Emergency Evidence Updates – November 2023

Randomised Controlled Trials

A simulation-based randomized trial of ABCDE style cognitive aid for emergency medical services CHecklist In Prehospital Settings: the CHIPS-study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Cost-effectiveness of modified diagnostic strategy to safely rule-out pulmonary embolism in the emergency department: a non-inferiority cluster crossover randomized trial (MODIGLIA-NI)   BMC Emergency Medicine

Randomised controlled trial of analgesia for the management of acute severe pain from traumatic injury: study protocol for the paramedic analgesia comparing ketamine and morphine in trauma (PACKMaN)   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Diagnostic Accuracy of Point-of-Care Ultrasound Versus Radiographic Imaging for Pediatric Distal Forearm Fractures: A Randomized Controlled Trial   Annals of Emergency Medicine

Atomized Intranasal Ketorolac Versus Intravenous Ketorolac for the Treatment of Severe Renal Colic in the Emergency Department: A Double-Blind, Randomized Controlled Trial   Annals of Emergency Medicine

Balanced crystalloids (RInger’s lactate) versus normal Saline in adults with diabetic Ketoacidosis in the Emergency Department (BRISK-ED): a pilot randomised controlled trial  Emergency Medicine Journal

Effects of Intravenous Lipid Emulsion Administration in Acute Tramadol Poisoning: A Randomized Controlled Trial   The Journal of Emergency Medicine

High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial   Emergency Medicine Journal

Is there an optimal place for holding the tracheal tube during intubation? A proof-of-concept randomised clinical trial  Emergency Medicine Journal

NICE

Suspected acute respiratory infection in over 16s: assessment at first presentation and initial management NG237

Transient loss of consciousness (‘blackouts’) in over 16s CG109

Other Guidance/Reports

Practical psychosocial care for providers of pre-hospital care: a summary of the report ‘valuing staff, valuing patients’  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Primary Research

Prehospital

Description of the prehospital emergency healthcare system in Norway  Resuscitation Plus

Evaluation of a newly developed first aid training programme adapted for older people   BMC Emergency Medicine

How could online NHS 111 reduce demand for the telephone NHS 111 service? Qualitative study of user and staff views  Emergency Medicine Journal

Patient-reported side effects and satisfaction of pre-hospital analgesia with low-dose esketamine: a cross-sectional study   BMC Emergency Medicine

Prehospital identification of acute ischaemic stroke with large vessel occlusion: a retrospective study from western Norway   Emergency Medicine Journal

Professional prehospital clinicians’ experiences of ethical challenges associated with the collaboration with organised voluntary first responders: a qualitative study   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

 

General

A 10-year review of pain management practices for rib fractures at a lead trauma hospital: Are we adopting all multimodal pain management strategies?  Trauma

A Cross-Sectional Comparative Study of Nurses’ and Family Members’ Perceptions on Priority and Satisfaction in Meeting the Needs of Family Members at the Emergency Department  Journal of Emergency Nursing

Are emergency departments leader identity workspaces? A qualitative study of emergency physicians   Emergency Medicine Australasia

Design and implementation of the hospital airway resuscitation trial   Resuscitation Plus

Do Experienced Nurses Benefit From Training on Bleeding Control in the Community Setting?   Journal of Emergency Nursing

Evaluating the use of clinical decision aids in an Australian emergency department: A cross-sectional survey   Emergency Medicine Australasia

Evaluation of parameters used in echocardiography and ultrasound protocol for the diagnosis of shock etiology in emergency setting   BMC Emergency Medicine

Experiences of Australian emergency doctors and nurses using advance care directives in the provision of care at the end of life   Emergency Medicine Australasia

From tradition to innovation: a comparison of the traditional 4-step approach versus a blended learning modification for technical skills teaching   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Implementation of a Heparin Infusion Calculator in the Electronic Health Record System as a Risk-Mitigation Strategy in a Community Teaching Hospital Emergency Department   Journal of Emergency Nursing

Implementing a virtual emergency department to avoid unnecessary emergency department presentations   Emergency Medicine Australasia

Is dispatcher-assisted cardiopulmonary resuscitation affected by a bystander’s emotional stress state in out-of-hospital cardiac arrest?   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Testing Interventions to Address Bias About Patients with Opioid Use Disorder in the Emergency Department   Journal of Emergency Nursing

Thematic analysis of ‘Prevention of Future Deaths’ reports related to emergency departments in England and Wales 2013–2022   Emergency Medicine Journal

Triage Accuracy of Emergency Nurses: An Evidence-Based Review   Journal of Emergency Nursing

 

Paediatrics

Bedside Leukocyte Esterase Testing to Aid in Diagnosing Bacterial Conjunctivitis in Children  The Journal of Emergency Medicine

Caregiver knowledge and attitudes relating to paediatric pneumonia and antimicrobial stewardship: a qualitative study   Archives of Disease in Childhood

Early Versus Late Advanced Airway Management for Pediatric Patients With Out-of-Hospital Cardiac Arrest   Annals of Emergency Medicine

Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation   Archives of Disease in Childhood

Increasing the use of anxiolysis and analgesia for paediatric procedures in a community emergency department network: a quality improvement initiative   Emergency Medicine Journal

Intact peritoneum in a child with ileal perforation from a firearm injury   Trauma

Long-term outcomes of an educational paediatric antimicrobial stewardship programme: a quality improvement study   Archives of Disease in Childhood

National Survey on the Emergency Department Management of Febrile Infants 29 to 60 Days Old With an Abnormal Urinalysis   Pediatric Emergency Care

Parents’ understanding of medication at discharge and potential harm in children with medical complexity   Archives of Disease in Childhood

Patient and process factors associated with opportunities for improvement in trauma care: a registry-based study   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Smartphone use for Paediatric Calculations in Emergencies (SPaCE)   Archives of Disease in Childhood

 

Adults

A clinical decision rule to rule out bloodstream infection in the emergency department: retrospective multicentric observational cohort study  Emergency Medicine Journal

Accuracy and feasibility of three-dimensional ultrasound testing in eye clinic and emergency department patients with vision complaints  The Journal of Emergency Medicine

Agreement of pCO2 in venous to arterial blood gas conversion models in undifferentiated emergency patients   Intensive Care Medicine Experimental

Association between obesity and neurological outcomes among out-of-hospital cardiac arrest patients: The SOS-KANTO 2017 study  Resuscitation Plus

Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome   Emergency Medicine Journal

Derivation of a clinical decision rule to exclude cerebral venous sinus thrombosis in emergency department patients: A retrospective cohort study  Emergency Medicine Australasia

Does the choice of induction agent in rapid sequence intubation in the emergency department influence the incidence of post-induction hypotension?   Emergency Medicine Australasia

End-of-life care: A retrospective cohort study of older people who died within 48 hours of presentation to the emergency department   Emergency Medicine Australasia

Impact of the MEESSI-AHF tool to guide disposition decision-making in patients with acute heart failure in the emergency department: a before-and-after study  Emergency Medicine Journal

Invasive Fungus Balls Diagnosed by Point-of-Care Ultrasound in the Emergency Department  The Journal of Emergency Medicine

Measuring health-related quality of life of older people with frailty receiving acute care: feasibility and psychometric performance of the EuroQol EQ-5D   BMC Emergency Medicine

Most patients with an increased risk for sepsis-related morbidity or death do not recognize sepsis as a medical emergency: results of a survey study using case vignettes   Critical Care

Psychoactive substances and previous hospital admissions, triage and length of stay in rural injuries: a prospective observational study   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia  NEJM

The association of tibial vs. humeral intraosseous vascular access with patient outcomes in adult out-of-hospital cardiac arrests  Resuscitation

The implication of a translational triage tool in mass casualty incidents: part three: a multinational study, using validated patient cards   Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The significance of nonurgent psychiatric emergencies in an ED: a retrospective study  BMC Emergency Medicine

Metadata

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