Tasman Medical Journal

ISSN: 2652-1881

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LATEST ARTICLE

A new open-access general medical journal for Australia and New Zealand

A new open-access general medical journal for Australia and New Zealand

LATEST ARTICLE

Recent Articles

Simulation exercises increase staff confidence, knowledge and skills in managing mass casualty incidents: a pretest-posttest study

Introduction Emergency hospital systems are expected to respond effectively to intentional or accidental mass casualty incidents (MCI). Such incidents are largely unpredictable, and increasing worldwide.1-3  Mitigation of the harms associated with these disasters often requires appropriate high-quality healthcare processes to be enacted rapidly, safely and without duplication or error.4 To prepare clinicians and health systems, effective training and rehearsal using the multi-systems involved in an actual response is necessary. Response frameworks (for example, Homeland Security Exercise and Evaluation Program,5 Disaster

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The role of ultrasound in scleroderma skin disease

The authors have measured skin thickness in patients with scleroderma and compared the results with the current standard clinical measure, the modified Rodnan Skin Score (mRSS). Though US had satisfactory reliability and reproducibility, and detected changes in skin thickness over time, it did not correlate well with the mRSS, for reasons that remain uncertain.

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Assessing the accuracy of discharge coding for gout, using the International Classification of Disease, at two tertiary teaching hospitals in Perth

Clinical and epidemiological research is often conducted using data from hospital discharge coding. The authors have studied the accuracy of a discharge coding diagnosis of gout, compared to clinical diagnoses based on ACR/EULAR 2015 gout classification criteria and case note review. The coding diagnosis was not supported by the former in over half the cases, or by the latter in almost one third.

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