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Laura Joyce

@laurajoycenz.bsky.social
2K followers 1.7K following 40 posts

EM specialist, Aotearoa New Zealand. she/her. Senior Lecturer University of Otago. #MedEd. #EMsky #EMedSky. PhD candidate #implementationscience #ImpSci #POC #troponin

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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 15/02/2026
Older trauma patients doi.org/10.1111/1742... #OpenAccess @laurajoycenz.bsky.social @universityofotago.bsky.social @wileyhealth.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 26/10/2025
The prognostic utility of pH-corrected ionised calcium in #MajorTrauma patients doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 25/10/2025
The use of #MobileHealthTechology for the Follow-Up of Patients With Acute Episodes of #AtrialFibrillation #Smartwatch #WearableTechnologies doi.org/10.1111/1742... @wiley.com @laurajoycenz.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Laura Joyce @laurajoycenz.bsky.social · 15/10/2025
High-sens POC troponin assays have potential to reduce ED LOS for chest pain patients - but are they safe? When used within an ESC-type pathway, POC hs-TnI ruled out MI in 32% patients after a single test, with 100% sensitivity doi.org/10.1111/1742... @emajournal.bsky.social
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 15/10/2025
Compliance with the Australian #LowBackPain #ClinicalCareStandard doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 21/09/2025
Analgesia during speculum exams in ED #Opinion doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 21/09/2025
Viscoelastic haemostatic assay use #OpenAccess doi.org/10.1111/1742... @wiley.com @emfresearch.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 19/09/2025
ED headache patients without neurological features who are diagnosed with a serious secondary headache cause #OpenAccess doi.org/10.1111/1742... @wiley.com @gkeijzers.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 19/09/2025
The Gendered Double Burden in Emergency Medicine doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 14/09/2025
The relationship between the duration of transfer and the risk of in-flight deterioration in aeromedical trauma patients #OpenAccess doi.org/10.1111/1742... @wiley.com @emfoundation.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 12/09/2025
Empiric antibiotics for acute pyelonephritis doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 06/09/2025
Patients who leave without being seen doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 06/09/2025
An interim care plan model of care for direct inpatient admissions doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
Ari B Friedman @abfriedman.com · 02/09/2025
We are excited to launch our new talk series: Care, Outcomes, and Reform of Emergency Systems (CORE) Talks. Free Zoom seminars on policy-relevant evidence about EDs, telemedicine, and urgent care. www.coretalks.org Today at 11a EST, Dr. Jesse Pines, “How AI May Transform Emergency Care.”
Dr. Jesse Pines stands in an emergency department room.
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 31/08/2025
Humidified high flow nasal cannula therapy during aeromedical transfer of children doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 29/08/2025
Re-presentation patterns for patients with musculoskeletal diagnoses #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 29/08/2025
Environmental elements that may support person-centred care while on the ED 'ramp' doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 23/08/2025
Emergency management of the trauma patient #TraineeFocus doi.org/10.1111/1742... doi.org/10.1111/1742... doi.org/10.1111/1742... doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 23/08/2025
Low Back Pain ED presentations by Remoteness and Socioeconomic Status doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 23/08/2025
Using the PREDICT Guideline Algorithm for Risk Stratification of Head Injuries in children doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 17/08/2025
Gamma-hydroxybutyrate (GHB) related ED presentations #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 16/08/2025
Job Satisfaction in Emergency Medicine #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 16/08/2025
How EM physicians navigate the transition from clinician to clinician-coach #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 10/08/2025
The impact of the #COVID19 pandemic on acute cardiac-related ED presentations #OpenAccess doi.org/10.1111/1742... @gkeijzers.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 09/08/2025
Persistent Tachycardia in Children #OpenAccess doi.org/10.1111/1742... @drsimoncraig.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 09/08/2025
Tests performed in EDs that clinicians believe are at high risk of unwarranted variation or low-value care doi.org/10.1111/1742... #OpenAccess @drsimoncraig.bsky.social @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
Rob Flint @robflint97.bsky.social · 30/07/2025
Undertriage of geriatric trauma patients is common due to perceived less severe mechanism, different physiologic normals, lack of using frailty in trusted decision algorithms. Systolic blood pressure <110 should be used instead of <90. #gerisky #medsky #emsky #emedsky
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 02/08/2025
Predictors of admission to ICU for patients attending the ED after intentional #DrugOverdose #OpenAccess doi.org/10.1111/1742... @laurajoycenz.bsky.social @universityofotago.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
Dennis Ren MD @dennisrenmd.bsky.social · 31/07/2025
#PaperinaPic infographic from @kirstychallen.bsky.social for #SGEMPeds. PEAChY-O trial. @thesgem.bsky.social @bradsobo.bsky.social @annalsofem.bsky.social #FOAMed #PedSky #MedSky #EMedSky thesgem.com/2025/07/sgem...
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 02/08/2025
Point-Of-Care Ultrasound use for Paediatric Lumbar Puncture doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 13/07/2025
The impact of an ED atrial fibrillation pathway on anticoagulant prescribing doi.org/10.1111/1742... #OpenAccess @wiley.com @laurajoycenz.bsky.social ‬ @kiwiskinz.bsky.social #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 12/07/2025
Analgesia prescribing practices for patients with hand injuries presenting to an ED #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 08/07/2025
Wiley #NAIDOC2025 Research Collection Featuring @emajournal.bsky.social articles #FreeToRead
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 05/07/2025
The completeness of clinical impression documentation in initial ED medical assessments #OpenAccess doi.org/10.1111/1742... @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 05/07/2025
A risk stratification approach to guide the inter-hospital transfer of paediatric patients who do not meet retrieval criteria #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 05/07/2025
A service designed to provide urgent care for older people and to reduce ED presentations #OpenAccess doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 21/06/2025
Emergency Care Management Plans doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 22/06/2025
Illicit Drug Induced Hyperthermia doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 07/06/2025
Radiological ‘Tension’ – Clinical Correlation is Required #LetterToTheEditor doi.org/10.1111/1742... @gkeijzers.bsky.social
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 08/06/2025
The impact of inclusion of phlebotomists in the ED triage setting doi.org/10.1111/1742... #OpenAccess @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 15/06/2025
The effectiveness of a Virtual Emergency Department in reducing unnecessary transfers to hospital of patients who fall with head strike in Residential Aged Care Facilities doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 15/06/2025
Demographics, injury patterns and outcomes of pregnant trauma patients following resuscitative hysterotomy performed in the ED doi.org/10.1111/1742... @tshanahan0584.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 15/06/2025
Effectiveness of ultrasound-guided supraclavicular block compared with Bier block for closed reduction of upper limb fractures or dislocations doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Laura Joyce @laurajoycenz.bsky.social · 13/06/2025
Jedi Pitama (Prof Suz Pitama, Dean Otago Medical School), discusses how our medical student padawans can provide evidence-based health care to reduce inequities for Māori, at the NZ Medical Student Association Conference
Prof Pitama at NZMSA conference
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Reposted by Laura Joyce
John Pickering @kiwiskinz.bsky.social · 12/06/2025
The effect on ED length of stay with a change to a single-test low-risk (rule-out) stratification of patients with possible #MyocardialInfarction in the #ED using high-sensitivity troponin T. Real-world impact. Bottom line: Modest safe change in los. doi.org/10.1136/emer... #EMedSky #CardioSky
doi.org
Improving Care with the First measurement of high-sensitivity troponin T (ICare-FirsT) to enable early rule out and reduce length of stay: a diagnostic and observational study
Background Pathways incorporating clinical risk assessment, ECG and serial troponin measurements for the assessment of patients with possible myocardial infarction (MI) in the ED are standard practice...
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Reposted by Laura Joyce
AEM Education & Training @aem-etjournal.bsky.social · 09/06/2025
Effective clinical supervision in the #EmergencyDepartment is key for learner growth and patient safety. This primer provides practical strategies for supervisors, focusing on tailored approaches and direct observation. Check it out: onlinelibrary.wiley.com/doi/10.1002/...
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 04/06/2025
Case Series of Resuscitative Hysterotomy in Pregnant Trauma Patients Performed in the Emergency Department of a Level One Major Trauma Service doi.org/10.1111/1742... #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 30/05/2025
The contribution of clinical assistants to ED flow and length of stay #OpenAccess doi.org/10.1111/1742... @firstdonoharm.bsky.social @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 31/05/2025
Emergency Medicine clinical pharmacy services doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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Reposted by Laura Joyce
EMA Journal @emajournal.bsky.social · 17/05/2025
#LetterToTheEditor In Response to: High Dose Insulin Is an Inodilator, Not an Antidote in the Poisoned Patient! doi.org/10.1111/1742... @wiley.com #MedSky #EMSky #EMedSky #emimcc #ACEM
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