Journal editors play a pivotal yet often unseen role in shaping the direction and integrity of academic discourse. Their responsibilities include coordinating peer review, ensuring ethical oversight and curating content that reflects both relevance and scholarly merit. In an era marked by misinformation and growing scepticism toward experts, editorial processes serve as a safeguard for public trust in scientific publishing. This reflective account draws on personal experience as a section editor for Emergency Medicine Australasia, highlighting the transition from trainee contributor to a steward of original research and reviews. Editorial servitude has offered valuable insights into academic publishing, improved writing skills and a deeper understanding of complex subject matters. Editors influence scholarly inquiry through thoughtful manuscript selection, reviewer engagement and constructive feedback. Although the path to editorial roles is rarely direct, it begins with opportunities to demonstrate capability. Far from passive arbiters, editors are the invisible architects of academia and custodians of academic credibility.
{"title":"Journal Editors: The Invisible Architects of Academia","authors":"Viet Tran","doi":"10.1111/1742-6723.70142","DOIUrl":"https://doi.org/10.1111/1742-6723.70142","url":null,"abstract":"<div>\u0000 \u0000 <p>Journal editors play a pivotal yet often unseen role in shaping the direction and integrity of academic discourse. Their responsibilities include coordinating peer review, ensuring ethical oversight and curating content that reflects both relevance and scholarly merit. In an era marked by misinformation and growing scepticism toward experts, editorial processes serve as a safeguard for public trust in scientific publishing. This reflective account draws on personal experience as a section editor for <i>Emergency Medicine Australasia</i>, highlighting the transition from trainee contributor to a steward of original research and reviews. Editorial servitude has offered valuable insights into academic publishing, improved writing skills and a deeper understanding of complex subject matters. Editors influence scholarly inquiry through thoughtful manuscript selection, reviewer engagement and constructive feedback. Although the path to editorial roles is rarely direct, it begins with opportunities to demonstrate capability. Far from passive arbiters, editors are the invisible architects of academia and custodians of academic credibility.</p>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145146898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Canovi, Rocco Pio D'Andrea, Nicola Macarone Palmieri, Rossana Colla
{"title":"Invalid Results With a Point-Of-Care High Sensitivity Troponin Assay in the Emergency Department","authors":"Simone Canovi, Rocco Pio D'Andrea, Nicola Macarone Palmieri, Rossana Colla","doi":"10.1111/1742-6723.70141","DOIUrl":"10.1111/1742-6723.70141","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines the importance of analgesia during speculum exams in the emergency department (ED). As ED physicians, we can promote a comprehensive approach to pelvic examinations and advocate for peri-procedural analgesia for these patients. Emergency doctors should routinely inquire about women's needs and address them before the speculum exam. I discuss which populations may experience heightened pain and explore both non-pharmacological and pharmacological options for pain relief. There is a paucity of ED-based research addressing this issue, which urgently requires attention. Ensuring equitable access to analgesia is a fundamental clinical obligation.
{"title":"Lignocaine Liberation: Reclaiming Patient Centred Care During Emergency Department Speculum Examinations","authors":"Haddijatou Hughes","doi":"10.1111/1742-6723.70139","DOIUrl":"10.1111/1742-6723.70139","url":null,"abstract":"<div>\u0000 \u0000 <p>This article examines the importance of analgesia during speculum exams in the emergency department (ED). As ED physicians, we can promote a comprehensive approach to pelvic examinations and advocate for peri-procedural analgesia for these patients. Emergency doctors should routinely inquire about women's needs and address them before the speculum exam. I discuss which populations may experience heightened pain and explore both non-pharmacological and pharmacological options for pain relief. There is a paucity of ED-based research addressing this issue, which urgently requires attention. Ensuring equitable access to analgesia is a fundamental clinical obligation.</p>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To determine CT head imaging rates, yield and emergent intervention rate (neurosurgery, cessation or reversal of anticoagulants) in residential aged care facility (RACF) residents presenting to ED with an unwitnessed fall. Secondary objectives included a description of shared decision-making discussions with patients or substitute decision makers regarding ED transfer and CT head imaging.
Methods
Retrospective cross-sectional study of residential aged care residents aged over 65 years presenting with unwitnessed falls at two university-affiliated tertiary EDs between 1 January and 30 June 2024. Dual independent data extraction of medical records assessed CT imaging use and yield, which was defined as new intracranial haemorrhage on the radiology report. Change of management and shared decision-making were defined by documentation in the medical record. Data analyses were descriptive, and associations were reported using the odds ratio with 95% confidence intervals.
Results
Of 398 patients, 235 (59%) underwent CTH imaging and intracranial haemorrhage was identified in 10 patients (4.3%). No patients underwent neurosurgery. Anticoagulation was ceased in four patients. Shared decision-making was documented for hospital transfer in 14.1% of patients, 13.8% of patients receiving CTH and 25.1% among patients who did not undergo imaging. Patients with signs of head injury, on anticoagulation or evidence of polytrauma were more likely to receive a CTH.
Conclusions
CT head imaging was common among RACF residents with unwitnessed falls despite low diagnostic yield and infrequent changes in management, with no neurosurgical intervention in our cohort. Limited documentation of SDM calls for stronger integration of meaningful patient-centred discussions to reduce avoidable transfers and imaging.
{"title":"Computed Tomography Head Ordering Practices in Residential Aged Care Facility Residents Presenting to Emergency Department After an Unwitnessed Fall","authors":"Elizabeth Chen, Clover Donohue, Amy Sweeny, Nemat Alsaba, Megan McGonagle, Gerben Keijzers","doi":"10.1111/1742-6723.70137","DOIUrl":"10.1111/1742-6723.70137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine CT head imaging rates, yield and emergent intervention rate (neurosurgery, cessation or reversal of anticoagulants) in residential aged care facility (RACF) residents presenting to ED with an unwitnessed fall. Secondary objectives included a description of shared decision-making discussions with patients or substitute decision makers regarding ED transfer and CT head imaging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cross-sectional study of residential aged care residents aged over 65 years presenting with unwitnessed falls at two university-affiliated tertiary EDs between 1 January and 30 June 2024. Dual independent data extraction of medical records assessed CT imaging use and yield, which was defined as new intracranial haemorrhage on the radiology report. Change of management and shared decision-making were defined by documentation in the medical record. Data analyses were descriptive, and associations were reported using the odds ratio with 95% confidence intervals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 398 patients, 235 (59%) underwent CTH imaging and intracranial haemorrhage was identified in 10 patients (4.3%). No patients underwent neurosurgery. Anticoagulation was ceased in four patients. Shared decision-making was documented for hospital transfer in 14.1% of patients, 13.8% of patients receiving CTH and 25.1% among patients who did not undergo imaging. Patients with signs of head injury, on anticoagulation or evidence of polytrauma were more likely to receive a CTH.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>CT head imaging was common among RACF residents with unwitnessed falls despite low diagnostic yield and infrequent changes in management, with no neurosurgical intervention in our cohort. Limited documentation of SDM calls for stronger integration of meaningful patient-centred discussions to reduce avoidable transfers and imaging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Yu, Christine Koolstra, De Villiers Smit, Biswadev Mitra
Objectives
Acute pyelonephritis (APN) is a common diagnosis among patients presenting to the Emergency Department (ED). It is treated by empiric antibiotics within the ED. With a rise in antimicrobial resistance globally, it is unknown whether patients are being managed with empiric antibiotics that are appropriate for the causative organisms of APN. The aim of this study was to describe the pathogens causing APN and to assess whether the current choice of empirical antibiotics is appropriate.
Methods
A single-centre retrospective review of patients with a discharge diagnosis of APN at an adult tertiary referral hospital in metropolitan Melbourne over a 5-year period (2018–2022) was conducted. Eligible cases were identified from ICD-10 discharge diagnoses. Demographics, cultured organisms and antibiotic regimens were extracted using explicit chart review.
Results
There were 557 patients included with APN with 569 urine samples cultured after initial assessment. The most common pathogen cultured was E. coli, identified in 232 (40.8%) culture results. There were 26 (4.7%; 95% CI: 3.1–6.6) patients managed in the ED with inappropriate antibiotics. This occurred most frequently when ampicillin or amoxicillin monotherapy was prescribed. Patients were discharged with inappropriate antibiotics in 76 (13.6%) cases. This occurred most commonly when no antibiotic was prescribed on discharge.
Conclusion
Most empiric antibiotic prescribing for APN was appropriate and sensitive against the cultured organism. E. Coli in urine samples was commonly resistant to amoxicillin, ampicillin or trimethoprim. Strict adherence to national clinical guidelines can further reduce the rates of inappropriate antibiotic prescriptions.
{"title":"Antibiotic Therapy for Pyelonephritis in the Emergency Department","authors":"Jessica Yu, Christine Koolstra, De Villiers Smit, Biswadev Mitra","doi":"10.1111/1742-6723.70130","DOIUrl":"10.1111/1742-6723.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Acute pyelonephritis (APN) is a common diagnosis among patients presenting to the Emergency Department (ED). It is treated by empiric antibiotics within the ED. With a rise in antimicrobial resistance globally, it is unknown whether patients are being managed with empiric antibiotics that are appropriate for the causative organisms of APN. The aim of this study was to describe the pathogens causing APN and to assess whether the current choice of empirical antibiotics is appropriate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-centre retrospective review of patients with a discharge diagnosis of APN at an adult tertiary referral hospital in metropolitan Melbourne over a 5-year period (2018–2022) was conducted. Eligible cases were identified from ICD-10 discharge diagnoses. Demographics, cultured organisms and antibiotic regimens were extracted using explicit chart review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 557 patients included with APN with 569 urine samples cultured after initial assessment. The most common pathogen cultured was <i>E. coli</i>, identified in 232 (40.8%) culture results. There were 26 (4.7%; 95% CI: 3.1–6.6) patients managed in the ED with inappropriate antibiotics. This occurred most frequently when ampicillin or amoxicillin monotherapy was prescribed. Patients were discharged with inappropriate antibiotics in 76 (13.6%) cases. This occurred most commonly when no antibiotic was prescribed on discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Most empiric antibiotic prescribing for APN was appropriate and sensitive against the cultured organism. <i>E. Coli</i> in urine samples was commonly resistant to amoxicillin, ampicillin or trimethoprim. Strict adherence to national clinical guidelines can further reduce the rates of inappropriate antibiotic prescriptions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reliably defining the risk of adverse in-flight events in aeromedical trauma patients could enable more informed pre-departure treatment and guide central asset allocation to achieve better system-level outcomes. Unfortunately, the current literature base specifically examining the in-flight period is sparse. Flight duration is often considered a proxy for the risk of in-flight deterioration; however, there is limited data to support this commonly held assumption. This paper examines the association between flight duration and the risk of in-flight deterioration in aeromedical trauma patients. A total of 2927 cases of aeromedical transport for acute trauma were retrospectively examined, and the time to first hypotension was recorded. Cases were categorised as either primary or inter-hospital transfer retrievals. Cases were also subclassified as being a primary Traumatic Brain Injury or not based on several criteria, including initial GCS. The median time to hypotension was 11.5 min overall, 10 min in primary retrieval cases, and 15 min in inter-hospital transfer cases (p = 0.049). Notably, after approximately 50 min, a significant plateau in cumulative risk was observed. Isolated TBI cases had a significantly higher overall rate of in-flight hypotension, at 39.5% compared to 9.2%. Overall, this paper supports the physiologically plausible assumption that longer aeromedical transfer times are associated with an increased risk of deterioration during flight. It also demonstrates that deterioration tends to occur early in flight, raising questions as to why this might occur.
可靠地确定航空医疗创伤患者的飞行中不良事件风险，可以使出发前的治疗更加知情，并指导中央资产配置，以实现更好的系统级结果。不幸的是，目前专门研究飞行期间的文献基础很少。飞行时间通常被认为是飞行中恶化风险的代表；然而，支持这一普遍假设的数据有限。本文探讨飞行时间与航空医学创伤患者飞行恶化风险之间的关系。回顾性分析2927例急性外伤空运患者首次出现低血压的时间。病例被分类为初级或医院间转院检索。根据包括初始GCS在内的几个标准，病例也被细分为原发性创伤性脑损伤或非创伤性脑损伤。到低血压的中位时间为总体11.5 min，首次恢复病例为10 min，院间转院病例为15 min （p = 0.049）。值得注意的是，在大约50分钟后，观察到累积风险的显著平台。单独的TBI病例在飞行中出现低血压的总体比率显著高于前者，为39.5%，而后者为9.2%。总的来说，本文支持生理学上合理的假设，即较长的航空医疗转移时间与飞行中恶化的风险增加有关。它还表明，退化往往发生在飞行的早期，这就提出了为什么会发生这种情况的问题。
{"title":"In-Flight Deterioration Occurs Early in Aeromedical Trauma Patients","authors":"Benjamin Powell, Susanna Cramb","doi":"10.1111/1742-6723.70140","DOIUrl":"10.1111/1742-6723.70140","url":null,"abstract":"<p>Reliably defining the risk of adverse in-flight events in aeromedical trauma patients could enable more informed pre-departure treatment and guide central asset allocation to achieve better system-level outcomes. Unfortunately, the current literature base specifically examining the in-flight period is sparse. Flight duration is often considered a proxy for the risk of in-flight deterioration; however, there is limited data to support this commonly held assumption. This paper examines the association between flight duration and the risk of in-flight deterioration in aeromedical trauma patients. A total of 2927 cases of aeromedical transport for acute trauma were retrospectively examined, and the time to first hypotension was recorded. Cases were categorised as either primary or inter-hospital transfer retrievals. Cases were also subclassified as being a primary Traumatic Brain Injury or not based on several criteria, including initial GCS. The median time to hypotension was 11.5 min overall, 10 min in primary retrieval cases, and 15 min in inter-hospital transfer cases (<i>p</i> = 0.049). Notably, after approximately 50 min, a significant plateau in cumulative risk was observed. Isolated TBI cases had a significantly higher overall rate of in-flight hypotension, at 39.5% compared to 9.2%. Overall, this paper supports the physiologically plausible assumption that longer aeromedical transfer times are associated with an increased risk of deterioration during flight. It also demonstrates that deterioration tends to occur early in flight, raising questions as to why this might occur.</p>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authors' Reply to Merz et al. on eCPR in New Zealand","authors":"S. Wiebe, A. Boehm","doi":"10.1111/1742-6723.70136","DOIUrl":"https://doi.org/10.1111/1742-6723.70136","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Maree Kelly, Kevin H. Chu, Win Sen Kuan, Gerben Keijzers, Frances B. Kinnear, Alejandro Cardozo-Ocampo, the HEAD Study and HEAD Colombia Investigators
Objectives
To estimate the proportion of Emergency Department (ED) headache patients without neurological features who are diagnosed with a serious secondary headache cause.
Methods
Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Patients without a known history of cerebral conditions and with a normal neurological assessment were included. The outcome of interest was the proportion of patients diagnosed with a serious secondary headache cause.
Results
One hundred ninety-one patients were diagnosed with a serious secondary headache cause (191/3951, 4.8%, 95% CI 4.2%–5.5%).
Conclusion
Absence of neurological features alone cannot be used to reliably exclude a serious secondary headache cause in ED patients.
目的评估急诊科（ED）无神经学特征的头痛患者诊断为严重继发性头痛的比例。方法对HEAD研究/HEAD哥伦比亚数据进行非计划的二次分析。患者没有已知的大脑病史和正常的神经系统评估。我们感兴趣的结果是诊断为严重继发性头痛原因的患者比例。结果191例患者诊断为严重继发性头痛原因（191/3951,4.8%,95% CI 4.2% ~ 5.5%）。结论单纯缺乏神经学特征不能可靠地排除ED患者严重继发性头痛的原因。
{"title":"What Proportion of Emergency Department Headache Patients With Normal Neurology Have a Serious Secondary Headache Cause? A HEAD Study Report","authors":"Anne Maree Kelly, Kevin H. Chu, Win Sen Kuan, Gerben Keijzers, Frances B. Kinnear, Alejandro Cardozo-Ocampo, the HEAD Study and HEAD Colombia Investigators","doi":"10.1111/1742-6723.70138","DOIUrl":"https://doi.org/10.1111/1742-6723.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To estimate the proportion of Emergency Department (ED) headache patients without neurological features who are diagnosed with a serious secondary headache cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Unplanned secondary analysis of HEAD Study/HEAD Colombia data. Patients without a known history of cerebral conditions and with a normal neurological assessment were included. The outcome of interest was the proportion of patients diagnosed with a serious secondary headache cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred ninety-one patients were diagnosed with a serious secondary headache cause (191/3951, 4.8%, 95% CI 4.2%–5.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Absence of neurological features alone cannot be used to reliably exclude a serious secondary headache cause in ED patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jack Johnstone, Chris Perry, Ellice Rigby, Lisa Capps, Richard Johnson
Objective
This study aimed to identify presentations to the Alice Springs Emergency Department that could be managed in an Urgent Care Centre (UCC).
Methods
We reviewed 1 year of ED presentation data at Alice Springs Hospital (ASH) from August 2022 to August 2023 and used a sequence of exclusion criteria to identify patients most likely to be eligible for UCC management.
Results
Our model indicated that 35.0% of ED presentations at ASH during this period could have been managed in a UCC. Only 41.5% of these presentations (14.5% of total presentations) occurred during UCC operating hours.
Conclusions
According to this model, a significant proportion of ED presentations could potentially be managed in a UCC, although a large proportion of these occurred outside of UCC opening hours. The impact of the introduction of a UCC into a remote community on ED presentations, patient experience, patient outcomes and the broader system requires further study.
{"title":"Urgent Care Centre Eligible Presentations in a Remote Emergency Department","authors":"Jack Johnstone, Chris Perry, Ellice Rigby, Lisa Capps, Richard Johnson","doi":"10.1111/1742-6723.70135","DOIUrl":"https://doi.org/10.1111/1742-6723.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to identify presentations to the Alice Springs Emergency Department that could be managed in an Urgent Care Centre (UCC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We reviewed 1 year of ED presentation data at Alice Springs Hospital (ASH) from August 2022 to August 2023 and used a sequence of exclusion criteria to identify patients most likely to be eligible for UCC management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our model indicated that 35.0% of ED presentations at ASH during this period could have been managed in a UCC. Only 41.5% of these presentations (14.5% of total presentations) occurred during UCC operating hours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>According to this model, a significant proportion of ED presentations could potentially be managed in a UCC, although a large proportion of these occurred outside of UCC opening hours. The impact of the introduction of a UCC into a remote community on ED presentations, patient experience, patient outcomes and the broader system requires further study.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Jamieson, Zoe Ling, Krupa Mehta, Jocelyn Howell
The ‘double burden’ (or ‘second shift’) describes the workload of people in paid employment who are also responsible for unpaid domestic work. Globally, most of this work is shouldered by women and is often undervalued. For women working in Emergency Medicine, the double burden is likely to have impacts on career progression and leadership opportunities, as well as present challenges around competing demands of a rotating roster and domestic labour. With a higher and earlier attrition rate from emergency medicine, the loss of female clinicians has enormous implications for the EM workforce. The double burden has often been viewed as a challenge and a barrier to women; however, employing a strengths-based lens reveals that the experience of the double burden may lead to more empathetic and inclusive leadership models with greater innovation and gender equity within emergency department teams.
{"title":"The ‘Second Shift’ in Emergency Medicine: Strengths and Barriers of the Gendered Double Burden","authors":"Jennifer Jamieson, Zoe Ling, Krupa Mehta, Jocelyn Howell","doi":"10.1111/1742-6723.70133","DOIUrl":"https://doi.org/10.1111/1742-6723.70133","url":null,"abstract":"<div>\u0000 \u0000 <p>The ‘double burden’ (or ‘second shift’) describes the workload of people in paid employment who are also responsible for unpaid domestic work. Globally, most of this work is shouldered by women and is often undervalued. For women working in Emergency Medicine, the double burden is likely to have impacts on career progression and leadership opportunities, as well as present challenges around competing demands of a rotating roster and domestic labour. With a higher and earlier attrition rate from emergency medicine, the loss of female clinicians has enormous implications for the EM workforce. The double burden has often been viewed as a challenge and a barrier to women; however, employing a strengths-based lens reveals that the experience of the double burden may lead to more empathetic and inclusive leadership models with greater innovation and gender equity within emergency department teams.</p>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145012009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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