Emergency Evidence Updates – November 2024
Randomised Controlled Trials
A randomized clinical trial of intranasal dexmedetomidine versus inhaled nitrous oxide for procedural sedation and analgesia in children Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Olanzapine vs Haloperidol for Management of Acute Agitation in Emergency Department: An Open Label Randomised Controlled Trial The Journal of Emergency Medicine
NICE
Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN) NG245
Asthma pathway (BTS, NICE, SIGN) NG244
Other Guidance/Reports
Clinical Policy: Use of Thrombolytics for the Management of Acute Ischemic Stroke in the Emergency Department Annals of Emergency Medicine
Primary Research
Prehospital
Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children BMC Emergency Medicine
Cricothyroidotomy in out-of-hospital cardiac arrest: An observational study Resuscitation Plus
Prehospital endotracheal intubation for traumatic out-of-hospital cardiac arrest and improved neurological outcomes Emergency Medicine Journal
Prehospital Restraint Use in Pediatric Patients With Mental and Behavioral Health Emergencies Pediatric Emergency Care
Relatives’ experiences of unsuccessful out-of-hospital cardiopulmonary resuscitation attempts: a qualitative analysis BMC Emergency Medicine
The diagnostic utility of prehospital hyperglycaemia in major trauma patients: An observational study Emergency Medicine Australasia
General
Association Between Physician Age and Imaging Utilization in Emergency Department Abdominal Pain Evaluation The Journal of Emergency Medicine
Determining Correlations Between Emergency Department Health Care Workers and their Associated Burnout and Post-Traumatic Stress Disorder Scores: A Pilot Study Journal of Emergency Nursing
Development and Evaluation of a Novel Resuscitation Teamwork Model for Out-of-Hospital Cardiac Arrest in the Emergency Department Annals of Emergency Medicine
Effects of a Virtual Trauma Clinic on admissions and length of stay for minor to moderate trauma Emergency Medicine Australasia
Enhancing Emergency Department Triage Equity With Artificial Intelligence: Outcomes From a Multisite Implementation Annals of Emergency Medicine
Feasibility of real-time compression frequency and compression depth assessment in CPR using a “machine-learning” artificial intelligence tool Resuscitation Plus
Innovations in Emergency Nursing: Adapting Patient Flow Management to Emergency Department Overcrowding Journal of Emergency Nursing
Is emergency doctors’ tolerance of clinical uncertainty on a novel measure associated with doctor well-being, healthcare resource use and patient outcomes? Emergency Medicine Journal
Job-Related Factors Associated with Burnout and Work Engagement in Emergency Nurses: Evidence to Inform Systems-Focused Interventions Journal of Emergency Nursing
Psychological Well-Being Among Nursing Staff in an Emergency Department: A Mixed-Methods Study Journal of Emergency Nursing
Simulation-Based Resuscitative Transesophageal Echocardiography Training for Emergency Medicine Residents The Journal of Emergency Medicine
Simulation-Based Training in Clinical Event Debriefing Improves Leadership Performance Pediatric Emergency Care
Skeletal radiograph interpretation discrepancies in the emergency department setting: A retrospective chart review Emergency Medicine Australasia
The NACA score predicts mortality in polytrauma patients before hospital admission: a registry-based study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Well-being interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study Emergency Medicine Journal
Why physicians use sodium bicarbonate during cardiac arrest: A cross-sectional survey study of adult and pediatric clinicians Resuscitation Plus
Paediatrics
Epidemiology of Emergency Department Visits for Children With Clinically Significant Cardiovascular Disease Pediatric Emergency Care
Impact of video-assisted neonatal resuscitation on newborns and resuscitators: A feasibility study Resuscitation Plus
Implementation and Outcome of a Protocol-Based Treatment for Diabetic Ketoacidosis in a Tertiary Care Pediatric Emergency Department The Journal of Emergency Medicine
Incidence of sudden unexplained death in childhood for children aged 1–14 years in England and Wales during 2001–2020: an observational study Archives of Disease in Childhood
Minor Head Trauma in Children Younger Than 3 Months and Clinical Predictors of Clinically Important Traumatic Brain Injuries Pediatric Emergency Care
Oral Ketamine and Midazolam for Procedural Sedation in the Pediatric Emergency Department – A Retrospective Study Pediatric Emergency Care
Presence of Sonographic Secondary Signs Without Visualization of Appendix Is Indicative of Appendicitis in Children Younger Than 5 Years Pediatric Emergency Care
Small-Bowel Obstruction and Intestinal Fistula from Accidental Ingestion of Magnets NEJM
The Impact of COVID-19 on Patterns of Fractures Presenting to Pediatric Emergency Departments Pediatric Emergency Care
Use of an Endotracheal Tube for a Thoracostomy in a Child in Cardiac Arrest: A Case Report The Journal of Emergency Medicine
Adults
A Change of Pace: Modifying Pacemaker Settings in the Emergency Department as Emergency Physicians, A Case Report The Journal of Emergency Medicine
Are there differences in low-acuity emergency department visits between culturally and linguistically diverse migrants and people with English-speaking background: a population-based linkage study of adults over 45 Emergency Medicine Journal
Association of hyperosmolar therapy with cerebral oxygen extraction after cardiac arrest Resuscitation
Case Report of an Obstructive Endotracheal Mass from a Blood Clot: An Airway Nightmare The Journal of Emergency Medicine
Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study Annals of Emergency Medicine
Comparative Analysis of Frailty Scales in Emergency Department: Highlighting the Strengths of the Triage Frailty and Comorbidity Tool Journal of Emergency Nursing
Continuous QTc monitoring for patients intoxicated with QTc prolonging medication in the ED: a proof of principle The Journal of Emergency Medicine
Effect of a HEART Score Best Practice Alert on Discharge Decisions and Outcomes of Patients Presenting to an Emergency Department with Chest Pain The Journal of Emergency Medicine
Elderly patients re-transferred from long-term care hospitals to emergency departments within 48 h BMC Emergency Medicine
Emergency Department Patients With Para-Fluorofentanyl Overdose The Journal of Emergency Medicine
Factors Influencing the Intention of Family Members of Patients Admitted to Emergency Departments to Commit Violence Against Health Care Professionals: A Multicenter Cross-Sectional Study Journal of Emergency Nursing
Fundamental care in the emergency room: insights from patients with life-threatening conditions in the emergency room BMC Emergency Medicine
Hypothermic cardiac arrest: prognostic factors for successful resuscitation before rewarming Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Inverse linear association between blood haemoglobin and oxygen saturation accuracy measured by pulse oximetry: a cross-sectional analysis in individuals with COVID-19 infection Emergency Medicine Journal
Optimizing Administration and Timing of Post Intubation Analgesia and Sedation in the Emergency Department Journal of Emergency Nursing
Outcome of video laryngoscopy versus direct laryngoscopy for emergency tracheal intubation in emergency department: a propensity score matching analysis BMC Emergency Medicine
Outcomes of ED chest pain visits: the prognostic value of negative but measurable high-sensitivity cardiac troponin (hs-cTn) levels BMC Emergency Medicine
Predictive score for diagnosing acute colonic diverticulitis in the emergency department: a retrospective study BMC Emergency Medicine
Predictive value of qSOFA and hypothermia combined with PT for prognosis in patients with severe trauma: a single-center retrospective cohort study BMC Emergency Medicine
Reduced-Dose Tenecteplase in High-Risk Pulmonary Embolism The Journal of Emergency Medicine
ROC Curve Analysis of the Value of Exertional Heat Stroke Score in Predicting the Prognosis of Exertional Heat Stroke Patients The Journal of Emergency Medicine
Root causes behind patient safety incidents in the emergency department and suggestions for improving patient safety – an analysis in a Finnish teaching hospital BMC Emergency Medicine
Streptococcal Toxic Shock Syndrome: A Case Series Emphasizing the Urgency of Recognition and Tailored Treatment The Journal of Emergency Medicine
The Ten Test and Sensory Evaluation of Hand and Finger Injuries in the Emergency Department The Journal of Emergency Medicine
Metadata
Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash
