News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Emergency medicine conference highlights - Wed November 27

MEDIA RELEASE

Adelaide, 26 November 2013

Embargoed until 12.01 am Wednesday November 27

Emergency medicine conference highlights Wednesday November 27

The annual scientific meeting of the Australasian College for Emergency Medicine is being held at the Adelaide Convention Centre, North Terrace, Adelaide, November 25-28.

Outlined below is one conference topic for Wednesday, as well as two on the Thursday program. Both of the Thursday speakers are available for interview (immediate release of the interview reports) on Wednesday November 27 as well as on Thursday.

15.45-16.00 Wednesday Chronic kidney disease rate high, but diagnosis rate low

A study of chronic kidney disease (CKD) in a general practice population has found the prevalence of CKD to be high, although the diagnosis rate was low.

Dr Brian O’Connell, from St Vincent’s Hospital in Sydney, will tell the conference that the burden of chronic kidney disease (CKD) is growing worldwide.

“Despite an estimated prevalence of CKD of 15.1% in our primary care sample, the rate of diagnosis in the medical records was low and many of these patients were not receiving recommended treatments to minimise cardiovascular complications.

He said the use of eGFR rather than simple creatinine measurement increases the diagnostic rate for chronic kidney disease, particularly amongst older women, with an additional 5.4% of the population in this study diagnosed with CKD(as defined by eGFR <60.

Dr O’Connell’s study, although conducted in Ireland, is relevant to GP patients in Australia.

Thursday November 28

Why are ambulances ramped?

Ambulance ramping (delayed off-stretcher time) is a significant problem for hospitals in the Western world.

It occurs when ambulances are unable to unload their patient in the emergency department and remain queued outside hospital.

This leads to delays in patient assessment and management as well as reducing the number of ambulances able to respond to the community.

The ED is full because it is occupied by patients who are awaiting a hospital bed; however, because there are no beds in the hospital, they must wait in the ED causing overcrowding. This is called access block.

To determine the main reasons ambulances were ramped, Professor Yusuf Nagree from Fremantle Hospital and Sally Burrows from the Western Australia Institute for Medical Research conducted a study from 1 January 2008 to 30 June 2013 using data from the Emergency Department Information System of three major tertiary hospitals in Western Australia.

They found a high correlation between ramping time and access block and between ramping time and the total time admitted patients were in the ED.

There was very little correlation between ramping time and total attendances, and even less correlation between ramping and GP-type attendances.

“Ambulance ramping is primarily caused by admitted patients in the emergency department and is not well correlated with total number of patients attending or total number of GP-type patients attending,” Professor Nagree said.

CAM use common in kids coming to emergency departments (Professor Taylor not available for interview until Wednesday)

The use of complementary and alternative medicine (CAM) is common among paediatric emergency department patients, a new study has found.

Professor David Taylor, Director of Emergency and General Medicine Research at Austin Health, and colleagues studied patients attending three emergency departments between January and June 2013.

The parents of over 400 patients participated in the study.

Of these patients, 180 (44.0%) and 17 (4.2%) had taken a CAM within the previous 12 months and on the day of presentation, respectively.

There were no gender or ethnic differences in CAM use; however, CAM use was significantly more common among older patients and tended to be more common among those with chronic disease.

Fish oil, acidophilus, garlic, chamomile and cranberry were the most commonly used CAMs.

Reported adverse events were rare.

Parents who had administered CAMs tended to believe that CAMs were safe, drug free, could prevent illness, were more effective than prescription medicines and were safe when taken with prescription medicines.

The study is ongoing.

Professor Taylor will tell the conference that there is the potential for interactions between CAMs taken on the day of presentation and drugs administered in the ED. Also, parents who administer CAM tend to have differing perceptions of CAM safety.

ENDS

© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Eddie Izzard: UK Comedy Legend Returns

Hailed as one of the foremost stand up comedians of his generation. Star of stage and screen. Tireless supporter of charity. Runner. Political campaigner. Fashion Icon... February 2015, Eddie Izzard will bring his massive FORCE MAJEURE world tour to New Zealand with tickets going on sale at 10am on Tuesday 28th October. More>>

Festival Starts 28 Oct: Improv Fest Makes Up New Show

For any other festival, finding out less than two weeks from showtime that half the cast of a programmed show can’t make it to New Zealand would be a nightmare. Instead, the New Zealand Improv Festival Director Jennifer O’Sullivan saw an opportunity ... More>>

NZ Music Awards Finalists: Lorde, Sol3 Mio Top 2014 Tuis Charge

Lorde has taken the music world by storm during the past year and she co-leads the 2014 Tui charge with five finalist spots. Joining her is newcomer family opera trio, Sol3 Mio. They are followed closely by Ladi6 and David Dallas, both up for four awards each. More>>

From 'Luther' Creator: Major New Zealand Crime Series For BBC

Libertine Pictures and writer Neil Cross have teamed up with leading international TV producer Carnival Films to develop a major new crime series set in Rotorua. Libertine will develop the contemporary drama series with Carnival, producer of internationally-acclaimed British period drama Downton Abbey, for the BBC. More>>

ALSO:

Family Statement: Death Of Ewen Gilmour

“Ewen was a much loved and cherished member of our family, he was a larger than life character and by his very nature was kind, generous and always giving of his time to those who asked for his help." More>>

ALSO:

Auckland: St. Jerome's Laneway Festival - Line-Up Announced

Traversing seven cities and three countries, the festival has well and truly settled into its home in each state. From the grassy knolls and towering silos at home in Auckland, to the sparkling backdrop of the Maribyrnong... More>>

Scoop Review Of Books: No Longer An Island

Simon Nathan reviews 'Zealandia: Our Continent Revealed': The idea that New Zealand is part of a large submerged continent is not new... There was renewed interest in the extent of offshore New Zealand from the 1970s onwards with the start of offshore drilling for oil and gas, and this was given impetus by a UN agreement which allowed countries to claim an Extended Continental Shelf (ECS). More>>

Art: Simon Denny Recreates Kim Dotcom’s Personal Effects

Who owns what? How has the internet changed our relation to the world? These are two of the many questions Simon Denny raises in the latest exhibition at the Adam Art Gallery, opening on Saturday 4 October. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news