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  1. Article ; Online: #FOAMed errors: does the opportunity for speedy resolution outweigh the risk of rapid dissemination?

    Carley, Simon

    Emergency medicine journal : EMJ

    2019  Volume 36, Issue 8, Page(s) 452

    MeSH term(s) Social Media
    Language English
    Publishing date 2019-07-10
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2019-208787
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1941: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Interobserver reliability and diagnostic accuracy of prehospital triage for identifying traumatic brain injury in paediatric patients: a systematic review.

    Alsuwais, Sara / Alqurashi, Naif / Body, Richard / Carley, Simon

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

    2023  Volume 40, Issue 3, Page(s) 813–821

    Abstract: Purpose: The consistency and accuracy of paediatric TBI triage tools can be affected by different factors, such as patients' characteristics and the level of knowledge and skill of the caregiver. This systematic review included all the available data on ...

    Abstract Purpose: The consistency and accuracy of paediatric TBI triage tools can be affected by different factors, such as patients' characteristics and the level of knowledge and skill of the caregiver. This systematic review included all the available data on the level of agreement between paramedics and ED physicians about the reliability of tools to identify paediatric TBI and the diagnostic accuracy of several such tools in prehospital settings when used by paramedics.
    Methods: MEDLINE (OVID), EMBASE (OVID), Cochrane Library (OVID), and CINAHL Plus (EBSCO) databases were searched from inception to 27 October 2022. Quality, bias, and applicability were assessed using COSMIN for interobserver reliability studies and QUADAS-2 tool for diagnostic accuracy studies. Narrative synthesis was employed because data were unsuitable for meta-analysis.
    Results: Initial searches identified 660 papers in total. Five met the inclusion criteria. Two studies showed moderate agreement between paramedics and ED physicians for GCS assessment. The PTS overtriage rate was 10% and the undertriage rate was 62%, while the triage tape had an overtriage rate of 18% and an undertriage rate of 68%. Pre-hospital GCS had 86.67% sensitivity and 71.43% specificity [95% CI]: 0.74-0.96 for neurosurgically significant TBI.
    Conclusion: Low level of GCS agreement and poor diagnostic accuracy may cause further harm to the patient; thus, further studies are recommended to improve the prehospital management of children with head injuries.
    MeSH term(s) Humans ; Child ; Triage ; Reproducibility of Results ; Craniocerebral Trauma ; Brain Injuries, Traumatic/diagnosis ; Physicians
    Language English
    Publishing date 2023-10-18
    Publishing country Germany
    Document type Systematic Review ; Meta-Analysis ; Journal Article ; Review
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-023-06144-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2036: Show issues Location:
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  3. Article ; Online: Introducing the SONO case series.

    Carley, Simon / McDermott, Cian

    Emergency medicine journal : EMJ

    2020  Volume 37, Issue 9, Page(s) 581

    MeSH term(s) Emergency Medicine ; Emergency Service, Hospital ; Humans ; Point-of-Care Systems ; Ultrasonography ; Ultrasonography, Interventional
    Keywords covid19
    Language English
    Publishing date 2020-09-02
    Publishing country England
    Document type Introductory Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-210335
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1941: Show issues Location:
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  4. Article ; Online: Journal update monthly top five.

    Prager, Gabrielle / Hirst, Robert / Darbyshire, Daniel / Van Den Berg, Patricia / Oliver, Govind / Shanahan, Thomas Alexander Gerrard / Carley, Simon David

    Emergency medicine journal : EMJ

    2024  Volume 41, Issue 3, Page(s) 193–194

    Language English
    Publishing date 2024-02-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2024-213942
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1941: Show issues Location:
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  5. Article ; Online: How can emergency physicians harness the power of new technologies in clinical practice and education?

    Carley, Simon / Laing, Simon

    Emergency medicine journal : EMJ

    2018  Volume 35, Issue 3, Page(s) 156–158

    Abstract: As the Royal College of Emergency Medicine looks back on 50 years of progress towards the future it is clear that new and emerging technologies have the potential to substantially change the practice of emergency medicine. Education, diagnostics, ... ...

    Abstract As the Royal College of Emergency Medicine looks back on 50 years of progress towards the future it is clear that new and emerging technologies have the potential to substantially change the practice of emergency medicine. Education, diagnostics, therapeutics are all likely to change as algorithms, personalised medicine and insights into complexity become more readily available to the emergency clinician. This paper outlines areas of our practice that are already changing and speculates on how we might need to prepare our workforce for a technologically enhanced future.
    MeSH term(s) Emergency Medicine/history ; Emergency Medicine/manpower ; Emergency Medicine/trends ; Emergency Service, Hospital/trends ; History, 20th Century ; History, 21st Century ; Humans ; Inventions/trends
    Language English
    Publishing date 2018-02-20
    Publishing country England
    Document type Editorial ; Historical Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2017-207239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1941: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Towards enhanced telephone triage for chest pain: a Delphi study to define life-threatening conditions that must be identified.

    Alotaibi, Ahmed / Body, Richard / Carley, Simon / Pennington, Elspeth

    BMC emergency medicine

    2021  Volume 21, Issue 1, Page(s) 158

    Abstract: Background: Improving telephone triage for patients with chest pain has been identified as a national research priority. However, there is a lack of strong evidence to define the life-threatening conditions (LTCs) that telephone triage ought to identify. ...

    Abstract Background: Improving telephone triage for patients with chest pain has been identified as a national research priority. However, there is a lack of strong evidence to define the life-threatening conditions (LTCs) that telephone triage ought to identify. Therefore, we aimed to build consensus for the LTCs associated with chest pain that ought to be identified during telephone triage for emergency calls.
    Methods: We conducted a Delphi study in three rounds. Twenty experts in pre-hospital care and emergency medicine experience from the UK were invited to participate. In round I, experts were asked to list all LTCs that would require priority 1, 2, and 4 ambulance responses. Round II was a ranking evaluation, and round III was a consensus round. Consensus level was predefined at > = 70%.
    Results: A total of 15 participants responded to round one and 10 to rounds two and three. Of 185 conditions initially identified by the experts, 26 reached consensus in the final round. Ten conditions met consensus for requiring priority 1 response: oesophageal perforation/rupture; ST elevation myocardial infarction; non-ST elevation myocardial infarction with clinical compromise (defined, also by consensus, as oxygen saturation < 90%, heart rate < 40/min or systolic blood pressure < 90 mmHg); acute heart failure; cardiac tamponade; life-threatening asthma; cardiac arrest; tension pneumothorax and massive pulmonary embolism. An additional six conditions met consensus for priority 2 response, and three for priority 4 response.
    Conclusion: Using expert consensus, we have defined the LTCs that may present with chest pain, which ought to receive a high-priority ambulance response. This list of conditions can now form a composite primary outcome for future studies to derive and validate clinical prediction models that will optimise telephone triage for patients with a primary complaint of chest pain.
    MeSH term(s) Chest Pain/diagnosis ; Delphi Technique ; Emergency Medical Services ; Humans ; Oxygen Saturation ; Telephone ; Triage
    Language English
    Publishing date 2021-12-15
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050431-7
    ISSN 1471-227X ; 1471-227X
    ISSN (online) 1471-227X
    ISSN 1471-227X
    DOI 10.1186/s12873-021-00553-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Journal update monthly top five.

    Sutton-Klein, Joanna / Doherty, William James / Jafar, Anisa Jabeen Nasir / Yates, Gregory / Body, Richard / Carley, Simon David / Prager, Gabrielle

    Emergency medicine journal : EMJ

    2023  Volume 40, Issue 10, Page(s) 731–732

    Language English
    Publishing date 2023-09-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2023-213603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1941: Show issues Location:
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  9. Article: Assessing on-line medical education resources: A primer for acute care medical professionals and others.

    Brindley, Peter G / Byker, Leon / Carley, Simon / Thoma, Brent

    Journal of the Intensive Care Society

    2021  Volume 23, Issue 3, Page(s) 340–344

    Abstract: The internet is increasingly used to propagate medical education, debate, and even disinformation. Therefore, this primer aims to help acute care medical professionals, as well as the public. This is because we all need to be able to critically appraise ... ...

    Abstract The internet is increasingly used to propagate medical education, debate, and even disinformation. Therefore, this primer aims to help acute care medical professionals, as well as the public. This is because we all need to be able to critically appraise digital products, appraise content producers, and reflect upon our own on-line presence. This article discusses the challenges and opportunities associated with online medical resources. We then review Free Open Access Medical Education (FOAMed) and the key tools used to assess the trustworthiness of on-line medical products. Specifically, after discussing the pros and cons of traditional academic quality metrics, we compare and contrast the Social Media Index, the ALiEM AIR score, the Revised METRIQ Score, and gestalt. We also discuss internet search engines, peer review, and the important message behind the seemingly tongue-in-cheek Kardashian Index. Hopefully, this primer bolsters basic digital literacy and helps trainees, practitioners, and the public locate useful and reliable on-line resources. Importantly, we highlight the continued importance of traditional academic medicine and primary source publications.
    Language English
    Publishing date 2021-03-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2701626-2
    ISSN 1751-1437 ; 1751-1437
    ISSN (online) 1751-1437
    ISSN 1751-1437
    DOI 10.1177/1751143721999949
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Combatting COVID-19: is ultrasound an important piece in the diagnostic puzzle?

    McDermott, Cian / Daly, Joseph / Carley, Simon

    Emergency medicine journal : EMJ

    2020  Volume 37, Issue 10, Page(s) 644–649

    Abstract: The current COVID-19 pandemic is causing diagnostic and risk stratification difficulties in Emergency Departments (ED) worldwide. Molecular tests are not sufficiently sensitive, and results are usually not available in time for decision making in the ED. ...

    Abstract The current COVID-19 pandemic is causing diagnostic and risk stratification difficulties in Emergency Departments (ED) worldwide. Molecular tests are not sufficiently sensitive, and results are usually not available in time for decision making in the ED. Chest x-ray (CXR) is a poor diagnostic test for COVID-19, and computed tomography (CT), while sensitive, is impractical as a diagnostic test for all patients. Lung ultrasound (LUS) has an established role in the evaluation of acute respiratory failure and has been used during the COVID-19 outbreak as a decision support tool. LUS shows characteristic changes in viral pneumonitis, and while these changes are not specific for COVID-19, it may be a useful adjunct during the diagnostic process. It is quick to perform and repeat and may be done at the bedside. The authors believe that LUS can help to mitigate uncertainty in undifferentiated patients with respiratory symptoms. This review aims to provide guidance regarding indications for LUS, describe the typical sonographic abnormalities seen in patients with COVID-19 and provide recommendations around the logistics of performing LUS on patients with COVID-19 and managing the infection control risk of the procedure. The risk of anchoring bias during a pandemic and the need to consider alternative pathologies are emphasised throughout this review. LUS may be a useful point-of-care test for emergency care providers during the current COVID-19 pandemic if used within a strict framework that governs education, quality assurance and proctored scanning protocols.
    MeSH term(s) COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/diagnostic imaging ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Lung/diagnostic imaging ; Lung/physiopathology ; Male ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/diagnostic imaging ; Point-of-Care Systems/organization & administration ; Severe Acute Respiratory Syndrome/diagnostic imaging ; Severe Acute Respiratory Syndrome/epidemiology ; Severity of Illness Index ; Ultrasonography, Doppler/methods ; Ultrasonography, Doppler/statistics & numerical data ; United Kingdom
    Keywords covid19
    Language English
    Publishing date 2020-09-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-209721
    Database MEDical Literature Analysis and Retrieval System OnLINE

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