Issue 26: May 2009

General
Human Swine Influenza
The College of Emergency Medicine has pulled together the latest resources on Swine Flu.

NHS Emergency Planning Guidance 2009: Planning for the evacuation and sheltering of people in health sector settings - interim strategic national guidance
The Department of Health has issued interim guidance on emergency planning for the evacuation of people in health care settings.

BTS Guideline for emergency oxygen use in adult patients
The Resuscitation Council has issued a statement to clarify the issues that have recently been highlighted over the use of oxygen in patients with acute coronary syndromes and its conflict with the recommendations made in the ALS Course manual.

Recommended standards for recording "Do not attempt resuscitation" (DNAR) decisions
The Resuscitation council has recently published standards for recording DNA decisions.

Evidence-Based Medicine

Guidelines

Diarrhoea and vomiting in children - diarrhoea and vomiting caused by gastroenteritis: diagnosis, assessment and management in children younger than 5 years (NICE)
Swine Influenza (Health Protection Agency)
Diagnosis and treatment of chest pain and acute coronary syndrome (ACS)
Diagnostic laparoscopy for trauma. In: Diagnostic laparoscopy guidelines (NGC)

BestBETS – Best Evidence Topics provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. Nine new or modified BETS were added last month.
Admission not needed for uncomplicated sternal fractures
Steroids are not indicated in acute De Quervains tenosynovitis
Is continuous positive airway pressure effective in bronchiolitis?
Does Melatonin improve sleep pattern in children with attention deficit hyperactivity disorder?
Should Fragile X be tested for in boys with a diagnosis of autistic spectrum disorder?
Troponin for 30 day risk stratification in chest pain patients with ischaemic ECG.
Endotracheal adrenaline in intubated patients with asthma
Managing acute pulmonary oedema with high or standard dose nitrate
Spiral CT versus IVU for the evaluation of renal/Ureteric colic

Cochrane Library
Cochrane Database of Systematic Reviews – highlights in April
Advanced trauma life support training for hospital staff
Alpha2-adrenergic agonists for the management of opioid withdrawal
Antiamoebic drugs for treating amoebic colitis
Anticoagulants for preventing recurrence following presumed non-cardioembolic ischaemic stroke or transient ischaemic attack
Conservative interventions for treating middle third clavicle fractures in adolescents and adults
Hypothermia for traumatic head injury
Polymer-based oral rehydration solution for treating acute watery diarrhoea
Red cell transfusion for the management of upper gastrointestinal haemorrhage

Highlights from the Literature
Emergency Medicine Online, May 2009, vol. 26, issue 5
In an emergency—call the clinical librarian!
Intravenous thrombolysis for ischaemic stroke: short delays and high community-based treatment rates after organisational changes in a previously inexperienced centre
Emergency abdominal aortic aneurysm presenting without haemodynamic shock is associated with misdiagnosis and delay in appropriate clinical management

CPD

Conferences, Study Days and Courses

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
Learning From Each Other: Civilian and Military Emergency Care, 13-15 September
College of Emergency Medicine Autumn Conference, 23-25 September, Dublin

New Medscape Emergency Medicine CME
It Must Be Cardiac!
Emergent Treatment of a Deep Vein Thrombosis: What Is the Best Approach?
Optimizing Diagnosis, Management, and Prevention of Venous Thromboembolism

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.