Issue 49: April 2011

General
4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society - Major Complications of Airway Management in the UK
EXTERNAL LINK. See here for comments by Prof Jonathan Benger, CEM Emergency Airway Lead


Urgent and Emergency Care Clinical Audit Toolkit
A learning tool to support the quality of urgent and emergency care services for patients has being launched by the Royal College of General Practitioners.


Presentation on the Quality Indicators from the Emergency Care Intensive Support Team
follow the link to this powerpoint being used in presentations to Acute and Foundation Trusts, PCTs and commissioning groups. Please note this is slightly revised from version posted on 25th March. LOG-IN REQUIRED


Important update on PbR arrangements for 2011/12
Please note this is a slightly amended version of the update originally published on 25th Feb 2011)


NHS never events list to be extended to 25
An extended list of events that should never happen during care in the NHS has been unveiled by the DH in England, along with a powerful financial disincentive.


Sharing Best Practice - discharge advice for patients
The Best Practice subcommittee has established a section on the website where EDs can share discharge advice, local guidelines and proformas with other EDs, who are welcome to download and adapt them for local use.


Quarter 3: October - December 2010A & E hospital activity statistics - DoH
A&E Attendances
A&E Total Time
A&E Admissions


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. Eight new or modified BETS were added last month. Highlights include:
Elbow extension as a 'rule-out' tool for significant injury in children
How useful are bowel sounds?
SADPERSONS Scale in Assessing Self Harm Risk
Clinical tests for Scaphoid fractures
Are oral antibiotics as efficacious as intravenous antibiotics for the treatment of community acquired pneumonia?
Should phenytoin and carbamazepine be avoided in Asian populations with the HLA-B*1502 positive genetic variant?
Is Doppler ultrasound superior to upper gastrointestinal contrast study for the diagnosis of malrotation?
Is cerebral function monitoring as accurate as conventional EEG in the detection of neonatal seizures?


Guidelines
MoorLDI2-BI: a laser doppler blood flow imager for burn wound assessment
Therapeutic hypothermia following cardiac arrest
Tuberculosis: clinical diagnosis and management of tuberculosis, and measures for its prevention and control


SIGN Apps
SIGN guideline recommendations are now available on the move with the new, free SIGN App.


No new Systematic Reviews from the Cochrane Database

Systematic Reviews
Iatrogenic upper limb nerve injuries: a systematic review


Highlights from the Literature
Emergency Medicine Journal 28 (4) April 2011
Recreational mountain biking injuries
Analysis of amitriptyline overdose in emergency medicine
Whole-body multislice computed tomography (MSCT) improves trauma care in patients requiring surgery after multiple trauma>


Conferences
8th Annual Critical Care Symposium, 28 April, Oldham
CEM UK Team course, 13/14 May, Bristol
Advanced Life Support Group, 26 Feb, 9 March, 4 May
Acute Medicine in the Emergency Department, 16 May, Basingstoke
Recent Advances in Burn Care - 9th and 10th May 2011, Manchester
Paediatric Emergency Medicine, 17th May, Basingstoke
CEM Half-Day Allergy & Metabolic Problems, 3 June, Churchill House, CEM
CEM UK Team course, 2/3 June, Birmingham
NPIS/CEM Study Day, 10 June, Edinburgh
ACCS - Acute Medicine and Emergency Medicine, 27 June, Cambridge
CEM UK Team course, 27th/28th September, London
Acute Care Conference, September, Leicester

New Medscape Emergency Medicine CME
Update on Key Data: Implications in HAE Management
Roadmap for HAI Prevention Research: Bench to Bedside and Back
Mutant Pandemic (H1N1) 2009 Virus in Immunocompromised Patients



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.