Table of contents

RCEM 2016 abstracts

Rod Little Award Presentations

• 01: SELECTIVE AORTIC ARCH PERFUSION FOR THE REVERSAL OF HAEMORRHAGE-INDUCED TRAUMATIC CARDIAC ARREST IN A SWINE MODEL OF NON-COMPRESSIBLE TORSO HAEMORRHAGE (18 November, 2016)

  EB Barnard, JE Smith, JE Manning, JM Rall, JM Cox, VS Bebarta, JD Ross
• 02: ROLE OF BISPECTRAL INDEX AND SUPPRESSION RATIO MONITORING WITHIN THE EMERGENCY DEPARTMENT AFTER RETURN OF SPONTANEOUS CIRCULATION FOLLOWING CARDIAC ARREST?: A META-ANALYSIS (18 November, 2016)

  L Ramage, C Simillis, S Patil
• 03: PILOTING A RAPID ASSESSMENT TOOL IN CHILDREN'S ED (18 November, 2016)

  S Issa, R Cole, A Alcock, T Sajjanhar, N Selby
• 04: ULTRASONOGRAPHY OF THE INTERNAL JUGULAR VEIN TO ASSESS INTRAVASCULAR STATUS IN THE ED (18 November, 2016)

  S Anwer, A Majeed, A Naveed, S Rehman
• 05: A DESCRIPTIVE PARADIGM OF ESCALATING ENDOVASCULAR INTERVENTION FOR THE MANAGEMENT OF TRAUMATIC CARDIAC ARREST IN A SWINE MODEL OF NON-COMPRESSIBLE TORSO HAEMORRHAGE (18 November, 2016)

  EB Barnard, JE Smith, JE Manning, JM Rall, JM Cox, VS Bebarta, JD Ross
• 06: EXCELLENCE REPORTING (GREATIX): CREATING A DIFFERENT PARADIGM IN IMPROVING SAFETY AND QUALITY (18 November, 2016)

  D Sinton, G Lewis, D Roland

RCEM Free papers (Top Non trainees)

• 07: A QUALITATIVE FEASIBILITY STUDY TO INFORM FLUIDS IN SHOCK (FISH) – A PILOT RANDOMISED CONTROLLED TRIAL OF FLUID BOLUS THERAPY IN SEPTIC SHOCK (18 November, 2016)

  C O'Hara, K Woolfall, R Canter, P Mouncey, K Rowan, M Lyttle, M Peters, D Inwald, S Nadel
• 08: PAEDIATRIC OUT-OF-HOSPITAL TRAUMATIC CARDIAC ARREST: A REVIEW OF THE PS14 SURVIVAL PREDICTION MODEL (18 November, 2016)

  D Mynors-Wallis, F Lecky, O Bouamra, D Burke
• 09: ANNUAL ACUTE HOSPITAL COST OF PAEDIATRIC HEAD INJURY IN AUSTRALIA – A PAEDIATRIC RESEARCH IN EMERGENCY DEPARTMENTS INTERNATIONAL COLLABORATIVE (PREDICT) STUDY (18 November, 2016)

  JA Cheek, M Lyttle, E Oakley, F Babl, M Borland, K Dalziel, GN Kanal, N Phillips, Y Gilhotra, A Kochar, S Dalton, M McCaskill, J Furyk, J Neutze, SR Dalziel

RCEM Free papers

• 10: DETECTING HEPATITIS INFECTION IN THE EMERGENCY DEPARTMENT (18 November, 2016)

  LJ Hunter, S Douthwaite, G Nebbia
• 11: TIME IS MUSCLE: MANAGEMENT OF CHEST PAIN IN THE EMERGENCY DEPARTMENT (18 November, 2016)

  B Qureshi, M Llewelyn, J Freer, P Baptiste, T Harris
• 12: VALIDATION OF THE SHORT FORM OF THE INTERNATIONAL CROWDING MEASURE IN EMERGENCY DEPARTMENTS (ICMED): INTERNATIONAL STUDY (18 November, 2016)

  A Boyle, S Richter, P Atkinson, R Clouston, G Stoica, C Basaure Verdejo, A Wakai, E Chan, K Grewal, P Gilligan, I Higginson, P Liston, V Newcombe, V Norton
• 13: ROUTINE HIV TESTING IN AN INNER CITY EMERGENCY DEPARTMENT (18 November, 2016)

  LJ Hunter, C Lojo Rial, N Larbalestier, J Paparello
• 14: THE IMPACT OF PERIPHERAL INTRAVENOUS (IV) CANNULATION IN THE AMBULANCE AND EMERGENCY DEPARTMENT (18 November, 2016)

  M Steel, S Goodacre
• 15: CONCUSSION IN THE EMERGENCY DEPARTMENT; UNCONSCIOUSLY INCOMPETENT? (18 November, 2016)

  TI Phillips, K Guy, A Tompkinson, R Martin, D Phillips, N Sloan

RCEM Lightning presentations

• 16: MANAGEMENT OF HEAD INJURY IN THE HOSPITAL SETTING (18 November, 2016)

  A Carnachan, R Savage, E Waters, F Elwen
• 17: IMPACT OF POINT OF CARE CRP TESTING ON THE MANAGEMENT OF PATIENTS WITH SUSPECTED COMMUNITY ACQUIRED PNEUMONIA IN THE ED (18 November, 2016)

  D Robinson, J Till
• 18: EVALUATING THE SAFETY AND COST EFFECTIVENESS OF MANAGING FAT PAD POSITIVE ELBOW INJURIES WITHIN THE EMERGENCY DEPARTMENT (18 November, 2016)

  R Tricks, LN Ilavala, J Cumberland
• 19: THE COST-EFFECTIVENESS OF PATIENT CONTROLLED ANALGESIA VERSUS ROUTINE CARE IN PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT IN PAIN, WHO ARE SUBSEQUENTLY ADMITTED TO HOSPITAL (18 November, 2016)

  JE Smith, R Squire, C Pritchard, P Ewings, A Barton, M Rockett, S Creanor, C Hayward, V Eyre, L Cocking, J Benger
• 20: MAJOR INCIDENT TRIAGE: THE CIVILIAN VALIDATION OF THE MODIFIED PHYSIOLOGICAL TRIAGE TOOL (18 November, 2016)

  JE Smith, J Vassallo
• 21: COMPARING THE ABILITIES OF TWO NOVEL TRIAGE TOOLS TO PREDICT HOSPITAL ADMISSION – THE GLASGOW ADMISSION PREDICTION SCORE AND THE AMBULATORY CARE SCORE (18 November, 2016)

  D Jones, S Mason, C OKeeffe
• 22: A MULTI-MODAL APPROACH TO QUALITY IMPROVEMENT: REDUCING 'DOOR-TO-CT' TIME IN POTENITALLY THOMBOLYSABLE STROKE PATIENTS (18 November, 2016)

  F Waterson, I Braithwaite, I Tuck, R Alcock
• 23: TRIAGE OF SEPSIS PATIENTS: SIRS OR QSOFA – WHICH IS BEST? (18 November, 2016)

  N Gunn, C Haigh, JR Thomson
• 24: WE ALL LOVE A GOOD MEDICAL DRAMA – BUT ARE THEIR DEPICTIONS OF CPR BAD FOR THE PUBLIC? (18 November, 2016)

  T Welman, T Welman, C Williams, J Bryan, M Colwill, E Lindberg, C Somerville
• 25: THE DAY MY HEART SKIPPED A BEAT. SAFE, CONSISTENT AND EFFECTIVE MANAGEMENT OF ATRIAL FIBRILLATION IN THE EMERGENCY DEPARTMENT (18 November, 2016)

  R Summerhayes, N Cartwright, A Quartermain
• 26: USE OF AN ANAPHYLAXIS CARE BUNDLE TO IMPROVE MANAGEMENT IN THE EMERGENCY DEPARTMENT (18 November, 2016)

  E Adam, K Turnbull
• 27: THE PARAMEDIC ULTRASOUND IN CARDIAC ARREST STUDY (18 November, 2016)

  MJ Reed, L Gibson, P Black, A Dewar, G Clegg, S Short
• 28: DO ALL HEART SCORES BEAT THE SAME: EVALUATING THE INTER-OPERATOR VARIABILITY OF A CHEST PAIN RISK STRATIFICATION TOOL IN A UK EMERGENCY DEPARTMENT (18 November, 2016)

  WG Niven, D Wilson, S Green, A Robertson, S Goodacre
• 29: FCP AND THE ED: SAVING LIVES THROUGH ORGANISING CARE. (18 November, 2016)

  H McGowan, K Gopeesingh, P Gilligan, P O'Kelly
• 30: WHAT SHOULD BE DONE TO REDUCE EMERGENCY DEPARTMENT CROWDING? – A DELPHI STUDY (18 November, 2016)

  E MacDonald-Nethercott, S Richter, A Boyle, I Higginson
• 31: IMPROVING QUALITY OF CARE IN THE MANAGEMENT OF PATIENTS WITH URINARY CATHETERS THAT ATTEND THE EMERGENCY DEPARTMENT (18 November, 2016)

  C Yeung, K Krishnathasan, C Chan, S Blows, K Cheah, K Whitwell
• 32: PELVIC FRACTURES IN TRAUMA PATIENTS ATTENDED TO BY THE EMERGENCY MEDICAL RETRIEVAL SERVICE (18 November, 2016)

  H Browne, AR Corfield
• 33: THE IMPACT OF BYPASS OF NON-SPECIALIST ACUTE HOSPITALS IN FAVOUR OF SPECIALIST NEUROSCIENCE CENTRES AS THE PRIMARY HOSPITAL DESTINATION FOR TRAUMATIC BRAIN INJURY PATIENTS (18 November, 2016)

  DT Edwards, F Lecky, M Fragoso-Iniguez
• 34: A COMPARISON OF THE HEART, TIMI AND GRACE SCORES IN THE PREDICTION OF A MAJOR ADVERSE CARDIAC EVENT (MACE) IN PATIENTS PRESENTING WITH UNDIFFERENTIATED CARDIAC CHEST PAIN: A PROSPECTIVE COHORT STUDY IN A UK POPULATION. (18 November, 2016)

  PD Reaney, H Elliott, J Cooper
• 35: COMPARISON OF STANDARD CPR AND CPR FEEDBACK METHODS IN TERMS OF THE EFFECTIVENESS OF CHEST COMPRESSIONS DURING CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED STUDY (18 November, 2016)

  B Akbuga Ozel, G Ozel, EB Mamak Ekinci, B Goger, C Delikanli, EC Ersoy, LN Karademir, M Gursoy, UG Kocalar
• 36: PAEDIATRICIANS: ARE THEY JUST LITTLE ADULTS? (18 November, 2016)

  A Tabner, G Johnson, M Jones, R Patel, K Husk, R Parish, J Rees, V Henstridge, I Clark, V Thomas, C Hearnshaw
• 37: ANAESTHETIC CHARTS IN ACUTE ICU ADMISSIONS: DEVELOPMENT FOR USE IN THE EMERGENCY DEPARTMENT (18 November, 2016)

  SA Castell, B Noble, K Leyden
• 38: PALLIATIVE CARE IN THE EMERGENCY DEPARTMENT: A SYSTEMATIC REVIEW (18 November, 2016)

  E Cooper, Z Sheikh, W Townend, M Johnson, A Hutchinson
• 39: OLDER PEOPLE ARE NOT ALL THE SAME: LESSONS FROM A MAJOR TRAUMA DATABASE (18 November, 2016)

  I Sammy, F Lecky, A O'Cathain
• 40:

  HOW TO DEVELOP AN EMERGENCY DEPARTMENT IN-SITU SIMULATION PROGRAM

  (18 November, 2016)

  S Trippick, A Buckley

Moderated Posters

• 41: PILOTING IN ED–EXTRA DIFFICULT OR EASILY DONE (18 November, 2016)

  T Zee, D Thomas, N Jannaway, S Bassey
• 42: RESUS ESTIMATED TIMES OF ARRIVAL – JUST HOW ACCURATE ARE THEY? (18 November, 2016)

  C Turner, H Patten, M Williams
• 43: PATIENTS ADMITTED FROM THE EMERGENCY DEPARTMENT INTO AN ACUTE MEDICINE BED FOR LESS THAN TWENTY FOUR HOURS–ARE THESE ADMISSIONS JUSTIFIED? (18 November, 2016)

  M Clancy, H Gray
• 44: ATTENDANCE AVOIDANCE THROUGH APP BASED MEDICATION REVIEW (18 November, 2016)

  JJ Muller, R Mcnamara
• 45: TRENDS IN VIOLENCE IN ENGLAND AND WALES 2010–2014 (18 November, 2016)

  V Sivarajasingam, N Page, J Shepherd, S Moore
• 46: MORTALITY OF EMERGENCY PATIENTS IN A TERTIARY REFERRAL HOSPITAL IN SIERRA LEONE–BASELINE RATE AND CORRELATION WITH ADMISSION TRIAGE CATEGORY (18 November, 2016)

  T Tolppa, R Lowsby, H Harrison, G Evans, C Kamara
• 47: UNSTABLE SPINAL FRACTURES IN SNOWDONIA MOUNTAIN CASUALTIES (18 November, 2016)

  J Hunt, L Dykes, T Walford
• 48: KEEPING THE DREAM ALIVE. A RAPID REMOTE PEER CPD TOOL FOR SENIOR EMERGENCY PHYSICIANS (18 November, 2016)

  J Rowlinson
• 49: USING A FINGERPRINT-ACCESS MEDICATION CABINET TO IMPROVE EFFICIENCY IN AN EMERGENCY DEPARTMENT. (18 November, 2016)

  M Ragoo
• 50: DOES ADDING LACTATE TO THE NEWS SCORE IMPROVE IDENTIFICATION OF SEPTIC PATIENTS? (18 November, 2016)

  N Gunn, C Haigh, JR Thomson
• 51: PROCEDURAL SEDATION IN THE EMERGENCY DEPARTMENT – HOW WELL TRAINED ARE OUR STAFF? (18 November, 2016)

  M Currer, T Trudeau, H Laura
• 52: ANALYSIS OF ACCIDENT AND EMERGENCY DEPARTMENT (A&E) WAITING TIMES FOR PATIENTS REFERRED TO AN OFFSITE SPECIALTY WITHIN A MULTISITE TRUST (18 November, 2016)

  RK Mohammad, R Shetty
• 53: ACCIDENT & EMERGENCY PERFORMANCE AND SENIOR DOCTOR INITIAL ASSESSMENT MODEL; NATIONAL DATA ANALYSIS FOR ENGLISH NHS HOSPITAL TRUSTS (18 November, 2016)

  MA Abdulwahid, J Turner, S Mason
• 54: TICKED OFF ABOUT SAFE SEDATION: A CHECKLIST IMPROVES COMPLIANCE WITH SEDATION GUIDELINES IN AN EMERGENCY DEPARTMENT (18 November, 2016)

  E Butterfield, J SIAH, J Napier
• 55: EXIT INTERVIEWS FOR JUNIOR DRS- WHAT CAN WE LEARN? THE POPE-I PROJECT (18 November, 2016)

  C Turner, V Lee-Shrewsbury, N Hill
• 56: CONSULTUS INTERRUPTUS: UNSCHEDULED INTERACTIONS WITHIN THE EMERGENCY DEPARTMENT (18 November, 2016)

  SS Gill, R Paw, P Doyle, A Shah, S Al-Shakhshir, M Abukhder
• 57: IMPROVING THE MANAGEMENT OF CORNEAL INJURIES WITH THE INTRODUCTION OF A PROFORMA (18 November, 2016)

  A Wilson, JR Thomson
• 58: THE IMPACT OF PHYSICIAN LED PRE-HOSPITAL CARE ON MAJOR TRAUMA MORTALITY IN CAMBRIDGESHIRE: AN OBSERVATIONAL CROSS-SECTIONAL ANALYSIS (18 November, 2016)

  H Ragab, R Mackenzie
• 59: IDENTIFYING TRAUMA CENTRE NEED (TCN) IN ADULTS SUSTAINING INJURY: A NARRATIVE REVIEW (18 November, 2016)

  A Follows, R Phillips, J Vassallo
• 60: EMERGENCY CRICOTHYROTOMY: REVISED ANATOMY AND ITS IMPLICATIONS FOR CLINICAL PRACTICE (18 November, 2016)

  T Nutbeam, D Enki, R Clarke, T Luff, D Gay

APEM Elizabeth Molyneux Prize

• 61: FALLS FROM BUILDINGS IN THE PAEDIATRIC POPULATION (18 November, 2016)

  H Haq, R Fanous, M Clark, A Parikh
• 62: EMERGENCY DEPARTMENT RE-ATTENDANCES AND TREATMENT MODIFICATIONS IN YOUNG CHILDREN WITH UNCOMPLICATED COMMUNITY-ACQUIRED PNEUMONIA: A PERUKI STUDY (18 November, 2016)

  J Bielicki, M Sharland, M Lyttle, S Hartshorn, J Petrie
• 63: DEVELOPMENT OF A HIGH-RESOLUTION INFRARED THERMOGRAPHIC IMAGING METHOD AS A DIAGNOSTIC TOOL FOR ACUTE UNDIFFERENTIATED LIMP IN YOUNG CHILDREN. (18 November, 2016)

  R Owen, S Ramlakhan, D Burke, R Saatchi
• 64: CAN THE INTRODUCTION OF A “VIRTUAL” CLINIC IN A PAEDIATRIC TERTIARY CENTRE HELP TO REDUCE THE BURDEN OF FOLLOWUP FOR MINOR PAEDIATRIC FRACTURES? (18 November, 2016)

  SK Roy, N McDonald, D Back

APEM Lightning presentations

• 65: USING IN SITU SIMULATION TO GET PAEDIATRIC CODE RED RIGHT (18 November, 2016)

  A Anpananthar, A Parikh, J Galea
• 66: WHO ARE OUR ‘CODE-RED’ KIDS? – A URBAN MAJOR TRAUMA CENTRE'S EXPERIENCE OF MAJOR HAEMORRHAGE IN INJURED CHILDREN (18 November, 2016)

  H Randhawa, MA Edwards, F Cantle
• 67: A PRE-HOSPITAL ANALYSIS OF PAEDIATRIC MAJOR TRAUMA IN THE GREATER DUBLIN AREA (18 November, 2016)

  O Kelly, M O'Reilly, NC Collins
• 68: NON-ACCIDENTAL INJURY: AN IMPORTANT CAUSE OF PAEDIATRIC MAJOR TRAUMA (18 November, 2016)

  N Parry, L Goldsworthy, S Melsom, J Fryer, G Haythornthwaite
• 69: THE 'SQUEEZED SAMPLE': IS THERE A RELATIONSHIP BETWEEN FALSELY ELEVATED LACTATE AND POTASSIUM IN BLOOD GAS SAMPLES IN CHILDREN? (18 November, 2016)

  D Sinton, J Hall, D Roland
• 70: INCIDENCE AND SEVERITY OF ACUTE MOUNTAIN SICKNESS AND ASSOCIATED SYMPTOMS IN TAIWANESE CHILDREN ON XUE MOUNTAIN (3,886 M) (18 November, 2016)

  F Cheng
• 71: DESCRIPTIVE STUDY OF PAEDIATRIC OBSERVATION PRIORITY SCORE (POPS) TRIAGE TOOL IN BRONCHIOLITIS (18 November, 2016)

  D Roland, F Arshad