Table of contents

RCEM 2015 Abstracts

• 001: CVLA STUDY: CAPILLARY AND VENOUS LACTATE AGREEMENT—A PILOT OBSERVATIONAL STUDY (23 November, 2015)

  D Datta, J Grahamslaw, AJ Gray, C Graham
• 002: HIV TESTING IN A DISTRICT GENERAL HOSPITAL'S EMERGENCY DEPARTMENT (23 November, 2015)

  C Smith, R Kendall
• 003: AUDIT STANDARDS IN PAEDIATRIC SEVERE SEPSIS (23 November, 2015)

  J Mackenhauer, F Cantle
• 004: LAVAS: LACTATE—ARTERIAL AND VENOUS AGREEMENT IN SEPSIS (23 November, 2015)

  D Datta, J Grahamslaw, AJ Gray, C Walker, C Graham
• 005: WHAT MAKES A GOOD MEDICAL SHOP FLOOR LEADER? (23 November, 2015)

  M Pell, R Khan, C Turner, H ilyas, SR Rehman, S gill
• 006: SYSTEMATIC REVIEW: INTRAVENOUS PARACETAMOL VERSUS INTRAVENOUS MORPHINE IN THE MANAGEMENT OF ACUTE RENAL COLIC (23 November, 2015)

  R Navaratnam, S Parker
• 007: DELAYED BLEEDING IN ANTICOAGULATED PATIENTS AFTER BLUNT HEAD TRAUMA (23 November, 2015)

  M Kuczawski, S Mason, M Teare, M Stevenson, S Goodacre, M Holmes, R Harper, S Ramlakhan, F Morris
• 008: SPREADING INNOVATION IN CHILDREN'S EMERGENCY CARE: AN EXTERNAL PRAGMATIC VALIDATION OF THE PAEDIATRIC OBSERVATION PRIORITY SCORE (23 November, 2015)

  D Roland, F Arshad, A Douglas, F Davies
• 009: INITIAL RESULTS OF THE RE-VERSE AD TRIAL: IDARUCIZUMAB REVERSES THE ANTICOAGULANT EFFECTS OF DABIGATRAN IN PATIENTS IN AN EMERGENCY SETTING OF MAJOR BLEEDING, URGENT SURGERY OR INTERVENTIONS (23 November, 2015)

  C Pollack, J Eikelboom, J Weitz, P Reilly, S Glund, R Dubiel, J Kreuzer, J Stangier, B Wang, J Gagg, P Verhamme, R Bernstein, M Huisman, E Hylek, P Kamphuisen, J Levy, F Selke, T Steiner, C Kam
• 010: EXTERNAL VALIDATION OF THE MANCHESTER ACUTE CORONARY SYNDROMES (MACS) DECISION RULE (23 November, 2015)

  E Carlton, R Body, K Greaves
• 011: FACTORS ASSOCIATED WITH EXIT BLOCK, AND IMPACT ON THE EMERGENCY DEPARTMENT (23 November, 2015)

  S Mason, E Knowles, C Smith
• 012: EXCELLENCE THROUGH DESIGN—IMPROVING THE MASSIVE HAEMORRHAGE PROTOCOL (23 November, 2015)

  S Carrington, C Turner, J Burton, L Woolrich-Burt
• 013: TIME TRENDS IN INTRACRANIAL BLEEDING AND NEW ORAL ANTICOAGULANT PRESCRIPTION (23 November, 2015)

  K Hogg, I Stiell, B Bahl
• 014: TRAUMATIC COAGULOPATHY INFLUENCES OUTCOME IN PATIENTS WITH ISOLATED TRAUMATIC BRAIN INJURY (23 November, 2015)

  A Kehoe, R Bullough, K Ainsley, O Wigginton
• 015: A COMPARISON OF TIDAL AND INCENTIVE BREATH COLLECTION METHODS FOR THE DETERMINATION OF BREATH VOLATILES CONCENTRATION (23 November, 2015)

  K Anderson, T Coats, P Monks, I White, H Pandya, C Beardsmore, J Skinner
• 016: LOWERING LEVELS OF BED OCCUPANCY IS ASSOCIATED WITH DECREASED INHOSPITAL MORTALITY AND IMPROVED PERFORMANCE ON THE 4 HOUR TARGET (23 November, 2015)

  D Boden
• 017: ARE TRAUMA TEAM LEADERS ANY GOOD AT PREDICTING NEED FOR WHOLE BODY SCANS? (23 November, 2015)

  R Bowman, C Turner
• 018: ANALYSING VARIATION IN STAFFING LEVELS, ATTENDANCES AND PERFORMANCE AGAINST THE 4-HOUR TARGET USING DATA FROM THE ROYAL COLLEGE OF EMERGENCY MEDICINE'S SENTINEL SITE SURVEY (23 November, 2015)

  T Morris, S Mason, C O'Keeffe
• 019: RAISING THE BAR FOR EXCLUSION OF ACUTE VENOUS THROMBOEMBOLISM IN THE EMERGENCY DEPARTMENT (23 November, 2015)

  D Horner, S Wells, K Bonnici, N Reeves, RJ Parris
• 020:

  CORRELATION BETWEEN TRANSCUTANEOUS AND ARTERIAL CO₂ PARTIAL PRESSURES IN ACUTE CARE

  (23 November, 2015)

  E Ward, S Hussain, T Coats
• 021: THE EFFECT OF FASCIA ILIACA COMPARTMENT BLOCK FOR HIP FRACTURES ON LENGTH OF HOSPITAL STAY AND DISCHARGE DESTINATION (23 November, 2015)

  H Bray, N Collins
• 022: WHAT DO THEY DO OUT THERE? (23 November, 2015)

  C Turner, J Turner
• 023: THE SIMPLIFIED MORTALITY IN SEVERE SEPSIS IN THE EMERGENCY DEPARTMENT (MISSED) SCORE TO RISK STRATIFY ED SEPSIS (23 November, 2015)

  N Sivayoham, P Holmes, M Cecconi, A Rhodes
• 024: EARLY WHOLE BODY VERSUS FOCUSED COMPUTED TOMOGRAPHY IMAGING FOLLOWING MAJOR TRAUMA: EXISTING EVIDENCE AND ANALYSIS OF 10 YEARS OF TARN DATA (23 November, 2015)

  P Hunt, O Bouamra, T Jenks, FE Lecky, A Edwards, M Woodford, D Yates, K Han
• 025: SEEING IS BELIEVING: THE LIVECITY AMBULANCE E-HEALTH TELEMEDICINE PROJECT (23 November, 2015)

  P Gilligan, A Amadi-Obi, P Sheung, A Alrmawi, J Gasem, C Tynan, A Khashab, S Gannon, A Mutawa, M Eswararaj, R Little, A Padki, A Houlihan, N Owens, D Morris, W Merriman, C O'Donnell
• 026: IDENTIFYING WORKPLACE STRESSORS IN THE EMERGENCY DEPARTMENT—AN EXPLORATORY STUDY (23 November, 2015)

  S Basu, C Yap, S mason
• 027: WHAT PROPORTION OF PATIENTS ARE ATTENDING THE ED AVOIDABLY? AN ANALYSIS OF THE ROYAL COLLEGE OF EMERGENCY MEDICINE'S SENTINEL SITE SURVEY (23 November, 2015)

  T Morris, S Mason, C O'Keeffe, C Moulton
• 028: ADMITTED AND IGNORED? WHAT HAPPENS WHEN ED PATIENTS ARRIVE ON WARDS? (23 November, 2015)

  C Turner, A Hargreaves, A Nailor
• 029: THE DOCTOR WILL SEE YOU NOW: A STUDY OF PERSPECTIVES ON TELEMEDICINE IN THE PRE-HOSPITAL ENVIRONMENT (23 November, 2015)

  P Gilligan, A Houlihan, A Padki, A Amadi-Obi, N Owens, A Khashab, A Mutawa, M Eswararaj, S Gannon, A Alrmawi, J Gasem, P Sheung, C Tynan, R Little, W Merriman, C O'Donnell, D Morris, I Chochliouros
• 030: DELAYED PRESENTATION HEAD INJURIES: WHICH PATIENTS PRESENTING AFTER 24 HOURS NEED A SCAN? (23 November, 2015)

  C Marincowitz, W Townend
• 031: AGE-ADJUSTED D-DIMER THRESHOLD: RAISING THE BAR ON VTE DIAGNOSIS (23 November, 2015)

  T Jaconelli, M Eragat, S Crane
• 032: THE IMPLEMENTATION OF MASSIVE HAEMORRHAGE PROTOCOL (MHP) FOR THE MANAGEMENT OF MAJOR TRAUMA:A TEN YEAR,SINGLE CENTRE STUDY OF PATIENT OUTCOMES (23 November, 2015)

  R Mothukuri, C Battle, K Guy, G Mills, PA Evans
• 033:

  CORRELATING AN EMERGENCY DEPARTMENT'S MORTALITY WITH DEATHS IN ITS PARENT TRUST AND COMMUNITY: A SIX YEAR OBSERVATIONAL STUDY

  (23 November, 2015)

  MS Ahmad, J Anius, A Idowu, S Ahmad, T Kashem
• 034: OBSERVATIONAL STUDY TO QUANTIFY THE CORRELATION OF DEPARTMENTAL EXIT BLOCK TO 4 HOUR STANDARD COMPLIANCE BREECHES (23 November, 2015)

  P Moss, D Treanor, C Chan
• 035: AGE IS ONLY A NUMBER?—TIME IN THE EMERGENCY DEPARTMENT (ED) (23 November, 2015)

  P Liston, G Conyngham, M Brady, P Byrne, P Gilligan
• 036: OUT OF HOSPITAL CARDIAC ARRESTS AND EMERGENCY CORONARY ANGIOGRAPHY (23 November, 2015)

  D Slessor, A Ashton
• 037: CAPS—A UKOSS STUDY OF CARDIAC ARREST IN PREGNANCY AND THE USE OF PERI-MORTEM CAESAREAN SECTION. IMPLICATIONS FOR THE EMERGENCY DEPARTMENT (23 November, 2015)

  VA Beckett, P Sharpe, M Knight
• 038: WHY DO ADULTS WITH PALLIATIVE CARE NEEDS PRESENT TO THE EMERGENCY DEPARTMENT? (23 November, 2015)

  E Green, T Harris, E Tempest, W Brierley, B Riley, H Sattar, S Ward
• 039: ROMANCING THE STONE: MORE DIAGNOSES OF RENAL COLIC DOES NOT EQUAL MORE CASES NEEDING INTERVENTION. A RETROSPECTIVE ANALYSIS (23 November, 2015)

  D Sharpe, S Gidwani, R Clough
• 040: COLD, CRAMP & CANNOT CONTINUE IN SNOWDONIA MOUNTAIN CASUALTIES (23 November, 2015)

  N Brazel, L Dykes
• 041: TROPONIN USE IN EMERGENCY DEPARTMENT SYNCOPE (23 November, 2015)

  M.J. Reed, A O'Neill
• 042: HOW DO OLDER PEOPLE WITH ACUTE CORONARY SYNDROMES PRESENT? THE EXPERIENCE OF A DEVELOPING COUNTRY (23 November, 2015)

  Z Hassanali, IA Sammy, JF Paul, R Sinanan
• 043: VALIDATION OF RISK STRATIFICATION MODELS FOR LONE ACUTE SUDDEN HEADACHE (LASH)—HOW FAR HAVE WE TRAVELLED? (23 November, 2015)

  A Binbay, A Chadwick, T Hassan
• 044: IMPROVING THEIR EXPERIENCE—HOW CAN WE ENHANCE THE LEARNING ENVIRONMENT FOR MEDICAL STUDENTS IN THE ED? (23 November, 2015)

  J Burton, C Turner
• 045: USING A CLINICAL PHARMACIST IN THE EMERGENCY DEPARTMENT (23 November, 2015)

  KI Henderson, U Gotel, J Hill
• 046: THROMBOPROPHYLAXIS FOR AMBULATORY PATIENTS WITH IMMOBILISED LOWER LIMB TRAUMA: A CLOSED AUDIT LOOP (23 November, 2015)

  D Horner, A Ryan, P Bennett, A Gillet
• 047: ARE WE TALKING BUT NOT BEING HEARD? (23 November, 2015)

  J Hardy, S Carrington, C Turner
• 048: FEASIBILITY AND COMPARISON OF NON-INVASIVE HEMODYNAMIC DEVICES IN THE EMERGENCY DEPARTMENT; USCOM VS NICCOMO (23 November, 2015)

  SJ Green, S Hussain, J Hue, J Patel, T Coats, M Sims
• 049: WRITTEN FIRST AID INFORMATION FOR PATIENTS IN THE EMERGENCY DEPARTMENT: A CLUSTER RANDOMISED CONTROLLED TRIAL (23 November, 2015)

  D Pallot, C O'Keeffe, J Dawson, S Mason, E Oliver, J Mulligan
• 050: IT'S NOT ALL ABOUT NUMBERS: IS THE SUPPLY OF LEARNING ENCOUNTERS SUFFICIENT TO GENERATE COMPETENCE IN TRAUMA TEAM LEADERSHIP DURING HIGHER SPECIALITY TRAINING? (23 November, 2015)

  B Graham, T Nutbeam, J Smith
• 051: INADVERTENT INTRA-ARTERIAL CANNULATION IN THE EMERGENCY DEPARTMENT: FEASIBILITY OUTCOMES FROM A PILOT STUDY (23 November, 2015)

  RG Edwards, A Kehoe, B Graham, J Smith
• 052: PRE-HOSPITAL EMERGENCY SKILLS FOR MEDICAL STUDENTS (23 November, 2015)

  C Wheeler
• 053: END-TIDAL CO2 DETECTION DURING CADAVERIC VENTILATION (23 November, 2015)

  T Coats, M Biggs, C Robinson, G Rutty, A Adnan, B Morgan
• 054: THE COMMUNITY FALLS PATHWAY—AN URGENT CARE INITIATIVE HELPING FALLEN OLDER PATIENTS TO STAY AT HOME (23 November, 2015)

  E Hartley, J Holland
• 055: INADVERTENT INTRA-ARTERIAL CANNULATION IN THE EMERGENCY DEPARTMENT: WHAT IS THE INCIDENCE AND HOW DO WE DETECT IT? (23 November, 2015)

  RG Edwards, A Kehoe, B Graham, J Smith
• 056: THE ESCAPE OF EMERGENCY MEDICINE TRAINEES FROM IRELAND (23 November, 2015)

  J Pflipsen, U Kennedy
• 057: THE IMPORTANCE OF UNDERSTANDING JUNIOR DOCTOR PERCEPTIONS OF CONFIDENCE AND COMPETENCE IN RELATION TO THE FEBRILE CHILD (23 November, 2015)

  D Ronald, G Martin, T Coats, D Matheson
• 058: A 10-YEAR DEMOGRAPHIC COMPARISON OF MAJOR TRAUMA AS A RESULT OF NON-ACCIDENTAL INJURY VERSUS ACCIDENTAL INJURY IN THE UK (23 November, 2015)

  F Davies, T Coats, FE Lecky
• 059: S-KETAMINE SEDATION IN A TERTIARY PAEDIATRIC EMERGENCY DEPARTMENT (23 November, 2015)

  E Byrne, S Mulvaney, N Abela
• 060: THE USE (MISUSE?) OF MONTELUKAST IN WHEEZY PRE-SCHOOL CHILDREN (23 November, 2015)

  E Abrahamson, H Abubakar-Waziri, A Wilson
• 061: THE EFFECT OF TRIAGE ON PAEDIATRIC WAITING TIMES IN A PAEDIATRIC ASSESSMENT UNIT (23 November, 2015)

  C Brittain, A Forster
• 062: BENCHMARKING OF “SINGLE CHECKER” PATIENT GROUP DIRECTIONS (PGDS) DURING INITIAL NURSE ASSESSMENT WITHIN PERUKI EDS (23 November, 2015)

  C Bird, S Hartshorn
• 063: HOW TO MAKE FRIENDS (WITH COMMISSIONERS) AND INFLUENCE ADMISSION RATES—OPENING A PAEDIATRIC OBERVATION UNIT IN THE CHILDREN'S EMERGENCY DEPARTMENT (23 November, 2015)

  G Robinson, J Surridge, I Lewins, J Mott
• 064: WHAT DO YOUNG PEOPLE WANT FROM THE EMERGENCY DEPARTMENT? (23 November, 2015)

  J Browning, A Bryans, J Camilleri-Brennan, N Patel, R Price
• 065: SHOULD WE OFFER OPPORTUNISTIC VACCINATION IN THE PAEDIATRIC EMERGENCY DEPARTMENT? (23 November, 2015)

  K Newell, C Rousseva, C Slade, R Isba
• 066: MEDICAL EDUCATION VIA SKYPE BETWEEN A PAEDIATRIC EMERGENCY DEPARTMENT IN LONDON AND SOMALILAND AS A USEFUL ALTERNATIVE TO AN ALREADY EXISTING WEB-BASED PORTAL. A PILOT PROJECT (23 November, 2015)

  D Son, H Ahmed, K Omar, A Wong, S Mahtani, A Burzic
• 067: WHAT IS THE RISK OF NEONATES PRESENTING TO EMERGENCY DEPARTMENTS WITH NO PHYSIOLOGICAL OR OBSERVATIONAL DERANGEMENT HAVING SEPSIS? (23 November, 2015)

  D Roland, S Alifieraki, S Anzar, F Davies
• 068: SWEET ON THE OUTSIDE BUT NOT ON THE INSIDE -LIQUITAB INJURIES IN A TERTIARY PAEDIATRIC EMERGENCY DEPARTMENT (PED) (23 November, 2015)

  S Mullen, J Maney, C Casey
• 069: NOVEL USE OF A CHILDREN'S EMERGENCY DEPARTMENT SCORING SYSTEM AS A MARKER OF RESOURCE UTILISATION (23 November, 2015)

  D Ronald, P Fielding, F Davies