Article
Pediatrics
Sean T. Kelleher, Michael J. Barrett, Sheena Durnin, Patrick Fitzpatrick, Agnes Higgins, Dani Hall
Summary: This study aimed to assess the competency of PED multidisciplinary staff in caring for LGBTQ+ adolescents. Results showed positive attitudes but a gap in knowledge and clinical preparedness. Training in caring for LGBTQ+ young people is necessary.
ARCHIVES OF DISEASE IN CHILDHOOD
(2023)
Article
Multidisciplinary Sciences
Michelle Banfield, Scott J. Fitzpatrick, Heather Lamb, Melanie Giugni, Alison L. Calear, Erin Stewart, Maree Pavloudis, Lucy Ellen, Ginny Sargent, Helen Skeat, Bronwen Edwards, Benn Miller, Amelia Gulliver, Louise A. Ellis, Vida Bliokas, Purity Goj, Melissa Lee, Kelly Stewart, Glenda Webb, Merkitta Main, Carrie Lumby, Kelly Wells, Carolyn McKay, Philip J. Batterham, Alyssa R. Morse, Fiona Shand
Summary: This study aims to investigate the implementation, effectiveness, and sustainability of safe space models as viable alternatives to hospital-based care for individuals experiencing emotional distress and/or suicidal crisis. The study will use a mixed methods, co-designed research design, collecting both quantitative and qualitative data.
Article
Business
Alessandro Stefanini, Davide Aloini, Peter Gloor, Federica Pochiero
Summary: The study found that patient satisfaction and service perceptions are significantly influenced by the behavior and communication networks of healthcare providers. Patients value physical proximity and continuous monitoring of their health conditions by doctors and providers, as well as desire to actively participate in the communication network. Additionally, patients perceive positively when doctors lead the communication network within teams for more effective conversations.
JOURNAL OF BUSINESS RESEARCH
(2021)
Article
Ecology
Huaqing Wang, Dongying Li
Summary: This study investigates the associations between greenspace availability, historical redlining, and emergency department visits for mental disorders using state-wide data in Texas. The findings indicate that increased greenspace coverage is associated with decreased risks of emergency department visits for mental disorders, while an increase in historically redlining zones is associated with increased risks.
LANDSCAPE AND URBAN PLANNING
(2023)
Review
Health Care Sciences & Services
Carolina Navas, Laura Wells, Susan A. Bartels, Melanie Walker
Summary: This article summarizes the experiences of people with mental health concerns seeking care in emergency departments (EDs) in North America from both patient and provider perspectives. The research reveals barriers and facilitators to optimal ED care, including interpersonal factors, environmental factors, and system-level factors.
Article
Health Policy & Services
Jennifer C. Wolff, Micaela Maron, Tommy Chou, Erik Hood, Sophia Sodano, Shayna Cheek, Elizabeth Thompson, Kathleen Donise, Emily Katz, Margaret Mannix
Summary: In the past decade, healthcare providers have faced an increasing crisis in boarding pediatric patients awaiting psychiatric treatment in emergency departments. COVID-19 has worsened this crisis, leading to emergency departments acting as crisis units. Journey mapping is a valuable methodology for understanding the strengths and challenges in patient care workflows, such as boarding and emergency psychiatric care.
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH
(2023)
Review
Medicine, General & Internal
Anisa Jabeen Nasir Jafar, Wisam Jalal Jawad Jafar, Emma Kathleen Everitt, Ian Gill, Hannah Maria Sait, Jacinta Tan
Summary: Compared to other mental health conditions, eating disorders may seem relatively rare in emergency departments. However, they have the highest mortality rate in mental health, with high rates of medical complications and risks. People with eating disorders often do not disclose their diagnosis to healthcare professionals due to denial, avoidance of treatment, or stigma. As a result, their diagnosis can be easily missed and the prevalence underestimated. This article provides a new perspective on eating disorders for emergency and acute medicine practitioners, focusing on the most serious acute pathology, indicators of hidden disease, screening, acute management considerations, and the challenge of mental capacity in high-risk patients who can recover with proper treatment.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Emergency Medicine
Analise Peleggi, Bryan Strub, Soo-Jeong Kim, Carol M. Rockhill
Summary: This study aimed to develop a screening method to identify emergency department encounters related to aggression. Through chart review and analysis of code combinations, a screening method with high accuracy was derived. Validation of the method will provide support for further research on this important population.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Stephanie Stroever, Chelsea Brett, Katherine Michael, Joann Petrini
Summary: This study found that the proportion of emergency department encounters attributed to mental health conditions increased after the COVID-19 outbreak. Substance abuse, anxiety, and mood disorders were the main types of mental health diagnoses. Emergency departments play a crucial role in identifying and triaging mental health emergencies, especially during disasters and extended crises.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Mengge Tian, Xuan Zhou, Xiaoxv Yin, Nan Jiang, Yafei Wu, Jiali Zhang, Chuanzhu Lv, Yanhong Gong
Summary: This study aimed to examine the prevalence of effort-reward imbalance among emergency department physicians in China and explore its associated factors. The results showed that the prevalence of effort-reward imbalance was 78.39% among emergency department physicians in China. Male physicians with a bachelor's degree, intermediate title, long years of service, high frequency of night shifts, and who suffered workplace violence were at a higher risk of effort-reward imbalance. Conversely, physicians with higher monthly income and perceived adequate staff had a lower risk of effort-reward imbalance.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Rishaan Pawaskar, Neha Mahajan, Eklavya Wangoo, Wafa Khan, Jannine Bailey, Robyn Vines
Summary: This study examined the perceptions of emergency department (ED) staff in rural Australia regarding the management of mental health presentations. The findings revealed that staff identified deficiencies in mental health expertise, de-escalation skills, and referral pathways as major barriers to effective patient management. Although staff recognized the value of practical experience, they expressed a need for more face-to-face training to better equip them to respond to mental health presentations.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Medicine, General & Internal
Niklas Maximilian Auth, Matthew James Booker, Jennifer Wild, Ruth Riley
Summary: This study aims to explore the factors influencing the mental health and recovery of emergency service workers exposed to occupational trauma, as well as the barriers and facilitators to help-seeking behavior among trauma-exposed workers. The findings suggest that factors such as the need for downtime, peer support, and reassurance contribute to mental health, while stigma, the nature of interventions, and mental health literacy issues can influence help-seeking behavior.
Review
Public, Environmental & Occupational Health
Janina Isabel Steinert, David Atika Nyarige, Milan Jacobi, Jana Kuhnt, Lennart Kaplan
Summary: This systematic review identified various ethical challenges that research staff may face in LMICs, including role conflicts, feelings of guilt, sexual harassment, safety risks, and political repression. The current ethical standards need urgent amendments to achieve the Sustainable Development Goal 8.8 on 'safe and secure working environments' and protect research staff from harm.
Article
Emergency Medicine
David C. Sheridan, Beech Burns, Sunhee Chung, Monica Saladik, Elizabeth Marx, Rebecca Marshall
Summary: Pediatric mental health presentations have been increasing in the US, leading to longer wait times and the need for more resources. This study evaluates a policy that allows for inpatient admission when a certain percentage of the emergency department is occupied by boarding patients, showing positive impacts on flow and functionality.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Clinical Neurology
Philip P. Ratnasamy, Katelyn E. Rudisill, Dennis L. Caruana, Alexander J. Kammien, Jonathan N. Grauer
Summary: This study aims to analyze the timing and risk factors of emergency department (ED) visits following lumbar discectomy, and provide targeted risk reduction strategies.
Article
Emergency Medicine
Rebecca J. Mitchell, Ian A. Harris, Zsolt J. Balogh, Kate Curtis, Brian Burns, Ian Seppelt, Julie Brown, Pooria Sarrami, Hardeep Singh, Jean-Frederic Levesque, Michael Dinh
Summary: The study found that unplanned readmission is associated with injury intent, age, and comorbid health conditions, with anxiety disorders and drug-related dependence being important factors for readmission.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Critical Care Medicine
Kate Curtis, Belinda Kennedy, Mary K. Lam, Rebecca J. Mitchell, Deborah Black, Stephen Jan, Brian Burns, Michael Dinh, Andrew J. A. Holland
Summary: This study aimed to determine predictors of 12-month functional and psychosocial outcomes for children sustaining major injury in NSW. The study found that hospital length of stay and polytrauma are independent factors that negatively influence psychological and physical outcomes of children with major injuries.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Critical Care Medicine
Christopher Partyka, Matthew Miller, Tamara Johnson, Brian Burns, Toby Fogg, Pooria Sarrami, Hardeep Singh, Kelly Dee, Michael Dinh
Summary: The study reports the initial experience of an Australian Code Crimson (CC) pathway providing early multidisciplinary care for trauma patients. It analyzed diagnostic accuracy and outcomes of patients with and without prehospital CC activation. The results suggest the pathway is highly specific for hemorrhage control intervention in hospital, but further work is needed to improve prehospital activation sensitivity.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Medicine, General & Internal
Patricia Cullen, Robert Neil Leong, Bette Liu, Natasha Walker, Katharine Steinbeck, Rebecca Ivers, Michael Dinh
Summary: This study aimed to analyze mental health emergency department presentations among young people aged 8-26 years in New South Wales, Australia and identify key characteristics associated with higher risk of re-presentation. The results showed that re-presentation rates were highest among young people with self-harm or suicidal diagnoses at initial presentation, as well as those under 15 years old, females, those residing outside of major cities, and Aboriginal and Torres Strait Islander young people. The study suggests that EDs should provide timely, high-quality care that is youth-friendly and culturally safe, with appropriate referral pathways to community-based primary and mental healthcare services.
Article
Health Care Sciences & Services
Kate Chiswell, Kendall Bein, Daniel Simpkins, Mark Latt, Michael Dinh
Summary: This study aimed to describe patterns of emergency department (ED) presentations and predict 30-day mortality in patients referred from a residential aged care facility (RACF). The findings showed that a large proportion of ED presentations from RACFs were for injuries associated with falls and chest infections. Both the 30-day mortality and re-admission rates were high, and predictors of increased mortality included prolonged length of stay in the ED and re-admission within 30 days.
AUSTRALIAN HEALTH REVIEW
(2022)
Article
Emergency Medicine
Anja Ebker-White, Michael Dinh, Ian Paver, Kendall Bein, Kylie Tastula, Melina Gattellari, John Worthington
Summary: This study retrospectively analyzed the activations of Code Stroke in an emergency department and predicted the final diagnosis of stroke or TIA. The results showed that age, hypertension, weakness, and speech impairment were independent predictive factors for increased stroke risk. Prehospital notification was associated with higher proportion of stroke/TIA diagnosis and shorter door to needle times for patients undergoing thrombolysis.
EMERGENCY MEDICINE AUSTRALASIA
(2022)
Article
Emergency Medicine
Rebecca Davis, Kendall Bein, Jamie Burrows, Bashir Chakar, Saartje Berendsen Russell, Owen Hutchings, Cassandra Dearing, Dianna Jagers, James Edwards, Dane Chalkley, Miranda Shaw, Lucy Mckenzie, Helen Goldmith, Michael Dinh
Summary: This study retrospectively observed a cohort of patients during the SHA period of Delta variant COVID-19 in Sydney, finding that age over 40, obesity, fever (temperature >37.5 degrees C), hypoxia (oxygen saturation <95%), tachycardia, and gastrointestinal symptoms were independent predictors of hospital admission.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Psychiatry
Kate M. Chitty, Rachael C. Cvejic, Teresa Heintze, Preeyaporn Srasuebkul, Kirsten Morley, Andrew Dawson, Gregory Carter, Michael Dinh, Nicholas A. Buckley, Julian N. Trollor
Summary: This study investigated the association between problematic alcohol and/or drug use and the incidence of self-harm and suicidal ideation. The results showed that individuals with problematic alcohol use and drug use were more likely to have subsequent episodes of self-harm and suicidal ideation within a year. Problematic alcohol users were also more likely to be assigned to the most urgent triage categories.
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
(2023)
Article
Critical Care Medicine
Kevin Hamdard, Ian A. Harris, Pooria Sarrami, Chen-Chun Shu, Julie Brown, Hardeep Singh, Jean-Frederic Levesque, Michael Dinh
Summary: Fall from ladders is a significant cause of injury and mortality, and research into ladder fall outcomes and trends is limited. This study found that increasing age and fall height are associated with more severe injuries and higher mortality rates.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Medicine, General & Internal
Kate Curtis, Margaret Fry, Sarah Kourouche, Belinda Kennedy, Julie Considine, Hatem Alkhouri, Mary Lam, Steven M. McPhail, Christina Aggar, James Hughes, M. Murphy, Michael Dinh, Ramon Shaban
Summary: This paper presents the protocol for a multicentre clinical trial of the HIRAID framework, which aims to reduce clinical variation and improve the safety and quality of initial emergency nursing care. The trial will be conducted in 31 emergency departments in Australia, and the primary outcomes include inpatient deterioration related to emergency care, time to analgesia, patient satisfaction, and medical satisfaction with nursing clinical handover. The findings will be used to develop a national toolkit.
Article
Emergency Medicine
Michael M. Dinh, Kendall J. Bein, Hatem Alkhouri, Sinead Ni Bhraonain, Radhika Seimon
Summary: The objective of this study was to describe the characteristics and predictors of mortality for patients who spend more than 24 hours in the emergency department (ED) waiting for an in-patient bed, and to compare clinical and demographic characteristics between tertiary and non-tertiary hospitals. The results showed that the most common diagnosis groups were psychiatry, cardiology, and respiratory. Patients admitted with an ED length of stay greater than 24 hours had a higher risk of 30-day all-cause mortality, especially those aged > 75 years, oncology patients, and haematology patients. Therefore, interventions and models of care for ED access block should focus on mental health patients, older patients with cardiorespiratory illness, and oncology and haematology patients.
EMERGENCY MEDICINE AUSTRALASIA
(2023)
Article
Critical Care Medicine
Michael Dinh, Hardeep Singh, Colin Deans, Grant Pople, Pooria Sarrami, Glenn Sisson, Jonathon Newman, Jason Bendall
Summary: This study evaluated the performance of a major trauma transport protocol in ambulance road transports in New South Wales. The T1 protocol showed low undertriage and high specificity, and can be improved by considering patient age and the number of trauma protocols activated by paramedics.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Critical Care Medicine
Ryan S. Ting, Daniel P. Lewis, Kevin X. Yang, Tam Anh Nguyen, Pooria Sarrami, Lovana Daniel, Samuel Hourigan, Kate King, Christine Lassen, Mahsa Sarrami, William Ridley, Hatem Alkhouri, Michael Dinh, Zsolt J. Balogh
Summary: The study aimed to describe the incidence of postinjury multiple organ failure (MOF) and its change over time. The results showed that MOF incidence varies widely depending on different definitions and study inclusion criteria, with no significant decrease observed over time. Lack of consensus definition and study population hinders further research.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2023)
Review
Psychology, Clinical
Jonathan Han Loong Kuek, Toby Raeburn, Timothy Wand
Summary: Personal recovery in Asia is diverse and includes a return to pre-illness state and a transformative process. Factors such as social support, religion, meaningful activities, supportive professionals, and personalized coping strategies are viewed as facilitating recovery, while religious stigma, discrimination, gendered norms, and negative societal perceptions hinder recovery.
JOURNAL OF MENTAL HEALTH
(2023)
Article
Health Care Sciences & Services
Sally Bath, Michael M. Dinh, Stacey Casley, Pooria Sarrami
Summary: This study analyzed 2045 older patients with isolated severe head injury to identify factors associated with 90-day mortality. Results indicated that a GCS score <9, severe intracranial injury on CT imaging, and severe hypertension on arrival to the emergency department were the most strongly predictive variables for mortality at 90 days.
AUSTRALIAN HEALTH REVIEW
(2022)
