{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:28:30Z","timestamp":1747182510730,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pandemics can cause much distress to communities and present a major burden to the resources and functioning of hospitals. This scoping review aimed to identify, evaluate and summarise current literature regarding how pandemics impact rural EDs in terms of staff wellbeing, structure, function and resources. A systematic search of six databases using search terms including pandemic, ED and rural and remote was undertaken. Articles were included if they were peer\u2010reviewed, written in English, original research, published between January 2010 and October 2021 and discussed the impact of pandemics on rural EDs. Articles were critically appraised using the Mixed Methods Appraisal Tool (MMAT). Three articles, one from Canada and two from the United States, met the inclusion criteria. The articles included were quantitative in design and fulfilled most of the MMAT critical analysis criteria. Pandemics reported on included H1N1 and COVID\u201019. These pandemics impacted rural EDs in terms of functioning and resourcing; no description of staff wellbeing or structure was identified. Rural ED functioning was affected in terms of input; with an increase in patient presentations and time to physician assessment during H1N1, but a decrease in patient presentations and transfers during COVID\u201019. Rural ED resources were impacted in regard to staffing, difficulty in obtaining stocks of personal protective equipment and medication, and community response. Further research to understand and address the short\u2010 and long\u2010term impacts pandemics may have on rural EDs is required.<\/jats:p>","DOI":"10.1111\/1742-6723.13938","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:43:28Z","timestamp":1646181808000},"page":"312-321","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Review article: Impact of pandemics on rural emergency departments: A scoping review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4522-1790","authenticated-orcid":false,"given":"Amber","family":"Barnes","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1455-8983","authenticated-orcid":false,"given":"Julia","family":"Crilly","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University  Gold Coast Queensland Australia"},{"name":"Menzies Health Institute Queensland Griffith University  Gold Coast Queensland Australia"},{"name":"Department of Emergency Medicine Gold Coast Health  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/actrade\/9780199340071.001.0001"},{"key":"e_1_2_11_3_1","first-page":"262","article-title":"A history of the 1918 Spanish influenza pandemic and its impact on Iran","volume":"13","author":"Azizi MHMD","year":"2010","journal-title":"Arch. 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[Cited 26 Nov 2021.] Available from URL:https:\/\/acem.org.au\/getmedia\/3ecc6790\u20106751\u2010478a\u20109114\u2010080040282476\/Rural\u2010Emergency\u2010Toolkit\u2010v1\u20100"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0952-y"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.200509"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6250-7"},{"key":"e_1_2_11_17_1","first-page":"1","volume-title":"The Joanna Briggs Institute Reviewers' Manual 2015: Methodology for JBI Scoping Reviews","author":"Peters MDJ","year":"2015"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_11_19_1","unstructured":"HongQN PluyeP FabreguesSet al.Mixed Methods Appraisal Tool (MMAT) version 2018.2018. [Cited 22 Feb 2022.] Available from URL:http:\/\/mixedmethodsappraisaltoolpublic.pbworks.com\/w\/file\/fetch\/127916259\/MMAT_2018_criteria\u2010manual_2018\u201008\u201001_ENG.pdf"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.05.097"},{"key":"e_1_2_11_21_1","first-page":"561","article-title":"Impact of the COVID\u201019 pandemic on emergency department transfers to a higher level of care","volume":"22","author":"Lee S","year":"2021","journal-title":"West. J. Emerg. Med."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-164"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2012.05.005"},{"key":"e_1_2_11_24_1","first-page":"39","article-title":"Willingness of frontline health care workers to work during a public health emergency","volume":"25","author":"Hope K","year":"2010","journal-title":"Aust. J. Emerg. 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