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  1. Article ; Online: Spontaneous Ureteric Rupture and Its Implications in the Emergency Department: A Case Report.

    Chua, Tallie Wei Lin / Wong, Evelyn

    Clinical practice and cases in emergency medicine

    2021  Volume 5, Issue 2, Page(s) 167–170

    Abstract: Introduction: Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications.: Case report: We present the case of a 55-year-old female who ...

    Abstract Introduction: Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications.
    Case report: We present the case of a 55-year-old female who presented with severe right lower abdominal pain with rebound tenderness, vomiting, and a single episode of hematuria. A computed tomography with intravenous contrast of the abdomen and pelvis showed a 0.3-centimeter right upper ureteric calculus, with hydronephrosis and ureteric rupture. In view of the scan findings, a diagnosis of spontaneous ureteric rupture secondary to urolithiasis was made. The patient underwent a percutaneous nephrostomy and ureteric stenting.
    Conclusion: Spontaneous rupture of the ureter is an uncommon diagnosis for which clinical and laboratory signs may not always be reliably present. A high index of suspicion is required for diagnosis, which is usually confirmed on advanced imaging. It may occur in serious complications of urinoma and abscess formation. As such, accurate diagnosis and timely treatment is crucial.
    Language English
    Publishing date 2021-08-26
    Publishing country United States
    Document type Journal Article
    ISSN 2474-252X
    ISSN (online) 2474-252X
    DOI 10.5811/cpcem.2021.2.50652
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Oncology-related emergencies discharged from the emergency department.

    Goh, Si-Hua Yvonne / Ng, Juin Jie / Chan, Shi-En Joanna / Chua, Wei-Lin Tallie / Anantharaman, Venkataraman

    Singapore medical journal

    2023  

    Abstract: Introduction: Cancer patients attending emergency departments (EDs) often present with acute symptoms and are frequently admitted. This study aimed to characterise the profile of oncology patients who were discharged from the ED.: Methods: This was a ...

    Abstract Introduction: Cancer patients attending emergency departments (EDs) often present with acute symptoms and are frequently admitted. This study aimed to characterise the profile of oncology patients who were discharged from the ED.
    Methods: This was a retrospective audit of patients with cancer-related diagnoses who presented to the ED at the Singapore General Hospital (SGH) over a 6-month period from 1 October 2018 to 31 March 2019 and were directly discharged from the ED. Data was extracted from the hospital's electronic medical record system.
    Results: Of the 492 participants included in the study, the majority were triaged as Priority 2 (61.4%), while 30.7% were triaged as Priority 3, 6.9% as Priority 1 and 1.0% as Priority 4. There was no statistical difference between the National Early Warning scores across the different triage categories in these patients. The most common complaint was (44.3%), followed by genitourinary symptoms (19.5%) and those related to devices, catheters or stomas (17.3%). More investigations of all types were done for patients being managed in Priority 1 (57.6%) than in the other triage categories (40.1% for Priority 2, 23.2% for Priority 3 and 12.0% for Priority 4). Treatment procedures carried out were mainly symptomatic (analgesics, antiemetics, proton pump inhibitors) for 79.8% of the patients. There were no significant differences in the proportion of patients requiring various treatment modalities among the triage categories.
    Conclusion: Selected oncological patients may potentially be managed in an ambulatory setting.
    Language English
    Publishing date 2023-05-02
    Publishing country India
    Document type Journal Article
    ZDB-ID 604319-7
    ISSN 2737-5935 ; 0037-5675
    ISSN (online) 2737-5935
    ISSN 0037-5675
    DOI 10.4103/singaporemedj.SMJ-2021-368
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Emergency department 'outbreak rostering' to meet challenges of COVID-19.

    Chua, Wei Lin Tallie / Quah, Li Juan Joy / Shen, Yuzeng / Zakaria, Nur Diana / Wan, Paul Weng / Tan, Kenneth / Wong, Evelyn

    Emergency medicine journal : EMJ

    2020  Volume 37, Issue 7, Page(s) 407–410

    Abstract: The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the ... ...

    Abstract The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the emergency department. Infection of a single healthcare worker may require quarantine of close contacts at work. This may thus affect a potentially large number of staff. As such, we developed an Outbreak Response Roster. This Outbreak Response Roster had fixed teams of doctors working in rotation, each team that staff the emergency department in turn. Members within teams remained constant and were near equally balanced in terms of manpower and seniority of doctors. Each team worked fixed 12 hours shifts with as no overlapping of staff or staggering of shifts. Handovers between shifts were kept as brief as possible. All these were measures to limit interactions among healthcare workers. With the implementation of the roster, measures were also taken to bolster the psychological wellness of healthcare workers. With face-to-face contact limited, we also had to maintain clear, open channels for communication through technology and continue educating residents through innovative means.
    MeSH term(s) Betacoronavirus ; Burnout, Professional/prevention & control ; COVID-19 ; Communication ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Disease Outbreaks ; Emergency Service, Hospital/organization & administration ; Health Personnel/organization & administration ; Health Personnel/psychology ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Inservice Training/organization & administration ; Pandemics/prevention & control ; Patient Care Team/organization & administration ; Patient Handoff/organization & administration ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; Singapore ; Time Factors ; Workflow
    Keywords covid19
    Language English
    Publishing date 2020-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Emergency department 'outbreak rostering' to meet challenges of COVID-19

    Chua, Wei Lin Tallie / Quah, Li Juan Joy / Shen, Yuzeng / Zakaria, Diana / Wan, Paul Weng / Tan, Kenneth / Wong, Evelyn

    Emerg Med J

    Abstract: The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the ... ...

    Abstract The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the emergency department. Infection of a single healthcare worker may require quarantine of close contacts at work. This may thus affect a potentially large number of staff. As such, we developed an Outbreak Response Roster. This Outbreak Response Roster had fixed teams of doctors working in rotation, each team that staff the emergency department in turn. Members within teams remained constant and were near equally balanced in terms of manpower and seniority of doctors. Each team worked fixed 12 hours shifts with as no overlapping of staff or staggering of shifts. Handovers between shifts were kept as brief as possible. All these were measures to limit interactions among healthcare workers. With the implementation of the roster, measures were also taken to bolster the psychological wellness of healthcare workers. With face-to-face contact limited, we also had to maintain clear, open channels for communication through technology and continue educating residents through innovative means.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #422200
    Database COVID19

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  5. Book ; Online: Emergency department 'outbreak rostering to meet challenges of COVID-19

    Chua, Wei Lin Tallie / Quah, Li Juan Joy / Shen, Yuzeng / Zakaria, Diana / Wan, Paul Weng / Tan, Kenneth / Wong, Evelyn

    2020  

    Abstract: The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the ... ...

    Abstract The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the emergency department. Infection of a single healthcare worker may require quarantine of close contacts at work. This may thus affect a potentially large number of staff. As such, we developed an Outbreak Response Roster. This Outbreak Response Roster had fixed teams of doctors working in rotation, each team that staff the emergency department in turn. Members within teams remained constant and were near equally balanced in terms of manpower and seniority of doctors. Each team worked fixed 12 hours shifts with as no overlapping of staff or staggering of shifts. Handovers between shifts were kept as brief as possible. All these were measures to limit interactions among healthcare workers. With the implementation of the roster, measures were also taken to bolster the psychological wellness of healthcare workers. With face-to-face contact limited, we also had to maintain clear, open channels for communication through technology and continue educating residents through innovative means.
    Keywords Report from the front ; covid19
    Language English
    Publishing date 2020-07-01 00:00:00.0
    Publisher BMJ Publishing Group Ltd
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Emergency department ‘outbreak rostering’ to meet challenges of COVID-19

    Chua, Wei Lin Tallie / Quah, Li Juan Joy / Shen, Yuzeng / Zakaria, Diana / Wan, Paul Weng / Tan, Kenneth / Wong, Evelyn

    Emergency Medicine Journal

    2020  Volume 37, Issue 7, Page(s) 407–410

    Abstract: The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the ... ...

    Abstract The COVID-19 outbreak has posed unique challenges to the emergency department rostering. Additional infection control, the possibility of quarantine of staff and minimising contact among staff have significant impact on the work of doctors in the emergency department. Infection of a single healthcare worker may require quarantine of close contacts at work. This may thus affect a potentially large number of staff. As such, we developed an Outbreak Response Roster. This Outbreak Response Roster had fixed teams of doctors working in rotation, each team that staff the emergency department in turn. Members within teams remained constant and were near equally balanced in terms of manpower and seniority of doctors. Each team worked fixed 12 hours shifts with as no overlapping of staff or staggering of shifts. Handovers between shifts were kept as brief as possible. All these were measures to limit interactions among healthcare workers. With the implementation of the roster, measures were also taken to bolster the psychological wellness of healthcare workers. With face-to-face contact limited, we also had to maintain clear, open channels for communication through technology and continue educating residents through innovative means.
    Keywords Critical Care and Intensive Care Medicine ; Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher BMJ
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2040124-3
    ISSN 1472-0205
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209614
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Atypical presentation of traumatic aortic injury.

    Ho, Andrew Fu Wah / Chua, Tallie Wei-Lin / Seth, Puneet / Tan, Kenneth Boon Kiat / Pothiawala, Sohil

    Case reports in emergency medicine

    2014  Volume 2014, Page(s) 864301

    Abstract: Background. Blunt thoracic aorta injury (BAI) is second only to head injury as cause of mortality in blunt trauma. While most patients do not survive till arrival at the hospital, for the remainder, prompt diagnosis and treatment greatly improve outcomes. ...

    Abstract Background. Blunt thoracic aorta injury (BAI) is second only to head injury as cause of mortality in blunt trauma. While most patients do not survive till arrival at the hospital, for the remainder, prompt diagnosis and treatment greatly improve outcomes. We report an atypical presentation of BAI, highlighting the diagnostic challenges of this condition in the emergency department. Case Presentation. A previously well 25-year-old male presented 15 hours after injury hemodynamically stable with delirium. There were no signs or symptoms suggestive of BAI. Sonography showed small bilateral pleural effusions. Chest radiograph showed a normal mediastinum. Eventually, CT demonstrated a contained distal aortic arch disruption. The patient underwent percutaneous endovascular thoracic aortic repair and recovered well. Conclusion. This catastrophic lesion may present with few reliable signs and symptoms; hence, a high index of suspicion is crucial for early diagnosis and definitive surgical management. This paper discusses the diagnostic utility of clinical features, injury mechanism, and radiographic modalities. Consideration of mechanism of injury, clinical features, and chest radiograph findings should prompt advanced chest imaging.
    Language English
    Publishing date 2014-12-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2684646-9
    ISSN 2090-6498 ; 2090-648X
    ISSN (online) 2090-6498
    ISSN 2090-648X
    DOI 10.1155/2014/864301
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Atypical Presentation of Traumatic Aortic Injury

    Andrew Fu Wah Ho / Tallie Wei-Lin Chua / Puneet Seth / Kenneth Boon Kiat Tan / Sohil Pothiawala

    Case Reports in Emergency Medicine, Vol

    2014  Volume 2014

    Keywords Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Hindawi Publishing Corporation
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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