Issue 25: April 2009

General
3rd quarter (Oct-Dec 2008) A&E hospital activity statistics
A&E Attendances
Admissions from A&E
Total Time in A&E

Competencies for recognising and responding to acutely ill patients in hospital
The document from the DoH sets out a non-mandatory framework of competencies for recognising and responding to acutely ill patients in hospital.

Statement on the use of unlicensed medicines or licensed medicines for unlicensed uses in critically ill patients
The Intensive Care Society issued this statement recently about the use of unlicensed medicines or licensed medicines for unlicensed uses in critically ill patients.

Advance care planning
This national guideline informs health care professionals on how best to manage advance care planning (ACP) in clinical practice, including emergency care.


Evidence-Based Medicine

Guidelines
Guidelines on urological infections (European Association of Urology)
Guidelines on urological trauma (European Association of Urology)

BestBETS – Best Evidence Topics provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. Six new or modified BETS were added last month.
Normal partial pressure oxygen in room air as a rule-out for pulmonary embolism
Flight Deep Vein Thrombosis prophylaxis in lower limb injury
Role of plain abdominal radiograph in the diagnosis of intussusception
Dose of dexamethasone in croup
Diagnostic utility of chest xray for investigation of pulmonary embolism
Should we be measuring troponins in patients with acute pericarditis?

Database of Abstracts of Reviews of Effects (DARE) – highlights in March
Antimicrobials for right-sided endocarditis in intravenous drug users: a systematic review
Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative results
Is there a role for noninvasive ventilation in acute respiratory distress syndrome: a meta-analysis? A meta-analysis
Magnetic resonance imaging (MRI) in the clearance of the cervical spine in blunt trauma: a meta-analysis
Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis
Prophylactic administration of parenteral steroids for preventing airway complications after extubation in adults: meta-analysis of randomised placebo controlled trials
Systematic review of randomized clinical trials on the use of hydroxyethyl starch for fluid management in sepsis

Highlights from the Literature
Emergency Medicine Online, April 2009, vol. 26, issue 4

Prediction of mortality in adult emergency department patients with sepsis
Evaluation of a method for converting venous values of acid-base and oxygenation status to arterial values
Blunt abdominal trauma in children: how predictive is ALT for liver injury?


Continuing Medical Education (CME)/CPD

Conferences, Study Days and Courses
Spring Scientific Conference of the College of Emergency Medicine 2009
The Dome, Brighton, 20th - 22nd April 2009
10th International Trauma Care Conference 11-15 May 2009 The Park Inn, Telford
Emergency Ultrasound - Introductory Course - Liverpool, 21-22 May 2009
The UK TEAM (Training in Emergency Airway Management) Course 28-29 May
CEM Study Days – The rationale of tests in the emergency Department, 29 May

New BMJ Learning modules
Diagnosis and Management of ST Elevation Acute Myocardial Infarction
The management of atrial fibrillation in patients in the Emergency Department
Injectable medicines: prescribing, preparing, and administering
Syncope


This bulletin is brought to you by Library and Knowledge Services. 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.