Table of contents

Abstracts

RCEM Abstracts 2019

• 001 Can we make the emergency department handover safer? (21 November, 2019) Free

  Yok Tan, Holly Mansell, Josie Evans, Anand Kanani, Benjamin Stanhope
• 002 Current fluid resuscitation practice in a tertiary paediatric emergency department in infants with a working diagnosis of sepsis: a retrospective study (21 November, 2019) Free

  Elizabeth Ryan, Fleur Cantle
• 003 Identifying risk of maltreatment in burn injuries in children less than 5 years old (21 November, 2019) Free

  Assim Javaid, Alison Kemp, Linda Hollén
• 004 Improving the consideration of non accidental injury in under 1s presenting to the emergency department with apparent trauma (21 November, 2019) Free

  Chris Lowry, Fiona Burton
• 005 Rectal bleeding presenting to the paediatric emergency department (21 November, 2019) Free

  Jordan Evans, Huria Metezai, Zoe Roberts
• 006 The inter-observer reliability of head injury assessment between clinicians and parents of head injured children (21 November, 2019) Free

  Charlotte Kennedy, Govind Oliver, Richard Body
• 007 Variability in point of care ultrasound (POCUS) practices in paediatric emergency departments in the UK & ireland; a PERUKI study (21 November, 2019) Free

  Mark Lyttle, Dan Magnus, Anand Kanani, Lisa Kehler, Niccolo Parri, Sarah Jones
• 008 A qualitative exploration of the factors influencing patient flow in an emergency department (21 November, 2019) Free

  Loren De Freitas, Steve Goodacre, Rachel O’Hara, Praveen Thokala, Seetharaman Hariharan
• 009 Decision-analysis modelling of the effects of thromboprophylaxis for people with lower limb immobilisation for injury (21 November, 2019) Free

  Sarah Davis, Steve Goodacre, Abdullah Pandor, Daniel Horner, John Stevens, Kerstin de Wit, Beverley Hunt
• 010 Diagnostic accuracy of pulmonary embolism (PE) rule-out strategies in pregnancy (21 November, 2019) Free

  Steve Goodacre, Catherine Nelson-Piercy, Beverley Hunt, Gordon Fuller
• 011 High-sensitivity cardiac troponin on presentation to rule out myocardial infarction (HiSTORIC): a stepped-wedge cluster randomised controlled trial (21 November, 2019) Free

  Alasdair Gray
• 012 Outcomes following confirmed myocardial injury in patients with atrial fibrillation: a post hoc subgroup analysis of the high-STEACS trial (21 November, 2019) Free

  Tegan McKay, Benjamin Scally, Kuan Ken Lee, Atul Anand, Nicholas Mills, Alasdair Gray
• 013 Paramedic HEART scores in the prediction of MACE and AMI. The ambulance cardiac chest pain evaluation in scotland (ACCESS) study (21 November, 2019) Free

  Jamie Cooper, James Ferguson, Lorna Donaldson, Kim Black, Elaine Davidson, Judith Horrill, Kate Livock, Kuan Ken Lee, Atul Anand, Nicholas Mills, Neil Scott
• 014 Shared decision making: T-MACS choice for chest pain patients in the ED (21 November, 2019) Free

  Abigail Ward, Patricia van den Berg, Richard Body
• 015 ‘I actually only come to work for the banter’: a qualitative study into contributors to emergency department care providers’ transitory emotional state (21 November, 2019) Free

  Susie Roy, Alan Jaap, Janet Skinner
• 016 An evaluation of the impact of the NICE head injury guidelines on inpatient mortality from traumatic brain injury: an interrupted time series analysis (21 November, 2019) Free

  Carl Marincowitz, Fiona Lecky, Victoria Allgar, Trevor Sheldon
• 017 Bypassing the nearest emergency department for a more distant neurosurgical centre in traumatic brain injury patients (21 November, 2019) Free

  Callum Prosser, David Edwards, Fiona Lecky, Omar Bouamra
• 018 Clinician prediction of cardiac arrhythmia in patients presenting to the ED with palpitation or pre-syncope (21 November, 2019) Free

  Matt Reed, Neil Grubb, Chris Lang, Rachel O’Brien, Kirsty Simpson, Mia Padarenga, Alison Grant, Sharon Tuck, Liza Keating, Frank Coffey, Lucy Jones, Tim Harris, Gavin Lloyd, James Gagg, Jason Smith
• 019 Club 18–40: why do young adults attend the emergency department? M (21 November, 2019) Free

  S Muz Ahmad, Craig Davidson
• 020 Diagnostic accuracy of the Siemens TNIH assay with 0/3 hour rule out algorithms (21 November, 2019) Free

  Patricia van den Berg, Paul Collinson, Niall Morris, Richard Body
• 021 Emergency department hypertension, is it real? A systematic review and meta-analysis (21 November, 2019) Free

  Charles Reynard, Govind Oliver, Patricia van den Berg, Mina Naguib, Richard Body
• 022 Evaluating diversion of alcohol related attendances: the EDARA study (21 November, 2019) Free

  Steve Goodacre, Andy Irving, Tracey Young, Alicia O’Cathain, Penny Buykx, Simon Moore
• 023 For how long should we monitor ED palpitation patients in the outpatient setting? (21 November, 2019) Free

  Matt Reed, Neil Grubb, Chris Lang, Rachel O’Brien, Kirsty Simpson, Mia Padarenga, Alison Grant, Sharon Tuck, Liza Keating, Frank Coffey, Lucy Jones, Tim Harris, Gavin Lloyd, James Gagg, Jason Smith
• 024 Handheld electronic device use in patient care; the emergency department patient perspective (21 November, 2019) Free

  Nicholas Tilbury, Graham Johnson, Carol Byrne, Adam Churchman, Maleasha Shergill, Zoe Rusk, Andrew Tabner
• 025 Hospital interventions to improve patient flow: emergency department outcomes of an action research study (21 November, 2019) Free

  Simon Sethi, Caroline Boulind, Stevan Bruijns
• 026 How good is your gestalt in diagnosing acute coronary syndrome? A systematic literature review (21 November, 2019) Free

  Govind Oliver, Patricia van den Berg, Charles Reynard, Richard Body
• 027 The utilisation of urgent emergency care services by older care home residents in the UK and the subsequent impact on emergency departments (21 November, 2019) Free

  Molly Brewster, Colin O’Keeffe, Suzanne Mason
• 028 A comparison of the MACS-ECG algorithm versus contemporary computer algorithms (21 November, 2019) Free

  Niall Morris, Richard Body
• 029 An exploration of what health care professionals consider to be good clinical shop floor leadership (21 November, 2019) Free

  Fleur Cantle
• 030 Are staff recorded pain scores a ‘gold standard’ for ED pain research? (21 November, 2019) Free

  R Connor Putnam, Hilary Thornton, Timothy Coats
• 031 Bed block – a game to help understand patient flow (21 November, 2019) Free

  Sarah Edwards, Leesa Parkinson
• 032 Clinical frailty score as a decision-making tool in the emergency department – a step towards better outcomes for older patients (21 November, 2019) Free

  Aine Mitchell, Qurrat-Ul-Ain Tahir, Jay Banerjee
• 033 Diagnostic investigation and prediction of shock (DiPS), in the emergency department: a prospective observational study (21 November, 2019) Free

  Sorayya Kakhi Sorayya, Afaque Nadeem, Jamie Seymour, Nicholas Ngua, Zaheer Yousef, Timothy Rainer
• 034 Early cardiovascular dysfunction drives in-hospital trauma mortality (21 November, 2019) Free

  Rich Carden, David Lockey, Karim Brohi
• 035 Ensuring data adequacy in development of a major trauma clinical decision app (21 November, 2019) Free

  Alexandra Mather, David Lowe, Kevin Thomson, Alan Whitelaw, Ben Beaumont, James Tulloch
• 036 Feasibility of collecting real-time emergency department patient safety and experience feedback (21 November, 2019) Free

  Sally-Anne Wilson, Claire Marsh
• 037 Improving the adult patient experience by introducing a paediatric wound closure method – the hair apposition technique (21 November, 2019) Free

  Shree-eesh Waydia, Lucas Rehnberg
• 038 Junior doctors’ perceptions and experiences of the emergency department departmental handover: a qualitative study (21 November, 2019) Free

  Emily Park, Susie Roy, Janet Skinner
• 039 Peripheral administration of vasopressors in transport (21 November, 2019) Free

  Kevin Gervin, Alasdair Corfield, Anton Queen
• 040 Prehospital national early warning score predicts patient disposition also in japan (21 November, 2019) Free

  Takuro Endo, Shigeki Fujitani, Yasuhiko Taira
• 041 Pre-hospital PEWS is not a useful predictor of the need for hospital admission from ED (21 November, 2019) Free

  Alasdair Corfield, Kate Booth, Linda Clerihew, Harry Staines, Elaine Stewart, Kevin Rooney
• 042 Scottish code red audit report 2015–2017 (21 November, 2019) Free

  Matt Reed, Claire Cooke, Niall McMahon, Katie Hands, Susan Henderson, Eleanor Knight, Munsor Latif, Nicola Littlewood, Naomi Todd, Margaret McGarvey, Neil Hughes, Michael Donald, Megan Rowley, Catherine Innes, Symon Lockhart
• 043 Should adults with mild head injury taking direct oral anticoagulants undergo CT scanning? A systematic review (21 November, 2019) Free

  Gordon Fuller, Rachel Evans, Louise Preston, Helen Buckley Woods, Suzanne Mason
• 044 Stemming the flow (21 November, 2019) Free

  Patrick Honour, Graeme McAlpine
• 045 We’re going to need a bigger boat! Evening opening of mothballed outpatient areas to reduce crowding in a children’s emergency department (21 November, 2019) Free

  Katherine Hance, Mark Lyttle, Sue Humphreys
• 046 Whose pain are we treating? A study comparing ED patients’ expectations of analgesia with ED doctors’ preconceptions (21 November, 2019) Free

  Rajendra Raman, Laura Fleming
• 047 A review of reviews of emergency department interventions for older people: outcomes, costs and implementation factors (21 November, 2019) Free

  James van Oppen, Louise Preston, Suzanne Ablard, Helen Buckley Woods, Suzanne Mason, Simon Conroy
• 048 Computer beats doctor? Estimating the probability of acute coronary syndrome for individual patients (21 November, 2019) Free

  Govind Oliver, Charles Reynard, Niall Morris, Richard Body
• 049 Development of a clinical decision rule for the early safe discharge of patients with mild traumatic brain injury and findings on CT brain scan: a retrospective cohort study (21 November, 2019) Free

  Carl Marincowitz, Fiona Lecky, Victoria Allgar, Peter Hutchinson, Hadir Elbeltagi, Faye Johnson, Eimhear Quinn, Silvia Tarantino, Will Townend, Angelos Kolias
• 050 Introduction of a quality of trauma care patient reported experience measure during weekly trauma governance review meetings (21 November, 2019) Free

  Matthew Owen, Blair Graham, Jason Smith
• 051 The ACUTE (ambulance CPAP: use, treatment effect and economics) feasibility study: a pilot randomised controlled trial of prehospital CPAP for acute respiratory failure (21 November, 2019) Free

  Gordon Fuller, Sam Keating, Steve Goodacre, Esther Herbert, Gavin Perkins, Matthew Ward, Andy Rosser, Imogen Gunson, Josh Miller, Mike Bradburn, Tim Harris, Maggie Marsh, Cindy Cooper