Emergency Evidence Updates – February 2025
Randomised Controlled Trials
PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication Annals of Emergency Medicine
Other Guidance/Reports
Topical analgesia during needle-related procedures in children: a clinical practice guideline Archives of Disease in Childhood
Primary Research
Prehospital
Amiodarone dose in patients with shockable out-of-hospital cardiac arrest Resuscitation
Characteristics, diagnostic accuracy, and safety in patients receiving selective prehospital thrombolysis in out-of-hospital cardiac arrest: a retrospective cohort study Resuscitation Plus
Clinical factors associated with the use of NIV in the pre-hospital setting in adult patients treated for acute COPD exacerbation: a single-center retrospective cohort study BMC Emergency Medicine
Comparison between point-of-care international normalised ratio, COAST, TICCS and truncated FibAT scores to rule in clinically significant hypofibrinogenaemia in the prehospital setting Emergency Medicine Journal
Critical interventions, diagnosis, and mortality in children treated by a physician-manned mobile emergency care unit Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Factors influencing paramedic conveyance decisions when attending children with minor head injury: a qualitative study Emergency Medicine Journal
Predictive performance of prehospital trauma triage tools for resuscitative interventions within 24 hours in high-risk or life-threatening prehospital trauma patients BMC Emergency Medicine
The impact of alternate defibrillation strategies on time in ventricular fibrillation Resuscitation
Time to Bystander CPR and Survival for Witnessed Out-of-Hospital Cardiac Arrest Resuscitation
Understanding cardiac arrest dispatch of physician-paramedic critical care prehospital teams: a survey-based evaluation Emergency Medicine Journal
General
ASA score is an independent predictor of 1-year outcome after moderate-to-severe traumatic brain injury Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Changes in the Neurological Status From 30 to 90 days post-Cardiac Arrest by Age: A Nationwide Retrospective Observational Study Resuscitation Plus
Chest compression synchronized ventilation during prolonged experimental cardiopulmonary resuscitation improves oxygenation but may cause pneumothoraces Resuscitation Plus
Comparison of mechanical restraint use in a metropolitan ED after system change: A before and after analysis Emergency Medicine Australasia
Criteria for early discharge of drowning patients from the emergency department Emergency Medicine Australasia
Effectiveness of a Web-Based Training Intervention in Teaching Emergency Physicians First-Trimester Point-of-Care Ultrasound Image Interpretation Annals of Emergency Medicine
Improving Left Ventricular Assist Device Competency in Emergency Nurses Using Quarterly Skills Check and Simulation Journal of Emergency Nursing
Performance of machine learning models in predicting difficult laryngoscopy in the emergency department: a single-centre retrospective study comparing with conventional regression method BMC Emergency Medicine
Practitioner experiences of developing and implementing two UK ED-based hospital violence intervention programmes: a process evaluation Emergency Medicine Journal
Predicting high-risk return at emergency department presentation for patients who undergo short-term revisits: the HANDLE-24 score BMC Emergency Medicine
Self-reported knowledge and attitudes surrounding care of LGBTQIA+ patients in the emergency department Emergency Medicine Australasia
What should be documented for an anterior shoulder dislocation? A Delphi study Emergency Medicine Journal
Paediatric
A Prediction Rule to Identify Children and Young Adults at Low Risk for Myocarditis Pediatric Emergency Care
Accuracy of Visual Estimation of Left Ventricular Ejection Fraction Compared With Echocardiography in Children Pediatric Emergency Care
Cardiac Point-of-Care Ultrasound Findings in Multisystem Inflammatory Syndrome in Children in the Pediatric Emergency Department Pediatric Emergency Care
Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae Pediatric Emergency Care
Development of a Pediatric Age-Based and Weight-Adjusted Nomogram for Bladder Volumes Associated With Successful Completion of Transabdominal Pelvic Ultrasound (TPU) Pediatric Emergency Care
Drivers of Bronchodilator Use in Bronchiolitis – Analyzing Treatment Trends From Pediatric Emergency Department Practices Pediatric Emergency Care
Emergency Management of Animal-Related Injuries in Children – An Observational Multicenter Italian Study Pediatric Emergency Care
Factors associated with extended length of stay for paediatric mental health presentations to EDs in South Western Sydney, Australia Emergency Medicine Australasia
Pediatric cylindrical battery ingestion Endoscopy International Open
POCUS Standoff: Comparing Ultrasound Interfaces for Soft Tissue Foreign Body Imaging Pediatric Emergency Care
POCUS the Pelvis: A Case Series of Timely Diagnoses in Pediatric Patients With Abdominal Pain Pediatric Emergency Care
Point-of-Care Ultrasound Diagnosis of Restrictive Cardiomyopathy in a 3-Year-Old Patient Pediatric Emergency Care
Psychological Experiences of Primary Caregivers of Adolescent and Young Adult Patients Who Lived Through a Suicide Attempt by Poisoning in the Emergency Department: A Qualitative Study Journal of Emergency Nursing
Severe accidental poisonings in children: a British Paediatric Surveillance Unit nationwide prospective study Archives of Disease in Childhood
Zipper Entrapment of the Eyelid with a Unique Removal Technique The Journal of Emergency Medicine
Adult
A Case of Concurrent Metformin-Associated Lactic Acidosis and Euglycemic Diabetic Ketoacidosis The Journal of Emergency Medicine
A pilot trial exploring the use of music in the emergency department and its association with delirium and other clinical outcomes Emergency Medicine Australasia
Choice of Intravenous Fluid for Resuscitation in Diabetic Ketoacidosis NEJM
Clinical and demographic factors associated with increased risk of postpartum readmission among patients presenting to the emergency department by 6 weeks postpartum The Journal of Maternal-Fetal & Neonatal Nursing
Embolization of the Middle Meningeal Artery for Chronic Subdural Hematoma NEJM
Floor of the Mouth Ultrasound (FOMUS) Assessment in Ludwig’s Angina The Journal of Emergency Medicine
Impact of a POCUS-first versus CT-first approach on emergency department length of stay and time to surgical consultation in patients with acute cholecystitis: a retrospective study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Impact of Individualized Versus Weight-Based Pain Protocols on Patient Satisfaction for Patients With Sickle Cell Disease Experiencing a Vaso-Occlusive Episode Journal of Emergency Nursing
Incidence and risk factors for delayed intracranial hemorrhage after mild brain injury in anticoagulated patients: a multicenter retrospective study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
In-hospital stay of anemic patients in the ED with/without transfusion: a single-center propensity-matched study BMC Emergency Medicine
Optimizing ultrasound methods for determining central venous catheter tip position The Journal of Emergency Medicine
Painful Left Bundle Branch Block Syndrome Diagnosed in the Emergency Department The Journal of Emergency Medicine
Perigastric appendagitis, a rare cause of abdominal pain: A case report The Journal of Emergency Medicine
Predictive value of ionized calcium level for sinus rhythm conversion in adenosine treatment for paroxysmal supraventricular tachycardia The Journal of Emergency Medicine
Short-Term Risk of Adverse Cardiac Events Among Emergency Department Patients Placed in an Observation Unit for Cardiac Testing The Journal of Emergency Medicine
Ultrasound-Guided Pectoralis Block for Incision and Drainage of Chest Wall Abscess in the Emergency Department The Journal of Emergency Medicine
Ultrasound-Guided Serratus Anterior Plane Block for Acute Zoster Pain in an Immunocompromised Heart Transplant Patient in the Emergency Department The Journal of Emergency Medicine
Metadata
Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash