The plans include close liaison with community-based medical and allied health teams, as well as hospital-based outreach programs to supplement community care in times of acute stress for individual patients. Future research aims to assess the effectiveness of these strategies in the target populations. Limitations This study aimed to identify patients by frequency of presentation to the ED. As a result, we only analysed the ED admission electronic medical record data-base. We did not review hospital records of admitted patients. We did not
look at the hospital LOS or outcome of the admitted patients. Diagnoses were those made at end of ED stay and Inhibitors,research,lifescience,medical not hospital discharge diagnoses for admitted patients. The retrospective nature of the study also limited the ability to collect additional information Inhibitors,research,lifescience,medical on other potential differences between the two groups. Finally, this study only explores frequent presenters in one health care network and does not make comparisons with data from other metropolitan hospitals in varying health care settings. Conclusions We report
an analysis of characteristics of frequent emergency department Inhibitors,research,lifescience,medical presenters in an Australasian setting. Frequent Presenters in our hospital network had significant mental health and chronic respiratory health problems relying heavily on ambulance and acute care resources. These observations suggest that a potential gap may exist in community and home care services in supporting these patient groups. Emergency department care Inhibitors,research,lifescience,medical co-ordination teams have the potential to identify frequent presenter patients and facilitate the development of targeted care
plans for specific patients. These should include close liaison with community allied health and medical services to reduce unnecessary re-presentation to hospital. Competing interests The authors declare that they have no competing interests. Authors’ contributions DM conceived the study and drafted Inhibitors,research,lifescience,medical the manuscript. AG assisted in the design of the Rolziracetam study, performed the statistical analysis and contributed to the manuscript. Both authors have read and approved the final CI-1033 concentration manuscript Pre-publication history The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-227X/11/21/prepub Acknowledgements The authors would like to thank the Southern Health network, Director of Emergency Medicine Southern Health, Nursing Unit Manager, Care Co-ordination Team and ED Director of Monash Medical Centre, as well as the Frequent Presenter Program committee for their support.
External chest compression (ECC) is a key element of cardiopulmonary resuscitation [1-4]. However, ECC is often too shallow and interrupted too frequently with resulting adverse hemodynamic effects.