General
Royal Colleges publish guidelines on working with children with suspected non-accidental injury
This document sets out to ensure that radiologists and paediatricians are assisted and supported in offering the best standards of protection and care to children who might be required to undergo examination for suspected non-accidental injury (NAI).
Revised British Guideline on the Management of Asthma
This revised 2008 guideline is published by SIGN contains a completely rewritten section on diagnosis for both adults and children; a section on special situations which includes occupational asthma, asthma in pregnancy and the new topic of difficult asthma; updated sections on pharmacological and non-pharmacological management; and amalgamated sections on patient education and compliance, and on organisation of care and audit
Prophylaxis against infective endocarditis: antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures
This new guidance from NICE outlines the recommendations for when prophylaxis against infective endocarditis should be considered.
Evidence-Based Medicine
BestBETS – Best Evidence Topics provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. 2 new or modified BETS were added last month: Highlights include:
CT Angiography for detection of Subarachnoid Haemorrhage
The effects of Glucosamine Sulphate on OA of the knee joint
The Use of IV Aminophylline in addition to beta-agonists and steroids in Acute Asthma
Subcutaneous heparin is as good as low-molecular-weight heparin in the acute treatment of thrombo-embolic disease
Is the frequency of recurrent chest infections, in children with chronic neurological problems, reduced by prophylactic azithromycin?
Should gonadotropin releasing hormone analogue be administered to prevent premature ovarian failure in young women with systemic lupus erythematosus on cyclophosphamide therapy?
Are there strategies to reduce the length of stay for well near-term babies?
Recent DARE abstracts of systematic reviews
Meta-analysis of ischemia-modified albumin to rule out acute coronary syndromes in the emergency department
Improved outcomes in patients with chronic obstructive pulmonary disease treated with salmeterol compared with placebo usual therapy
How frequently is venous thromboembolism in heparin-treated patients associated with heparin-induced thrombocytopenia?
Efficacy of alpha-blockers for the treatment of ureteral stones
Cochrane Database of Systematic Reviews
Individual patient education for low back pain
Highlights from the Literature
Emergency Medicine Online, May 2008, vol. 25, issue 5
Communicating risk to emergency department patients with chest pain
Potential for quality improvement of acute stroke management in a district general hospital
Mitigation of pain during intravenous catheter placement using a topical skin coolant in the emergency department
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.