Issue 28: July 2009

General
Swine flu: from containment to treatment
This guidance outlines the rationale of the movement from containment to treatment to manage a flu pandemic.

Ten things your emergency department should consider to prepare for pandemic influenza
This paper outlines 10 suggestions for UK emergency departments to prepare for pandemic influenza based on the recent experience of emergency departments in Hong Kong and elsewhere.

CEM - Human Swine Influenza
The CEM has provided links to resources on swine flue and gives advice on preparing for swine flu in UK emergency departments.

Evidence-Based Medicine

Guidelines
Management of hip fracture in older people (SIGN)
Swine flu clinical package (DoH)
Pandemic influenza: recommendations on the use of antiviral medicines for pregnant women, women who are breastfeeding and children under the age of one year (DoH)
Percutaneous endoscopic laser cervical discectomy (NICE)
British Guideline on the Management of Asthma (SIGN)
ACR Appropriateness Criteria® acute chest pain - suspected aortic dissection (American College of Radiology)

BestBETS – Best Evidence Topics provide rapid evidence-based answers to real-life clinical questions, using a systematic approach to reviewing the literature. Seven new or modified BETS were added last month.
Does drinking "flat" cola prevent dehydration in children with acute gastroenteritis?
Nebulised hypertonic saline significantly decreases length of hospital stay and reduces symptoms in children with bronchiolitis
Heart fatty acid binding protein for rapid diagnosis of acute myocardial infarction in the Emergency Department
Honey for the Symptomatic Relief of Cough in Children with Upper Respiratory Tract Infections
Is cranio-sacral therapy useful in the managmement of crying babies?
Role of antibiotic line locks in the treatment of infected central venous access devices in children
How effective is varicella-zoster immunoglobulin (VZIG) in preventing chickenpox in neonates following perinatal exposure?

Cochrane Library
Centre for Reviews and Dissemination – highlights in June
A review of interventions and system changes to improve time to reperfusion for ST-segment elevation myocardial infarction
A systematic review on diagnostic accuracy of CT-based detection of significant coronary artery disease
Cerebral blood flow thresholds for cerebral ischemia in traumatic brain injury: a systematic review
Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis
The current role of cardiac resynchronization therapy in reducing mortality and hospitalization in heart failure patients: a meta-analysis from clinical trials
Antimicrobial central venous catheters in adults: a systematic review and meta-analysis
Impact of impedance threshold devices on cardiopulmonary resuscitation: a systematic review and meta-analysis of randomized controlled studies

Highlights from the Literature
Emergency Medicine Online, July 2009, vol. 26, issue 7
The Manchester Triage System provides good reliability in an Australian emergency department
Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study
Amethocaine versus EMLA for successful intravenous cannulation in a children’s emergency department: a randomised controlled study


CPD

Conferences, Study Days and Courses
Emergency medicine clinical excellence part 6 - Joint pain and the brain drain – Royal Society of Medicine, 19 June
South London Intensive Care Course - University Hospital Lewisham 30-31 July 2009
Learning From Each Other: Civilian and Military Emergency Care, 13-15 September
College of Emergency Medicine Autumn Conference, 16-18 September, London
ATLS Courses - Mayday University Hospital 16-18 & 18-20 September 2009
CEM Simulation Faculty Course - 23rd September 2009
Emergency Ultrasound Course (level 1) - Mayday University Hospital, 3 Oct 2009
ACCS National Day - Wednesday 28th October 2009

New Medscape Emergency Medicine CME
Factors Associated With Complications in Older Adults With Isolated Blunt Chest Trauma
Chest Pain and Dyspnea for 4 Days
Decreased Alertness in a 10-Month-Old Girl
Shortness of Breath With Chest Pressure in A 55-Year-Old Man


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.