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https://repository.monashhealth.org/monashhealthjspui/handle/1/36078| Title: | Can pre-hospital administration reduce time to initial antibiotic therapy in septic patients?. | Authors: | Lightfoot D.;Santamaria J.;Winter C.;Bates S.;Butler J.;French C.;Tippett A.;Shepherd K. ;Vij S. ;Cudini D.;Smith K.;Bernard S.;Stephenson M.;Andrew E.;Cameron P.;Lum M.;Udy A.;Bennett V.;Board J.;McCracken P.;McGloughlin S.;Nanjayya V.;Teo A.;Bellomo R.;Bolch S.;Eastwood G.;Kerr F.;Peak L.;Young H.;Edington J.;Fletcher J.;Smith J. ;Cross A.;Flemming D.;Grummisch M.;Purdue A.;Coles T.;Connor H.;Dennett J.;Van Berkel A.;Braitberg G.;O'Bree B.;Allsop S.;Haji D.;Haji K.;Vuat J.;Bone A.;Elderkin T.;Orford N.;Ragg M.;Dowling J.;Galt P.;Lamac T.;Walker C.;MacIsaac C.;Gorman K.;Jordan A.;Moore L.;Farone E.;Holmes J. | Institution: | (Cudini, Stephenson) Clinical Operations, Ambulance Victoria, Melbourne, VIC, Australia (Cudini, Smith, Stephenson) Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, VIC, Australia (Smith, Andrew) Centre for Research and Evaluation, Ambulance Victoria, Melbourne, VIC, Australia (Smith, Bernard, Stephenson) Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia (Smith) Discipline of Emergency Medicine, The University of Western Australia, Perth, WA, Australia (Bernard) Medical Directorate, Ambulance Victoria, Melbourne, VIC, Australia (Cameron) School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia (Cameron) Emergency and Trauma Centre, The Alfred Hospital, Melbourne, VIC, Australia (Lum) Department of General Medicine, The Alfred Hospital, Melbourne, VIC, Australia (Udy) Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, VIC, Australia (Bennett, Board, McCracken, McGloughlin, Nanjayya, Teo) The Alfred Hospital, Melbourne, Australia (Bellomo, Bolch, Eastwood, Kerr, Peak, Young) Austin Health, Melbourne, Australia (Edington, Fletcher, Smith) Bendigo Hospital, Bendigo, Australia (Cross, Flemming, Grummisch, Purdue) Box Hill Hospital, Melbourne, Australia (Coles, Connor, Dennett, Van Berkel) Central Gippsland Health Service, Sale, Australia (Braitberg, O'Bree, Shepherd, Vij) Dandenong Hospital, Melbourne, Australia (Allsop, Haji, Haji, Vuat) Frankston Hospital, Melbourne, Australia (Bone, Elderkin, Orford, Ragg) Geelong Hospital, Geelong, Australia (Dowling, Galt, Lamac, Lightfoot, Walker) Monash Medical Centre, Clayton, Australia (MacIsaac, Gorman, Jordan, Moore) Royal Melbourne Hospital, Melbourne, Australia (Farone, Holmes, Santamaria, Winter) St. Vincent's Hospital, Melbourne, Australia (Bates, Butler, French, Tippett) Western Hospital, Footscray, Australia | Issue Date: | 26-Jul-2019 | Copyright year: | 2019 | Publisher: | Blackwell Publishing | Place of publication: | Australia | Publication information: | EMA - Emergency Medicine Australasia. 31 (4) (pp 669-672), 2019. Date of Publication: August 2019. | Journal: | EMA - Emergency Medicine Australasia | Abstract: | Objective: To quantify the potential time saved with pre-hospital antibiotic therapy in sepsis. Method(s): Study data for adult patients transported by Ambulance Victoria (AV), and enrolled into the Australasian Resuscitation In Sepsis Evaluation (ARISE), were linked with pre-hospital electronic records. Result(s): An AV record was identified for 240 of 341 ARISE patients. The pre-hospital case notes referred to potential infection in 165 patients. The median time to first antibiotic administration from loading the patient into the ambulance was 107 (74-160) min. Conclusion(s): ARISE patients in Victoria were frequently identified pre-hospital. An opportunity exists to study the feasibility of pre-hospital antibiotic therapy.Copyright © 2019 Australasian College for Emergency Medicine | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/1742-6723.13282 | PubMed URL: | 30924278 [http://www.ncbi.nlm.nih.gov/pubmed/?term=30924278] | ISSN: | 1742-6731 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/36078 | Type: | Article |
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