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UHL Clinical Librarian Service

Emergency Department Education Group Evidence Update

10th October 2016

NICE  National Institute for Health and Care Excellence
 
Multimorbidity: clinical assessment and management

Dementia: supporting people with dementia and their carers in health and social care (updated)

Quality Standards
QS131   Intravenous fluid therapy in children and young people in hospital
QS132   Social care for older people with multiple long-term conditions
CG42               
 
Medtech innovation briefings
MIB79 VitalPAC for assessing vital signs of patients in hospital

NICE Bites: Sepsis
The August 2016 NICE Bites bulletin from the North West Medicines Information Service covers Sepsis.  The aim of this publication is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from the NICE guidance, NG51.  This guideline covers recognition, diagnosis and early management of sepsis for all populations.
New and Updated Cochrane Systematic Reviews
New England Journal of Medicine
 
A Summary of Recent Published Activity
 
PERSPECTIVE
Flipping the Script — A Patient-Centered Approach to Fixing Acute Care
K.E. Kocher and J.Z. Ayanian
N Engl J Med 375:915, September 8, 2016
 
ORIGINAL ARTICLE
Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension
P.J. Hutchinson and Others
N Engl J Med 375:1119, September 22, 2016
 
Andexanet Alfa for Acute Major Bleeding Associated with Factor Xa Inhibitors
S.J. Connolly and Others
N Engl J Med 375:1131, September 22, 2016
 
VIDEOS IN CLINICAL MEDICINE
Clinical Examination of the Shoulder
H. Beach and P. Gordon
N Engl J Med 375:e24, September 15, 2016
 
UpToDate - What's new in Emergency Medicine
DynaMed

Pulmonary embolism (PE)
Bedside goal-directed echocardiography by trained emergency physicians may detect and rule out right ventricular dysfunction in normotensive patients with acute pulmonary embolism (Ann Emerg Med 2016 Sep).

Sepsis treatment in adults
Early vasopressin may not reduce kidney failure compared to norepinephrine in patients with septic shock (JAMA 2016 Aug 2)

Severe hyperglycemia at admission associated with increased 30-day mortality in patients with sepsis (Crit Care Med 2016 Jul)

Acute radiation syndrome
Case report of polonium-210 poisoning (Lancet 2016 Sep 10)
Selected Articles

Is There a Role for Intravenous Subdissociative-Dose Ketamine Administered as an Adjunct to Opioids or as a Single Agent for Acute Pain Management in the Emergency Department?

A systematic review of observational pain assessment instruments for use with nonverbal intubated critically ill adult patients in the emergency department: an assessment of their suitability and psychometric properties.

NICE clinical guideline NG39: Major trauma: assessment and initial management

Appendicitis in Diabetics: Predictors of Complications and Their Incidence.

Insertion Success of the Laryngeal Tube in Emergency Airway Management.

The Predictive Value of Pre-Endoscopic Risk Scores to Predict Adverse Outcomes in Emergency Department Patients with Upper Gastrointestinal Bleeding - A Systematic Review.

Automated Detection of Sepsis Using Electronic Medical Record Data: A Systematic Review.

Resuscitation Prior to Emergency Endotracheal Intubation: Results of a National Survey.

SGEM Hot Off the Press: hypertonic saline in severe traumatic brain injury: a systematic review and meta-analysis of randomized controlled trials.

Benzodiazepine use in seizure emergencies: A systematic review.
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Other Sources

National Hip Fracture Database annual report 2016
The Royal College of Physicians has published National Hip Fracture Database annual report 2016. It details the care provided to the 65,000 patients aged 60 and over who sustained a hip fracture during 2015, as well as their outcomes and patient casemix.  Patient care is audited against standards defined by NICE, and hospital performance in ward management, surgery and patient outcome is listed in the summary tables.

Sepsis toolkit for GPs and healthcare professionals
The Royal College of General Practitioners (RCGP), in partnership with Health Education England and NHS England, has launched a Sepsis toolkit to support GPs and healthcare professionals to identify and manage the condition in patients.  The toolkit also provides valuable information for patients, carers and parents, including an adult and child sepsis ‘symptom checker’, to illustrate the signs and symptoms they should look out for.
 
Statistics
Table of Contents

Academic Emergency Medicine
Annals of Emergency Medicine
Archives of Disease in Childhood
BMJ
Emergency Medicine Journal
European Journal of Emergency Medicine
Journal of Emergency Nursing 
The Lancet
New England Journal of Medicine
Pediatrics
Our mailing address is: sarah.sutton@uhl-tr.nhs.uk
 
Copyright © 2015 UHL Clinical Librarian Service, All rights reserved.






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