Emergency Evidence Updates – April 2023

Randomised Controlled Trials


CATCH IT: The Effect of Bladder Ultrasound in Decreasing the Time to Collect a Clean-Catch Urine Sample in the Nontoilet-Trained Child – A Randomized Control Trial  Pediatric Emergency Care

Methocarbamol versus diazepam in acute low back pain in the emergency department: a randomised double-blind clinical trial

Emergency Medicine Journal

Other Guidance/Reports

Clinical Performance Measures for Emergency Department Care for Adults With Intracranial Hemorrhage  Annals of Emergency Medicine

Emergency and perioperative management of adrenal insufficiency in children and young people: British Society for Paediatric Endocrinology and Diabetes consensus guidance  Archives of Disease in Childhood

Emergency Department Management of Patients With Alcohol Intoxication, Alcohol Withdrawal, and Alcohol Use Disorder: A White Paper Prepared for the American Academy of Emergency Medicine  The Journal of Emergency Medicine

Strategies to Improve Emergency Department Care of the Deaf and Hard of Hearing Patient  Journal of Emergency Nursing

Suspected nitrous oxide toxicity in the ED guidance – April 2023 RCEM


Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

Nebulised hypertonic saline solution for acute bronchiolitis in infants

Primary Research


A retrospective comparison of the King Laryngeal Tube and iGel supraglottic airway devices: A study for the CARES surveillance group  Resuscitation

Ambulance referral of more than 2 hours could result in a high prevalence of medical-device-related pressure injuries (MDRPIs) with characteristics different from some inpatient settings: a descriptive observational study  BMC Emergency Medicine

Assessing bystander first aid: development and validation of a First Aid Quality Assessment (FAQA) tool  BMC Emergency Medicine

Association between the number of prehospital defibrillation attempts and a sustained return of spontaneous circulation: a retrospective, multicentre, registry-based study  Emergency Medicine Journal

Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out-of-hospital cardiac arrest  Emergency Medicine Journal

Differential diagnosis and cause-specific treatment during out-of-hospital cardiac arrest: a retrospective descriptive study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

External validation of the Manchester Acute Coronary Syndromes ECG risk model within a pre-hospital setting  Emergency Medicine Journal

Factors influencing on-scene time in a physician-staffed helicopter emergency medical service (HEMS): a retrospective observational study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Multifaceted implementation and sustainability of a protocol for prehospital anaesthesia: a retrospective analysis of 2115 patients from helicopter emergency medical services  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Prehospital Guidelines for the Management of Traumatic Brain Injury – 3rd Edition  Prehospital Emergency Care

The Effect of Time to Treatment With Antiarrhythmic Drugs on Survival and Neurological Outcomes in Shock Refractory Out-of-Hospital Cardiac Arrest  Critical Care Medicine


Association of an Emergency Critical Care Program With Survival and Early Downgrade Among Critically Ill Medical Patients in the Emergency Department  Critical Care Medicine

Barriers and Facilitators to the Outpatient Management of Low-risk Pulmonary Embolism from the Emergency Department  Annals of Emergency Medicine

Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study  Resuscitation

Expediting Treatment of Trauma Patients in the Emergency Department: Rapid Trauma Evaluation (RTE)  The Journal of Emergency Medicine

Exploratory Descriptive Analysis of Smart Speaker Utilization in the Emergency Department During the COVID-19 Pandemic  The Journal of Emergency Medicine

Feasibility of a rapid diagnosis discussion tool for reducing misdiagnosis of patients presenting to emergency departments with abdominal pain  Emergency Medicine Australasia

How did the use of ED change during the first wave of the SARS-CoV-2 pandemic in the UK: an observational study  Emergency Medicine Journal

How Emergency Medicine Residents Have Conversations About Life-Sustaining Treatments in Critical Illness: A Qualitative Study Using Inductive Thematic Analysis  Annals of Emergency Medicine

Time to embrace sepsis pathways and antibiotic prescribing decision support in the emergency department: Observations from a retrospective single site clinical audit  Emergency Medicine Australasia


A Deadly Case of Dehydration: Organic Acidemias in the Emergency Department  The Journal of Emergency Medicine

Are children with prolonged fever at a higher risk for serious illness? A prospective observational study  Archives of Disease in Childhood

Clinical and Laboratory Predictors of Dehydration Severity in Children With Diabetic Ketoacidosis  Annals of Emergency Medicine

Clinical Characteristics of Pediatric Patients With Septic Shock Caused by Acute Appendicitis A Case Series  Pediatric Emergency Care

Diagnostic Yield of Abdominal Radiographs in the Pediatric Emergency Department  Pediatric Emergency Care

Effectiveness of asthma preventer dispensing for preventing childhood asthma readmissions: a multisite cohort linkage study  Archives of Disease in Childhood

Evaluation of age-banded dosing of oral paracetamol in hospitalised children: a retrospective analysis using clinical data in a tertiary paediatric hospital  Archives of Disease in Childhood

Evaluation of the Renal Angina Index to Predict the Development of Acute Kidney Injury in Children With Sepsis Who Live in Middle-Income Countries  Pediatric Emergency Care

Imaging Evaluation for Thoracic Spine Fractures in Pediatric Trauma Patients A Single-Center Experience at an Academic Children’s Hospital  Pediatric Emergency Care

Invasive bacterial infection in children with fever and petechial rash in the emergency department: a national prospective observational study  Archives of Disease in Childhood

Penetrating e-bike handlebar injury  Archives of Disease in Childhood

Predictors of Delayed Diagnosis of Pediatric CNS Tumors in the Emergency Department  Pediatric Emergency Care

Self-Efficacy in the Cannulation Technique for Intraosseous Access in Pediatric Cardiac Arrest – Egg Versus Bone  Pediatric Emergency Care

Severe Acute Respiratory Syndrome Coronavirus 2 in Infants Younger Than 90 Days Presenting to the Pediatric Emergency Department – Clinical Characteristics and Risk of Serious Bacterial Infection  Pediatric Emergency Care

Staff competence in caring for LGBTQ+ patients in the paediatric emergency department  Archives of Disease in Childhood


Bilateral Emboli and Highest Heart Rate Predict Hospitalization of Emergency Department Patients With Acute, Low-Risk Pulmonary Embolism  Annals of Emergency Medicine

Cannabis Use Patterns and Whole-Blood Cannabinoid Profiles of Emergency Department Patients With Suspected Cannabinoid Hyperemesis Syndrome  Annals of Emergency Medicine

Decompression Technique Using Subcutaneous Angiocatheter Insertion to Relieve Extensive Subcutaneous Emphysema: A Case Report  The Journal of Emergency Medicine

Emergency Department use by Young Adults with Chronic Illness Before and During the COVID-19 Pandemic  Journal of Emergency Nursing

External validation of Glasgow-Blatchford, modified Glasgow-Blatchford and CANUKA scores to identify low-risk patients with upper gastrointestinal bleeding in emergency departments: a retrospective cohort study  Emergency Medicine Journal

Influence of Patient and Clinician Gender on Emergency Department HEART Scores: A Secondary Analysis of a Prospective Observational Trial  Annals of Emergency Medicine

Laryngoscopy and Tracheal Intubation: Does Use of a Video Laryngoscope Facilitate Both Steps of the Procedure?  Annals of Emergency Medicine

Myocardial injury defined as elevated high-sensitivity cardiac troponin T is associated with higher mortality in patients seeking care at emergency departments with acute dyspnea  BMC Emergency Medicine

Out-of-Hospital Arterial to End-Tidal Carbon Dioxide Gradient in Patients With Return of Spontaneous Circulation After Out-of-Hospital Cardiac Arrest: A Retrospective Study  Annals of Emergency Medicine

Predicting deterioration of patients with early sepsis at the emergency department using continuous heart rate variability analysis: a model-based approach  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Resuscitation room management of patients with non-traumatic critical illness in the emergency department (OBSERvE-DUS-study)  BMC Emergency Medicine

Short Axis In-Plane Ultrasound-Guided Technique for Internal Jugular Vein Cannulation  The Journal of Emergency Medicine

The utility of the Rapid Emergency Medicine Score (REMS) compared with three other early warning scores in predicting in-hospital mortality among COVID-19 patients in the emergency department: a multicenter validation study  BMC Emergency Medicine


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

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.