Emergency Medicine Evidence Updates – July 2022

Randomised Controlled Trials

Compromised cardiopulmonary resuscitation quality due to regurgitation during endotracheal intubation: a randomised crossover manikin simulation study  BMC Emergency Medicine

Effect of Calcium vs. Placebo on Long-Term Outcomes in Patients with Out-of-hospital Cardiac Arrest A Randomized Clinical Trial  Resuscitation

Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial  Emergency Medicine Journal

Simulation-based randomized trial of medical emergency cognitive aids  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine



COVID-19 rapid guideline: haematopoietic stem cell transplantation NG164

COVID-19 rapid guideline: managing COVID-19 NG191

COVID-19 rapid guideline: vitamin D NG187

Pneumonia in adults: diagnosis and management CG191

RespiraSense for continuously monitoring respiratory rate MID299


Other Guidance/Reports

Monkeypox Virus Infection in Humans across 16 Countries — April–June 2022 NEJM

Pneumonia Update for Emergency Clinicians  Current Emergency and Hospital Medicine Reports

Pulmonary embolism diagnosis: clinical assessment at the front door  Emergency Medicine Journal

The use of TASER devices in UK policing: an update for clinicians following the recent introduction of the TASER 7  Emergency Medicine Journal

Use of Body Cameras in the ED – Position Statement – (July 22) RCEM



Inhaled nitric oxide for treating pain crises in people with sickle cell disease


Primary Research


Cervical spine immobilisation is only required in drowning patients at high risk of axial loading of the spine  Emergency Medicine Australasia

Contribution of chest compressions to end-tidal carbon dioxide levels generated during out-of-hospital cardiopulmonary resuscitation  Resuscitation

Developing a translational triage research tool: part two—evaluating the tool through a Delphi study among experts  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ECPR2: Expert Consensus on PeRcutaneous Cannulation for Extracorporeal CardioPulmonary Resuscitation  Resuscitation

Evaluation of the effectiveness and costs of inhaled methoxyflurane versus usual analgesia for prehospital injury and trauma: non-randomised clinical study  BMC Emergency Medicine

Intubation success in prehospital emergency anaesthesia: a retrospective observational analysis of the Inter-Changeable Operator Model (ICOM)  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Investigating the Airway Opening Index during cardiopulmonary resuscitation Resuscitation

Resuscitative endovascular occlusion of the aorta (REBOA) as a mechanical method for increasing the coronary perfusion pressure in non-traumatic out-of-hospital cardiac arrest patients  Resuscitation



Emergency Department Hallway Care from the Millennium to the Pandemic: A Clear and Present Danger  The Journal of Emergency Medicine

Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Seeing the unseen: Neurodiversity in the emergency department  Emergency Medicine Australasia

Time-critical telephone conversations in the emergency department: lessons learnt from a pilot educational project to improve communication skills over the telephone in response to the COVID-19 global pandemic  Emergency Medicine Journal

Visual Accuracy in Documentation (AID): Improvement of Procedure Documentation Compliance with the Implementation of a Visual Aid  The Journal of Emergency Medicine



6-year-old male drowning complicated by cardiac arrest and ensuing metabolic and respiratory acidosis: should presence to pulses lead clinicians to pursue prolonged cardiopulmonary resuscitation?  The Journal of Emergency Medicine

A teenage girl with left flank pain  The Journal of Emergency Medicine

Acute Alcohol Intoxication in Pediatric Emergencies  Pediatric Emergency Care

Diagnosis of Internal Jugular Vein Septic Thrombophlebitis by Point-of-Care Ultrasound  Pediatric Emergency Care

Five years of outpatient parenteral antibiotic therapy with ceftriaxone in the paediatric emergency department: what clinical features are associated with need for admission?  Emergency Medicine Journal

Improving Timeliness of Pediatric Emergency Department Admissions  Journal of Emergency Nursing

Paediatric early warning systems: not a simple answer to a complex question  Archives of Disease in Childhood

Rate of invasive bacterial infection in recently vaccinated young infants with fever without source  Archives of Disease in Childhood

Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study  Journal of Intensive Care Medicine

Small bowel obstruction due to sand ingestion  Archives of Disease in Childhood

Streptococcal toxic shock syndrome in a pediatric patient with intramuscular venous malformation in the neck  The Journal of Emergency Medicine

The Pediatric Rigid Stylet Improves First-Pass Success Compared With the Standard Malleable Stylet and Tracheal Tube Introducer in a Simulated Pediatric Emergency Intubation  Pediatric Emergency Care



An elusive case of tuberculous meningitis in a young man with altered mental status  The Journal of Emergency Medicine

Awareness With Paralysis Among Critically Ill Emergency Department Patients: A Prospective Cohort Study  Critical Care Medicine

Cerebral fat embolism after a fall  The Journal of Emergency Medicine

Continuous Monitoring versus Intermittent Auscultation of Wheezes in Patients Presenting with Acute Respiratory Distress  The Journal of Emergency Medicine

Determination of potential risk characteristics for cauda equina compression in emergency department patients presenting with atraumatic back pain: a 4-year retrospective cohort analysis within a tertiary referral neurosciences centre  Emergency Medicine Journal

Development and Validation of the Medical Emergency Team-Risk Prediction Model for Clinical Deterioration in Acute Hospital Patients, at Time of an Emergency Admission  Critical Care Medicine

Early risk stratification for progression to death by neurological criteria following out-of-hospital cardiac arrest  Resuscitation

Evaluating Stroke Code Activation Pathway in Emergency Departments study  Emergency Medicine Australasia

Improving the performance of a triage scale for chest pain patients admitted to emergency departments: combining cardiovascular risk factors and electrocardiogram  BMC Emergency Medicine

Neurological Pupil Index and its association with other prognostic tools after cardiac arrest: A post hoc analysis  Resuscitation

Point-of-care ultrasound compression of the carotid artery for pulse determination in cardiopulmonary resuscitation  Resuscitation

Shortening door-to-puncture time and improving patient outcome with workflow optimization in patients with acute ischemic stroke associated with large vessel occlusion  BMC Emergency Medicine

Usefulness of the d-dimer to albumin ratio for risk assessment in patients with acute variceal bleeding at the emergency department: retrospective observational study  BMC Emergency Medicine



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

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