General
Pandemic H1N1 2009 influenza: clinical management guidelines for adults and children
This document updates provisional guidance for the clinical management of adults and children with symptoms of influenza–like illness, severe influenza and complications, issued in 2007
Tackling demand together: a toolkit for improving urgent and emergency care pathways by understanding increases in 999 demand
This toolkit offers practical analysis, worksheets and tools to help providers improve urgent and emergency care services through a better understanding of the factors affecting significant rises in 999 demand.
Swine flu clinical package for use when there are exceptional demands on healthcare services
A set of tools for use by frontline health professionals, in severe and exceptional circumstances, during a pandemic situation. This revised version has been updated to reflect changes in the guidance on the use of empirical antibiotics and on oseltamivir prescribing in young children.
New guidance on Confidentiality
New guidance on doctors' obligations to maintain patient confidentiality comes into effect today. Confidentiality (2009) sets out the principles of confidentiality and respect for patients' privacy that doctors are expected to understand and follow.
2nd quarter (Jul-Sep 2009) A&E hospital activity statisticsA&E AttendancesAdmissions from A&ETotal Time in A&E
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. Five new or modified BETS were added last month.
Avulsed tooth brought in milk for replantation
Nebulised salbutamol or nebulised adrenaline for wheeze in anaphylaxis
The use of ultrasound for diagnosing paediatric wrist fractures
Sublingual adrenaline tablets: How feasible is this novel approach to treatment of acute allergic reactions?
Steroids for patients with vestibular neuronitis
Eccentric exercise in the treatment of Achilles Tendinopathy
Cochrane Library
Addition of inhaled long-acting beta2-agonists to inhaled steroids as first line therapy for persistent asthma in steroid-naive adults and children
Alpha blockers prior to removal of a catheter for acute urinary retention in adult men
Antibiotic therapy for Shigella dysentery
Antiviral treatment for Bell's palsy (idiopathic facial paralysis)
Prophylactic antibiotics for penetrating abdominal trauma
Thrombolysis for acute ischaemic stroke
Atrial natriuretic peptide for preventing and treating acute kidney injury
Audit filters for improving processes of care and clinical outcomes in trauma systems
Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation
MRapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department
Manipulative interventions for reducing pulled elbow in young children
Guidelines
Prasugrel for the treatment of acute coronary syndromes with percutaneous coronary intervention (NICE)
Highlights from the Literature
Emergency Medicine Online, November 2009, vol. 26, issue 11
The use of atropine in a nerve agent response with specific reference to children: are current guidelines too cautious?
Organisation of traumatic head injury management in the Nordic countries
Introduction of the Liverpool Care Pathway for end of life care to emergency medicine
Predicting the complicated neutropenic fever in the emergency department
CPDConferences, Study Days and Courses
Trauma Masterclass, London Wednesday 18th Nov 2009
Biannual ST3 Paediatric EM symposium 24 Nov 2009
Basic Trauma Course - Saturday 28th Nov 2009
Advance Care Planning-Getting Involved 27 Oct & 5 Nov 2009
London Trauma Conference 9-11 Dec 2009
Advances in Acute Medicine 11 Jan 2010
New Medscape Emergency Medicine CME
Recurrent Abdominal Pain With Abdominal Distention
An Unusual Cause of Lower Abdominal Pain in a 28-Year-Old Man
Unexplained Refractory Fevers in a 14-Year-Old Boy
A 36-Year-Old Man With Intractable Vomiting
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.
