Kotahitanga 9
We love a bit of deprescribing in the elderly and the primary care flavour of Nelsons contribution this issue. Anti-hypertensive medication reduction in some older patients is not associated with important change in BP control. In patients 80 years or older on at least two anti-hypertensive medications, stopping one...
Kotahitanga 8
Impact of point of care testing on length of stay of patients in the Emergency Department. We were surprised by the non significant reduction in ED length of stay and curious about the possibility of entrenched clinical work patterns. Being a centre without CT we were also excited about...
Kotahitagna 7
Management of post-partum haemorrhage is encountered not infrequently in rural hospital medicine. Administration of TXA is part of local protocols, cheap, easy to use and widely available. Thanks for this appraisal of the evidence Kotahitagna!...
Kotahitanga 6
Another great read from Kotahitanga. Recurrent cellulitis is common cause of repeat admissions to our ward, especially in our fluid overloaded heart failure patients. Thanks S.Beck for the article! Compression therapy reduced incidence of cellulitis recurrence in patients with chronic oedema compared to conservative. 40% recurrence in control group...
Kotahitanga-5
This months issue of Kotahitanga got the rural community talking. Retrieval and transport delays are an important consideration in patients presenting with stroke and clot retrieval requires transfer outside our own DHB. Inter hospital transfer for CT head for minor head injuries in anti-coagulated patients is routine occurance with...
Kotahitanga 4
We love this months Kotahitanga! No more sniffing geriatric urine, a little more digital adrenaline and a little less gabapentin for back pain. Thanks Kotahitanga....
Kotahitanga 3
This week we debated the management of spontaneous pneumothorax and use of high sensitivity of TnI for syncope patients. Thanks Kotahitanga for continuing to bring the scientific rigour. Does your centre offer high sensitivity TnI for syncope patients?...
Introducing Kotahitanga
Here ED experts from around NZ review cutting edge literature. Kotahitanga’s mission is to share that wisdom and accelerate the dissemination of locally beneficial new ideas in Emergency Medicine. Download the full publication here:...
Kotahitanga 1
Hello and welcome to this first publication of Kotahitanga. Here we hope to share the collective brain power of New Zealand’s Emergency Departments’ Journal Clubs. ...