Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    The time paradox of emergency medicine: Another inverted U curve

    Access Status
    Fulltext not available
    Authors
    Fatovich, Daniel
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Fatovich, D. 2017. The time paradox of emergency medicine: Another inverted U curve. EMA - Emergency Medicine Australasia. 29 (6): pp. 730-732.
    Source Title
    EMA - Emergency Medicine Australasia
    DOI
    10.1111/1742-6723.12847
    ISSN
    1742-6731
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/71609
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine Time is integral to emergency medicine, but the importance of time is over-rated. Media promotes a focus on time over suffering. Terms such as the ‘golden hour’ and ‘time is muscle’ are embedded into our language, but is language that corrupts thought. Time-based metrics for ED quality measures focus on speed over accuracy, reflecting another inverted U curve in our system of care. We often fail to understand the importance of heterogeneity, and the heterogeneity of treatment effect, for example, sicker patients are more likely to benefit from the intervention, whereas less sick patients do not benefit but are more likely to be harmed. This highlights the importance of nuanced judgements. We need to get into the Goldilocks zone of the ‘just right’ balance between speed and accuracy. This essay challenges us to focus more on the suffering human subject, rather than on time-based metrics that reflect our hope bias.

    Related items

    Showing items related by title, author, creator and subject.

    • Public health in Australasian emergency departments: Attitudes, barriers and current practices
      Egerton-Warburton, Diana; Gosbell, A.; Moore, K.; Jelinek, G. (2015)
      Objective: To understand the attitudes of consultant emergency medicine physicians and advanced trainees and the perceived barriers to public health interventions in Australasian EDs. Methods: This was a voluntary ...
    • Community pharmacists' opinions of their role in administering non-prescription medicines in an emergency
      McMillan, S.; Hattingh, Laetitia; King, M. (2011)
      Objective: To obtain community pharmacists’ opinions of their role in administering Pharmacy (S2) and Pharmacist Only (S3) Medicines in a medical emergency. These medicines can only be sold in a pharmacy and are not ...
    • Socioeconomic, bio-demographic and health/behavioral determinants of neonatal mortality in Nigeria: a multilevel analysis of 2013 demographic and health survey
      Adewuyi, E.; Zhao, Yun; Lamichhane, R. (2016)
      International Journal of Contemporary Pediatrics (IJCP) is an open access, international, peer-reviewed journal that publishes original research work in all areas of pediatric research. The journal's full text is available ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.