Emergency Evidence Updates – May 2022

Randomised Controlled Trials

A randomized clinical trial on inhaled ciclesonide for managing acute asthma in the emergency room – Sao Paulo Medical Journal

Alcohol Misuse among English Youth, Are Harms Attributable to Alcohol or to Underlying Disinhibitory Characteristics? – Alcohol and Alcoholism

Analgesic and Anxiolytic Effects of Virtual Reality During Minor Procedures in an Emergency Department: A Randomized Controlled Study – Annals of Emergency Medicine

Development and delivery of an allied health team intervention for older adults in the emergency department: A process evaluation – PLoS One

Single-Dose Dexamethasone Is Not Inferior to 2 Doses in Mild to Moderate Pediatric Asthma Exacerbations in the Emergency Department – Pediatric Emergency Care

The Listening to music tuned to 440 Hz versus 432 Hz to reduce anxiety and stress in emergency nurses during the COVID-19 pandemic: a double-blind, randomized controlled pilot study – Acta Biomedica

Timeliness of Single-Patch 12-Lead Electrocardiography for Patients with Chest Pain at the Emergency Department – Studies in Health Technology and Informatics

Other Guidance/Reports

Balancing Vision With Pragmatism: The Geriatric Emergency Department Guidelines-Realistic Expectations From Emergency Medicine and Geriatric Medicine – The Journal of Emergency Medicine

Management of Malaria in Children (updated) – PIER


Antibiotic prophylaxis for corneal abrasion

Magnesium sulfate for acute exacerbations of chronic obstructive pulmonary disease

Prophylactic antiemetics for adults receiving intravenous opioids in the acute care setting

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID‐19

Primary Research


A predictive ambulance dispatch algorithm to the scene of a motor vehicle crash: the search for optimal over and under triage rates – BMC Emergency Medicine

Association between prehospital shock index variation and 28-day mortality among patients with septic shock – BMC Emergency Medicine

Helicopter inter-hospital transfer for patients undergoing extracorporeal membrane oxygenation: a retrospective 12-year analysis of a service system – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Pediatric Emergencies in Helicopter Emergency Medical Services: A National Population-Based Cohort Study From Denmark – Annals of Emergency Medicine

Prehospital fluid therapy in patients with suspected infection: a survey of ambulance personnel’s practice – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study – BMC Emergency Medicine

The potential of new prediction models for emergency medical dispatch prioritisation of patients with chest pain: a cohort study – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine



A novel extracorporeal cardiopulmonary resuscitation strategy using a hybrid emergency room for patients with pulseless electrical activity – Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Adequacy of compression positioning using the feedback device during chest compressions by medical staff in a simulation study – BMC Emergency Medicine

Critical Clinical Events and Resilience Among Emergency Nurses in 3 Trauma Hospital-Based Emergency Departments: A Cross-Sectional Study – Journal of Emergency Nursing

Debriefing a Code: Why Bother and How to Accomplish it in Under Ten Minutes – The Journal of Emergency Medicine

Examination of the Effects of 4-hour Nonvalved Filtering Facepiece Respirator Use on Blood Gas Values of Health Care Professionals: A Before and After Study – Journal of Emergency Nursing

How effective are chest compressions when wearing mask? A randomised simulation study among first-year health care students during the COVID-19 pandemic – BMC Emergency Medicine

Machine learning–based triage to identify low-severity patients with a short discharge length of stay in emergency department – BMC Emergency Medicine

Markers of cognitive skills important for team leaders in emergency medical services: a qualitative interview study – BMC Emergency Medicine

Role and Training of Emergency Department Charge Nurses: A Mixed Methods Analysis of Processes, Needs, and Expectations – Journal of Emergency Nursing

The Cardiopulmonary Effects of Medical Masks and Filtering Facepiece Respirators on Healthy Health Care Workers in the Emergency Department: A Prospective Cohort Study – The Journal of Emergency Medicine

Workplace violence against emergency health care workers: What Strategies do Workers use? – BMC Emergency Medicine



Association Between the First-Hour Intravenous Fluid Volume and Mortality in Pediatric Septic Shock – Annals of Emergency Medicine

Caustic Ingestion in Children – The Otolaryngologist Perspective – Pediatric Emergency Care

Cyclic Vomiting Syndrome in the Emergency Department – A 10-Year Review of Clinical Presentation and Management – Pediatric Emergency Care

Discrepancies Between the Management of Fever in Young Infants Admitted From Urban General Emergency Departments and Pediatric Emergency Departments – Pediatric Emergency Care

Dissemination and Use of Point-of-Care Ultrasound by Pediatricians in Europe – A Research in European Pediatric Emergency Medicine Network Collaborative Survey – Pediatric Emergency Care

Do you know when the inhaler is empty? – Archives of Disease in Childhood

Evaluation of the Validity and Reliability of ANKUTRIAGE, a New Decision Support System in Pediatric Emergency Triage – Pediatric Emergency Care

Evaluating Provider Documentation of Suicide Risk Factors Among Youth Screening Positive for Suicide Risk in a Pediatric Emergency Department – Pediatric Emergency Care

Factors Associated With Low Procedural Pain Scores Among 1- to 5-Year-Old Patients Undergoing Facial Laceration Repair – Pediatric Emergency Care

Foreign-Body Aspiration in a Child – NEJM

Impact of COVID-19 pandemic on emergency department attendances for young people – Archives of Disease in Childhood

Is the Early Diagnosis of Pediatric Stroke Possible in the Emergency Department? – Pediatric Emergency Care

Point-of-Care Ultrasound Assessment of Orbital Rhabdomyosarcoma in a Pediatric Patient – Pediatric Emergency Care

Short-course intravenous antibiotics for young infants with urinary tract infection – Archives of Disease in Childhood

Supporting a Learning System in Pediatric Emergency Pathways Using Organizational Comparisons, Serious Incidents, and Near-Miss Events to Improve the Diagnosis and Treatment of Testicular Torsion – Pediatric Emergency Care

Survey About Second-Line Agents for Pediatric Convulsive Status Epilepticus – Pediatric Emergency Care

The Fate of the Cervical Collar – An Observational Pilot Study Investigating Follow-up Care After Emergency Department Discharge in Children With Mild Traumatic Neck Injuries – Pediatric Emergency Care

The Outcome of Cerumen Removal in the Pediatric Emergency Department – Pediatric Emergency Care

Ultrasound-Guided Paravenous Saphenous Nerve Block for Lower Extremity Abscess Incision and Drainage in a Male Adolescent – Pediatric Emergency Care

Utilizing Near-Infrared Spectroscopy to Identify Pediatric Trauma Patients Needing Lifesaving Interventions – A Prospective Study – Pediatric Emergency Care



A Multicenter, Prospective Study Comparing Subxiphoid and Parasternal Views During Brief Echocardiography: Effect on Image Quality, Acquisition Time, and Visualized Anatomy – The Journal of Emergency Medicine

Association between initial body temperature on hospital arrival and neurological outcome among patients with out-of-hospital cardiac arrest: a multicenter cohort study (the CRITICAL study in Osaka, Japan) – BMC Emergency Medicine

Association of chest compression pause duration prior to E-CPR cannulation with cardiac arrest survival outcomes – Resuscitation

Baclofen Withdrawal With Reversible Posterior Leukoencephalopathy Syndrome: Bacterial Meningitis Mimicker – The Journal of Emergency Medicine

Contrast Agent Pooling (C.A.P.) sign and imminent cardiac arrest: a retrospective study – BMC Emergency Medicine

Haloperidol Versus Ziprasidone With Concomitant Medications and Other Predictors of Physical Restraint Duration in the Emergency Department – The Journal of Emergency Medicine

Modified Shock Index as a Predictor for Mortality and Hospitalization Among Patients With Dementia – The Journal of Emergency Medicine

National Emergency Resuscitation Airway Audit (NERAA): a pilot multicentre analysis of emergency intubations in Irish emergency departments – BMC Emergency Medicine

Outcomes Associated with Introduction of the 5th Generation High-Sensitivity Cardiac Troponin in Patients Presenting with Cardiovascular Disorders – The Journal of Emergency Medicine

Patients treated for acute headache with intranasal droperidol spend less time in the emergency department: A retrospective observational study – Emergency Medicine Australasia

Severely Elevated Intraocular Pressure Following Traumatic Asphyxia: A Case Report – The Journal of Emergency Medicine

Using mobility status as a frailty indicator to improve the accuracy of a computerised five-level triage system among older patients in the emergency department – BMC Emergency Medicine



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

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