Emergency Evidence Updates – July 2026
Randomised Controlled Trials
A non–inferiority randomized controlled trial comparing nebulized fentanyl and intravenous morphine for acute pain management in the emergency department BMC Emergency Medicine
A Randomized Trial to Increase Outpatient Asthma Referrals Upon Pediatric Emergency Department Discharge Pediatric Emergency Care
Analgesia for Awake Internal Jugular Vein Cannulation in Trauma Emergency Bay: A Randomized Comparison of Ultrasound-Guided Superficial Cervical Plexus Block with Local Infiltration The Journal of Emergency Medicine
Efficacy of a vapocoolant spray in reducing pain during capillary glucose testing: A randomized crossover trial The Journal of Emergency Medicine
The Efficacy of Carotid Massage Versus Ice Bag Maneuver by Trained Nurses for Children With Paroxysmal Supraventricular Tachycardia: A Randomized Controlled Trial Journal of Emergency Nursing
Other Guidance/Reports
Consensus-based definition of paediatric out-of-hospital clinical deterioration: a modified delphi study Emergency Medicine Journal
What Is Old Is New Again: Tips and Tricks for Recognizing and Treating Vaccine-Preventable Diseases of Childhood Presenting to the Emergency Department Emergency Medicine Australasia
Primary Research
Prehospital
Early Successful Prehospital Advanced Airway Management and Outcomes in Pediatric Out-of-Hospital Cardiac Arrests Pediatric Emergency Care
Geographical alignment of prehospital critical care services with population need for out-of-hospital cardiac arrest patients Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Parents’ and children’s experiences of prehospital care after a child’s head injury: a qualitative study Emergency Medicine Journal
Post-resuscitation pre-hospital emergency anaesthesia for exchange of a supraglottic airway device with an endotracheal tube – a multicentre observational study BMC Emergency Medicine
Prehospital physiologic instability and in-hospital mortality among non-trauma patients with low-risk emergency department triage Prehospital Emergency Care
General
Black–white implicit bias among healthcare workers in UK emergency departments: findings from the multicentred BiasED Study Emergency Medicine Journal
Family, Domestic and Sexual Violence Presentations to a Virtual Emergency Department: A Retrospective Cohort Study Emergency Medicine Australasia
Implementing a Phlebotomy Training Program to Decrease Troponin Hemolysis Rates in an Emergency Department Journal of Emergency Nursing
Implementing a Three-Dimensional-Printed Simulation Program to Improve Emergency Nurse Competence in Intraosseous Device Use: A Quality Improvement Initiative Journal of Emergency Nursing
Prediction of bloodstream infection using triage variables in the emergency department: retrospective derivation and validation cohort Emergency Medicine Journal
Paediatrics
Cardiac Dysfunction on Point-of-Care Ultrasound Is Associated With Subsequent Use of Vasoactive Medication in Children With Suspected Systemic Infection Pediatric Emergency Care
Caregiver and Care Recipient Perspectives on Paediatric ED Mental Health Presentations: A Qualitative Study Emergency Medicine Australasia
Child Opportunity Index and Suicide Risk Screening Positivity in Pediatric Emergency and Urgent Care Patients Presenting Without Behavioral Health Complaints Pediatric Emergency Care
Diagnostic accuracy study assessing the ability of paediatric asthma scores to predict admission following initial emergency department bronchodilator therapy: a Clinical Asthma Scoring systems in Paediatric Emergency (CASPER) study Archives of Disease in Childhood
Early high-flow nasal oxygen therapy in paediatric acute hypoxaemic respiratory failure: a cost analysis following a randomised controlled trial Archives of Disease in Childhood
Initial Laryngoscope Blade Selection and Outcomes in Paediatric Emergency Department Intubations: Miller vs. Macintosh Emergency Medicine Australasia
“It’s Just So Important to Make Them Feel Seen”: Teen and Caregiver Perspectives of Lethal Means Safety Planning for the Emergency Department Annals of Emergency Medicine
Performance and Yield of Retinal Examinations in Cases of Suspected Physical Abuse Without Intracranial Injury Pediatric Emergency Care
Point-of-Care Ultrasound-Guided Hydrostatic Reduction of Ileocolic Intussusception in the Pediatric Emergency Department Annals of Emergency Medicine
Real-Time Ultrasound Guided Paramedian Lumbar Puncture in the Pediatric Emergency Department Pediatric Emergency Care
Reducing Unnecessary Bronchoscopies Pediatric Emergency Care
The Effect of Pediatric Assessment Triangle and Pediatric Early Warning Score Triage on Success in Patient Assessment in Pediatric Emergency Department Journal of Emergency Nursing
Using Quality Improvement Methodology to Inform Safe Implementation of Propofol Procedural Sedation in a Pediatric Emergency Department Pediatric Emergency Care
Adult
Association Between Time Spent in the Emergency Department and 30-Day Mortality: A Population-Level Observational Study in England Annals of Emergency Medicine
Complications of Midazolam in the Management of Agitated Patients in the Emergency Department: a Dutch Observational Study The Journal of Emergency Medicine
Early decision effect of withholding and/or withdrawing life-sustaining treatment on emergency department patients’ short- and long-term outcomes: a retrospective analysis BMC Emergency Medicine
Ejection fraction and absolute delta troponin in the early emergency department assessment of high coronary disease burden in NSTEMI patients: a retrospective observational study BMC Emergency Medicine
Feasibility of administering the Patient-Reported Outcome Measure for Older People living with frailty receiving Acute Care (PROM-OPAC) in older people with cognitive impairment Emergency Medicine Journal
Incidence and Outcomes of Emergency Physician-Performed Awake Intubations: A Report From the Airway Interventions Registry and Observational Database Annals of Emergency Medicine
Intracranial lesion yield and downstream management after mild traumatic brain injury in emergency department patients receiving antiplatelet therapy: a two-center retrospective cohort study BMC Emergency Medicine
Performance of the SVEAT (Symptoms, Vascular Disease History, Electrocardiography, Age, and Troponin) score for predicting 90-day major adverse cardiac events in patients with acute chest pain BMC Emergency Medicine
Phenobarbital versus Diazepam Based Strategies for Treating Severe Alcohol Withdrawal Syndrome in the Emergency Department The Journal of Emergency Medicine
Predictive Value of the HAT Score for tPA-Related Intracranial Hemorrhage: Emergency Department Cohort Study The Journal of Emergency Medicine
PREGO Protocol: Point-of-Care Ultrasound for Evaluating Third-Trimester Pregnancies in the Emergency Department The Journal of Emergency Medicine
Risk factors and total sodium dose associated with hyponatremia overcorrection: A retrospective cohort study The Journal of Emergency Medicine
The Impact of Emergency Department Initiated Palliative Care for Heart Failure Patients The Journal of Emergency Medicine
The Safety of Single Aminoglycoside Dose in Emergency Departments (SAD-ED) Among Patients With and Without Chronic Kidney Disease: A Retrospective Cohort Study Emergency Medicine Australasia
Trauma visits relating to Ebikes and Non-Ebikes at a London University Hospital Emergency Department between 2022 and 2025 – a Retrospective Cohort Study The Journal of Emergency Medicine
Use of [TIMP-2] • [IGFBP7] to identify sepsis-related acute kidney injury in the emergency department Annals of Intensive Care
Validation of the BREST score for diagnosing acute heart failure in emergency department patients with dyspnea: added value of NT-proBNP and biomarkers BMC Emergency Medicine
Metadata
Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash
