Emergency Evidence Updates – January 2026

Randomised Controlled Trials

A Randomized, Dose-Finding Study of Sphenopalatine Ganglion Block With Bupivacaine for Emergency Department Patients With Headache  Annals of Emergency Medicine

Analgesic efficacy of ultrasound-guided erector spinae plane block versus costotransverse foramen block in patients with chest trauma: A randomized controlled study  Injury

Automated titration of nasal high flow oxygen in the emergency department: a randomised controlled trial  Emergency Medicine Journal

Early Cessation of Acetylcysteine Treatment After Paracetamol Overdose (NACSTOP 2): A Non-Inferiority Randomised Controlled Trial  Medical Journal of Australia

Effect of Direct-from-blood Bacterial Testing on Antibiotics Administration in Adults Presenting With Acute Infection: A Randomized Trial   Clinical Infectious Diseases

ECPR eligible refractory out of hospital cardiac arrests – A post-hoc analysis of the EVIDENCE randomised controlled trial and Registry  Resuscitation

Prehospital transesophageal echocardiography versus conventional advanced life support in out-of-hospital cardiac arrest (PHTEE–OHCA) – a randomized controlled pilot study  Critical Care

 

Other Guidance/Reports

Penicillin Allergy and De-Labelling  PIER

Research priorities for paediatric procedural sedation in emergency medicine  Emergency Medicine Journal

Management of Adult Patients who attend Emergency Departments after Sexual Assault and-or Rape(January 2026)  RCEM

Management of patients with Haemophilia in Emergency Departments(January 2026)  RCEM

UK consensus guidelines for multidisciplinary care of children and young people with achondroplasia: a modified Delphi process  Archives of Disease in Childhood

Primary Research

Prehospital

A nationwide Scottish cohort study of the association between pre-existing mental illness and out-of-hospital cardiac arrest survival  Resuscitation Plus

Embedding a Virtual Emergency Department Pathway Within Emergency Medical Services Secondary Triage for People Living in Residential Aged Care  Prehospital Emergency Care

MetoksyKval: the extent of pre-hospital methoxyflurane administration for acute traumatic pain: focus on economic impact and rationale for use  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Mismatch Between Antecubital Peripheral Intravenous Catheter Insertion and Contrast CT Use in the Emergency Department: A Retrospective Analysis  Emergency Medicine Australasia

Oral transmucosal fentanyl citrate analgesia in prehospital trauma care: a retrospective observational cohort study focusing on age and gender differences  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Prehospital diagnostic performance of emergency physicians in identifying blunt traumatic pneumothorax requiring early decompression  BMC Emergency Medicine

Prehospital factors associated with ICU admission in drowning patients: a retrospective multicenter cohort study in a French coastal region  BMC Emergency Medicine

Validation of the Modified Sequential Organ Failure Assessment Score for Early Clinical Deterioration in Prehospital Patients with Seizures: A Multicenter Cohort Study  Journal of Emergency Nursing

 

General

An evaluation of the association between patient sociodemographic factors and delayed time to analgesia in the trauma bay  Injury

Analysis of Initial Emergency Department Ventilator Settings in Accordance with Ability to Oxygenate  The Journal of Emergency Medicine

Evaluating the Feasibility, Acceptability, and Preliminary Clinical Efficacy of a Digital Self-Management Intervention in the Emergency Department: A Pilot Study  Journal of Emergency Nursing

Factors associated with the phenomenon of overcrowding in the emergency department: a retrospective cohort study  BMC Emergency Medicine

IN SITU: Evaluation of the feasibility and impacts of in situ simulation in emergency medicine, a mixed method study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Predictive criteria for oesophageal perforation in patients with pneumomediastinum: can invasive diagnostic modalities be avoided?  Emergency Medicine Journal

Reducing time from presentation to diagnosis of scaphoid fractures with cone beam CT: a before-and-after study  Emergency Medicine Journal

The Effect of Progressive Muscle Relaxation Exercises on Fatigue Severity and Sleep Quality Among Emergency Nurses: A Self-Controlled Quasi-Experimental Study  Journal of Emergency Nursing

ULTRASOUND-GUIDED TRUNCAL BLOCKS FOR TUBE THORACOSTOMY ANALGESIA IN THE EMERGENCY DEPARTMENT  The Journal of Emergency Medicine

 

Paediatric

A Novel Approach Using Relative Value Units to Quantify Workload and Its Association With Patient and Family Experience in the Pediatric Emergency Department  Pediatric Emergency Care

Comparison of Diagnostic Imaging Patterns Between Pediatric and Adult Trained Physicians in Adolescent Trauma Activations  Pediatric Emergency Care

Decreasing Door-to-Analgesia Time: Increasing Use of Sickle Cell Pain Management Pathway  Journal of Emergency Nursing

Dexamethasone Treatment Regimen and Clinical Outcomes in Children With Asthma Exacerbations  Annals of Emergency Medicine

ED Lung Ultrasound of Suspected Atelectasis and Assessment of Reaeration in Children – A Case Series  Pediatric Emergency Care

Experiences of Trans and Gender Diverse Youth Accessing Emergency Departments: Results of a Community-Designed Questionnaire  Journal of Emergency Nursing

High Flow Nasal Cannula Use in Bronchiolitis – Predicting Need for Early Escalation of Care  Pediatric Emergency Care

Inhaled L-Epinephrine As a Rescue Therapy in Critical Bronchiolitis  Critical Care Explorations

Interrater Reliability in the Triage of Children With Mental and Behavioral Health Symptoms Using Two Triage Systems  Journal of Emergency Nursing

Paediatric Ketone Measurement and Intervention in Non-Diabetic Patients in Australasian Emergency Departments: A PREDICT Clinician Survey  Emergency Medicine Australasia

Reduced overtriage is associated with increased patient flow at pediatric emergency department  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Reversible causes of death and the potential benefit of invasive emergency techniques in paediatric and adolescent trauma: a 12-years retrospective forensic analysis  BMC Emergency Medicine

Screening Pediatric Trauma Patients for Blunt Cerebrovascular Injury Using the McGovern Score: A Retrospective Cohort Study  Pediatric Emergency Care

Succinylcholine Versus Rocuronium for Pediatric Rapid Sequence Intubation in the Emergency Department  Pediatric Emergency Care

Suspected Pediatric Appendicitis Management in the Emergency Department

A Prospective Observational Study in an Australian Pediatric Emergency Department  Pediatric Emergency Care

Ultrasound-Based Prediction Model for Air Enema Failure in Pediatric Ileocolic Intussusception – Comparison of Point-of-Care Ultrasound and Radiologist-Performed Ultrasound  Pediatric Emergency Care

 

Adult

Acidemia predicts mortality independently of lactate levels in patients after cardiac arrest  Resuscitation Plus

Association between emergency department bed occupancy rate and in-hospital cardiac arrest in the emergency department: a retrospective study  BMC Emergency Medicine

Association between polypharmacy at the emergency department and long-term mortality in critically ill older patients receiving mechanical ventilation: a single-center retrospective cohort study  BMC Emergency Medicine

d-Dimer With the Aortic Dissection Detection Risk Score May Improve Patient Selection for Acute Aortic Syndrome Diagnostic Imaging  Emergency Medicine Australasia

Defibrillation in patients with accidental hypothermia and core temperatures ≤30°C – A retrospective observational study  Resuscitation

Development of a new tool for prediction of hospital length of stay and intensive care needs in trauma patients using Machine Learning Injury

Emergency Department Predictors of Mortality and Adverse Outcomes in Upper Gastrointestinal Bleeding: A Five-Year Retrospective Cohort Study  The Journal of Emergency Medicine

Emergency Nursing Assessment in a Patient With a Hand Arteriovenous Fistula Caused by a Fishbone: A Case Report  Journal of Emergency Nursing

Evaluating the Diagnostic Accuracy of Point-of-Care Ultrasound for Long Bone Fractures in the Emergency Department  Journal of Emergency Medicine

External validation of the CRASS score for predicting good neurological outcome in out-of-hospital cardiac arrest: analysis from cardiac-origin and non-cardiac origin cohorts  BMC Emergency Medicine

Frequency of computed tomography scans in Crohn’s disease patients in the emergency department   Inflammatory Bowel Diseases

Impact of Bedside Ultrasound on Patient Anxiety in Acute Cholecystitis: A Comparative Observational Study  Journal of Emergency Nursing

Integrating physiotherapy into the emergency department for acute low back spasm: a retrospective comparative study  Physiotherapy Theory and Practice

Myoglobin-to-creatine kinase ratio enhances prediction of acute kidney injury in rhabdomyolysis  Emergency Medicine Journal

Optimal timing of antibiotics administration for sepsis or septic shock in the emergency department  BMC Emergency Medicine

Presepsin for sepsis diagnosis in emergency departments: a multicentre study  Emergency Medicine Journal

Symptom Trajectories of People With Low Back Pain Presenting to the Emergency Department: Insights From the BACK TrAC Digital Care Pathway  Journal of Emergency Nursing

Tirzepatide-Associated Euglycemic Diabetic Ketoacidosis in the Absence of SGLT2 Inhibitor Use: A Case Report  The Journal of Emergency Medicine

Ultrasound Evaluation of Lens Dislocation with Iridodonesis  The Journal of Emergency Medicine

Under-investigation and delays experienced by females presenting with chest pain to Emergency Departments: a study of five linked Canadian hospitals.  The Journal of Emergency Medicine

Use of Point-of-Care Ultrasound During Cardiac Arrest in the Emergency Department: A Multicentre Retrospective Study  Emergency Medicine Australasia

Why I Left the Emergency Department Before Receiving Care (Did Not Wait): A Cross-Sectional Study  Emergency Medicine Australasia

 

Metadata

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

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