General
DoH announces abolition of the 4-hour target
The Department of Health has announced that it intends to introduce a dashboard of quality indicators in April 2011 to replace the current 4-hour A&E target. The College of Emergency Medicine welcomes the move.
‘Time for Training’, an independent review of the impact of the EWTD
This new report recommends a move to consultant delivered services, with consultants working more flexibly and more directly responsible for care around the clock, leading to better quality of diagnosis, better decision making and better patient outcomes and safety.
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. Two new or modified BETS were added last month.
Do lycra garments improve function and movement in children with cerebral palsy?
Use of Intralipid in Tricyclic overdose
Management of Asymptomatic Children with a History of Coin Ingestion (watchful waiting)
Digital rectal exams in children who present with constipation
Prophylactic antibiotics in near-drowning
Cochrane Library
Cochrane Database of Systematic Reviews
Human chorionic gonadotrophin for threatened miscarriage
Topical NSAIDs for acute pain in adults
Pharmacological interventions for the prevention of allergic and febrile non-haemolytic transfusion reactions
Oxygen therapy for acute myocardial infarction
Anticoagulant therapy for deep vein thrombosis (DVT) in pregnancy
Arthroplasties (with and without bone cement) for proximal femoral fractures in adults
Guidelines
Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in adults in primary and secondary care (partial update) (NICE)
Bacterial meningitis and meningococcal septicaemia: management of bacterial meningitis and meningococcal septicaemia in children and young people younger than 16 years in primary and secondary care (NICE)
Management of patients with stroke: identification and management of dysphagia (SIGN)
Bacterial meningitis and meningococcal septicaemia (NICE)
Highlights from the Literature
Emergency Medicine Journal 27(6) June 2010
A review of blood product usage in a large emergency department over a one-year period
Factors that influence the accuracy of triage nurses' judgement in emergency departments
Patient choice of provider type in the emergency department: perceptions and factors relating to accommodation of requests for care providers
Conferences, Study
Palliative care Emergencies 23 July, St Clare Hospice
Clinical Respiratory Radiology 29 July, St George's Hospital
TIPS 1 - Teaching TIPS for Clinical Teachers 3 August, London
Advanced Communication Skills Training Workshop 15 September, Maguire Training Unit
Cardio-Respiratory Emergencies Course 2010, 18-19 September, Harrogate
UK Team Course 28 September, London and 14October, Edinburgh
SAVE - Simulator Airway Ventilation Emergency, 28 September, Cambridge
National Point-of-Care Ultrasound Congress, 28-30 September, Brighton
Emergency Ultrasound Courses, 2 October, Croydon
ATLS Course, 13-15 October, Croydon
Thoracic Ultrasound course, 19 October, Kettering
Alder Hey Course in Paediatric Emergency Medicine, 21-22 October, Liverpool
Basic Trauma Course, 23 October, Solihull
International Critical Care Symposium 29 October, London
New Medscape Emergency Medicine CME
Appendectomy May Be Needed in Patients With Positive CT and Atypical Clinical Findings
Psychosocial Factors May Predict Persistent Pain After Orthopaedic Trauma
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.
