Emergency Evidence Updates – January 2024

Randomised Controlled Trials

Comparing the efficacy of intravenous morphine versus ibuprofen or the combination of ibuprofen and acetaminophen in patients with closed limb fractures: a randomized clinical trial  BMC Emergency Medicine

Early post-resuscitation outcomes in patients receiving norepinephrine versus epinephrine for post-resuscitation shock in a non-trauma emergency department: A parallel-group, open-label, feasibility randomized controlled trial  Resuscitation Plus

Effect of wet clothing removal on skin temperature in subjects exposed to cold and wrapped in a vapor barrier: a human, randomized, crossover field study  BMC Emergency Medicine

Fibrinogen levels in severe trauma: A preliminary comparison of Clauss Fibrinogen, ROTEM Sigma, ROTEM Delta and TEG 6s assays from the FEISTY pilot randomised clinical trial  Emergency Medicine Australasia


Artificial intelligence (AI)-derived software to help clinical decision making in stroke DG57

COVID-19 rapid guideline: managing COVID-19 NG191

Temperature control to improve neurological outcomes after cardiac arrest IPG782

Suspected sepsis: recognition, diagnosis and early management NG51

Other Guidance/Reports

PIER Guidelines



Psychological interventions for asthma in children and adolescents

Primary Research


Ambulance nurses’ experiences as the sole caregiver with critical patients during long ambulance transports: an interview study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Dispatchers trained in persuasive communication techniques improved the effectiveness of dispatcher-assisted cardiopulmonary resuscitation  Resuscitation

Effects of an advanced first aid course or real-time video communication with ambulance personnel on layperson first response for building-site severe injury events: a simulation study  BMC Emergency Medicine

Imposter or knight in shining armor? Pelvic circumferential compression devices (PCCD) for severe pelvic injuries in patients with multiple trauma: a trauma-registry analysis  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Is the occurrence of reversed airflow in manual ventilation during cardiopulmonary resuscitation associated with reduced net tidal volumes?  Resuscitation Plus

Validation of Utstein-Based score to predict return of spontaneous circulation (UB-ROSC) in patients with out-of-hospital cardiac arrest  Resuscitation


Cause of death in the ED of a major trauma centre in the UK  Emergency Medicine Journal

Evaluating the Oncology-Related Education Needs of Emergency Nurses  Journal of Emergency Nursing

Evaluating the Reliability of a Remote Acuity Prediction Tool in a Canadian Academic Emergency Department  Annals of Emergency Medicine

Perceived barriers and opportunities to improve working conditions and staff retention in emergency departments: a qualitative study  Emergency Medicine Journal

Reality of treatment for severely injured patients: are there age-specific differences?  BMC Emergency Medicine

Time is brain, so we must BEFAST: Improving stroke identification and triage in a rural emergency department  Emergency Medicine Australasia

Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels  Emergency Medicine Journal


A Dedicated Outpatient Pharmacy Improves Access to Discharge Medications in a Pediatric Emergency Department: A Quality Improvement Study  Annals of Emergency Medicine

Association of Designated Pediatric Trauma Center and Outcomes of Severely Injured Children Who Were Mechanically Ventilated and Underwent Tracheostomy: A Propensity-Matched Analysis  Pediatric Emergency Care

Computer Simulation to Assess Emergency Department Length of Stay in Pediatric Traumatic Brain Injury  Pediatric Emergency Care

Efficacy, Safety, and Complications of Pigtail Thoracostomy for the Treatment of Pediatric Pleuropneumonia  Pediatric Emergency Care

Is it Smoke and Mirrors? Detection of Inferior Vena Cava Thrombus by Focused Cardiac Ultrasound  Pediatric Emergency Care

Medication errors involving intravenous paracetamol in children: experience from enquiries to the National Poisons Information Service  Archives of Disease in Childhood

Reliability and Accuracy of the Pediatric Swiss Emergency Triage Scale—the SETSped Study  Pediatric Emergency Care

The Effects of Moral Distress on Resilience in Pediatric Emergency Department Nurses  Journal of Emergency Nursing

Understanding low acuity emergency department presentations in infancy: A cohort study  Emergency Medicine Australasia

Variability in Occult Injury Screening Among Siblings/Household Contacts of Physical Abuse Victims  Pediatric Emergency Care

Which low urgent triaged febrile children are suitable for a fast track? An observational European study  Emergency Medicine Journal


Assessment and management of older patients with abdominal pain in the emergency department  Emergency Medicine Australasia

Changes in Clinical Management Following 14-Day Ambulatory ECG Monitoring Following Emergency Department Evaluation for Unexplained Syncope  Annals of Emergency Medicine

Effect of acute alcohol consumption on blunt bowel mesenteric injury: a retrospective analysis  BMC Emergency Medicine

Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department  BMC Emergency Medicine

Four-factor prothrombin complex concentrate versus andexanet alfa for the reversal of traumatic brain injuries  Emergency Medicine Journal

Investigating the effects of frailty on six-month outcomes in older trauma patients admitted to UK major trauma centres: a multi-centre follow up study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Predictors of adverse outcomes in elders hospitalised for isolated orthopaedic trauma: a multicentre cohort study  Emergency Medicine Journal


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

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