News

BMJ20d
The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study
Background Severe sepsis is likely to account for around 37 000 deaths annually in the UK. Five years after the international Surviving Sepsis Campaign (SSC) care bundles were published, care ...
BMJ22d
A systematic review examining the impact of redirecting low-acuity patients seeking emergency department care: is the juice worth the squeeze?
Objectives Diverting patients away from the emergency department (ED) has been proposed as a solution for mitigating overcrowding. This systematic review examined the impact of interventions designed ...
BMJ25d
Comparison of the effects of vapocoolant spray and topical anaesthetic cream (lidocaine–prilocaine) on pain of intravenous cannulation: a randomised controlled trial
Objective Intravenous cannulation is a routine procedure in the ED. Different methods are being used to reduce the pain of intravenous cannulation. Among them, there are studies which have shown the ...
BMJ28d
Assessment of emergency physicians’ performance in identifying shockable rhythm in out-of-hospital cardiac arrest: an observational simulation study
Background Emergency physicians can use a manual or an automated defibrillator to provide defibrillation of patients who had out-of-hospital cardiac arrest (OHCA). Performance of emergency physicians ...
BMJ1mon
Pulmonary embolism diagnosis and the D-dilemma
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BMJ1mon
Patients discharged to police custody after paramedic evaluation: an observational cohort study
Background In Finland, more than a third of the patients attended by the emergency medical services (EMS) are discharged on scene without ambulance transport, with ...
BMJ1mon
A simple clinical assessment is superior to systematic triage in prediction of mortality in the emergency department
Objective To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED).
BMJ1mon
Have we forgotten to teach how to think?
Correspondence to Dr Damian Roland, Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, Leicester Royal Infirmary, Leicester LE1 5WW, UK; dr98{at}le.ac.uk Emergency medicine is a varied ...
BMJ2mon
Are acute asthma presentations to the emergency department an opportunity for optimising long-term management? A qualitative study on beliefs and behaviours of healthcare ...
Background Guidelines recommend Emergency Department (ED) healthcare professionals (HCPs) ensure patients have a supply of inhaled corticosteroid on discharge after an acute asthma presentation. By ...
BMJ2mon
Is there a ‘weekend effect’ in major trauma?
Background Many previous studies have shown that patients admitted to hospital at weekends have worse outcomes than those on other days. It has been proposed that parity of clinical services ...
BMJ2mon
Understanding RCEM Best Practice Guidelines
Royal College of Emergency Medicine (RCEM) Best Practice Guidelines are produced by a variety of special interest groups or convened expert advisory groups which sit under the umbrella of the ...
BMJ2mon
Trends in paramedic-to-general practitioner referrals following the COVID-19 pandemic and the introduction of a virtual emergency department: an interrupted time series analysis
Objectives We aimed to evaluate the impact of the COVID-19 pandemic and subsequent introduction of the Victorian Virtual Emergency Department (VVED) consultation service for paramedics on paramedic-to ...