Issue 36: March 2010

General

Major trauma care in England
The National Audit Office reports unacceptable variation in major trauma care in England depending upon where and when people are treated.
3rd quarter (Oct-Dec 2009) A&E hospital activity statistics
A&E Attendances
Admissions from A&E
Total 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.
Is there a role for serum procalcitonin in the differentiation between septic and non-septic arthritis?
Caesarean sections reduce the maternal-fetal transmission rate of human papillomavirus infection.
What best scratches the itch?
Are troponin levels indicated for the routine management of SVT?
Can pneumonia caused by penicillin-resistant Streptococcus pneumoniae be treated with penicillin?

Cochrane Library

Database of Abstracts of Reviews of Effects
Comparison of primary percutaneous coronary intervention and fibrinolytic therapy in ST-segment-elevation myocardial infarction: Bayesian hierarchical meta-analyses of randomized controlled trials and observational studies
Is the combination of vasopressin and epinephrine superior to repeated doses of epinephrine alone in the treatment of cardiac arrest: a systematic review
Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review
Multi-detector row CT angiography in the assessment of coronary in-stent restenosis: a systematic review
Systematic review of cemented and uncemented hemiarthroplasty outcomes for femoral neck fractures

Guidelines

Annual Evidence Updates on Chest Pain from NHS Evidence
Chest Pain : Introduction
Chest Pain : Diagnosis and Risk
Chest Pain : Acute Coronary Syndromes
Venous thromboembolism: reducing the risk (NICE)
Treatment of pediatric diaphyseal femur fractures (AAOS)
Clinical policy: critical issues in the management of adult patients presenting to the emergency department with community-acquired pneumonia (ACEP)
Clinical policy: critical issues in the management of adult patients presenting to the emergency department with suspected appendicitis (ACEP)

Highlights from the Literature
Emergency Medicine Journal 27 (2) February 2010
Blood urea nitrogen and creatinine levels at admission for mortality risk assessment in patients with acute coronary syndromes
An audit of emergency medicine responses to children injured in violence
Emergency physician interpretation of head CT in trauma and suspected subarachnoid haemorrhage—is it viable? An audit of current practice

Conferences, Study Days and Courses
Mayday and St Heliers’ University Hospitals: Emergency Ultrasound Courses (Level 1) - 20 Mar 2010
Essentials of Emergency Radiology - 22 March 2010, Bradford
I
ntensive Care Society - Trauma Critical Care - 24 March 2010, London
ATLS Course - 26-28 Mar 2010, Mayday University Hospital, London
Course in emergency ultrasound for emergency physicians - 29 March 2010, Brighton
Neurocritical care day - 19th April 2010, Southampton
Inaugural Spring CPD Event, College of Emergency Medicine - 20-22 April 2010, King’s Fund, London
EMCRM Emergency Medicine Masterclass - 20 – 22 April 2010, London
Hyperacute Ischaemic Stroke - 23 April 2010, London
Emergency Physicians in Intensive Care - 5 May 2010, London
Acute and General Medicine for the Physician - 26 May 2010, London
Ultrasound in Acute Care 2010 - 14 Jun 2010, Oldham
UK Training in Emergency Airway Management (TEAM) Course - 13-14 May; 2-3 June; 27-28 September; 13-14 October 2010

New Medscape Emergency Medicine CME
Prophylactic Antibiotics May Cut Mortality in Burns Patients CME
Procalcitonin May Help Guide Antibiotic Use in Intensive Care Units CME/CE


This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with clinical governance 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.