Article Text

Download PDFPDF

Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary
  1. K Mackway-Jones, Consultant
  1. Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Correspondence to: Kevin Mackway-Jones, Consultant (kevin.mackway-jones{at}

Statistics from

Edited by K Mackway-Jones

Best evidence topic reports (BETs) summarise the evidence pertaining to particular clinical questions. They are not systematic reviews, but rather contain the best (highest level) evidence that can be practically obtained by busy practising clinicians. The search strategies used to find the best evidence are reported in detail in order to allow clinicians to update searches whenever necessary.

Five of the BETs published below were first reported at the Critical Appraisal Journal Club at the Manchester Royal Infirmary.1 Four guest BETs submitted from around the world are also shown. Each BET has been constructed in the four stages that have been described elsewhere.2 The BETs shown here together with those published previously and those cur-rently under construction can be seen at http://www.bestbets.org3

Guest BETs

  • The Ottawa ankle rules in children

  • Belching as a symptom of myocardial ischaemia

  • Skull fracture and intracranial injury in children

  • Indication for head CT in children with mild head injury

  • Negative urine analysis to exclude uri-nary tract infection

  • Intramuscular piroxicam or intramuscu-lar diclofenac for renal colic

  • Oral (fast dissolving) piroxicam or intra-muscular diclofenac for renal colic

  • NIPPV for acute cardiogenic pulmonary oedema

  • Corticosteroids in the management of near-drowning

Edited by K Mackway-Jones


Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.