Emergency Evidence Updates – May 2025
Randomised Controlled Trials
A non-inferiority randomised controlled trial of a Shorter Acetylcysteine Regimen for Paracetamol Overdose – the SARPO trial. Journal of Hepatology
Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: A Randomized Controlled Study The Journal of Emergency Medicine
Oral Syringe Versus Drug Pacifier for Delivery of Oral Antipyretic Medication: A Randomized Controlled Trial Journal of Emergency Nursing
Outcomes of Pediatric Facial Laceration Repair Using 5-0 Fast Absorbing Gut Sutures With and Without Overlying Adhesive Strips: A Randomized Controlled Trial Pediatric Emergency Care
Preoxygenation With and Without Positive End-Expiratory Pressure in Lung-Healthy Volunteers – A Randomized Clinical Trial JAMA Network Open
Relationship between applied face mask force and mask leak during simulated neonatal ventilation: a randomised simulation study ADC Fetal & Neonatal Edition
The Effect of Using Thermomechanical Stimulation and Virtual Reality Glasses During Peripheral Intravenous Catheterization on Pain and Patient Satisfaction: A Randomized Controlled Trial Journal of Emergency Nursing
The Impact of Suctioning on Oxygenation During RSI in the Emergency Department: A Multi-Center Pilot Randomized Controlled Trial The Journal of Emergency Medicine
Virtual Reality Glasses Reduce Patients’ Anxiety During Emergency Surgical Procedures Under Local Anesthesia: A Randomized Controlled Clinical Study Journal of Emergency Nursing
NICE
COVID-19 rapid guideline: managing COVID-19 NG191
Other Guidance/Reports
Blood product administration in the prehospital setting: a multisociety consensus statement Journal of Anesthesia, Analgesia and Critical Care
Guidelines for the management of emergencies and critical illness in pediatric and adult patients with sickle cell disease Annals of Intensive Care
Platelet Transfusion – 2025 AABB and ICTMG International Clinical Practice Guidelines JAMA
RCEM
- Providing patient information in the Emergency Department – Best Practice Guideline (May 2025)
- Acute Behavioural Disturbance in Emergency Departments – Best Practice Guideline (May 2025)
Primary Research
Prehospital
Association of prehospital invasive blood pressure measurement and treatment times of intubated patients with suspected stroke – a retrospective study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Identifying and profiling prearrival characteristics of avoidable emergency department visits transported by paramedics: a cohort study using linked prehospital and hospital data Emergency Medicine Journal
Pre-hospital ECPR for refractory cardiac arrest – The PRECARE pilot feasibility study Resuscitation
General
A Physiotherapy-Led Emergency Department Guideline (PLEDGE) for Patients Presenting With Low Back Pain: Pre- and Post-Implementation Study Emergency Medicine Australasia
Barriers to the success of cardiopulmonary resuscitation teams in emergency departments: A perspective from nurses BMC Emergency Medicine
Beyond Nurse Efficiency: A Multilevel Analysis of Nurse, Contextual, and Patient-Related Factors in Triage Duration Journal of Emergency Nursing
Comparison of Glasgow coma scale, motor component, eye component, and simplified motor scale for predicting trauma outcomes: a 13-year multicenter retrospective cohort study BMC Emergency Medicine
Decision analysis model of rapid versus deferred antibiotic initiation in patients with suspected sepsis in the emergency department Intensive Care Medicine
Designing acceptable services to better serve lower-acuity presenters to emergency departments: a latent class analysis of a discrete choice experiment in Australia Emergency Medicine Journal
Emergency department use of airway adjuncts in the setting of endotracheal intubation for traumatic injury The Journal of Emergency Medicine
Evaluating the Accuracy of Google Translate in Emergency Department Discharge Instructions The Journal of Emergency Medicine
Evaluation of a Novel Clinical Assistant Model of Care on Patient Flow and Emergency Department Length of Stay Emergency Medicine Australasia
Evaluation of a virtual emergency care service to avoid unnecessary emergency department presentations and provide specialist-led definitive care Emergency Medicine Australasia
Formative Evaluation to Inform Implementation of Sepsis Bundles in Emergency Departments Annals of Emergency Medicine
Investigation of Emergency Nurses in Detecting Foreign Bodies in Soft Tissues With Ultrasonography: A Manikin Study Journal of Emergency Nursing
Nurse-Initiated X-Ray Requests for Extremity Trauma in the Emergency Department: A Single-Center, Prospective, Before-and-After Cohort Study Journal of Emergency Nursing
Nurses’ Perceptions of an Intervention Program to Improve Miscarriage Care in Emergency Departments Journal of Emergency Nursing
Prognostic factor in extracorporeal cardiopulmonary resuscitation for refractory in- and out-of-hospital cardiac arrest The Journal of Emergency Medicine
Removing systolic blood pressure from the National Early Warning Score (NEWS) for mortality prediction: an observational study Emergency Medicine Journal
The association between urgency level and hospital admission, mortality and resource utilization in three emergency department triage systems: an observational multicenter study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
TeLePhone Respiratory (TeLePoR) score to assess the risk of immediate respiratory support through phone call for acute dyspnoea: a prospective cohort study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Paediatric
A Descriptive Analysis of the Reliability of the Broselow Tape for Use in the US Pediatric Trauma Population – A Trauma Quality Improvement Program Study Pediatric Emergency Care
A Qualitative Study Exploring Adolescent and Caregiver Perspectives of Electronic Suicide Screening in the Emergency Department Annals of Emergency Medicine
Association of Respiratory Pathogen Panel Testing on the Proportion of Emergency Department Revisits in Children With Symptoms of Upper Respiratory Illness Pediatric Emergency Care
Can Caregivers Reliably Assess Their Child’s Heart Rate and Respiration Rate Using Smartphone or Smartwatch Applications? Pediatric Emergency Care
Complete atrioventricular block during neonatal intubation: a case report Resuscitation Plus
Diagnostic accuracy of point-of-care cranial ultrasound for initial assessment of infants without suspected trauma in the pediatric emergency department The Journal of Emergency Medicine
Efficacy of Alternative Chest Compression Methods Performed by Small Rescuers Pediatric Emergency Care
Impact of Eliminating Oral Contrast on Computed Tomography Abdomen/Pelvis Throughput in the Pediatric Emergency Setting – A Multisite Analysis Pediatric Emergency Care
Magnet ingestion in children in the United Kingdom: a national prospective observational surveillance study Archives of Disease in Childhood
Point-of-Care Ultrasound Detection of Pseudoaneurysms in Pediatric Patients – A Multicenter Case Series Pediatric Emergency Care
Posterior Cerebral Artery Stroke in a Pediatric Patient The Journal of Emergency Medicine
Presentation, Evaluation, and Outcomes of Infants Under Three Months with Skull Fractures The Journal of Emergency Medicine
Prevalence of serious bacterial infections and performance of inflammatory markers in febrile infants with and without proven viral illness Emergency Medicine Journal
Quality of Life for Children With Mental and Behavioral Health Emergencies in the Pediatric Emergency Department Pediatric Emergency Care
Spontaneous intracranial hypotension and dural tear in a pediatric patient after minor fall: A case report The Journal of Emergency Medicine
Timing for Assessment of Bleeding Diathesis in Pediatric Blunt Traumatic Brain Injury Pediatric Emergency Care
Triage Pediatric Age-Adjusted Shock Index as a Predictor of Hospital Admission The Journal of Emergency Medicine
Adult
A novel stroke mimic prediction score during in-hospital triage for suspected stroke patients: The Stroke Mimics Score (SMS) European Stroke Journal
Acidosis as a promising early indicator of mortality among point-of-care parameters and vital signs in non-traumatic critically ill patients Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Association between age and length of stay in the emergency department in a tertiary care hospital: a retrospective observational study Emergency Medicine Journal
Atrial fibrillation patients presenting to an emergency department successfully managed with a next-day community follow-up pathway: A before-and-after cohort study Emergency Medicine Australasia
Diagnosis of Cardiac Transplant Rejection Using Point-of-Care Ultrasound The Journal of Emergency Medicine
Diagnostic Accuracy of the EDACS and EDACS-ADP Scores for Risk Stratification in Patients Presenting with Chest Pain in the Emergency Department The Journal of Emergency Medicine
Does frailty scoring help to predict outcomes in older patients with major trauma? A retrospective study at a major trauma centre Emergency Medicine Australasia
Intravenous Tenecteplase before Thrombectomy in Stroke NEJM
Intubations for drug overdose: can we predict short intubations? The Journal of Emergency Medicine
Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation
Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine
Proximal venous ultrasound with risk stratification safely excludes deep venous thrombosis in emergency department routine care: an observational study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Push-Dose Epinephrine Utilization in the Emergency Department – A Multi-Center Study The Journal of Emergency Medicine
Remimazolam for procedural sedation in the emergency department: a prospective study of effectiveness and patient satisfaction Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
The Interfascial Plane Block: An Adjunctive Ultrasound-Guided Block for Proximal Humerus Fracture and Fracture Dislocation Anesthesia and Analgesia in the Emergency Department The Journal of Emergency Medicine
Urine Amphetamine Screening and Suicidality: A 5-year Retrospective Analysis of Emergency Department Patients The Journal of Emergency Medicine
Metadata
Summary author: Rebecca Howes
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash
