Emergency Evidence Updates – February 2024

Randomised Controlled Trials

qSOFA combined with suPAR for early risk detection and guidance of antibiotic treatment in the emergency department: a randomized controlled trial  Critical Care

Impact of emergency physician performed ultrasound in the evaluation of adult patients with acute abdominal pain: a prospective randomized bicentric trial  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Spiced RCT: Success and Pain Associated with Intravenous Cannulation in the Emergency Department Randomized Controlled Trial  The Journal of Emergency Medicine

Other Guidance/Reports

Analysis of guideline recommendations for treatment of asthma exacerbations in children: a Pediatric Emergency Research Networks (PERN) study  Archives of Disease in Childhood

Appraisal of Australian and New Zealand paediatric sepsis guidelines  Emergency Medicine Australasia

Developing a set of emergency department performance measures to evaluate delirium care quality for older adults: a modified e-Delphi study  BMC Emergency Medicine


Management of cardiac emergencies in women. A clinical consensus statement of the Association for Acute CardioVascular Care (ACVC), the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the Heart Failure Association (HFA), and the European Heart Rhythm Association (EHRA) of the ESC, and the ESC Working Group on Cardiovascular Pharmacotherapy  European Heart Journal Open

Recommendations for Choosing Wisely in Pediatric Emergency Medicine: Five Opportunities to Improve Value  Annals of Emergency Medicine

Use of Topical Anesthetics in the Management of Patients With Simple Corneal Abrasions: Consensus Guidelines from the American College of Emergency Physicians  Annals of Emergency Medicine

Primary Research


Development and inter-rater reliability of a simple prehospital mobility score for use in emergency patients  BMC Emergency Medicine

Prehospital anaesthesiologists experience with cardiopulmonary resuscitation-induced consciousness in Norway – A national cross-sectional survey  Resuscitation Plus

Prehospital T-MACS and HEART scores in the prediction of myocardial infarction: a prospective evaluation  Emergency Medicine Journal

Prodromal complaints and 30-day survival after emergency medical services-witnessed out-of-hospital cardiac arrest  Resuscitation

Safety of pre-hospital peripheral vasopressors: The SPOTLESS study (Safety of PrehOspiTaL pEripheral vaSopreSsors)  Emergency Medicine Australasia

Using ambulance surveillance data to characterise blood-borne viral infection histories among patients presenting with acute alcohol and other drug-related harms  Emergency Medicine Australasia


A New Perspective on Missed Nursing Care in the Emergency Department: A Descriptive Cross-Sectional Study  Journal of Emergency Nursing

Digital stressors and resources perceived by emergency physicians and associations to their digital stress perception, mental health, job satisfaction and work engagement  BMC Emergency Medicine

Healthcare risk stratification model for emergency departments based on drugs, income and comorbidities: the DICER-score  BMC Emergency Medicine

Missed nursing care in emergency departments: a cross-sectional descriptive study  BMC Emergency Medicine

Risk factors for violence in an emergency department: Nurses’ perspectives  Emergency Medicine Australia

Save Your Back: Comparison of the Compressive Force on the Lower Back Based on Differences in the Training Techniques  Journal of Emergency Nursing

Scoring systems for prediction of malaria and dengue fever in non-endemic areas among travellers arriving from tropical and subtropical areas  Emergency Medicine Journal

Vital sign measurements demonstrate terminal digit bias and boundary effects  Emergency Medicine Australasia


Accuracy of Pediatric Interventricular Septal Thickness Measurement Obtained Via Point-of-Care Ultrasound – A Prospective Study  Pediatric Emergency Care

Bedside Leukocyte Esterase Testing to aid in Diagnosing Bacterial Conjunctivitis in Children   The Journal of Emergency Medicine

Comparison of Ultrasound Guided Saline Enema and X-ray-Guided Air Enema in the Treatment of Intussusception Reduction in Children   Pediatric Emergency Care

Diagnosis of Fever Source Following Tonsillectomy and Adenoidectomy in the Pediatric Emergency Department  Pediatric Emergency Care

Efficacy and safety of ketamine alone and ketamine-dexmedetomidine combination for sedation for brain computed tomography in paediatric patients with head injuries: A retrospective study   Emergency Medicine Australasia

Emergency department utilisation and treatment for trauma-related presentations of adolescents aged 16–18: a retrospective cross-sectional study   BMC Emergency Medicine

Excessive Use of Benzodiazepines Is a Risk Factor for Endotracheal Intubation in Children Who Present to Emergency With Prehospital Status Epilepticus   Pediatric Emergency Care

Incomplete Fractures of Distal Long Bones Among Children in Early Stages of Mobility – Few Concerns for Physical Child Abuse at a Single Pediatric Level I Trauma Center   Pediatric Emergency Care

Long-Acting Reversible Contraception Knowledge Among Female Adolescents Presenting to a Pediatric Emergency Department   Pediatric Emergency Care

Pediatric Emergency Physicians’ Knowledge, Attitudes, and Behaviors Regarding Confidential Adolescent Care   Pediatric Emergency Care

POCUS for Infectious Enteritis—A Retrospective Case Series Analysis   Pediatric Emergency Care

Point-of-Care Ultrasound of a Nasal Septal Abscess  Pediatric Emergency Care

Risk Factors and Management Outcomes in Pediatric Epistaxis at an Emergency Department   The Journal of Emergency Medicine

Risk Factors of Convulsions in Children With Rotavirus Gastroenteritis and Construction of a Nomogram Prediction Model   Pediatric Emergency Care

Wales Infants’ and childreN’s Genome Service (WINGS): providing rapid genetic diagnoses for unwell children   Archives of Disease in Childhood


Beyond SEP-1 Compliance: Assessing the Impact of Antibiotic Overtreatment and Fluid Overload in Suspected Septic Patients  The Journal of Emergency Medicine

Biomarkers Improve Diagnostics of Sepsis in Adult Patients With Suspected Organ Dysfunction Based on the Quick Sepsis-Related Organ Failure Assessment (qSOFA) Score in the Emergency Department   Critical Care Medicine

Blood-brain barrier permeability for the first 24 hours in hypoxic-ischemic brain injury following cardiac arrest  Resuscitation

Blood volume and hemodynamics during treatment of major hemorrhage with Ringer solution, 5% albumin, and 20% albumin: a single-center randomized controlled trial  Critical Care

Blunt Head Injury in the Elderly: Analysis of the NEXUS II Injury Cohort  Annals of Emergency Medicine

Diagnostic accuracy of venous system ultrasound for subtypes of acute kidney injury   Emergency Medicine Journal

External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction   Emergency Medicine Journal

High-sensitivity troponin testing at the point of care for the diagnosis of myocardial infarction: a prospective emergency department clinical evaluation   Emergency Medicine Journal

Intradermal Sterile Water Injection: Safe and Effective Alternative for Relief of Acute Renal Colic in the Emergency Department   The Journal of Emergency Medicine

Ischemic Retinopathy from Prolonged Orbital Compression   NEJM

Lactate and lactate clearance as predictors of one-year survival in extracorporeal cardiopulmonary resuscitation – An international, multicentre cohort study   Resuscitation

Oropharyngeal Hemorrhage and Difficult Airway Management: A Decision Not to Intubate   The Journal of Emergency Medicine

Primary Spontaneous Pneumothorax  NEJM

Radiographic sarcopenic obesity measurements in elderly trauma patients do not predict adverse discharge disposition over injury severity score   Trauma

Retrospective observational study of aged care facility residents presenting to ED post fall: A case for person-centred shared decision making   Emergency Medicine Australasia

Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection   NEJM

Thiamine as a Metabolic Resuscitator after Out-of-hospital Cardiac Arrest   Resuscitation

Three Simple Parameters on Admission to the Emergency Department are Predictors for Endoscopic Intervention in Patients with Suspected Nonvariceal Upper Gastrointestinal Bleeding   The Journal of Emergency Medicine


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

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