Emergency Evidence Updates – November 2022
Randomised Controlled Trials
A Randomized Trial of Incentivization to Maximize Retention for Real-Time Symptom and Activity Monitoring Using Ecological Momentary Assessment in Pediatric Concussion – Pediatric Emergency Care
Electronic Screening for Adolescent Risk Behaviors in the Emergency Department: A Randomized Controlled Trial. – The Western Journal of Emergency Medicine
The Effect of Virtual Reality and Buzzy on First Insertion Success, Procedure-Related Fear, Anxiety, and Pain in Children during Intravenous Insertion in the Pediatric Emergency Unit: A Randomized Controlled Trial – Journal of Emergency Nursing
NICE
Fractures (complex): assessment and management NG37
Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management NG228
Other Guidance/Reports
Children’s Mental Health Risk Pathway Assessment Document – RCEM
Guideline for the use of Anticonvulsant Medications when the Oral Route is Unavailable – PIER
National QIP User Guide 2022/23 – RCEM
Suspected Cannabinoid Hyperemesis Syndrome – RCEM
Cochrane
Primary Research
Prehospital
An epidemiological assessment of choking-induced out-of-hospital cardiac arrest: A post hoc analysis of the SOS-KANTO 2012 study – Resuscitation
Association between variables measured in the ambulance and in-hospital mortality among adult patients with and without infection: a prospective cohort study – BMC Emergency Medicine
Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study – BMC Emergency Medicine
Intubation first-pass success in a high performing pre-hospital critical care system is not associated with 30-day mortality: a registry study of 4496 intubation attempts – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Optimising ambulance conveyance rates and staff costs by adjusting proportions of rapid-response vehicles and dual-crewed ambulances: an economic decision analytical modelling study – Emergency Medicine Journal
Perceived human factors from the perspective of paramedics – a qualitative interview study – BMC Emergency Medicine
Sodium bicarbonate administration is associated with improved survival in asystolic and PEA Out-of-Hospital cardiac arrest – Resuscitation
The association of duration of resuscitation and long-term survival and functional outcomes after out-of-hospital cardiac arrest – Resuscitation
Workplace
Economic evaluation of applying the Canadian Syncope Risk Score in an Australian emergency department – Emergency Medicine Australasia
Increasing Solid Organ Donation: A Role for Emergency Physicians – The Journal of Emergency Medicine
New bed configurations and discharge timing policies: A hospital-wide simulation – Emergency Medicine Australasia
SLICE: An algorithm for incorporating ultrasonography in the assessment of shocked or breathless patients – Emergency Medicine Australasia
The impact of COVID-19 on an Irish Emergency Department (ED): a cross-sectional study exploring the factors influencing ED utilisation prior to and during the pandemic from the patient perspective – BMC Emergency Medicine
Paediatric
A Pediatric Cervical Spine Clearance Guideline Leads to Fewer Unnecessary Computed Tomography Scans and Decreased Radiation Exposure – Pediatric Emergency Care
Acute Myocardial Infarction in a 13-Year-Old Boy after Bone Marrow Transplantation – The Journal of Emergency Medicine
Creating a Rapid Assessment Zone with Limited Emergency Department Capacity Decreases Patients Leaving Without Being Seen: A Quality Improvement Initiative – Journal of Emergency Nursing
Diastolic Blood Pressure Threshold During Pediatric Cardiopulmonary Resuscitation and Survival Outcomes: A Multicenter Validation Study – Critical Care Medicine
Effectiveness of Procedural Sedation and Analgesia in Pediatric Emergencies. A Cross-Sectional Study – Journal of Emergency Nursing
Empirically Derived Age-Based Vital Signs for Children in the Out-of-Hospital Setting – Annals of Emergency Medicine
Incidence of traumatic brain injuries in head-injured children with seizures – Emergency Medicine Australasia
International practice patterns of IV magnesium in paediatric acute asthma – Emergency Medicine Journal
Limbic pathway vulnerability associates with neurologic outcome in children after cardiac arrest – Resuscitation
Management of paediatric acute severe behavioural disturbance in emergency departments across Australia: A PREDICT survey of senior medical staff – Emergency Medicine Australasia
Mid-Arm Point in PAEDiatrics (MAPPAED): An effective procedural aid for safe pleural decompression in trauma – Emergency Medicine Australasia
MRI findings on a paediatric complicated migraine: left hemispheric hypoperfusion and deoxygenation – Archives of Disease in Childhood
Nighttime Sedations in the Pediatric Emergency Department – A Single-Center Experience – Pediatric Emergency Care
Paediatric acute non-traumatic limp presenting to the emergency department: a retrospective observational study – Emergency Medicine Journal
Pediatric out-of-hospital cardiac arrest in Denmark – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Perspective of Emergency Pediatric Nurses Triaging Pediatric Patients in the Emergency Department: A Phenomenographic Study – Journal of Emergency Nursing
Pharmacogenomic Profiling of Pediatric Patients on Psychotropic Medications in an Emergency Department – Pediatric Emergency Care
Temperature threshold in the screening of bacterial infections in young infants with hypothermia – Emergency Medicine Journal
Utilising in situ simulation within translational simulation programmes to evaluate and improve multidisciplinary response to anaphylaxis in the paediatric emergency department – Emergency Medicine Australasia
When Stridor is Not Croup: A Case Report – The Journal of Emergency Medicine
Adult
Benign EEG for prognostication of favorable outcome after cardiac arrest: A reappraisal – Resuscitation
Comparison of YEARS and Adjust-Unlikely D-dimer Testing for Pulmonary Embolism in the Emergency Department – Annals of Emergency Medicine
Derivation and Validation of a Brief Emergency Department-Based Prediction Tool for Posttraumatic Stress After Motor Vehicle Collision – Annals of Emergency Medicine
Diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the emergency department who meet NICE Head Injury Guideline criteria for CT-head scan – Emergency Medicine Journal
DOsing Strategy Effectiveness of Diltiazem in Atrial Fibrillation With Rapid Ventricular Response – Annals of Emergency Medicine
Effect of Different Early Oxygenation Levels on Clinical Outcomes of Patients Presenting in the Emergency Department With Severe Traumatic Brain Injury – Annals of Emergency Medicine
Effectiveness of protocolized management for patients sustaining maxillofacial fracture with massive oronasal bleeding: a single-center experience – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
EVESTA: Emergency VESTibular Algorithm and its impact on the acute management of benign paroxysmal positional vertigo – Emergency Medicine Australasia
Findings on Repeat Posttraumatic Brain Computed Tomography Scans in Older Patients With Minimal Head Trauma and the Impact of Existing Antithrombotic Use – Annals of Emergency Medicine
Outcomes associated with intra-arrest hyperoxaemia in out-of-hospital cardiac arrest: A registry-based cohort study – Resuscitation
Patient and hospital characteristics predict prolonged emergency department length of stay and in-hospital mortality: a nationwide analysis in Korea – BMC Emergency Medicine
Point-of-Care Ultrasound in the Diagnosis of Venous Thoracic Outlet Syndrome – The Journal of Emergency Medicine
Point-of-Care Ultrasound Diagnosis of Ventricular Septal Rupture Post Myocardial Infarction: A Case Report – The Journal of Emergency Medicine
Predicting hypoglycemia after treatment of hyperkalemia with insulin and glucose (Glu-K60 score) – BMC Emergency Medicine
Sex differences among patients presenting to hospital with out-of-hospital cardiac arrest and shockable rhythm – Emergency Medicine Australasia
Successful Treatment of Amoxapine-Induced Intractable Seizures With Intravenous Lipid Emulsion – The Journal of Emergency Medicine
Synchronized Cardioversion Performed During Cold Water Immersion of a Heatstroke Patient – Annals of Emergency Medicine
The application of an age adjusted D-dimer threshold to rule out suspected venous thromboembolism (VTE) in an emergency department setting: a retrospective diagnostic cohort study – BMC Emergency Medicine
Thromboprophylaxis in ambulatory emergency department patients managed with lower limb immobilisation after injury: a national survey – Emergency Medicine Journal
Time in therapeutic range for targeted temperature management and outcomes following out-of-hospital cardiac arrest – Resuscitation
Use of the National Early Warning Score for predicting deterioration of patients with acute pulmonary embolism: a post-hoc analysis of the YEARS Study – Emergency Medicine Journal
Metadata
Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash
