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


Fractures (complex): assessment and management NG37

Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management NG228

Other Guidance/Reports

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces  – Resuscitation

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


Systemic corticosteroids for the treatment of COVID‐19: Equity‐related analyses and update on evidence

Primary Research


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



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



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



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

External validation of the TiPS65 score for predicting good neurological outcomes in patients with out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation  – Resuscitation

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


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

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