General
High Quality Care For All: NSR final report launched
The final report of Lord Darzi’s NHS Next Stage Review was published recently. The acute care clinical working group gave compelling arguments for saving lives by creating specialised centres for major trauma, heart attack and stroke care, supported by skilled ambulance services.
Launch of new BNF for Children
The BNF for Childen has recently been updated. BNFC 2008 is available for free through the National Library for Health.
Plans announced for the Healthcare Commmission’s 2008/09 assessment of NHS trusts
A greater emphasis is placed in the 2008/9 assessment on the experience of patients. Surveys of patients will include adult patients attending hospital accident and emergency departments.
Coronary Artery Bypass Grafts: The heart of the matter
This NCEPOD report contains the results of the study it undertook over the last three years to establish remedial factors in the care of patients that died following a first time, isolated coronary artery bypass graft.
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. There were no new or modified BETS added last month.
NICE Guidance
Stent insertion for bleeding oesophageal varices
Bleeding can occur from swollen veins in the gullet (oesophagus), which is potentially life threatening. This procedure involves temporarily insertion of a tube shape mesh covered in plastic (called a stent) into the oesophagus.
Highlights from the Literature
Emergency Medicine Online, July 2008, vol. 25, issue 7
Intravenous thrombolysis in the emergency department for the treatment of acute ischaemic stroke
Interrater reliability of the Wells score as part of the assessment of DVT in the emergency department: agreement between consultant and nurse practitioner
Emergency department nurse-based outpatient diagnosis of DVT using an evidence-based protocol
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.