Emergency Evidence Updates – July 2024
Randomised Controlled Trials
Alfentanil versus fentanyl for emergency department rapid sequence induction with ketamine: A-FAKT, a pilot randomized trial The American Journal of Emergency Medicine
Assessing the human factors involved in chest compression with superimposed sustained inflation during neonatal and paediatric resuscitation: A randomized crossover study Resuscitation Plus
Investigating the Efficacy of a Handheld Fan Intervention in Children With Dyspnea: A Randomized Controlled Study Journal of Emergency Nursing
Magnesium Sulfate Versus Lidocaine as an Adjunct for Renal Colic in the Emergency Department: A Randomized, Double-Blind Controlled Trial Annals of Emergency Medicine
Tenecteplase for Ischemic Stroke at 4.5 to 24 Hours without Thrombectomy NEJM
NICE
Anaphylaxis QS119
Tenecteplase for treating acute ischaemic stroke TA990
Other Guidance/Reports
PIER
- Typhlitis
- Spinal Cord Compression
- Assessment and Management of Acute Idiopathic Thrombocytopenia Purpura (ITP)
European Society of Clinical Microbiology and Infectious Diseases (ESCMID) guidelines for Antimicrobial Stewardship in Emergency Departments (endorsed by European Association of Hospital Pharmacists) Clinical Microbiology and Infection
Managing the Swollen Knee in a Child Annals of Emergency Medicine
Olanzapine postinjection delirium/sedation syndrome after long-acting olanzapine depot injection presenting to the emergency department: practical guidelines for diagnosis and management Emergency Medicine Journal
Cochrane
Primary Research
Prehospital
Drones can be used to provide dispatch centres with on-site photos before arrival of EMS in time critical incidents Resuscitation
Evaluating soft collars in pre-hospital cervical spine immobilisation: A cohort study on neurological outcomes, patient comfort and paramedic perspectives Emergency Medicine Australasia
Exploring paramedics’ lived experiences in confrontation with patients’ death during missions: a phenomenological study BMC Emergency Medicine
The accuracy of predicting hospital admission by emergency medical service and emergency department personnel compared to the prehospital MEWS: a prospective multicenter study BMC Emergency Medicine
General
Australia’s first cardiac emergency department: Patient profile, activity and performance in the initial 6 months Emergency Medicine Australasia
Being a patient in a crowded emergency department: a qualitative service evaluation Emergency Medicine Journal
Development of an Emergency Nurse Internship to Promote a Healthy Work Environment and Improve Nurse Retention Journal of Emergency Nursing
Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study Emergency Medicine Journal
Implementation of Coaching to Address Burnout in Emergency Clinicians Journal of Emergency Nursing
Implementation of major trauma app: usability and data completeness BMC Emergency Medicine
Measurement of Patient-Level Outcomes After Implementation of Trauma-Informed Care Training in the Emergency Department: A Pilot Study Journal of Emergency Nursing
Qualitative study of new doctor induction and socialisation Emergency Medicine Journal
Reduced noise in the emergency department: the impact on staff well-being and room acoustics Emergency Medicine Journal
Tailored leadership training in emergency medicine: qualitative exploration of the impact of the EMLeaders programme on consultants and trainees in England Emergency Medicine Journal
What role does compassion have on quality care ratings? A regression analysis and validation of the SCQ in emergency department patients BMC Emergency Medicine
Paediatrics
A Protocol for Using Point-of-Care Ultrasound as an Adjunct in Pediatric Cardiac Arrest
Pediatric Ultrasound for Life-Supporting Efforts Pediatric Emergency Care
Clinical Characteristics, Outcomes, and Interobserver Agreement of Point-of-Care Ultrasound Detected Mesenteric Adenitis in Nonsurgical Pediatric Abdominal Pain – A Retrospective Cohort Study Pediatric Emergency Care
Creation and Validation of a Novel 3-Dimensional Pediatric Hip Ultrasound Model Pediatric Emergency Care
Exploring communication preferences and risk thresholds of clinicians and parents of febrile infants under 90 days presenting to the emergency department: a qualitative study Emergency Medicine Journal
Fracture pain in children in the emergency department: the impact of a new pain management procedure BMC Emergency Medicine
Impact of a Helmet Distribution Program in the Pediatric Emergency Department Pediatric Emergency Care
Pediatric Patients With Acute Mental Health Needs and Prolonged Emergency Department Stays Pediatric Emergency Care
Point-of-Care Ultrasound Evaluation of Pediatric Osteomyelitis in the Emergency Department A Case Series Pediatric Emergency Care
Preferences for Management of Pediatric Pneumonia – A Clinician Survey of Artificially Generated Patient Cases Pediatric Emergency Care
Adult
BackTrAC: A Digital Care Pathway for People Presenting to Emergency with Lower Back Pain. A Development and Feasibility Study Protocol Journal of Emergency Nursing
Calcium supplementation during trauma resuscitation: a propensity score-matched analysis from the TraumaRegister DGU® Critical Care
Development of Clinically Validated Artificial Intelligence Model for Detecting ST-segment Elevation Myocardial Infarction Annals of Emergency Medicine
Diagnostic performance of coronary calcifications on CT to rule out acute coronary syndrome in the emergency department BMC Emergency Medicine
Epidemiology of maxillofacial trauma in elderly patients receiving oral anticoagulant or antithrombotic medication; a Swiss retrospective study BMC Emergency Medicine
Frailty is associated with 30-day mortality: a multicentre study of Swedish emergency departments Emergency Medicine Journal
Functional somatic symptoms in Emergency Department frequent presenters BMC Emergency Medicine
Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study Emergency Medicine Journal
More than meets the eye: Lid and conjunctival injuries in cases of non-sexual assault are frequently accompanied by non-fatal strangulation Emergency Medicine Australasia
Older adults in major trauma centre psychology provision Trauma
Person-centred decisions in emergency care for older people living with frailty: principles and practice Emergency Medicine Journal
Risk factors for older people re-presenting to the emergency department with falls: A case–control analysis Emergency Medicine Australasia
Service provision for Frailty in European Emergency Departments (FEED): a survey of operational characteristics Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Social determinants and pre-arrest care patterns associated with cardiac arrest and mortality Resuscitation
Temperature Control Parameters Are Important: Earlier Preinduction Is Associated With Improved Outcomes Following Out-of-Hospital Cardiac Arrest Annals of Emergency Medicine
The hidden value of MRI: modifying treatment decisions in C-spine injuries Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Trauma team activation for older patients with pelvic fractures: Are current criteria adequate? Emergency Medicine Australasia
Metadata
Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash