General news and information

Acute Bronchitis/ Bronchiolitis – Early Warning
The Emergency Department Syndromic Surveillance System (EDSSS), a joint public health surveillance project between CEM and the HPA has picked up that attendances for Acute Bronchitis/Bronchiolitis are currently increasing with increases particularly noted in the 0-4 years age group.

Safe Sedation of Adults in the Emergency Department
Good practice document produced by a working party which included members from the Royal College of Anaesthetists, the College of Emergency Medicine and other stakeholder groups on sedation in the Emergency Department.

Example proformas for paracetamol poisoning
Paediatric and adult proformas have been kindly shared by Leicester Royal Infirmary. The proformas follow the new MHRA guidelines.

Cold Weather Plan for England 2012 published
The Cold Weather Plan aims to prepare for the effects of winter weather on people’s health. It provides advice for individuals, communities and agencies on how to prepare for and respond to severe cold weather. And it is supported by a Met Office cold weather alert service that starts on 1 November and runs until the end of March 2013.

New tool for measuring children’s experiences in emergency settings launches
A new tool to measure the patient’s reported experience, designed ‘by children, for children’, developed by the Royal College of Paediatrics and Child Health (RCPCH) with the Picker Institute Europe. The tool will ask children about their waiting times, how well doctors explained what was happening, how they were looked after by staff and whether there were age-appropriate facilities available.

Ambulatory emergency care statement
The CEM has published a statement highlighting the benefits of ambulatory care based on clearly designed and safe pathways

HIV Testing in the Emergency Department
Revised best practice position statement produced in consultation with British Association for Sexual Health and HIV (BASHH) and British HIV Association (BHIVA). The guidance has been developed to assist Emergency Physicians and healthcare managers in the establishment of human immunodeficiency virus (HIV) testing in Emergency Departments. The guideline offers recommendations regarding the principles and safeguards required for the implementation of HIV testing in the Emergency Department setting.

New GEMNet guideline for the use of thromboprophylaxis in ambulatory trauma patients requiring temporary limb immobilisation
CEMs Guidelines in Emergency Medicine Network (GEMNet) exists to promote best medical practice in a range of conditions presenting to Emergency Departments (EDs) in the UK. This guideline presents a summary of the best available evidence to guide the use of thromboprophylaxis in adult ambulatory outpatients who present to the ED following acute limb trauma and require temporary immobilisation.
GEMNet thromboprophylaxis guidance - revised flowchart published

Management and Transfer of Patients with a diagnosis of Ruptured Abdominal Aortic Aneurysm to a specialist Vascular Centre
Endorsed jointly by the Vascular Society, the Royal College of Radiologists and CEM, this guideline aims to ensure patients with a clinical diagnosis of rAAA equity of access to a specialist vascular centre for expert assessment and intervention. If not already present, emergency physicians and vascular surgeons should work collaboratively to develop region-wide protocols to facilitate access to this standard of care. Simultaneously this guideline should assist the emergency physician in the assessment, resuscitation and timely preparation for transfer of the patient with a clinical diagnosis of ruptured abdominal aortic aneurysm, if this diagnosis is made in a hospital without suitable vascular facilities

Guidance published on sharing information to tackle violence
This Guidance highlights how Community Safety Partnerships (CSPs) made up of local authorities, the Police and other local agencies can reduce violence in their community by encouraging EDs to collect and share information on time, type and location of assault

New toolkit to deliver increased consultant care to acutely ill medical patients

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.