Issue 9: December 2007

New Stroke Specialist Library Launched
The Stroke Specialist Library provides high quality, evidence-based information on all of aspects of stroke. This site is aimed at health professionals with an interest in stroke

Urgent care pathways for older people with complex needs
A practical ambulance service and A&E urgent care pathway for older people with complex needs caused by falls, confusional states or hip fracture. It identifies best clinical practice in these three areas and constructs a clear and auditable clinical care pathway.

Accident & Emergency statistics
The following statistics were released by the Department of Health: Accident and Emergency attendances and performance: total time spent in A&E from arrival to admission, discharge or transfer, and waiting times for emergency admission through A&E, quarter ending 30th September 2007 . Historical data back to the 1996 / 97 financial year is also available


Evidence-Based Medicine

BestBETS – Best Evidence Topics completed in November
Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma
Weather dependent nasal erythema in rangifer tarandus
Detection of Acute Aortic Dissection with D-Dimer

NICE Guidelines
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital

New Cochrane Reviews
Antiarrhythmics for maintaining sinus rhythm after cardioversion of atrial fibrillation
Updated Cochrane Reviews
Antibiotics for acute pyelonephritis in childrenAntibiotics for incomplete abortionColloids versus crystalloids for fluid resuscitation in critically ill patientsThird generation cephalosporins versus conventional antibiotics for treating acute bacterial meningitisVena caval filters for the prevention of pulmonary embolism

National Guideline Clearinghouse (USA)
AGA Institute medical position statement on acute pancreatitis
Diagnosis and treatment of headache
Diagnosis and initial treatment of ischemic stroke


This bulletin is brought to you by the Knowledge and Information Service. It aims to keep you up-to-date with infection control issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.
This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with accident and emergency issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know.