Academic literature on the topic 'Emergency medicine Victoria'

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Journal articles on the topic "Emergency medicine Victoria"

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D'ARCY, ANNE. "MODERN HISTORY OF EMERGENCY MEDICINE IN VICTORIA." Emergency Medicine 3 (August 26, 2009): 204–6. http://dx.doi.org/10.1111/j.1442-2026.1991.tb00742.x.

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Rezaei-Darzi, Ehsan, Janneke Berecki-Gisolf, and Dasamal Tharanga Fernando. "How representative is the Victorian Emergency Minimum Dataset (VEMD) for population-based injury surveillance in Victoria? A retrospective observational study of administrative healthcare data." BMJ Open 12, no. 12 (December 2022): e063115. http://dx.doi.org/10.1136/bmjopen-2022-063115.

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ObjectiveThe Victorian Emergency Minimum Dataset (VEMD) is a key data resource for injury surveillance. The VEMD collects emergency department data from 39 public hospitals across Victoria; however, rural emergency care services are not well captured. The aim of this study is to determine the representativeness of the VEMD for injury surveillance.DesignA retrospective observational study of administrative healthcare data.Setting and participantsInjury admissions in 2014/2015–2018/2019 were extracted from the Victorian Admitted Episodes Dataset (VAED) which captures all Victorian hospital admissions; only cases that arrived through a hospital’s emergency department (ED) were included. Each admission was categorised as taking place in a VEMD-contributing versus a non-VEMD hospital.ResultsThere were 535 477 incident injury admissions in the study period, of which 517 207 (96.6%) were admitted to a VEMD contributing hospital. Male gender (OR 1.13 (95% CI 1.10 to 1.17)) and young age (age 0–14 vs 45–54 years, OR 4.68 (95% CI 3.52 to 6.21)) were associated with VEMD participating (vs non-VEMD-participating) hospitals. Residing in regional/rural areas was negatively associated with VEMD participating (vs non-VEMD participating) hospitals (OR=0.11 (95% CI 0.10 to 0.11)). Intentional injury (assault and self-harm) was also associated with VEMD participation.ConclusionsVEMD representativeness is largely consistent across the whole of Victoria, but varies vastly by region, with substantial under-representation of some areas of Victoria. By comparison, for injury surveillance, regional rates are more reliable when based on the VAED. For local ED-presentation rates, the bias analysis results can be used to create weights, as a temporary solution until rural emergency services injury data is systematically collected and included in state-wide injury surveillance databases.
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Boyle, Malcolm J. "Comparison Overview of Prehospital Errors Involving Road Traffic Fatalities in Victoria, Australia." Prehospital and Disaster Medicine 24, no. 3 (June 2009): 254–61. http://dx.doi.org/10.1017/s1049023x00006890.

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AbstractIntroduction:Until early 2003, the Consultative Committee on Road Traffic Fatalities (CCRTF) in Victoria, Australia was the main body investigating and publishing data about prehospital errors resulting from road traffic fatalities. The objective of this study was to identify and interpret prehospital error rate trends associated with road traffic fatalities during a 10-year period of the CCRTF reports.Methods:This study is a review of the prehospital errors defined in Victorian CCRTF reports of preventable deaths of road traffic fatalities over a 10-year period.Results:Six CCRTF reports contained prehospital data for errors associated with road traffic fatalities. From 1992 to 1998, system errors decreased.However, over the same timeframe, management, technical, and diagnostic errors increased. There was a marked jump in system, technique, and diagnosis errors from 1998 to 2001–2003. However, management errors declined over the same timeframe. The jump in errors in the 1998 to 2001–2003 timeframe coincided with the introduction of advanced life support (ALS) for Victorian paramedics in 2000.The number of preventable deaths decreased from 1992 to 1998, however, there was an increase from 1999 onwards, coinciding with the introduction of the state trauma system and ALS for paramedics.Conclusions:This study demonstrates that there has been an increase in prehospital error rates, especially from 2000, which coincided with the introduction of ALS for paramedics and the state trauma system in Victoria, even though the state trauma system had an overall decrease in error rates.
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McDermott, Francis T., Gregory J. Cooper, Philip L. Hogan, Stephen M. Cordner, and Ann B. Tremayne. "Evaluation of the Prehospital Management of Road Traffic Fatalities in Victoria, Australia." Prehospital and Disaster Medicine 20, no. 4 (August 2005): 219–27. http://dx.doi.org/10.1017/s1049023x00002570.

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AbstractIntroduction:This study was undertaken to identify prehospital system and management deficiencies and preventable deaths between 01 January 1997 and 31 December 1998 in 243 consecutive Victorian road crash victims with fatal outcomes.Methods:The complete prehospital and hospital records, the deposition to the coroner, and autopsy findings were evaluated by computer analysis and peer group review with multidisciplinary discussion.Results:One-hundred eighty-seven (77%) patients had prehospital errors or inadequacies, of which 135 (67%) contributed to death. Three-hundred ninety-four (67%) related to management and 130 (22%) to system deficiencies. Technique errors, diagnosis delays, and errors relatively were infrequent. One of 24 deaths at the crash scene or en route to hospital was considered to be preventable and two potentially preventable.Conclusion:The high prevalence of prehospital deficiencies has been addressed by a Ministerial Task Force on Trauma and Emergency Services and followed by the introduction of a new trauma care system in Victoria.
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Freed, Gary L., Sarah Gafforini, and Norman Carson. "Age distribution of emergency department presentations in Victoria." Emergency Medicine Australasia 27, no. 2 (February 17, 2015): 102–7. http://dx.doi.org/10.1111/1742-6723.12368.

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WAPOLE, BRYAN. "The first national meeting of emergency medicine doctors JULY 1981 MELBOURNE: VICTORIA." Emergency Medicine 3 (August 26, 2009): 188–89. http://dx.doi.org/10.1111/j.1442-2026.1991.tb00730.x.

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Cleland, Heather, Ieva Sriubaite, and Belinda Gabbe. "Burden and Costs of Severe Burn Injury in Victoria, Australia." European Burn Journal 3, no. 3 (July 13, 2022): 391–400. http://dx.doi.org/10.3390/ebj3030034.

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This study examines the costs of severe burn injury in Victoria, Australia. It quantifies the funding generated through an activity-based case-mix system for hospital treatment of acute injury and presentations in the subsequent two years and costs of the longer-term burden of burn injury due to premature burn-related deaths and disability. Severe adult burns cases in Victoria from 2007–2016 were identified using the Victorian State Trauma Registry (VSTR). Cases were linked with the Victorian Admitted Episodes Dataset (VAED), Victoria Emergency Minimum Dataset (VEMD), and the National Coronial Information System (NCIS). Hospital re-imbursements and costs of Disability-Adjusted Life Years (DALYs) were calculated using disability weights derived from the EQ-5D-3L questionnaire responses at 24 months post injury. There were 331 patients hospitalised with a burn ≥20% total body surface area (TBSA) from 2007–2016. Total mean re-imbursement (SD) for the acute treatment episode per patient in Australian dollars (AUD) was $87,570 ($97,913). There was significant variation in the number of cases by year and re-imbursement per patient, with high outliers common. Excluding 2009, when 173 people died in bushfires, there were 7749 DALYs which cost $991,872,000. Severe burns are uncommon and variable. Economic treatment costs of severe burns are high, and among survivors there is high incidence of long-term disability and overall burden of injury.
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Mitra, Biswadev, Jubair Al Jubair, Peter A. Cameron, and Belinda J. Gabbe. "Tram-related trauma in Melbourne, Victoria." Emergency Medicine Australasia 22, no. 4 (August 2010): 337–42. http://dx.doi.org/10.1111/j.1742-6723.2010.01309.x.

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Hanumanthaiah, Ramesh Gorghatta, Dheemantha Prasad, Panchakshari Prasanna Bangalore Krishnappa, and Sreelatha R. "Usage of blood products in emergency department at tertiary care centre." International Journal of Advances in Medicine 4, no. 4 (July 20, 2017): 903. http://dx.doi.org/10.18203/2349-3933.ijam20173096.

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Background: Blood usage in the emergency department is a formidable challenge to the treating doctor. Inadvertent use of blood can do more harm to the patient than good. Analyzing blood transfusion data will help in formulating policies for transfusion in Emergency medicine department. The present study is taken to formulate guidelines for transfusion in Emergency department of our hospital. The present study also helps us to analyze the blood requirement, utilization and wastage in Emergency department, Victoria hospital.Methods: The study done was a prospective study over a period of three months from March 2016 to May 2016. A descriptive, prospective study was conducted with a total of three hundred cases collected from the Emergency department (Casualty), Victoria hospital.Results: Commonest indication for packed red cell transfusion was anemia, for FFP was hypoproteinaemia and for platelet concentrate was viral hemorrhagic fever. Transfusion trigger for packed red cells is haemoglobin of less than 7gram/dl with no co-morbid conditions and 7-9 gram/dl when there are co-morbid conditions.Conclusions: A protocol has to be formulated to reduce the wastage and to effectively utilise blood and its products.
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Ranse, J., and S. Lenson. "(A111) Role, Resources, and Clinical and Educational Backgrounds of Nurses Who Participated in the Prehospital Response to the 2009 Bushfires in Victoria, Australia." Prehospital and Disaster Medicine 26, S1 (May 2011): s31. http://dx.doi.org/10.1017/s1049023x11001130.

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The bushfires of February 2009 in Victoria, Australia resulted in the deaths of 173 people and caused injuries to 414. Furthermore, > 2,030 houses and 3,500 structures were destroyed. The role and experience of nurses in this environment are not well understood, and little is known about the clinical and education background of nurses in this setting. This presentation will provide an overview of the bushfires and report on two research projects. The aims of these projects were to explore participant demographics and various aspects of nursing activities in the prehospital environment. These projects used volunteer nursing members of St John Ambulance Australia who responded to the Victorian fires. The first project used a retrospective, descriptive postal survey, and the second was descriptive and exploratory, using semi-structured interviews as a means of data collection. The survey highlighted that nurses had varying clinical and educational backgrounds. Males were overrepresented when compared to the national average of nurses. Most participants had taken disaster-related education, however, this varied in type and duration. Similarly, most had participated in training or mock disasters; however this usually was not related to bushfire emergencies. The qualitative findings identified two main themes having expansive roles and being prepared. These highlighted that nurses maintained a variety of roles, such as clinicians, emotional supporters, coordinators and problem solvers, and they were well prepared for these roles. This research provided insight into the characteristics and level of preparedness of nurses who responded to the 2009 Victorian bushfires in the prehospital environment. Additionally, it highlights the need for more structured education and training for nurse that is aligned with their role and deployment environment.
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Dissertations / Theses on the topic "Emergency medicine Victoria"

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O'Meara, Peter Francis Public Health &amp Community Medicine Faculty of Medicine UNSW. "Models of ambulance service delivery for rural Victoria." Awarded by:University of New South Wales. Public Health and Community Medicine, 2002. http://handle.unsw.edu.au/1959.4/18771.

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The primary aim of the research project was to develop conceptual models of rural ambulance service delivery based on different worldviews or philosophical positions, and then to compare and contrast these new and emerging models with existing organisational policy and practice. Four research aims were explored: community expectations of pre-hospital care, the existing organization of rural ambulance services, the measurement of ambulance service performance, and the comparative suitability of different pre-hospital models of service delivery. A unique feature was the use of soft systems methodology to develop the models of service delivery. It is one of the major non-traditional systems approaches to organisational research and lends itself to problem solving in the real world. The classic literature-hypothesis-experiment-results-conclusion model of research was not followed. Instead, policy and political analysis techniques were used as counter-points to the systems approach. The program of research employed a triangulation technique to adduce evidence from various sources in order to analyse ambulance services in rural Victoria. In particular, information from questionnaires, a focus group, interviews and performance data from the ambulance services themselves were used. These formed a rich dataset that provided new insight into rural ambulance services. Five service delivery models based on different worldviews were developed, each with its own characteristics, transformation processes and performance criteria. The models developed are titled: competitive; sufficing; community; expert; and practitioner. These conceptual models are presented as metaphors and in the form of holons and rich pictures, and then transformed into patient pathways for operational implementation. All five conceptual models meet the criteria for systemic desirability and were assessed for their political and cultural feasibility in a range of different rural communities. They provide a solid foundation for future discourse, debate and discussion about possible changes to the way pre-hospital services are delivered in rural Victoria.
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O'Meara, Peter Francis. "Models of ambulance service delivery for rural Victoria /." 2002. http://www.library.unsw.edu.au/~thesis/adt-NUN/public/adt-NUN20030401.152156/index.html.

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Books on the topic "Emergency medicine Victoria"

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Victoria. Parliament. Family and Community Development Committee. Inquiry on the impact on the Victorian community and public hospitals of the diminishing access to after hours and bulk billing general practitioners. Melbourne: Family and Community Development Committee, 2004.

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Bragge, Peter, and Russell Gruen. From Roadside to Recovery: The Story of the Victorian State Trauma System. Monash University Publishing, 2018.

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Bragge, Peter, and Russell Gruen. From Roadside to Recovery: The Story of the Victorian State Trauma System. Monash University Publishing, 2017.

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Bragge, Peter, and Russell Gruen. From Roadside to Recovery: The Story of the Victorian State Trauma System. Monash University Publishing, 2017.

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Book chapters on the topic "Emergency medicine Victoria"

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Mangham, Andrew. "Conclusion." In The Science of Starving in Victorian Literature, Medicine, and Political Economy, 187–90. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780198850038.003.0006.

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This concluding chapter considers the relevance of the Victorian way of thinking to the modern world. The financial crisis of 2007–8, and the resultant austerity, has lead to a resurgence of ‘Victorian’ health afflictions. In recent years we have seen a re-emergence of hunger as a humanitarian problem in the West. Neoliberalism and austerity are iterations of a conservative way of thinking that has been with us at least as far back as the New Poor Law. This chapter considers what we might learn from Kingsley, Gaskell, and Dickens, and from their intersections with nineteenth-century starvation science.
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Peter J., Katz. "Symbolic Bodies: The Storyteller, Memory and Suffering in Boz’s ‘The Hospital Patient’." In Reading Bodies in Victorian Fiction, 54–84. Edinburgh University Press, 2022. http://dx.doi.org/10.3366/edinburgh/9781474476201.003.0003.

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This chapter poses the foundational ethical questions of the text: how are readers meant to understand and respond to fictional bodies’ pain – and what are they meant to do in response? To answer these questions, the chapter turns to the short story ‘The Hospital Patient’ by Charles Dickens. According to Dickens, to best understand and empathise with the anguish of those who suffer, one must read with the scientific and literary attention that turns stories into material experience. ‘Boz’, Dickens’s pen-name, appears in the text as both storyteller and Associationist scientist, but both positions require him to act on feeling. The story itself becomes a model for readers, to teach them to read empathetically – because he believes feeling is the source of literary authority. The chapter uses the physical phenomenon of light to explore memory as James Mill understood it, and memory’s connection to sympathy through Smith and Hume. These concepts help to contextualise what empathy means within medical history and the emergence of social barriers like professional, governmentally regulated medicine. Ultimately, the chapter argues that empathy best takes place in readers who read fictional bodies as surfaces.
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Reports on the topic "Emergency medicine Victoria"

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Richardson, Erica. Kluczowe kwestie: czynniki wpływające na stosunek do szczepień ukraińskich uchodźców przebywających w polsce. SSHAP, June 2022. http://dx.doi.org/10.19088/sshap.2022.026.

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Uchodźcom z Ukrainy zapewniono bezpłatny dostęp do wszystkich usług służby zdrowia w krajach sąsiednich, w tym do rutynowych szczepień dzieci. Od wszystkich ukraińskich dzieci przebywających w Polsce przez okres dłuższy niż trzy miesiące wymaga się poświadczonego odpowiednim dowodem szczepienia wykonanego zgodnie z ogólnym kalendarzem szczepień obowiązującym na Ukrainie lub w Polsce. Niski wskaźnik szczepień pośród przemieszczających się uchodźców wzbudził zaniepokojenie już w początkowej fazie kryzysu. Niniejszy dokument skierowany jest do działaczy samorządowych, organizacji pozarządowych (NGO) i agencji międzynarodowych wspierających uchodźców w Polsce. Zawiera podsumowanie informacji na temat czynników wpływających na decyzje dotyczące szczepień na obecnym etapie kryzysu, a ponadto strategiczne i praktyczne informacje, które mogą posłużyć do opracowywania planu działania ukierunkowanego na przekonanie ukraińskich uchodźców o celowości rutynowych szczepień. Rozpoczyna się od przedstawienia perspektywy historycznej i postaw społeczeństwa ukraińskiego wobec szczepień rutynowych. Następnie omówiono wpływ kontekstu historycznego na stosunek do szczepień Ukraińców mieszających w Polsce przed wybuchem trwającego obecnie konfliktu (luty 2022 r.) oraz stosunek uchodźców ukraińskich do szczepienia się w Polsce. Na zakończenie, w oparciu o trwające nadal badania, wyjaśnimy, jak niepewność co do długoterminowych planów uchodźców wpływa na ich niechęć do poddawania się szczepieniom. Niniejsze opracowanie zostało sporządzone na zlecenie UNICEF Emergency Response Team (Genewa) przez Ericę Richardson (European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine). Opracowanie zostało zweryfikowane przez Olivię Tulloch (Anthrologica), Marinę Bragę, Tetianę Stepurko (Narodowy Uniwersytet „Akademia Kijowsko-Mohylańska”), Marianę Palavrę (UNICEF) i Sanję Matovic (Euro Health Group). Niniejszy dokument został zredagowany przez Victorię Haldane (Anthrologica). Za jego treść odpowiada SSHAP.
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