MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'NeLM - Emergency Medicine' source. Mon, 18 Jan 2010 14:10:21 +0100 http://www.medworm.com/index.php?rid=3009981&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---November%2F19%2FNHS-Information-centre-data-on-time-spent-in-AE-in-England-2007-08%2F This report is based on the 2007-08 Health Episode Statistics dataset and examines the time spent in A&E in England by patients and their destination on leaving the department. Key facts include the following:   . The visit to A&E for 73% of patients (where records were available) was completed within 3 hours; 96% were completed within 4 hours.   . 41% of all A&E patients were discharged with no follow-up required whilst a further 21% were admitted to hospital. (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=3009981 Thu, 19 Nov 2009 00:00:00 +0100 3009981 http://www.medworm.com/index.php?rid=2921719&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---October%2F23%2FEmergency-Services-Review%2F Source: Department of Health (DH) Area: News The Emergency Services Review (ESR) was commissioned by the SHAs and has completed its work to undertake a review of recent performance and support the identification and adoption of best practice. The ESR Team has issued a series of supporting best practice documentation, guides and toolkits, which can be accesses from the link below. (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2921719 Thu, 22 Oct 2009 23:00:00 +0100 2921719 http://www.medworm.com/index.php?rid=2896359&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---October%2F15%2FTackling-demand-together-toolkit-for-improving-urgent-and-emergency-care-pathways-by-understanding-increases-in-999-demand%2F Source: Department of Health (DH) Area: News 'Tackling demand together' is a toolkit produced by a group of ambulance providers and PCT commissioners together with the Department of Health to offer practical analysis, worksheets and tools to help all commissioners and providers improve urgent and emergency care services through better understanding of the factors affecting significant rises in 999 demand. (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2896359 Wed, 14 Oct 2009 23:00:00 +0100 2896359 http://www.medworm.com/index.php?rid=2759703&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---September%2F03%2FToolkit-on-pandemic-influenza-for-NHS-ambulance-services-in-England%2F Source: Department of Health Area: News This toolkit is part of the Department of Health's programme for improving and enhancing the preparedness within NHS ambulance services for managing pandemic influenza. (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2759703 Wed, 02 Sep 2009 23:00:00 +0100 2759703 http://www.medworm.com/index.php?rid=2749050&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---August%2F06%2FUse-of-penicillin-skin-testing-to-assess-prevalence-of-penicillin-allergy-in-emergency-department-setting%2F Source: Ann Emerg Med Area: News A prospective observational cohort study has evaluated the use of penicillin allergy skin testing in an emergency department to verify self-reported allergies, as it is known that patient-reported penicillin allergies are often unreliable and can result in unnecessary changes to antibiotic treatment.   In the study, two emergency physicians enrolled 150 patients (mean age 42 years) and performed skin prick and intracutaneous tests with penicillin major and minor determinants. The total testing time was 30 minutes. They found that the false-positive rate for self-reported penicillin allergy was 137 of 150 (91.3%) and there were no adverse reactions associated with penicillin skin testing. Furthermore, compared with patients with a false-positive pe... NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2749050 Wed, 05 Aug 2009 23:00:00 +0100 2749050 http://www.medworm.com/index.php?rid=2749051&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---July%2F30%2FReview-Intravenous-therapy-for-hypertensive-emergencies%2F Source: Am J Health-Syst Pharm Area: News In this review, the authors discuss the IV antihypertensive drugs and provide insights and evidence to support their respective clinical applicability in managing hypertensive conditions. The following therapies were reviewed:   . Calcium-channel blockers . Nitric oxide vasodilators . Nitroglycerin . Hydralazine . Adrenergic-receptor antagonists . Fenoldopam . Enalaprilat . Nesiritide (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2749051 Wed, 29 Jul 2009 23:00:00 +0100 2749051 http://www.medworm.com/index.php?rid=2749052&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---July%2F28%2FNHS-Winter-report-200809%2F Source: Department of Health Area: News The annual winter report describes how the NHS performed through the previous winter period.  It covers weather, communications, infection control, primary care, emergency care, cancelled operations, critical care, social care, and pandemic planning. (Source: NeLM - Emergency Medicine) NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2749052 Mon, 27 Jul 2009 23:00:00 +0100 2749052 http://www.medworm.com/index.php?rid=2749053&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FEvidence%2FDisease-Focused-Reviews%2FTreatment-of-children-with-migraine-in-the-emergency-department-a-qualitative-systematic-review%2F Source: DARE Area: Evidence > Disease Focused Reviews CRD Summary: This review aimed to assess the effectiveness of treatments administered in the emergency department for children with migraine and status migrainosus. The authors concluded that there was a lack of evidence in an emergency department setting. This was a relatively well-conducted systematic review. The authors' conclusions were appropriate. [The included studies assessed prochlorperazine, ketorolac, ibuprofen, acetaminophen (paracetamol), sumatriptan, rizatriptan, zolmitriptan and dihydroergotamine as first-line therapy in an outpatient neurology clinic setting or as second-line therapy in an emergency department setting after other treatments had failed. ] CRD Commentary: This review addressed a clear question with we... NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2749053 Tue, 21 Jul 2009 23:00:00 +0100 2749053 http://www.medworm.com/index.php?rid=2749054&cid=s_38901_14_f&fid=38901&url=http%3A%2F%2Fwww.nelm.nhs.uk%2Fen%2FNeLM-Area%2FNews%2F2009---July%2F13%2FBMJ-practice-Should-antihistamines-be-used-to-treat-anaphylaxis%2F Source: BMJ Area: News In this BMJ practice article, the authors discuss the evidence for the use of antihistamines to treat anaphylaxis. The authors state that no randomised controlled trials or observational studies exist to inform whether the use of antihistamines is beneficial in anaphylaxis.   The authors conclude that in light of this uncertainty about the usefulness if antihistamines in this setting, the following advice should stand: . Inject adrenaline first. In anaphylaxis, universal consensus is to give adrenaline intramuscularly. International guidelines recommend 0.01 mg/kg and/or a maximum of 0.3-0.5 mg for adults. . Antihistamines should never be given alone or instead of adrenaline in anaphylaxis; antihistamines should be considered only after adrenaline... NeLM - Emergency Medicine organizations http://www.medworm.com/rss/comments.php?id=2749054 Sun, 12 Jul 2009 23:00:00 +0100 2749054