Emergency Evidence Updates – August 2024

Randomised Controlled Trials

A Cluster-Randomized Control Study Comparing a New Cue “Two Compressions per Second” with “100–120 Compressions per Minute” in Training of Bystander Cardiopulmonary Resuscitation  The Journal of Emergency Medicine

A Randomized Controlled Comparison of Guardian-Perceived Cosmetic Outcome of Simple Lacerations Repaired With Either Dermabond, Steri-Strips, or Absorbable Sutures  Pediatric Emergency Care

Automatic Mechanical Ventilation vs Manual Bag Ventilation During CPR – A Pilot Randomized Controlled Trial  Chest

Liberal or Restrictive Transfusion Strategy in Patients with Traumatic Brain Injury  NEJM

 

NICE

Adrenal insufficiency: identification and management NG243

Diabetic retinopathy: management and monitoring NG242

 

Other Guidance/Reports

Olanzapine postinjection delirium/sedation syndrome after long-acting olanzapine depot injection presenting to the emergency department: practical guidelines for diagnosis and management  Emergency Medicine Journal

Navigating the emergence of point-of-care diagnostics in paediatric emergency medicine  Archives of Disease in Childhood

 

Cochrane

Accuracy of routine laboratory tests to predict mortality and deterioration to severe or critical COVID‐19 in people with SARS‐CoV‐2

Repetitive transcranial magnetic stimulation for post‐traumatic stress disorder in adults

 

Primary Research

Prehospital

Development of a centralised national AED (automated external defibrillator) network across all ambulance services in the United Kingdom  Resuscitation Plus

External validation of the preHEART score and comparison with current clinical risk scores for prehospital risk assessment in patients with suspected NSTE-ACS  Emergency Medicine Journal

Negotiating grey areas: an interview-based analysis of paramedic uncertainty and decision-making in cardiac arrest events  BMC Emergency Medicine

The time-dependent yield of invasive vs. standard resuscitation strategies: A secondary analysis of the Prague out-of-hospital cardiac arrest study  Resuscitation

Unveiling the performance of the prehospital Rapid Emergency Medicine Score (pREMS): How the predictive score impacts in-hospital outcomes in traumatic brain injury (TBI): A retrospective observational cohort study  BMC Emergency Medicine

What influences ambulance clinician decisions to pre-alert emergency departments: a qualitative exploration of pre-alert practice in UK ambulance services and emergency departments  Emergency Medicine Journal

 

General

Abated crowding by fast-tracking the Throughput component of the ED for patients in no need of hospitalization with competency managed personnel  BMC Emergency Medicine

Attitudes and Barriers of Emergency Nurses and Physicians Toward Family Presence During Resuscitation in Iran: A Cross-Sectional Study  Journal of Emergency Nursing

Can clinicians identify community-acquired pneumonia on ultralow-dose CT? A diagnostic accuracy study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Emergency department staff opinion on newly introduced phlebotomy services in the department. A cross-sectional study incorporating thematic analysis  Emergency Medicine Australasia

How Do Nurses Experience Relational Work in the Emergency Department—Qualitative Study  Journal of Emergency Nursing

Impact of an educational intervention utilising a three-dimensional-printed model for ultrasound-guided intra-articular injections of the dislocated shoulder  Emergency Medicine Australasia

Nonresponse Bias against the Underserved in Emergency Department Patient Experience Surveys: A Cross-Sectional Analysis: Nonresponse to Patient Surveys  The Journal of Emergency Medicine

Psychological Distress and the Needs of Family Members of Critically Ill Patients in Emergency Departments During the COVID-19 Pandemic: A Cross-Sectional Study  Journal of Emergency Nursing

Quality improvement project aiming to reduce inappropriate use of AXRs in the ED  Emergency Medicine Journal

 

Paediatrics

A Comparison of Telesimulation Using the Virtual Resus Room and In Situ Simulation in Pediatric Emergency Medicine  Pediatric Emergency Care

Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone?  Emergency Medicine Journal

Central Venous Oxygen Saturation in Children With Cancer  Pediatric Emergency Care

Comparison of the BIG Score and Pediatric Trauma Score for Predicting Mortality  Pediatric Emergency Care

Decreasing Invasive Urinary Tract Infection Screening in a Pediatric Emergency Department to Improve Quality of Care  Pediatric Emergency Care

Development of a New Screening Tool for Pediatric Septic Shock  Annals of Emergency Medicine

Extracorporeal cardiopulmonary resuscitation for pediatric out-of-hospital cardiac arrest: A review of the Extracorporeal Life Support Organization Registry  Resuscitation

Factors associated with difficult intravenous access in the paediatric emergency department: A prospective cohort study  Emergency Medicine Australasia

Factors Associated With Potentially Unnecessary Transfers for Children With Asthma – A Retrospective Cohort Study  Pediatric Emergency Care

Identification of avoidable patients at triage in a Paediatric Emergency Department: a decision support system using predictive analytics  BMC Emergency Medicine

Impact of Surgical Team Involvement at the Time of Trauma Activation for Pediatric Patients With Motorized Cycle or All-Terrain Vehicle Injury Mechanism  Pediatric Emergency Care

Performance of blood enterovirus and parechovirus polymerase chain reaction testing in young febrile infants: a prospective multicentre observational study  Archives of Disease in Childhood

Perspectives of Caregivers on Children Boarding With Mental Health Conditions  Pediatric Emergency Care

Safety and Depth of Sedation With Ketamine Alone Versus Ketamine With Midazolam in Pediatric Fracture Reduction – A Retrospective Chart Review  Pediatric Emergency Care

The Use of Point-of-Care Ultrasound in Pediatric Emergency Departments and Intensive Care Units – A Descriptive Study From Turkey  Pediatric Emergency Care

Ultrasound-Guided Hematoma Block for Distal Forearm Fracture Reduction in Adolescent With History of Difficult Airway – A Case Report  Pediatric Emergency Care

Video-Based Study of the Progression of Pediatric Emergency Medicine Fellows’ Tracheal Intubation Performance During Training  Pediatric Emergency Care

 

Adults

Can rotational thromboelastometry rapidly identify theragnostic targets in isolated traumatic brain injury?  Emergency Medicine Australasia

Cardiopulmonary Ultrasound to Predict Care Escalation in Early Sepsis: A Pilot Study  Journal of Emergency Medicine

Development of a Clinical Risk Score to Risk Stratify for a Serious Cause of Vertigo in Patients Presenting to the Emergency Department  Annals of Emergency Medicine

External Validation of Vision, Aphasia and Neglect, Ventura Emergent Large Vessel Occlusion and Large Artery Intracranial Occlusion Screening Tools for Emergent Large Vessel Occlusion Stroke: A Multicenter, Prospective, Cross-Sectional Study  The Journal of Emergency Medicine

Gastric Ultrasound in the Management of Emergency Department Patients with Upper Gastrointestinal Bleeding: A Case Series and Sonographic Technique  The Journal of Emergency Medicine

Health care utilization of patients with acute abdominal pain before and after emergency department visits  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Hyperoxaemia in acute trauma is common and associated with a longer hospital stay: a multicentre retrospective cohort study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Leg Pain—An Unexpected Twist  The Journal of Emergency Medicine

Mortality Outcomes with Tenecteplase Versus Alteplase in the Treatment of Massive Pulmonary Embolism  The Journal of Emergency Medicine

Rescue Sedation after 5 mg or 10 mg of Droperidol as the Initial Treatment for Acute Agitation in the Emergency Department  The Journal of Emergency Medicine

Severe hyperlactatemia in the emergency department: clinical characteristics, etiology and mortality  BMC Emergency Medicine

Trauma induced coagulopathy is limited to only one out of four shock induced endotheliopathy (SHINE) phenotypes among moderate-severely injured trauma patients: an exploratory analysis  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Ultrasound-guided Erector Spinae Plane Nerve Block for Relief of Acute Cholecystitis Pain  The Journal of Emergency Medicine

UnTWISTing the BALS: A study of predictive accuracy of clinical scoring tools for testicular torsion identification in adults  Emergency Medicine Australasia

 

Metadata

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

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