knott, Paul Middleton
Clinical Research Priorities In Emergency Medicine. Results Of A Consensus Meeting And Development Of A Weighting Method For Assessment Of Clinical Research Policies, Ogilvie Thom, Gerben Keijzers, Suzanne Davies, David Taylor, Jonathan Knott, Paul Middleton
Gerben Keijzers
Introduction: There is limited evidence regarding clinical research priorities in emergency medicine outside of some special interest groups. The ACEM Clinical Trials Group undertook a consensus meeting with the aim of developing a reproducible weighting matrix for assessing clinical research priorities. Methods: A session at the ACEM annual scientific meeting was dedicated to this meeting. Results from a survey of the ACEM researcher database were presented, along with a proposed weighting matrix. After discussion and adjustment, consensus was achieved on the matrix. Results: It was agreed that the following criteria be used in the matrix: research category and sub-category priority …
The Effect Of A Chest Imaging Lecture On Emergency Department Doctors' Ability To Interpret Chest Ct Images: A Randomized Study, Gerben Keijzers, Vasugi Sithirasenan
The Effect Of A Chest Imaging Lecture On Emergency Department Doctors' Ability To Interpret Chest Ct Images: A Randomized Study, Gerben Keijzers, Vasugi Sithirasenan
Gerben Keijzers
Objective: To assess the chest computed tomography (CT) imaging interpreting skills of emergency department (ED) doctors and to study the effect of a CT chest imaging interpretation lecture on these skills.
Participants and methods: Sixty doctors in two EDs were randomized, using computerized randomization, to either attend a chest CT interpretation lecture or not to attend this lecture. Within 2 weeks of the lecture, the participants completed a questionnaire on demographic variables, anatomical knowledge, and diagnostic interpretation of 10 chest CT studies. Outcome measures included anatomical knowledge score, diagnosis score, and the combined overall score, all expressed as a percentage …