Emergency Evidence Updates – December 2022

Randomised Controlled Trials

Augmented-Medication CardioPulmonary Resuscitation Trials in out-of-hospital cardiac arrest: a pilot randomized controlled trial  – Critical Care

Does point-of-care ultrasonography improve diagnostic accuracy in emergency department patients with undifferentiated hypotension? An international randomized controlled trial from the SHOC-ED investigators  – Canadian Journal of Emergency Medicine

Implementation of hyperspectral imaging in a trauma resuscitation room: a randomized controlled trial  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Successful Optimization of Tobacco Dependence Treatment in the Emergency Department: A Randomized Controlled Trial Using the Multiphase Optimization Strategy  – Annals of Emergency Medicine

Other Guidance/Reports

RCEM Position Statement – Artificial Intelligence (December 2022) RCEM

RCEM NPIS Antidote Guideline List – December 2022 RCEM

RCEM NPIS Antidote Guideline Appendix 1 – December 2022 RCEM

Primary Research


Annual improvement trends in resuscitation outcome of patients defibrillated by laypersons after out-of-hospital cardiac arrests and compression-only resuscitation of laypersons  – Resuscitation

Application of adult prehospital resuscitation rules to pediatric out of hospital cardiac arrest  – Resuscitation

Characteristics of low acuity prehospital emergency patients with 48-h mortality, an observational cohort study  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Comparison of prehospital resuscitation quality during scene evacuation and early ambulance transport in out-of-hospital cardiac arrest between residential location and non-residential location  – Resuscitation

Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study  – BMC Emergency Medicine

Implementation of a low-titre whole blood transfusion program in a civilian helicopter emergency medical service  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Improving access to extracorporeal membrane oxygenation for out of hospital cardiac arrest: pre-hospital ECPR and alternate delivery strategies  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Predictive clinical utility of pre-hospital point of care lactate for transfusion of blood product in patients with suspected traumatic haemorrhage: derivation of a decision-support tool  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Prehospital misdiagnosis of acute cerebral disease for acute coronary syndrome: a retrospective study  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Prehospital monitoring of cerebral circulation during out of hospital cardiac arrest ? A feasibility study  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine


A machine learning approach using endpoint adjudication committee labels for the identification of sepsis predictors at the emergency department  – BMC Emergency Medicine

Determining Clinical Judgment Among Emergency Nurses During a Complex Simulation  – Journal of Emergency Nursing

FRENCH versus ESI: comparison between two nurse triage emergency scales with referent scenarios  – BMC Emergency Medicine

Healthcare professionals’ knowledge of the systematic ABCDE approach: a cross-sectional study  – BMC Emergency Medicine

“I Was Here First, Why Did They Go Before Me”: Examining Patients’ Perceptions of Priority in a Psychometric Study of Emergency Department Triage  – Journal of Emergency Nursing

Impact of art and reflective practice on medical education in the emergency department  – Emergency Medicine Australasia

Personal protective equipment for COVID-19 among healthcare workers in an emergency department: An exploratory survey of workload, thermal discomfort and symptoms of heat strain  – Emergency Medicine Australasia

Psychological safety and emergency department team performance: A mixed-methods study  – Emergency Medicine Australasia

Reducing diagnostic errors in the emergency department at the time of patient treatment  – Emergency Medicine Australasia

Role Delineation of the Code Blue Team: A Quasi-Experimental Study During COVID-19  – Journal of Emergency Nursing

Shorter laboratory turnaround time is associated with shorter emergency department length of stay: a retrospective cohort study  – BMC Emergency Medicine

The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes  – BMC Emergency Medicine

The Lived Experience of Workplace Violence Among Emergency Nurses  – Journal of Emergency Nursing


Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience  – Emergency Medicine Journal

Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience  – Emergency Medicine Journal

Delayed pneumomediastinum following oropharyngeal injury: A report of two pediatric cases  – Trauma

How much paediatric major trauma is truly paediatric? Experience from a level 1 urban Major Trauma Centre  – Trauma

Optimising intravenous salbutamol in children: a phase 2 study  – Archives of Disease in Childhood

Parent-reported factors associated with the emergency department presentation of children and adolescents with autism spectrum disorder and/or intellectual disability with behaviours of concern: a qualitative study   – Archives of Disease in Childhood

Pediatric Croup Due to Omicron Infection Is More Severe Than Non-COVID Croup  – Pediatric Emergency Care

The epidemiology of and management of pediatric patients with head trauma: a hospital-based study from Southern Sweden  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine


Association between timing and adequacy of antibiotics and adverse outcomes in patients with sepsis and septic shock: A multicentre retrospective cohort study  – Emergency Medicine Australasia

Civilian vascular trauma, treatment and outcome at a level 1-trauma centre  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Emergency department crowding negatively influences outcomes for adults presenting with asthma: a population-based retrospective cohort study –  BMC Emergency Medicine

Emphysematous Salmonella-Infected Aneurysm of the Aortic Arch: Case Report  – The Journal of Emergency Medicine

Error in respiratory rate measurement by direct observation impacts on clinical early warning score algorithms  – Emergency Medicine Journal

Factors associated with unfavorable outcomes in patients with acute abdominal pain visiting the emergency department  – BMC Emergency Medicine

Fracture of an Intravenous Cannula in the Hand: A Case Report  – Journal of Emergency Nursing

Inverse association between blood pressure and pulse oximetry accuracy: an observational study in patients with suspected or confirmed COVID-19 infection  – Emergency Medicine Journal

Modified chair method: an easy and efficient reduction method without medication for anterior shoulder dislocation  – BMC Emergency Medicine

Outcome prediction for patients assessed by the medical emergency team: a retrospective cohort study  – BMC Emergency Medicine

Pharmacologic Therapy to Mitigate Acute Agitation in the Emergency Department: Case Reports of Diverse Patient Presentations  – Journal of Emergency Nursing

Presentation of the septic patient to the emergency department with respect to age and sex – a retrospective cross-sectional study  – BMC Emergency Medicine

Rib fracture-related morbidity and mortality for older persons in the era of fascial plane blocks: A cohort study  – Trauma

The impact of different targeted temperatures on out-of-hospital cardiac arrest outcomes in patients receiving extracorporeal membrane oxygenation: a nationwide cohort study  – Critical Care

Thoracic injuries in trauma patients: epidemiology and its influence on mortality  – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine


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

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