Emergency Evidence Updates – May 2023

Randomised Controlled Trials

Efficacy of Buzzy Device Versus EMLA Cream for Reducing Pain During Needle-Related Procedures in Children: A Randomized Controlled Trial  Pediatric Emergency Care

Impact of COVID-19-adapted guidelines using different airway management strategies on resuscitation quality in out-of-hospital-cardiac-arrest – a randomised manikin study  BMC Emergency Medicine

NICE

Diabetes (type 1 and type 2) in children and young people: diagnosis and management NG18

Head injury QS74

Head injury: assessment and early management NG232

Point-of-care tests for urinary tract infections to improve antimicrobial prescribing: early value assessment HTE7

Other Guidance/Reports

Helmet Continuous Positive Airway Pressure in the Emergency Department: A Practical Guide  Journal of Emergency Nursing

Royal College of Emergency Medicine:

• Position Statement – Emergency CT Scans Requiring IV Iodinated Contrast Agent (May 2023)
• Position Statement – Use of the SNAP Regimen for the Treatment of Paracetamol Toxicity in adults and children (May 2023)
• Position Statement – Recommendations for Patients Presenting to the Emergency Department with Seizures (May 2023)
• Toolkit – Improving Hip Fracture Care & Treatment (May 2023)
• Toolkit – Treatment Tool for Hip Fracture Care (May 2023)
• Guideline – Management of Adolescent/Young Adult Patients in the Emergency Department (May 2023)

Cochrane

Family presence during resuscitation

Risk of thromboembolism in patients with COVID‐19 who are using hormonal contraception

Primary Research

Prehospital

The Value of Outcome Letters for Prehospital Pediatric Care  Pediatric Emergency Care

Use of ketamine wafer for pain management by volunteer emergency medical technicians in rural Western Australia  Emergency Medicine Australasia

What is the potential benefit of pre-hospital extracorporeal cardiopulmonary resuscitation for patients with an out-of-hospital cardiac arrest? A predictive modelling study  Resuscitation

 

Professional/Workplace

Effect of emergency physician-operated emergency short-stay ward on emergency department stay length and clinical outcomes: a case-control study  BMC Emergency Medicine

Evaluation of microMend wound closure device in repairing skin lacerations  Emergency Medicine Journal

Implementation of an integrated emergency department acute atrial fibrillation pathway safely reduces cardioversions and hospitalisations: A comparative pre–post study  Emergency Medicine Australasia

“You may think that the consultants are great, and they know everything, but they don’t”: exploring how new emergency medicine consultants experience uncertainty  Emergency Medicine Journal

 

Paediatrics

A Simulation Study to Assess Pediatric Emergency Physician Success in Critical Procedures With an Air Purifying Respirator  Pediatric Emergency Care

A Summer of Fevers and Fussiness – Eighteen Infants Admitted With Parechovirus Meningitis  Pediatric Emergency Care

A Temperature- and Age-Adjusted Shock Index for Emergency Department Identification of Pediatric Sepsis  Annals of Emergency Medicine

Atypical Presentation Delays Treatment of Pediatric Testicular Torsion  Pediatric Emergency Care

Bronchodilator response by interrupter technique to guide management of preschool wheeze  Archives of Disease in Childhood

Childhood/adolescent Sydenham’s chorea in the UK and Ireland: a BPSU/CAPSS surveillance study  Archives of Disease in Childhood

Communication Strategies to Improve Antibiotic Prescribing in Pediatric Urgent Care Centers  Pediatric Emergency Care

Development and Internal Validation of a Multivariable Prediction Model to Predict Repeat Attendances in the Pediatric Emergency Department – A Retrospective Cohort Study  Pediatric Emergency Care

High-Risk Markers and Infection Rates in Febrile Infants Aged 29 to 60 Days Presenting to an Emergency Department During the COVID-19 Pandemic  Pediatric Emergency Care

Hypothermia after extracorporeal cardiopulmonary resuscitation not associated with improved neurologic complications or survival in children: An analysis of the ELSO registry  Resuscitation

Nucleated Red Blood Cells Are Predictive of In-Hospital Mortality for Pediatric Patients  Pediatric Emergency Care

Social Determinants of Health Are Associated With Visits for Ambulatory Care Sensitive Conditions  Pediatric Emergency Care

Ten-Year Analysis of Complications Related to Simple Basilar Skull Fractures in Children Presenting to a Trauma Center  Pediatric Emergency Care

Validity of the Adrogué-Madias Formula for the Management of Acute Dysnatremias in Critically Ill Children – A Prospective Multicenter Analysis  Pediatric Emergency Care

 

Adults

Multiple trauma in pregnant women: injury assessment, fetal radiation exposure and mortality. A multicentre observational study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Resuscitation preferences of older acutely admitted medical and mentally competent patients with one and six months follow-up  Resuscitation

Resuscitative transesophageal echocardiography in the emergency department: a single-centre case series  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Tenecteplase Versus Alteplase for Acute Stroke: Mortality and Bleeding Complications  Annals of Emergency Medicine

The Rapid Arterial oCclusion Evaluation (RACE) scale accuracy for diagnosis of acute ischemic stroke in emergency department – A multicenter study  BMC Emergency Medicine

Metadata

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