NeLM - Emergency Medicine
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NHS Information centre data on time spent in A&E in England 2007-08
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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)
Source: NeLM - Emergency Medicine - November 19, 2009 Category: Emergency Medicine Source Type: organizations
Emergency Services Review
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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)
Source: NeLM - Emergency Medicine - October 22, 2009 Category: Emergency Medicine Source Type: organizations
'Tackling demand together': toolkit for improving urgent and emergency care pathways by understanding increases in 999 demand
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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)
Source: NeLM - Emergency Medicine - October 14, 2009 Category: Emergency Medicine Source Type: organizations
Toolkit on pandemic influenza for NHS ambulance services in England
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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)
Source: NeLM - Emergency Medicine - September 2, 2009 Category: Emergency Medicine Source Type: organizations
Use of penicillin skin testing to assess prevalence of penicillin allergy in emergency department setting
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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 penicilli...
Source: NeLM - Emergency Medicine - August 5, 2009 Category: Emergency Medicine Source Type: organizations
Review: Intravenous therapy for hypertensive emergencies
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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)
Source: NeLM - Emergency Medicine - July 29, 2009 Category: Emergency Medicine Source Type: organizations
NHS Winter report 2008/09
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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)
Source: NeLM - Emergency Medicine - July 27, 2009 Category: Emergency Medicine Source Type: organizations
Treatment of children with migraine in the emergency department: a qualitative systematic review
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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 ...
Source: NeLM - Emergency Medicine - July 21, 2009 Category: Emergency Medicine Source Type: organizations
BMJ practice: Should antihistamines be used to treat anaphylaxis?
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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...
Source: NeLM - Emergency Medicine - July 12, 2009 Category: Emergency Medicine Source Type: organizations
