there is a high incidence of post-operative troponin I rises in older patients undergoing emergency orthopaedic surgery with 1-year mortality and cardiac events being significantly increased in these patients. Future studies are needed to determine whether any intervention can improve outcome for these patients.
There is a paucity of Australian literature exploring the spread of COVID‐19 among residents living in residential aged care facilities (RACF). In this case series of COVID‐19 outbreaks in six RACF, we collected data on the cumulative proportion of residents who tested positive for COVID‐19 within 21 days of the index case being identified. We describe the observations of a Residential In‐Reach service within these six RACF and found that rapid cohorting strategies, personal protective equipment availability and adequacy of use, embedded infection control staff, and adequate outbreak preparedness plans may have influenced the differences observed between RACF in the containment and minimisation of the spread of COVID‐19 amongst residents.
Admitted older ED patients received lower rates of appropriate initial diagnosis. Time may be a contributing factor to this lower rate. Length of stay was prolonged if initial diagnosis was inappropriate.
Primary progressive aphasia is a progressive neurodegenerative disorder characterised by deterioration in language function while other higher centre functions are relatively preserved initially. The diagnosis is made based on clinical presentation, linguistic testing and imaging, both functional and structural. Survival is similar to other dementias and the main form of intervention is speech therapy. We describe a case of primary progressive aphasia in a Vietnamese man with corresponding changes on positron emission tomography.
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