General
Considerable regional variations in access to NHS stroke prevention surgery
Despite countless initiatives and high profile public awareness campaigns, more than half of NHS patients with symptoms of stroke or transient ischemic attack (TIA or mini stroke) are still failing to get fast access to life-saving, stroke prevention surgery. A lack of public and professional awareness about the need for quick treatment, combined with badly designed hospital services, is resulting in hundreds of preventable strokes..
Dignity in practice: an exploration of the care of older adults in acute NHS trusts
Report from the NIHR Service Delivery and Organisation programme. EXTERNAL LINK. Maintaining dignity is important to older people especially during periods of acute illness requiring admission to hospital. Anecdotal and some research evidence 1 indicates that older people are often not treated with dignity while receiving hospital care.
Performance Management of NHS ED Services Using the Clinical Quality Indicators
EXTERNAL LINK - Alan Hall, Director of Performance for NHS Finance, Performance & Operations, wrote to the NHS on 23 June 2011 with more detail on how the Department of Health will hold NHS trusts to account in 2011/12 in relation to the ED clinical quality indicators.
HIV Testing in the Emergency Department
This document has been developed to assist Emergency Physicians in the use of human immunodeficiency virus (HIV) tests in Emergency Departments. This statement has been produced in response to the Chief Medical Officer’s request for clarification on this issue. Early diagnosis and treatment for HIV can prolong life, reduce transmission, and has been demonstrated to be a cost-effective public health intervention.
New CEM Informatics section
The casemix and IT section of the CEM website has been revised and updated. In this section you will find information and guidance on datasets, payment by results and casemix.
Safer Care Newsletter
The first issue of the College of Emergency Medicine’s Safer Care Newsletter, which is for all EM physicians with an interest in patient safety in the Emergency Department.
Quarter 4: January - March 2011 A & E hospital activity statistics - Department of Health
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. New or modified BETS were added last month. Highlights include:
Fucidic acid or chloramphenicol for neonates with sticky eyes
Use of Nonsedating Antihistamines in the Common Cold
Hydrotherapy following rotator cuff repairs
We do not need to routinely test coagulation in adult patients with epistaxis
Guidelines
SIGN Guidelines app for iPhone, iPad and Android phones and tablets
SIGN guideline recommendations are now available on the move. Click on the logo or scan the QR code to download the app for your device. The SIGN Guidelines app has recently been updated and now includes the 2011 edition of SIGN 101 The British Guideline on the Management of Asthma featuring a new section on asthma in adolescents.
New CEM best practice guidance - Management of Adult Patients who attend Emergency Departments after Sexual Assault and / or Rape
This guideline has been developed to assist Fellows and Members of the College of Emergency Medicine caring for adult patients who have suffered rape and sexual assault. To improve patient care.
Guidance and resources for liaison with Police Constabularies
A new set of resources for EDs including template protocols for local arrangements for the management of detainees requiring hospital treatment, suspected drug swallowers and detainees who are intoxicated.
No Cochrane Database of Systematic Reviews this month
No Database of Abstracts of Reviews of Effects this month
Highlights from the Literature
Emergency Medicine Journal 28 (7) July 2011
Usefulness of initial glucose level to improve acute coronary syndrome diagnosis in the emergency department
Validation of triage criteria for deciding which apparently inebriated persons require emergency department care
Pain assessments at triage with the Manchester triage system: a prospective observational study
Trampoline-related injuries in children: a preliminary biomechanical model of multiple users
Conferences
Basic Trauma Course, 9th July 2011, Solihull Hospital
CEM New Consultants Study Day, 22nd July 2011, Churchill House
CEM Safer Care in Emergency Medicine, 2nd September, Churchill House
Diagnostic Error: understanding it and reducing it, 14th September, Edinburgh
CEM UK Team course, 27th/28th September, London
Basic Trauma Course, 24th September, Solihull Hospital
UK Training in Emergency Airway Management (TEAM) Course, 29th – 30th Sept, London
Acute Care Conference, September, Leicester. Date TBC
Acute Medicine SpR training day, 17th October, Birmingham
Acute and General Medicine for the Physician, 24th – 26th October, London
CEM UK Team course 26th - 27thOctober, Edinburgh
CEM Half-day Allergy and Metabolic Problems, 28th October, Churchill House
Alder Hay Course in Paediatric Emergency Medicine, 31st October & 1st November, Liverpool
New Medscape Emergency Medicine CME
If you are interested in the next three items, click on the individual links and you will be directed to the Medscape homepage. You will need to sign up for an account to access the documents, or if you have already signed up, enter your login details.
The Role(s) of ART in Preventing HIV -- New Data and New Approaches
Community-Acquired Pneumonia: Mild Illness or Serious Disease?
Asthma-Related Comorbidities
Understanding Zoster: Impact on the Individual and on Society
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.
