Emergency Evidence Updates – August 2022

Randomised Controlled Trials

A Randomized Study of Intravenous Hydromorphone Versus Intravenous Acetaminophen for Older Adult Patients with Acute Severe Pain Annals of Emergency Medicine

Cosmetic Outcomes of Simple Pediatric Facial Lacerations Repaired With Skin Adhesive Compared With Skin Adhesive With Underlying Adhesive Strips – A Randomized Controlled Trial Pediatric Emergency Care

Effect of a Peer-Led Behavioral Intervention for Emergency Department Patients at High Risk of Fatal Opioid Overdose: A Randomized Clinical Trial   JAMA Network Open

Effect of Adjunctive Acupuncture on Pain Relief Among Emergency Department Patients With Acute Renal Colic Due to Urolithiasis: A Randomized Clinical Trial   JAMA Network Open

Impact of rapid molecular testing on diagnosis, treatment and management of community-acquired pneumonia in Norway: a pragmatic randomised controlled trial (CAPNOR)   Trials

Other Guidance/Reports

Procedural Sedation in the Emergency Department (August 2022) RCEM

Shortage of Alteplase and Tenecteplase Injections – Position Statement – (August 2022) RCEM


Catheter‐directed therapies for the treatment of high risk (massive) and intermediate risk (submassive) acute pulmonary embolism

Inhaled antibiotics for pulmonary exacerbations in cystic fibrosis

Interventions for preventing and reducing the use of physical restraints of older people in general hospital settings

Primary Research


An increased potential for organ donors may be found among patients with out-of-hospital cardiac arrest   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Community First Responders’ Contribution to Emergency Medical Service Provision in the United Kingdom   Annals of Emergency Medicine

Epidemiology, outcomes and predictors of mortality in patients transported by ambulance for dyspnoea: A population-based cohort study   Emergency Medicine Australasia

Paramedic management of back pain: a scoping review   BMC Emergency Medicine

Temperature measurement of babies born in the pre-hospital setting: analysis of ambulance service data and qualitative interviews with paramedics   Emergency Medicine Journal

Workplace / Professional

A case study to investigate the impact of overcrowding indices in emergency departments   BMC Emergency Medicine

Advanced Triage Protocol: The Role of an Automated Lactate Order in Expediting Rapid Identification of Patients at Risk of Sepsis in the Emergency Department   Critical Care Explorations

Dedicated nursing care pathway improved management of opioid-poisoned patients in the emergency department: A before–after observational study   Emergency Medicine Australasia

Emergency Department Adverse Events Detected Using the Emergency Department Trigger Tool   Annals of Emergency Medicine

Expressions of Compassion Fatigue by Emergency Department Nurses Caring for Patients With Opioid and Substance Use Disorders   Journal of Emergency Nursing

Improving Helmet CPAP Use During COVID-19 Pandemic – A Multidisciplinary Approach in the Emergency Department   Dimensions of Critical Care Nursing

Principles of Screening for Disease and Health Risk Factors in the Emergency Department  Annals of Emergency Medicine

Qualitative Evaluation of Quality Measurement Within Emergency Clinician–staffed Telehealth Programs   Annals of Emergency Medicine

Ring Removal: A Comprehensive Review of Techniques   The Journal of Emergency Medicine


A Comparison of Temperature Thresholds to Begin Laboratory Evaluation of Well-Appearing Febrile Infants  Pediatric Emergency Care

A Multicenter Retrospective Evaluation of Specialized Laboratory Investigations in the Workup of Pediatric Patients With New-Onset Supraventricular Tachycardia   Journal of Emergency Nursing

Assessing the Variability of Antibiotic Management in Patients With Open Hand Fractures Presenting to the Pediatric Emergency Department   Pediatric Emergency Care

Characteristics of Pediatric Nasal Foreign Body Cases Required Multiple Removal Procedure

A Single Tertiary Medical Center Cross-sectional Study   Pediatric Emergency Care

Diagnostic test accuracy of dipstick urinalysis for diagnosing urinary tract infection in febrile infants attending the emergency department   Archives of Disease in Childhood

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

Impact of a Faster Computed Tomography Scanner on Sedation for Pediatric HeaEmergency d Computed Tomography Scans in 2 Large Emergency Departments—A Retrospective Study  Pediatric Emergency Care

Multiple Ball Magnet Ingestion With Sandwiching of the Uvula   The Journal of Emergency Medicine

Prevalence and Management of Invasive Bacterial Infections in Febrile Infants Ages 2 to 6 Months   Annals of Emergency Medicine

Pulse oximetry respiratory monitoring for assessment of acute childhood wheeze   Archives of Disease in Childhood

Qualitative study of emergency clinicians to inform a national guideline on the management of children with mild-to-moderate head injuries   Emergency Medicine Journal

Risk Factors for Failure of Closed Forearm Fracture Reduction in the Pediatric Emergency Department   Pediatric Emergency Care

Screening for Child Abuse in Children With Isolated Skull Fractures   Pediatric Emergency Care


A modified Delphi approach to determine current treatment advances for the development of a resuscitation program for maternal cardiac arrest  BMC Emergency Medicine

Clinical frailty score: A useful tool in predicting outcomes in patients with fragility fractures  Trauma

Continuous assessment of ventricular fibrillation prognostic status during CPR: Implications for resuscitation   Resuscitation

Diagnosis and Management of Adrenal Insufficiency and Adrenal Crisis in the Emergency Department   The Journal of Emergency Medicine

Diagnosis of Renal Artery Aneurysm by Point-of-Care Ultrasound in the Emergency Department: A Case Report and Brief Review of the Literature   The Journal of Emergency Medicine

Duration of resuscitation and long-term outcome after in-hospital cardiac arrest: A nationwide observational study   Resuscitation

Emergency Department Visits During Pregnancy   Annals of Emergency Medicine

Evaluation of abdominal compression–decompression combined with chest compression CPR performed by a new device: Is the prognosis improved after this combination CPR technique?   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Injury patterns, management and outcomes of retroperitoneal haemorrhage caused by lower intercostal arterial bleeding at a level-1 trauma centre: A 10-year retrospective review   Emergency Medicine Australasia

Post-resuscitation diastolic blood pressure is a prognostic factor for outcomes of cardiac arrest patients: a multicenter retrospective registry-based analysis   Journal of Intensive Care

Severe Vertebral Body Fracture-Dislocation as a Result of Chest Compressions: A Case Report   The Journal of Emergency Medicine

SNAPTIMED study: does the Scottish and Newcastle Antiemetic Protocol achieve timely intervention and management from the emergency department to discharge for paracetamol poisoning?   Emergency Medicine Journal

Starting anticoagulation for atrial fibrillation in the emergency department safely   Emergency Medicine Journal

The Use of a Suprascapular Nerve Block to Facilitate the Reduction of an Anterior Shoulder Dislocation: An Alternative for Elderly and Patients With Cardiopulmonary Comorbidities?   The Journal of Emergency Medicine


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

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