Emergency Evidence Updates – June 2023

Randomised Controlled Trials

Multiple Electrolytes Solution Versus Saline as Bolus Fluid for Resuscitation in Pediatric Septic Shock: A Multicenter Randomized Clinical Trial  Critical Care Medicine

Prehospital Tranexamic Acid for Severe Trauma  NEJM

Telemedical support for prehospital emergency medical service in severe emergencies: an open-label randomised non-inferiority clinical trial  Critical Care

The Effect of Ketamine versus Etomidate for Rapid Sequence Intubation on Maximum SOFA Score: A Randomized Clinical Trial  The Journal of Emergency Medicine

Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures  NEJM

NICE

Atopic eczema in under 12s: diagnosis and management CG57

COVID-19 rapid guideline: managing COVID-19 NG191

Other Guidance/Reports

Cannabinoid Hyperemesis Syndrome (June 2023) RCEM

Health Literacy and Systemic Racism—Using Clear Communication to Reduce Health Care Inequities  JAMA Internal Medicine

PIER guidelines

• ​Maintenance and Reliever Therapy (MART) for Chronic Asthma in Young People >12 years of age

• Brief Resolved Unexplained Event (BRUE)

• ​Fever in babies less than 90 days old (The Hot Baby Pathway)

• Hyperleucocytosis Flow Chart(Updated)

Cochrane

Non‐pharmacological management of infant and young child procedural pain

Opioids for procedural pain in neonates

Primary Research

Prehospital

A pilot, prospective trial of IntuBrite® versus Macintosh direct laryngoscopy for paramedic endotracheal intubation in out of hospital cardiac arrest  BMC Emergency Medicine

CARDIAC RHYTHM CHANGES DURING TRANSFER FROM THE EMERGENCY MEDICAL SERVICE TO THE EMERGENCY DEPARTMENT: A RETROSPECTIVE TERTIARY SINGLE-CENTER ANALYSIS ON PREVALENCE AND OUTCOMES  The Journal of Emergency Medicine

Comparison of first-pass intubation success rates between two different videolaryngoscopes in an Australian prehospital and retrieval medicine service  Emergency Medicine Australasia

Decision-making on the fly: a qualitative study of physicians in out-of-hospital emergency medical services  BMC Emergency Medicine

Diagnostic Accuracy of Clinical Pathways for Suspected Acute Myocardial Infarction in the Out-of-Hospital Environment  Annals of Emergency Medicine

 

General 

A novel simulation model significantly improves confidence in canthotomy and cantholysis amongst ophthalmology and emergency medicine trainees  The Journal of Emergency Medicine

An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments  Annals of Emergency Medicine

Assessment of Emergency Department Health Care Providers’ Readiness for Managing Intimate Partner Violence and Correlation With Perceived Cultural Competence  Journal of Emergency Nursing

Effect of removing the 4-hour access standard in the ED: a retrospective observational study  Emergency Medicine Journal

Emergency department-based injury surveillance information system: a conceptual model  BMC Emergency Medicine

EVALUATION AND OPTIMIZATION OF THE WALLACE RULE OF NINES FOR THE ESTIMATION OF TOTAL BODY SURFACE AREA IN OBESE AND NONOBESE POPULATIONS  The Journal of Emergency Medicine

Evaluating the use of the ABCD2 score as a clinical decision aid in the emergency department: Retrospective observational study  Emergency Medicine Australasia

Femoral blood gas analysis, another tool to assess hemorrhage severity following trauma: an exploratory prospective study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Heart rate responses in critical care trainees during airway intubation: a comparison between the simulated and clinical environments  BMC Emergency Medicine

Help! Caring for People With Mental Health Problems in the Emergency Department: A Qualitative Study  Journal of Emergency Nursing

Hemolyzed Laboratory Specimens in the Emergency Department: An Underappreciated, but Frequent Problem  Journal of Emergency Nursing

Identifying individuals satisfying the termination of resuscitation rule but having potential to achieve favourable neurological outcome following out-of-hospital cardiac arrest  Resuscitation

Kidneys recovered from brain dead cardiac arrest patients resuscitated with ECPR show similar one-year graft survival compared to other donors  Resuscitation

Predicting ICU admission and death in the Emergency Department: A comparison of six early warning scores  Resuscitation

Relax into the tension: Paradoxes experienced by emerging leaders in emergency medicine  Emergency Medicine Australasia

STRUCTURED CARDIAC ASSESSMENT OUTPERFORMS VISUAL ESTIMATION IN NOVICE ULTRASOUND USERS: A RANDOMIZED CONTROLLED TRIAL  The Journal of Emergency Medicine

Utilizing Clinical Microsystems to Improve Mislabeled Specimen Occurrences in the Emergency Department  Journal of Emergency Nursing

 

Paediatrics

Acute and Critical Pathology Diagnosed by Timely Point-of-Care Ultrasound Review at a Tertiary Children’s Hospital  Pediatric Emergency Care

Acute Severe Behavioral Disturbance Requiring Parenteral Sedation in Pediatric Mental Health Presentations to Emergency Medical Services: A Retrospective Chart Review  Annals of Emergency Medicine

Children presenting with diabetes and diabetic ketoacidosis to Emergency Departments during the COVID-19 pandemic in the UK and Ireland: an international retrospective observational study  Archives of Disease in Childhood

Feasibility of a Video Otoscope for Diagnosis of Otologic Pathology in the Pediatric Emergency Department  Pediatric Emergency Care

Feasibility of using a community pharmacist within a Children’s Emergency Department  Emergency Medicine Journal

High-risk criteria for the physiologically difficult paediatric airway: A multicenter, observational study to generate validity evidence  Resuscitation

Iatrogenic Flexion-Related Classic Metaphyseal Lesion of the Distal Tibia: 3 Cases  The Journal of Emergency Medicine

Incidence of infant Gram-negative invasive bacterial infections in England, 2011–2019: an observational study using population-wide surveillance data  Archives of Disease in Childhood

Interpretation of Cardiac Standstill in Children Using Point-of-Care Ultrasound  Annals of Emergency Medicine

Intracranial Intraosseous Catheter Placement to Temporize an Epidural Hematoma  Annals of Emergency Medicine

Is Being Overweight a Risk Factor for Torsion of the Appendix Testis in Children? – A Paired Case-Control Study  Pediatric Emergency Care

Recommendations for endotracheal tube insertion depths in children   Emergency Medicine Journal

Regional Anesthesia as an Alternative to Procedural Sedation for Forearm Fracture Reductions in the Pediatric Emergency Department  Pediatric Emergency Care

Risk of Injury-Related Readmission Varies by Initial Presenting-Hospital Type Among Children at High Risk for Physical Abuse  Pediatric Emergency Care

Sedative Dose for Rapid Sequence Intubation and Postintubation Hypotension: Is There an Association?  Annals of Emergency Medicine

 

Adults

Age, sex, and survival following ventricular fibrillation cardiac arrest: A mechanistic evaluation of the ECG waveform  Resuscitation

An UNUSUAL CAUSE OF FEVER, NECK PAIN, AND NECK STIFFNESS: ACUTE CALCIFIC TENDINITIS OF THE LONGUS COLLI MUSCLE  The Journal of Emergency Medicine

Associations between clinical characteristics of cardiac arrest and early CT head findings of hypoxic ischaemic brain injury following out-of-hospital cardiac arrest  Resuscitation

Characteristics of Patients Restrained in the Emergency Department and Evaluation for Disparities in Care The Journal of Emergency Medicine

Comparison of outcomes of internal fixation and non-operative management of 2-part and 3-part proximal humerus fractures in younger adults  Trauma

Definitive management of near-hanging at major versus non-major trauma centres  Emergency Medicine Australasia

EFFICACY OF SUPPLEMENTAL OXYGEN DURING PROCEDURAL SEDATION AND ANALGESIA IN ELDERLY PATIENTS IN THE EMERGENCY DEPARTMENT  The Journal of Emergency Medicine

First-time Seizure Patients Have High Rate of Abnormalities on Emergency Department Performed Brain Computed Tomography: A Prospective Study  The Journal of Emergency Medicine

HEART Score Recalibration Using Higher Sensitivity Troponin T  Annals of Emergency Medicine

Large-bore versus small-bore chest drains in traumatic haemopneumothorax: an international survey of current practice  Emergency Medicine Journal

LOW-VOLUME TARGETED INTERSCALENE BRACHIAL PLEXUS BLOCK IN THE EMERGENCY DEPARTMENT AS A SAFER ALTERNATIVE FOR PAIN CONTROL FOR GLENOHUMERAL REDUCTION: A CASE SERIES  The Journal of Emergency Medicine

Pathology testing in non-trauma patients presenting to the emergency department with recurrent seizures  Emergency Medicine Australasia

Posterior Tibial Nerve Block for the Treatment of Plantar Fasciitis in the Emergency Department  The Journal of Emergency Medicine

Subcutaneous Insulin Versus Traditional Intravenous Insulin Infusion in Treatment of Mild to Moderate Diabetic Ketoacidosis  The Journal of Emergency Medicine

Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults  NEJM

Metadata

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