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

Inflammatory response after prehospital high-dose glucocorticoid to patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial  Resuscitation

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

Cardiac arrest and cardiopulmonary resuscitation outcome reports: 2024 update of the Utstein Out-of-Hospital Cardiac Arrest Registry template  Resuscitation

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

Haloperidol (oral) versus olanzapine (oral) for people with schizophrenia and schizophrenia‐spectrum disorders

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

Artificial intelligence-based evaluation of carotid artery compressibility via point-of-care ultrasound in determining the return of spontaneous circulation during cardiopulmonary resuscitation  Resuscitation

Association between whole blood ratio and risk of mortality in massively transfused trauma patients: retrospective cohort study  Critical Care

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

Delayed presentation of traumatic diaphragmatic injury and a spleno-pulmonary fistula with haemoptysis as only sign: A case report  Trauma

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

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.