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  1. Book: Textbook of Paediatric Emergency Medicine

    Mitra, Biswadev / Browne, Gary J. / Cameron, Peter / Craig, Simon / Dalziel, Stuart

    2023  

    Size 688 p.
    Publisher Elsevier Science
    Document type Book
    Note PDA Manuell_20
    Format 218 x 273 x 27
    ISBN 9780702085352 ; 0702085359
    Database PDA

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  2. Book ; Online ; E-Book: Textbook of paediatric emergency medicine

    Cameron, Peter / Browne, G. J. / Mitra, Biswadev / Dalziel, S. R. / Craig, Simon ǂc (Professor)

    2023  

    Abstract: This leading text is essential reading for all those working in the paediatric emergency medicine setting who require concise, highly practical guidance that incorporates the latest best practice and evidence-based guidelines. The Textbook of Paediatric ...

    Title variant Textbook of pediatric emergency medicine
    Author's details edited by Peter Cameron, Gary Browne, Biswadev Mitra, Stuart Dalziel, Simon Craig
    Abstract "This leading text is essential reading for all those working in the paediatric emergency medicine setting who require concise, highly practical guidance that incorporates the latest best practice and evidence-based guidelines. The Textbook of Paediatric Emergency Medicine provides clear, concise and comprehensive information to support clinicians in what can be a challenging area to provide care. It not only covers diagnosis and management of all common presentations, but it also includes practical tips on communicating with both patients and their families. As a companion book to Cameron's Textbook of Adult Emergency Medicine, this volume is specifically tailored to the educational needs of emergency medicine trainees, but is also expected to benefit others working in the emergency setting including paramedics and emergency nurse specialists"-- ǂc publisher's description
    MeSH term(s) Pediatric Emergency Medicine ; Intensive Care, Neonatal ; Emergencies ; Emergency Treatment ; Infant ; Child ; Adolescent
    Keywords Pediatric emergencies ; Medical emergencies ; Infants ; Children ; Neonatal intensive care
    Subject code 618.920025
    Language English
    Dates of publication 2023-2024
    Size 1 online resource (657 pages) :, illustrations
    Edition Fourth edition.
    Publisher Elsevier
    Publishing place Philadelphia
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 9780702085369 ; 9780702085352 ; 0702085367 ; 0702085359
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article ; Online: Transient decline in abusive head trauma in children during the COVID-19 pandemic provides lessons for prevention.

    Mitra, Biswadev / Crellin, Dianne

    Evidence-based nursing

    2024  

    Language English
    Publishing date 2024-04-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/ebnurs-2024-103982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Zero risk is not possible in emergency medicine.

    Cameron, Peter A / Mitra, Biswadev / Kelly, Anne-Maree

    Emergency medicine Australasia : EMA

    2022  Volume 35, Issue 1, Page(s) 4–5

    MeSH term(s) Humans ; Emergency Medicine ; Emergency Service, Hospital
    Language English
    Publishing date 2022-12-16
    Publishing country Australia
    Document type Editorial ; Comment
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.14140
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Whole blood for trauma resuscitation?

    Mitra, Biswadev / Wood, Erica M / Reade, Michael C

    Injury

    2022  Volume 53, Issue 5, Page(s) 1573–1575

    MeSH term(s) Humans ; Resuscitation ; Shock, Hemorrhagic/therapy ; Wounds and Injuries/therapy
    Language English
    Publishing date 2022-05-06
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2022.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Ultrasound for acute pyelonephritis: a systematic review and meta-analysis.

    Yu, Jessica / Sri-Ganeshan, Muhuntha / Smit, De Villiers / Mitra, Biswadev

    Internal medicine journal

    2024  

    Abstract: Background: There is little consensus regarding the indications and utility of urinary tract imaging and type of imaging to perform in patients presenting with acute pyelonephritis (APN).: Aims: The aims of this systematic review were to, among ... ...

    Abstract Background: There is little consensus regarding the indications and utility of urinary tract imaging and type of imaging to perform in patients presenting with acute pyelonephritis (APN).
    Aims: The aims of this systematic review were to, among patients with APN, (i) identify the proportion of patients investigated with ultrasound (US), (ii) identify the proportion of abnormal US and (iii) identify the proportion of patients with a change in management resulting from abnormal US.
    Methods: A comprehensive search covered two electronic databases (Medline and EMBASE), with selection of studies performed independently by two investigators. Inclusion criteria were English language APN diagnosis and quantification of patients assessed with US or abnormal US results. Quality appraisal used the Newcastle-Ottawa instrument.
    Results: There were 35 studies included. The proportion of patients assessed with US was reported in 16 manuscripts and ranged from 20% to 94%, with significant heterogeneity and publication bias. The proportion of abnormal US was reported in 31 manuscripts and ranged from 7% to 79%. The proportion of abnormal US leading to change in management was reported in five studies and ranged from 7% to 59%. There was marked heterogeneity among studies included in all three subgroups.
    Conclusions: Patients with APN are commonly investigated with US, but only a small proportion have abnormalities and appear to be associated with changes in clinical management. The use of routine US for APN is therefore questioned. The identification of clinical variables for appropriate selection of patients to investigate with US requires further research.
    Language English
    Publishing date 2024-02-09
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2045436-3
    ISSN 1445-5994 ; 1444-0903
    ISSN (online) 1445-5994
    ISSN 1444-0903
    DOI 10.1111/imj.16347
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The GCS-Pupils (GCS-P) score to assess outcomes after traumatic brain injury: a retrospective study.

    Ambesi, Vito / Miller, Charne / Fitzgerald, Mark C / Mitra, Biswadev

    British journal of neurosurgery

    2024  , Page(s) 1–4

    Abstract: Introduction: The Glasgow Coma Scale (GCS) and pupil response to light are commonly used to assess brain injury severity and predict outcomes. The aim of this study was to investigate whether the GCS combined with pupil response (GCS-P), compared to the ...

    Abstract Introduction: The Glasgow Coma Scale (GCS) and pupil response to light are commonly used to assess brain injury severity and predict outcomes. The aim of this study was to investigate whether the GCS combined with pupil response (GCS-P), compared to the GCS alone, could be a better predictor of hospital mortality for patients with traumatic brain injury (TBI).
    Methods: A retrospective cohort study was undertaken at an adult level one trauma centre including patients with isolated TBI of Abbreviated Injury Scale above three. The GCS and pupil response were combined to an arithmetic score (GCS score (range 3-15) minus the number of nonreacting pupils (0, 1, or 2)), or by treating each factor as separate categorical variables. The association of in-hospital mortality with GCS-P as a categorical variable was evaluated using Nagelkerke's
    Results: There were 392 patients included over the study period of 1 July 2014 and 30 September 2017, with an overall mortality rate of 15.2%. Mortality was highest at GCS-P of 1 (79%), with lowest mortality at a GCS-P 15 (1.6%). Nagelkerke's
    Discussion: GCS-P provided a better predictor of mortality compared to the GCS. As both the GCS and pupillary response are routinely recorded on all patients, combination of these pieces of information into a single score can further simplify assessment of patients with TBI, with some improvement in performance.
    Language English
    Publishing date 2024-01-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 639029-8
    ISSN 1360-046X ; 0268-8697
    ISSN (online) 1360-046X
    ISSN 0268-8697
    DOI 10.1080/02688697.2023.2301071
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Pathology testing in non-trauma patients presenting to the emergency department with recurrent seizures.

    Burgess, Michael / Savage, Simon / Mitchell, Robert / Mitra, Biswadev

    Emergency medicine Australasia : EMA

    2023  Volume 35, Issue 5, Page(s) 834–841

    Abstract: Objective: Excessive pathology testing is associated with ED congestion, increased healthcare costs and adverse patient health outcomes. This study aimed to determine the frequency, yield and influence of pathology tests among patients presenting to the ...

    Abstract Objective: Excessive pathology testing is associated with ED congestion, increased healthcare costs and adverse patient health outcomes. This study aimed to determine the frequency, yield and influence of pathology tests among patients presenting to the ED with atraumatic recurrent seizures.
    Methods: This was a retrospective cohort study conducted at a level 4 adult ED in Australia and included atraumatic patients presenting to ED with recurrent seizures over a 4-year period (2017-2020). The primary outcome was the frequency of pathology tests. Additionally, the proportion of abnormal pathology test results and the association between pathology tests and change in management were assessed.
    Results: Of the 398 eligible presentations, 346 (86.9%, 95% confidence interval [CI] 83.3-89.9%) underwent at least one pathology test. In total 18.3% (n = 517) of pathology tests had an abnormal result which led to 15 changes in ED management among 12 presentations. Patients who had an abnormal pathology test result were more likely to undergo a change in antiepileptic drug management (odds ratio 2.08, 95% CI 1.23-3.65; P = 0.008).
    Conclusion: Most patients presenting to the ED with atraumatic recurrent seizures underwent pathology tests. Abnormalities were frequently detected but were uncommonly associated with change in management. Abnormal pathology test results were associated with changes in antiepileptic drug management although rarely led to acute changes in patient management. This study suggests that pathology tests may be excessively requested in this population.
    MeSH term(s) Adult ; Humans ; Anticonvulsants/therapeutic use ; Retrospective Studies ; Seizures/diagnosis ; Seizures/drug therapy ; Emergency Service, Hospital ; Australia
    Chemical Substances Anticonvulsants
    Language English
    Publishing date 2023-06-01
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2161824-0
    ISSN 1742-6723 ; 1742-6731 ; 1035-6851
    ISSN (online) 1742-6723
    ISSN 1742-6731 ; 1035-6851
    DOI 10.1111/1742-6723.14253
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Blood lactate after pre-hospital blood transfusion for major trauma by helicopter emergency medical services.

    Mitra, Biswadev / Talarico, Carly S / Olaussen, Alexander / Anderson, David / Meadley, Ben

    Vox sanguinis

    2024  

    Abstract: Background and objectives: The appropriate use of blood components is essential for ethical use of a precious, donated product. The aim of this study was to report in-hospital red blood cell (RBC) transfusion after pre-hospital transfusion by helicopter ...

    Abstract Background and objectives: The appropriate use of blood components is essential for ethical use of a precious, donated product. The aim of this study was to report in-hospital red blood cell (RBC) transfusion after pre-hospital transfusion by helicopter emergency medical service paramedics. A secondary aim was to assess the potential for venous blood lactate to predict ongoing transfusion.
    Materials and methods: All patients who received RBC in air ambulance were transported to a single adult major trauma centre, had venous blood lactate measured on arrival and did not die before ability to transfuse RBC were included. The association of venous blood lactate with ongoing RBC transfusion was assessed using multi-variable logistic regression analysis and reported using adjusted odds ratios (aOR). The discriminative ability of venous blood lactate was assessed using area under receiver operating characteristics curve (AUROC).
    Results: From 1 January 2016 to 15 May 2019, there were 165 eligible patients, and 128 patients were included. In-hospital transfusion occurred in 97 (75.8%) of patients. Blood lactate was associated with ongoing RBC transfusion (aOR: 2.00; 95% confidence interval [CI]: 1.36-2.94). Blood lactate provided acceptable discriminative ability for ongoing transfusion (AUROC: 0.78; 95% CI: 0.70-0.86).
    Conclusions: After excluding patients with early deaths, a quarter of those who had prehospital RBC transfusion had no further transfusion in hospital. Venous blood lactate appears to provide value in identifying such patients. Lactate levels after pre-hospital transfusion could be used as a biomarker for transfusion requirement after trauma.
    Language English
    Publishing date 2024-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 80313-3
    ISSN 1423-0410 ; 0042-9007
    ISSN (online) 1423-0410
    ISSN 0042-9007
    DOI 10.1111/vox.13598
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Influence of Potentially Inappropriate Medication Use on Older Australians' Admission to Emergency Department Short Stay.

    Tran, Hoa T M / Roman, Cristina / Yip, Gary / Dooley, Michael / Salahudeen, Mohammed S / Mitra, Biswadev

    Geriatrics (Basel, Switzerland)

    2024  Volume 9, Issue 1

    Abstract: Older people in the emergency department (ED) often pose complex medical challenges, with a significant prevalence of polypharmacy and potentially inappropriate medicines (PIMs) in Australia. A retrospective analysis of 200 consecutive patients aged over ...

    Abstract Older people in the emergency department (ED) often pose complex medical challenges, with a significant prevalence of polypharmacy and potentially inappropriate medicines (PIMs) in Australia. A retrospective analysis of 200 consecutive patients aged over 65 years admitted to the emergency short stay unit (ESSU) aimed to identify polypharmacy (five or more regular medications), assess PIM prevalence, and explore the link between pre-admission PIMs and ESSU admissions. STOPP/START version 2 criteria were used for the PIM assessment, with an expert panel categorizing associated risks. Polypharmacy was observed in 161 patients (80.5%), who were older (mean age 82 versus 76 years) and took more regular medications (median 9 versus 3). One hundred and eighty-five (92.5%) patients had at least one PIM, 81 patients (40.5%) had STOPP PIMs, and 177 patients (88.5%) had START omissions. Polypharmacy significantly correlated with STOPP PIM (OR 4.8; 95%CI: 1.90-12.1), and for each additional medication the adjusted odds of having a STOPP PIM increased by 1.20 (95%CI: 1.11-1.28). Nineteen admissions (9.5%) were attributed to one or more PIMs (total 21 PIMs). Of these PIMs, the expert panel rated eight (38%) as high risk, five (24%) as moderate risk, and eight (38%) as low risk for causing hospital admission. The most common PIMs were benzodiazepines, accounting for 14 cases (73.6%). Older ESSU-admitted patients commonly presented with polypharmacy and PIMs, potentially contributing to their admission.
    Language English
    Publishing date 2024-01-04
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2308-3417
    ISSN (online) 2308-3417
    DOI 10.3390/geriatrics9010006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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