Emergency Evidence Updates – August 2025

Randomised Controlled Trials

Expedited transfer from the scene for refractory out-of-hospital cardiac arrest in Australia: a prospective, multicentre, parallel, open label, randomised clinical trial  The Lancet Respiratory Medicine

Other Guidance/Reports

Joint Position Statement on Criminal Liability for Alleged Deviations from Clinical Standards of Care in Emergency Medical Services  Prehospital Emergency Care

Tranexamic acid in trauma: A joint position statement and resource document of NAEMSP, ACEP, and ACS-COT  The Journal of Trauma and Acute Care Surgery

Cochrane

Organised trauma systems and designated trauma centres for improving outcomes in injured patients

Primary Research

Prehospital

Ambulance professionals’ adaptations in prehospital services: a critical incident study  BMC Emergency Medicine

Endotracheal intubation during cardiac arrest by critical care paramedics: a service evaluation of success rates following structured education  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Influence of on-scene time and prehospital interventions on inhospital mortality in trauma patients  BMC Emergency Medicine

General

Multicenter Trial of the Emergency Department Trigger Tool  Annals of Emergency Medicine

Not All Temperature Control Is Equal: High-Quality Temperature Control Is Associated With Improved Outcomes Following Out-of-Hospital Cardiac Arrest  Annals of Emergency Medicine

Psychiatric Nursing Attitudes in Emergency Departments: An Explorative Study Among Italian Nurses  Journal of Emergency Nursing

Reducing blood wastage through introduction of a transfusion team  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Scottish and Newcastle Antiemetic Protocol (SNAP) 12-hour acetylcysteine regimen for paracetamol overdose reduces anaphylactoid reactions without compromising hepatic protection in all age groups: a secondary analysis  Emergency Medicine Journal

The Necessity of Whole-Body Computed Tomography Scanning in Patients Admitted to the Emergency Department Due to Blunt Trauma  The Journal of Emergency Medicine

Use of the Dynamic Appraisal of Situational Aggression Tool to Predict Violence in the Emergency Department and Other Acute Care Settings  Journal of Emergency Nursing

Paediatrics

An Evaluation of Enteropathogen-Specific Disease Severity and Duration in Children With Acute Gastroenteritis  Pediatric Emergency Care

A Simulation-Based Measurement of Emergency Department Readiness for Neonatal Resuscitation – Is the Staff Ready?  Pediatric Emergency Care

A Video-Based Intervention to Assess COVID-19 and Influenza Vaccine Acceptability in a Pediatric Emergency Department  Pediatric Emergency Care

Bradycardia After Button Battery Ingestion in a 21-Month-Old Child – A Case Report  Pediatric Emergency Care

Characteristics Among a Pediatric Cohort Arriving Via EMS Following Nonaccidental and Accidental Trauma  Pediatric Emergency Care

Computed Tomography Scan Rates and Outcomes in Children Risk-Stratified Using the PREDICT Guideline Algorithm for Risk Stratification of Mild and Moderate Head Injuries  Emergency Medicine Australasia

Delivery of L-Epinephrine by Metered-Dose Inhaler Compared to Racemic Epinephrine by Nebulizer for the Treatment of Croup  Journal of Emergency Medicine

Heterogeneity in Bronchodilator Use for Bronchiolitis Across Pediatric Emergency Departments: A Multicenter PEDSnet Study  The Journal of Emergency Medicine

Home Use of Nonpharmacologic Interventions for Fracture Pain after Pediatric Emergency Department Discharge  The Journal of Emergency Medicine

“I Feel Like My Child’s Health Is Hanging by a Thread”: A Grounded Theory of Experiences of Parents of Children With Cancer During Emergency Department Visits  Journal of Emergency Nursing

Learning Curve for Point-of-Care Ultrasonography for Pediatric Skin and Soft Tissue Infections  Pediatric Emergency Care

Nurse-Performed Bladder Ultrasound Effect on Pediatric Bladder Catheterization Success  Pediatric Emergency Care

Perinatal Depression Screening in the Pediatric Emergency Department  Pediatric Emergency Care

Pneumonia Among Children Presenting to the Emergency Department With Chest Pain  Pediatric Emergency Care

POCUS for Pulled Elbow Due to Trauma – A Retrospective Review and Case Series  Pediatric Emergency Care

Retrospective Evaluation of Pediatric Emergency Department Visits of Children With Medical Complexity in a Tertiary Care Center in Italy  Pediatric Emergency Care

Risk Factors for Recurrence of Primary Spontaneous Pneumothorax in Adolescents  Pediatric Emergency Care

Torsion of undescended testis in children detected by point-of-care ultrasound  The Journal of Emergency Medicine

Understanding the Lived Experiences of Nurses and Care Attendants in a Pediatric Hospital Who Experience Patient Aggression  Journal of Emergency Nursing

Violence and its effects on the job satisfaction of healthcare staff in paediatric emergency departments  BMC Emergency Medicine

Adults

A comparative study on the efficacy of dexketoprofen and methylprednisolone in the treatment of acute low back pain  BMC Emergency Medicine

Analysis of traumatic pregnant patients admitted to the emergency department: a retrospective study  BMC Emergency Medicine

Anatomical Landmark vs. Ultrasound Identification of the Femoral Vein   The Journal of Emergency Medicine

Case Report of Spontaneous Uterine Rupture due to Placenta Percreta at 18 Weeks: an Emergency Medicine Perspective  The Journal of Emergency Medicine

Comparable Outcomes in Suspected Septic Shock: A Retrospective Study of Emergency Department Patients With and Without Bacteremia  The Journal of Emergency Medicine

Comparison of EHMRG and OHFRS Scores in Predicting Mortality in Patients Presenting to the Emergency Department with Heart Failure  The Journal of Emergency Medicine

Comparison of the Predictive Power of Blood Urea Nitrogen/Albumin, Lactate/Albumin, and C-Reactive Protein/Albumin Ratios for Prognosis of Mortality in Critically Ill Geriatric Patients in the Emergency Department  The Journal of Emergency Medicine

Diagnostic accuracy of ultrasound and computed tomography in obstructive jaundice at emergency department: a retrospective study  BMC Emergency Medicine

Evaluating the diagnostic performance of adult sepsis event criteria in the emergency department: impact of including isolated serum lactate elevations  Journal of Intensive Care

High whole blood to total transfusion volume ratio and survival outcomes in patients with trauma requiring massive transfusions  Emergency Medicine Journal

Improving chest pain risk assessment: validation of HEART, TIMI, GRACE, EDACS-ADP, and HET for MACE prediction in the emergency department  BMC Emergency Medicine

Is high-flow nasal oxygen as effective as non-invasive ventilation in acute cardiogenic pulmonary Edema?  The American Journal of Emergency Medicine

Leg reperfusion technique optimization and ischemia diagnosis using ultrasound in patients treated with extracorporeal life support for refractory cardiac arrest – an observational cohort study  Resuscitation Plus

Neuron-specific enolase as a Biomarker in Nerve Compression and Cauda Equina Syndrome (BioNCCES) Study  Emergency Medicine Journal

Optimal antimicrobial susceptibilities for empirical administration in adults with community-onset bacteremia in the ED  The Journal of Emergency Medicine

Outcomes and prognostic factors in patients with combined severe traumatic brain injury and abdominal trauma: a retrospective observational study  BMC Emergency Medicine

Outcomes Associated With an Age-Friendly Emergency Department Intervention  Annals of Emergency Medicine

Painless Incision and Drainage of a Large Foot Hematoma in the Emergency Department Using an Ultrasound-Guided Superficial Peroneal Nerve Block  The Journal of Emergency Medicine

Pericapsular Nerve Group (PENG) Block-Augmented Analgesia vs. Conventional Opioid Analgesia for Hip Fracture Patients in the Emergency Department: A Comparative Effectiveness Study  The Journal of Emergency Medicine

Rate, Mode, Reasons and Factors Associated With Re-Presentation in People Diagnosed With Musculoskeletal Conditions at a Single Emergency Department: A Cross-Sectional Exploratory Study  Emergency Medicine Australasia

The association between arrival potassium and 30-day survival following resuscitation from out-of-hospital cardiac arrest: a retrospective cohort study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The Impacts of Blood Pressure Variability on Clinical Outcomes in Patients with Out-of-hospital Cardiac Arrest  Resuscitation Plus

The role of vital signs in predicting mortality risk in elderly patients visiting the emergency department  BMC Emergency Medicine

Tranexamic Acid Timing and Mortality Impact After Trauma  Annals of Emergency Medicine

Troubleshooting Foley Catheter Problems using Point-of-Care Ultrasound  The Journal of Emergency Medicine

Yield of Continuous Cardiac Monitoring in Pre-Specified Low-Risk Patients: A Retrospective Cohort Study  Emergency Medicine Australasia

Metadata

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

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