Emergency Evidence Updates – February 2026

Randomised Controlled Trials

Comparing Patient-Centered Approaches to Social Care in the Emergency Department: A Mixed-Method Randomized Controlled Trial  Annals of Emergency Medicine

Emergency total extracorporeal life support versus standard advanced cardiac life support with rescue extracorporeal membrane oxygenation for refractory out-of-hospital cardiac arrest: protocol for the ECLS-OHCA randomized trial  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Modifiers of the effectiveness of point-of-care troponin testing and determinants of concordance between diagnostic pathway recommendations and disposition in patients with chest pain: a post hoc analysis of a randomised controlled trial  Emergency Medicine Journal

 

NICE

Blood transfusion NG24

 

Primary Research

Prehospital

Cost-utility analysis of the British Cardiovascular Interventional Society conveyance algorithm for patients with out-of-hospital cardiac arrest  Resuscitation

Duration of emergency medical services-initiated prehospital cardiopulmonary resuscitation efforts and survival for pediatric patients with out-of-hospital cardiac arrest  Resuscitation

Scene Time and Outcome in Pediatric Out-of-Hospital Cardiac Arrest Findings From NEMSIS Data Pediatric Emergency Care

Survival effect of prehospital emergency anaesthesia with intubation in risk-stratified patients with major trauma: a causal modelling study  The Lancet Respiratory Medicine

The association of mechanical versus manual chest compressions with neurological outcomes at hospital discharge among out-of-hospital cardiac arrests treated with intra-arrest transport  Resuscitation

 

General

A Nurse-Led Study to Investigate Factors Influencing Patients’ Perception of Diagnostic Quality in the Emergency Department  Journal of Emergency Nursing

Association Between Emergency Department Undertriage or Overtriage With Timeliness of Care and Patient Outcomes  Annals of Emergency Medicine

Continuous ventilation versus 30:2 strategy in mechanical cardiopulmonary resuscitation – a manikin-based simulation study  BMC Emergency Medicine

Evaluating the Experiences of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and Asexual Nurses in the Emergency Department Setting  Journal of Emergency Nursing

Identification of diagnostic discrepancies as a quality assurance measure in emergency medicine – a validation study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Medical patient boarding in the emergency department as a source of crowding and delay-related harm, impacting patient outcomes and the efficiency of urgent and emergency care  Emergency Medicine Journal

Predicting emergency department disposition using machine learning and large language models to support proactive capacity management: a multicenter retrospective study  BMC Emergency Medicine

Staff perspectives on implementing opt-out blood-borne virus testing in English emergency departments: a qualitative study  Emergency Medicine Journal

Striving to make the right decision when seeking emergency care: patients’ stories of navigating support alternatives in a digital society, a qualitative study  BMC Emergency Medicine

 

Paediatrics

A Clinical Scoring Tool for Predicting Epilepsy in Children With First-Onset Afebrile Seizure in the Emergency Department – A Retrospective Observational Study  Pediatric Emergency Care

Cannabinoid Hyperemesis Syndrome in Adolescents – A Single Institution Case Series  Pediatric Emergency Care

Child death in the emergency department: experience from a 10-year retrospective review  Archives of Disease in Childhood

Digital Otoscopy in the Pediatric Emergency Department – Can It Limit Repeat Ear Exams?  Pediatric Emergency Care

Evaluating the TWIST score and point-of-care ultrasound for paediatric testicular torsion  Emergency Medicine Journal

Impalement Injuries in Children: Patterns, Management, and Outcomes From a 10-Year Single-Center Review  Pediatric Emergency Care

Increasing First-Attempt Success in Difficult Venous Access Patients Using Early Identification and Ultrasound-Guided Peripheral Intravenous Cannulation  Journal of Emergency Nursing

Medically Unnecessary Venipuncture in Autism Spectrum Disorder Behavior Assessments  Pediatric Emergency Care

Outcomes of Children Discharged from the Emergency Department With a Pending Blood Culture  Pediatric Emergency Care

Paediatric colchicine poisoning in the UK: a 10-year retrospective case series from the National Poisons Information Service  Archives of Disease in Childhood

Point-of-Care Ultrasound Identification of Motile Enterobius vermicularis in the Appendix of a Toddler: The Youngest Reported Case and Successful Nonoperative Management of Early Appendicitis  Pediatric Emergency Care

Point-of-Care Ultrasound Identification of Motile Enterobius vermicularis in the Appendix of a Toddler: The Youngest Reported Case and Successful Nonoperative Management of Early Appendicitis  Pediatric Emergency Care

Rising paediatric emergency department use despite demographic decline: a 23-year analysis  Emergency Medicine Journal

Sequence of advanced airway management and epinephrine administration for paediatric patients with non-shockable out-of-hospital cardiac arrest  Emergency Medicine Journal

The association between early arterial oxygen and carbon dioxide with neurologic outcomes after pediatric ECPR in children with cardiac disease  Resuscitation

The impact of tracheal intubation attempts on chest compression fraction during pediatric CPR: a report from the Videography in Pediatric Resuscitation (VIPER) collaborative  Resuscitation

Triage Use of the Dynamic Appraisal of Situational Aggression Score in Pediatric Emergency Care  Pediatric Emergency Care

 

Adults

Comparative prognostic performance of identification of seniors at risk tool and national early warning score for 30-day adverse outcomes in older emergency department patients  BMC Emergency Medicine

Emergency Nurses’ Experiences of Triaging Geriatric Trauma Patients: A Qualitative Study  Journal of Emergency Nursing

Emergency Nursing Care of a Pregnant Patient With Acute Abdomen Owing to Acute Pancreatitis: A Case Report  Journal of Emergency Nursing

Factors associated with emergency department discharge among patients triaged as resuscitation (CTAS level 1): a retrospective cross-sectional study  BMC Emergency Medicine

Good neurological outcome after traumatic cardiopulmonary arrest with extreme acidosis (pH 6.62): a case report  Resuscitation Plus

Injury patterns and predictors of surgical intervention in road traffic accident patients presenting to the emergency department  BMC Emergency Medicine

Mechanical cardiopulmonary resuscitation in adult cardiac arrest: setting-specific associations and mediation through resuscitation process quality  BMC Emergency Medicine

Neuroworsening from a normal Glasgow Coma Scale Motor Score in the emergency department is an early predictor of neurosurgical intervention, hospital outcomes, and longitudinal disability in traumatic brain injury: A TRACK-TBI Study  Injury

Post-traumatic apical pseudoaneurysm: A diagnostic dilemma  Trauma

Protocol for a multicentre target trial emulation comparing ketamine and propofol in critically ill adults undergoing emergency intubation  Critical Care and Resuscitation

Unpredictable emergency department cardiac arrest: clinical features and the limits of early warning scores and triage acuity  BMC Emergency Medicine

 

Metadata

Summary author: Rebecca Howes
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash