Emergency Evidence Updates – April 2022

NICE

COVID-19 rapid guideline: managing COVID-19 NG191

Epilepsies in children, young people and adults NG217

Medicines associated with dependence or withdrawal symptoms: safe prescribing and withdrawal management for adults NG215

Stroke and transient ischaemic attack in over 16s: diagnosis and initial management NG128

Other Guidance/Reports

PIER Guidance

Paediatric Foreign Body Ingestion

Paediatric Procedural Sedation in the Emergency Department

​Pharmacological Management of Non-Neuropathic Overactive Bladder

​Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids

 

Pulmonary embolism management in the emergency department – Emergency Medicine Journal

Cochrane

Continuous positive airway pressure (CPAP) for acute bronchiolitis in children

Primary Research

Adults

Balloon Tamponade for the Management of Gastrointestinal Bleeding – The Journal of Emergency Medicine

Comparing complaint-based triage scales and early warning scores for emergency department triage – Emergency Medicine Journal

Prognostic accuracy of using lactate in addition to the quick Sequential Organ Failure Assessment score and the National Early Warning Score for emergency department patients with suspected infection – Emergency Medicine Journal

Results of Reduction of Dislocated Prosthetic Hips in the Emergency Department – The Journal of Emergency Medicine

Retrospective analysis of patterns of opioid overdose and interventions delivered at a tertiary hospital emergency department: impact of COVID-19 – BMC Emergency Medicine

Sex Differences in the Management of Oral Anticoagulation and Outcomes for Emergency Department Presentation of Incident Atrial Fibrillation – Annals of Emergency Medicine

The Feasibility of Implementing Targeted SEDation in Mechanically Ventilated Emergency Department Patients: The ED-SED Pilot Trial – Critical Care Medicine

 

Children

Comparative analysis of major incident triage tools in children: a UK population-based analysis – Emergency Medicine Journal

Early Hypocalcemia in Pediatric Major Trauma – A Retrospective Cohort Study – Pediatric Emergency Care

Hypoxia and Polycythemia – A Pediatric Emergency Department Point of Care Ultrasound Diagnosis of Pulmonary AVM – Pediatric Emergency Care

Sepsis Electronic Decision Support Screen in High-Risk Patients Across Age Groups in a Pediatric Emergency Department – Pediatric Emergency Care

Short-course intravenous antibiotics for young infants with urinary tract infection – Archives of Disease in Childhood

Symptomatic Cervical Spinal Cord Injury Without Accompanying Intracranial Injury Because of Child Abuse – Pediatric Emergency Care

Time of Observation in Xenobiotic Ingestions in Children – Is 6 Hours Too Long? – Pediatric Emergency Care

Understanding Bilateral Skull Fractures in Infancy – A Retrospective Multicenter Case Review – Pediatric Emergency Care

Use of Point-of-Care Ultrasound to Identify Occult Fractures of the Tibia in the Pediatric Emergency Department: A Case Series – The Journal of Emergency Medicine

Value of Temperature for Predicting Invasive Bacterial Infection in Febrile Infants – A Spanish Pediatric Emergency Research Group (RISeuP-SPERG) Study – Pediatric Emergency Care

 

Prehospital

A new variant position of head-up CPR may be associated with improvement in the measurements of cranial near-infrared spectroscopy suggestive of an increase in cerebral blood flow in non-traumatic out-of-hospital cardiac arrest patients: A prospective interventional pilot study – Resuscitation

Assessment of telecommunicator cardiopulmonary resuscitation performance during out-of-hospital cardiac arrest using a standardized tool for audio review – Resuscitation

Bystander-initiated cardiopulmonary resuscitation and automated external defibrillator use after out-of-hospital cardiac arrest: Uncovering disparities in care and survival across the urban-rural spectrum – Resuscitation

Emergency cricothyroidotomy in difficult airway simulation – a national observational study of Air Ambulance crew performance – BMC Emergency Medicine

Intra-cardiac arrest transport and survival from out-of-hospital cardiac arrest: A nationwide observational study – Resuscitation

Pre-hospital airway management and survival outcomes after paediatric out-of-hospital cardiac arrests – Resuscitation

 

Professional/Workplace

Establishing the content validity of a new emergency department patient-reported experience measure (ED PREM): a Delphi study – BMC Emergency Medicine

Reducing thoracic and lumbar radiographs in an urban emergency department through a clinical champion led quality improvement intervention – BMC Emergency Medicine

Safety assessment of a redirection program using an electronic application for low-acuity patients visitcing an emergency department – BMC Emergency Medicine

 

Metadata

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

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