Issue 19: October 2008

General
Call for new drive to improve the system for delivering urgent and emergency care
The Healthcare Commission calls for a new drive to improve the system for delivering urgent and emergency care across England. The call comes as it publishes a major review covering all urgent and emergency services, which for the first time assesses how the whole system works together.

Emergency Care Bulletin – September 2008
Includes articles on the Urgent care learning network and guidance on reducing infection in the pre-hospital environment.

RCN Emergency Care Association annual conference and exhibition 14-15 November 2008
The Conference will take place. It will enable health care professionals to share experiences and discuss critical issues facing those in emergency care and provide an opportunity to network with colleagues in clinical, academic and leadership roles.

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 four new or modified BETS added last month.
Chest physiotherapy is not useful in bronchiolitis.
Detection of Acute Aortic Dissection with D-Dimer
Lactate Clearance a better predictor of mortality than Initial Lactate Level
Steroids in children with Erythema Multiforme

Cochrane Database of Systematic Reviews
Nebulized hypertonic saline solution for acute bronchiolitis in infants
Honey as a topical treatment for wounds
Dressings for superficial and partial thickness burns

Guidelines
Guideline for management of wounds in patients with lower-extremity arterial disease (NGC)
Management of acute upper and lower gastrointestinal bleeding (SIGN)

Highlights from the Literature
Emergency Medicine Online, October 2008, vol. 25, issue 10
Recombinant activated factor VII use in the emergency department
Imaging paediatric blunt abdominal trauma in the emergency department: ultrasound versus computed tomography
Paediatric allergic reactions in the emergency department: a review


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.