EMA Journal

Emergency Medicine Australasia Journal - keeping you informed about the latest in EM research and topical debates

[EMA Journal @EMAJournal]

We have also opened a BlueSky Account.
Join us at
https://t.co/NK8sIJGxal

[EMA Journal @EMAJournal]

#TraumaticShock

#OpenAccess

https://t.co/WRaPpLfbUp

@markcfitz
@cjgroombridge @trauma_jm
@WileyHealth @acemonline

[EMA Journal @EMAJournal]

@DrKGregorevic

[Thomas Shanahan (Dr.) MRCEM @clifford0584]

First of our @EMAJournal
trainee section series on in-patient trauma physicians. Edited by myself and Joshua Smith.

Shared Care Between Trauma Surgeons and Geriatricians for Older Trauma Patients

Kate Gregorevic & Rebecca Tai

https://t.co/qcR7uGVu1z

#TOPSTrauma
#OlderPeople

[Thomas Shanahan (Dr.) MRCEM @clifford0584]

First of our @EMAJournal
trainee section series on in-patient trauma physicians. Edited by myself and Joshua Smith.

Shared Care Between Trauma Surgeons and Geriatricians for Older Trauma Patients

Kate Gregorevic & Rebecca Tai

https://t.co/qcR7uGVu1z

#TOPSTrauma
#OlderPeople

[EMA Journal @EMAJournal]

Risk stratification for #AcuteAorticSyndrome
https://t.co/wsVyCx2Pc0

#LetterToTheEditor

@nzpetejones
@WileyHealth @acemonline

[EMA Journal @EMAJournal]

Retraining frequency for a Paediatric ED Admission Prediction Model

#OpenAccess

https://t.co/QD8TvcHjhn

@WileyHealth @acemonline

[EMA Journal @EMAJournal]

Patient experience of the #AmbulanceRamping environment

https://t.co/KKdlAOxxvg

@WileyHealth @acemonline

[EMA Journal @EMAJournal]

The Falls Outreach and Residential Mobile Assessment Team initiative

#OpenAccess

https://t.co/mEicV2XzgF

@WileyHealth @acemonline

[EMA Journal @EMAJournal]

Cognitive aids to assist ED #resuscitation

https://t.co/urOmlupPSa

@WileyHealth @acemonline

[Journal of Trauma and Acute Care Surgery @JTraumAcuteSurg]

Risk factors for geriatric trauma readmission were explored, specifically, discharge functional status. Discharge functional status does not predict geriatric trauma readmission however having 3 or more comorbidities and increasing length of stay does predict readmission.

https://t.co/zyEn4P7aGa

[EMA Journal @EMAJournal]

The impact of Geriatric Emergency Department Initiative involvement on clinical outcomes, stratified by 4AT score

https://t.co/BY1YhCy033

@WileyHealth @acemonline

[EAAA RAID Group @EAAARAID]

New open-access paper from @EAAARAID

What is the value of HEMS?

Not just the intervention. Not just the aircraft. Not just speed. This study asks crews what HEMS actually adds at the scene.

Free full paper: https://t.co/rwgkFFWXdv

[EMA Journal @EMAJournal]

Terminology used to describe acute-onset #AtrialFibrillation

https://t.co/Ilea0NdNpo

#Opinion

@First_do_noharm @leftventricool
@WileyHealth @acemonline

[AnnalsofEM @AnnalsofEM]

This study suggests that extracorporeal cardiopulmonary resuscitation (ECPR) may be associated with improved outcomes in selected children with out-of-hospital cardiac arrest. Because the number of children who received ECPR was small, these findings should be interpreted as hypothesis-generating and support further prospective—and ideally randomized—evaluation of pediatric ECPR.

Check it out! Link in Bio

#EmergencyMedicine #EM #Pediatrics #PEM #Peds #CriticalCare #CritCare #EMS #MedED #FOAM #FOAMed #EBM

[EMA Journal @EMAJournal]

Clinician uptake and estimated modelled documentation time savings for an AI-scribe system in an ED

https://t.co/FT4Atrwaux

#OpenAccess
@WileyHealth @acemonline

[Natalie Kruit @nattiejpk]

What happens when you remove the hospital as the boundary?

Advanced, targeted interventions & diagnostics can be delivered in the field enhancing cardiac arrest care

Reframing resuscitation as precision critical care @cliffreid @PrecareSyd @SydneyHEMS

https://t.co/wGXuWN64mz

[EMA Journal @EMAJournal]

Aortic Dissection Risk Detection Score in ED patients referred for CT aortogram for investigation for possible aortic dissection

https://t.co/aLIxcWdjyC

#LetterToTheEditor

@kellyam_jec
@WileyHealth @acemonline

[AnnalsofEM @AnnalsofEM]

Watchful waiting:
The Power of Patience: High-Impact Insights on Pediatric Abdominal Trauma Observation 🩺🛡️

Can a little extra time in the ED save a child from unnecessary radiation? ⏱️ This massive study of 7,442 children proves that observation is a game-changer for blunt abdominal trauma, but it’s important to understand the full picture,.

💪🏾Why this study is a heavyweight (Strengths):

-Massive Scale: This was a rigorous prospective multicenter cohort study involving children across six level-1 trauma centers,.

-Precision Modeling: Researchers used multivariable logistic regression to adjust for critical factors like age, clinician suspicion, and PECARN risk variables,.

-Proven Safety: The study successfully showed reduced CT use—especially in intermediate-risk cases—without an increase in missed injuries,.

-Standardized Training: Enrolling clinicians underwent standardized training to ensure consistent documentation of clinical findings.

⚠️ Know the fine print (Limitations):

-Setting Matters: The study was conducted in pediatric-specific EDs, so the results might differ in general community hospitals with less pediatric trauma experience.

-Unstructured Observation: There was no set protocol for the observation period; the duration, lab tests, and ultrasound use were left to clinician discretion.

-Older Kids Skew: The study population skewed toward older children, who are often easier to evaluate for abdominal pain and tenderness than younger ones.

-Cost-Effectiveness: No specific cost-effectiveness analysis was conducted for abdominal trauma observation in this study.

🤓The Bottom Line: Choosing to observe rather than scan can safely lower CT utilization with a minimal median increase in ED stay of only 27 minutes.

🔗 Read the full paper here: https://t.co/Ey5kIVouyo

#PediatricTrauma #EmergencyMedicine #EvidenceBasedMedicine #ERDoctor #MedicalResearch

📚Reference: Ishimine P, et al. Emergency Department Observation and Computed Tomography Use in Children With Blunt Abdominal Trauma. Annals of Emergency Medicine. 2026

[EMA Journal @EMAJournal]

#ClinicalHandover

https://t.co/GkNLOsIzaC

#OpenAccess

@Rothy001 @Danxbod
@WileyHealth @acemonline

[EMA Journal @EMAJournal]

The Sedation Gap Conundrum: Where's the Awareness?

#LetterToTheEditor

https://t.co/wgTcC5TFf4

[EMA Journal @EMAJournal]

The median time to sedation or analgesia post intubation in ED

https://t.co/QDs6gWZOxU

#OpenAccess
@cjgroombridge @Biswadev_M
@WileyHealth @acemonline

[EMA Journal @EMAJournal]

The diagnostic performance of the STONE score and modified STONE score in predicting ureteric calculi

https://t.co/DZcnd0KCvp

@kellyam_jec
@WileyHealth @acemonline