Emergency Evidence Updates – October 2024

Randomised Controlled Trials

Association Between Neuromuscular Blocking Agents and Outcomes of Emergency Tracheal Intubation: A Secondary Analysis of Randomized Trials  Annals of Emergency Medicine

Intraosseous or Intravenous Vascular Access for Out-of-Hospital Cardiac Arrest  NEJM

 

NICE

Acute kidney injury: prevention, detection and management NG148

 

Other Guidance/Reports

PIER

RCEM

Cochrane

Patient navigator programmes for children and adolescents with chronic diseases

 

Primary Research

Prehospital

A Comparison of Ketamine to Midazolam for the Management of Acute Behavioral Disturbance in the Out-of-Hospital Setting  Annals of Emergency Medicine

Ambulance offload performance, patient characteristics and disposition for patients offloaded to different areas of the emergency department  Emergency Medicine Australasia

Assessing the psychobiological demands of high-fidelity training in pre-hospital emergency medicine  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Changes in out-of-hospital cardiac arrest resuscitation quality during and after the COVID-19 pandemic  Resuscitation

Comparison of end tidal CO2 levels between automated head up and conventional cardiopulmonary resuscitation: A pre-post intervention trial  Resuscitation

Early prehospital mechanical cardiopulmonary resuscitation use for out-of-hospital cardiac arrest: an observational study  BMC Emergency Medicine

Increased rate of anoxic brain damage with laryngeal tube compared to endotracheal intubation in patients with shockable out-of-hospital cardiac arrest – Experience from the HAnnover COoling REgistry (HACORE)  Resuscitation

Influences on the duration and success of out-of-hospital resuscitation of geriatric patients over 80 years of age – a retrospective evaluation  BMC Emergency Medicine

Is There an Association Between Emergency Department Overcrowding and Emergency Medical Services Redirection?  The Journal of Emergency Medicine

Prehospital use of spinal precautions by emergency medical services in children and adolescents  Emergency Medicine Australasia

Prevalence of clinical deterioration in the pre-hospital setting  Emergency Medicine Australasia

Serious conditions among conveyed and non-conveyed patients presenting with nonspecific chief complaints to the ambulance service  BMC Emergency Medicine

The performance of screening tools and use of blood analyses in prehospital identification of sepsis patients and patients suitable for non-conveyance – an observational study  BMC Emergency Medicine

Vasopressor or advanced airway first in cardiac arrest?  Resuscitation

 

General

A qualitative study exploring the experiences of advanced clinical practitioner training in emergency care in the South West of England, United Kingdom  Emergency Medicine Journal

Assessing Emergency Department Staff Knowledge, Competency, and Implementation of Pre- and Post-Trauma-Informed Care Training  Journal of Emergency Nursing

Culture of safety in an adult and paediatric emergency department before and after the COVID-19 pandemic  Emergency Medicine Journal

Development and testing of a resuscitation-specific measure of organizational culture for resuscitation teams  Resuscitation Plus

Does the gender of emergency physicians have an impact on the prehospital care of psychiatric emergencies? a retrospective cohort analysis  BMC Emergency Medicine

Effectiveness of a Disability Liaison Officer service in a metropolitan emergency department  Emergency Medicine Australasia

Establishing Triage Competencies and Verification Processes: A Survey Study  Journal of Emergency Nursing

Impact of endotracheal intubation versus laryngeal tube on gasometry and lactate at emergency department admission after out-of-hospital cardiac arrest  Resuscitation Plus

Measuring the crowding of emergency departments: an assessment of the NEDOCS in Lombardy, Italy, and the development of a new objective indicator based on the waiting time for the first clinical assessment  BMC Emergency Medicine

Risk–benefit analysis of a multi-site radiographer comment model for emergency departments  Emergency Medicine Australasia

Spatio-temporal distribution, prediction and relationship of three major acute cardiovascular events: Out-of-hospital cardiac arrest, ST-elevation myocardial infarction and stroke  Resuscitation Plus

The effect of hand and body position on chest compression quality and rescuer fatigue in prone cardiopulmonary resuscitation  Resuscitation Plus

The use and impact of pathology tests in emergency department patients with mental health-related complaints: A cross sectional study  Emergency Medicine Australasia

Using a Behavior Assessment Tool to Decrease Restraint Use in the Emergency Department  Journal of Emergency Nursing

 

Paediatrics 

Acute Stroke With Hyperdense MCA Sign in an Adolescent Female With Tyrosine Kinase Inhibitor Treatment—What You Need to Know  The Journal of Emergency Medicine

Are chest compression quality metrics different in children with and without congenital heart disease? A report from the pediatric resuscitation quality collaborative  Resuscitation Plus

Association between pre-procedural anxiety and vomiting in children who undergo procedural sedation and analgesia in the emergency department  BMC Emergency Medicine

Association of cumulative oxygen and carbon dioxide levels with neurologic outcome after pediatric cardiac arrest resuscitation: A multicenter cohort study  Resuscitation Plus

At-home Administration of Opioid Analgesia in Children After Reduction of Forearm Fracture  Pediatric Emergency Care

Clinical characteristics and toxicological spectrum analysis of 493 cases of acute poisoning in children  BMC Emergency Medicine

Duration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrest  Emergency Medicine Journal

Effectiveness of paediatric asthma hubs: a clinical pilot study  Archives of Disease in Childhood

Emergency Department Visits After Body Piercings  Pediatric Emergency Care

Emergency Medical Services and Police Utilization for Pediatric Mental and Behavioral Health Concerns Within a Large Hospital System  Pediatric Emergency Care

Evaluation of a Large Language Model on the American Academy of Pediatrics’ PREP Emergency Medicine Question Bank  Pediatric Emergency Care

Investigating the Risk Factors Associated With Acute Neurologic Dysfunction in Pediatric Hyperglycemic Emergencies on Transport  Pediatric Emergency Care

Pocus Diagnosis of Deep Neck Space Abscess: A Case Series  The Journal of Emergency Medicine

Predictive performance of cerebrospinal fluid parameters for diagnosis of meningitis in infants: a cohort study  Archives of Disease in Childhood

Predictors of Hospital Admissions and Return Visits in Children with Suspected Dehydration Presenting to the Emergency Department  The Journal of Emergency Medicine

Respiratory viral testing for young febrile infants presenting to emergency care: a planned secondary analysis of the Febrile Infants Diagnostic assessment and Outcome (FIDO) prospective observational cohort study  Archives of Disease in Childhood

Short-term Outpatient Parenteral Antimicrobial Therapy Administration in the Pediatric Emergency Department – Feasibility, Safety, and Outcome  Pediatric Emergency Care

Social determinants of health and their associations with outcomes in pediatric out-of-hospital cardiac arrest: A national study of the NEMSIS database  Resuscitation Plus

Sources and content of advice sought by parents/guardians prior to emergency department attendance  Emergency Medicine Australasia

Subconjunctival Hemorrhages Are Rare Among Infants With Cough and Gastrointestinal Conditions  Pediatric Emergency Care

The association between early hypotension and neurologic outcome after pediatric cardiac ECPR in children with cardiac disease  Resuscitation Plus

The Incidence and Severity of Pediatric Injuries Sustained by Electric Bikes and Powered Scooters – The Experience of an Urban, Tertiary Pediatric Emergency Department  Pediatric Emergency Care

Tranexamic Acid in Pediatric Traumatic Brain Injury: A Multicenter Retrospective Observational Study  Annals of Emergency Medicine

Trends in Respiratory Viral Testing in Pediatric Emergency Departments Following the COVID-19 Pandemic  Annals of Emergency Medicine

Utility of a Smart Device Infrared Camera in Localizing Acute Pediatric Long Bone Fractures – A Pilot Study  Pediatric Emergency Care

 

Adults

A Lethality Assessment Program in the Emergency Department: Program Implementation and Evaluation  Journal of Emergency Nursing

Aortic Laceration from Posterior Rib Fractures after a Ground-Level Fall: A Case Report  The Journal of Emergency Medicine

Avoiding Rash Decisions  NEJM

Can ketamine administration prevent intubation in patients who cannot comply with NIV due to agitation?  BMC Emergency Medicine

Development and Implementation of a Multicenter Registry for Resuscitation-Focused Transesophageal Echocardiography  Annals of Emergency Medicine

Effectiveness of intraosseous access during resuscitation: a retrospective cohort study  BMC Emergency Medicine

Incidence of Acute Kidney Injury After Exposure to Intravenous Contrast in Emergency Department Patients Presenting for Stroke  The Journal of Emergency Medicine

Neuro-Behcet’s Masquerading as Status Epilepticus and Meningoencephalitis in the Emergency Department  The Journal of Emergency Medicine

Out-of-hospital cardiac arrest 30-day-outcomes: The importance of the first electrocardiogram after successful resuscitation  The Journal of Emergency Medicine

Point-of-Care Ultrasound Diagnosis of Pyocele: A Rare Complication of Testicular Infection  The Journal of Emergency Medicine

Predictability of adult patient medical emergency condition from triage vital signs and comorbidities: a single-center, observational study  BMC Emergency Medicine

Prevalence and factors associated with preventable drug-related emergency department visits (DREDp) in elderly patients  BMC Emergency Medicine

Revisits and frailty in older patients in the emergency department – a prospective observational multicenter study  BMC Emergency Medicine

Strategies for implementation of a transmural fall-prevention care pathway for older adults with fall-related injuries at the emergency department  BMC Emergency Medicine

Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study  Emergency Medicine Journal

What proportion of women presenting to the emergency department with early pregnancy bleeding receive appropriate care?  Emergency Medicine Australasia

Metadata

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

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