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2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.

https://caltcm.memberclicks.net/assets/documents/acc_aha_chf_2013_guidelines.pdf

2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines

ACC/AHA
: American College of Cardiology/American Heart Association
ACCF/AHA
: American College of Cardiology Foundation/American Heart Association
ACE
: angiotensin-converting enzyme
ACEI
: angiotensin-converting enzyme inhibitor
ACS
: acute coronary syndrome
AF
: atrial fibrillation

/pdf/2016-esc-guidelines-for-the-diagnosis-and-treatment-of-acute-z18hg30pp1.pdf

2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation : The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC).

/pdf/2015-esc-guidelines-for-the-management-of-acute-coronary-6did6h5nxk.pdf

2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC)

The ABC of clinical electrocardiography is edited by Francis Morris, consultant in emergency medicine at the Northern General Hospital, Sheffield; June Edhouse, consultant in emergency medicine, Stepping Hill Hospital, Stockport; William J Brady, associate professor, programme director, and vice chair, department of emergency medicine, University of Virginia, Charlottesville, VA, USA; and John Camm, professor of clinical cardiology, St George's Hospital Medical School, London. The series will be published as a book in the summer.



Steve Goodacre is health services research fellow in the accident and emergency department at the Northern General Hospital, Sheffield; and Karen McLeod is consultant paediatric cardiologist at the Royal Hospital for Sick Children, Glasgow.

/pdf/abc-of-clinical-electrocardiography-paediatric-3mvd6fn2ji.pdf

ABC of clinical electrocardiography: Paediatric electrocardiography.

Background: Chest pain units (CPUs) provide a system of care for patients with acute chest pain that can improve outcomes while reducing health service costs. The Effectiveness and Safety of Chest Pain Assessment to Prevent Emergency Admissions (ESCAPE) multicentre trial was undertaken to determine whether CPUs could be successfully established throughout the National Health Service (NHS). Aim: To describe the structure, processes and outcomes of patients managed by CPUs in the ESCAPE Trial. Method: 7 of 14 participating hospitals were randomly allocated to establish CPU care. Each hospital set up a CPU using standardised protocols to provide biochemical cardiac marker and exercise treadmill testing for low-risk patients. Research staff then followed up patients for 30 days to identify any adverse events, defined as chest pain-related readmission to hospital for more than 48 h, non-fatal myocardial infarction and all deaths. Results: The 7 units managed a total of 1644 patients during their first year of operation. Activity varied from 1 to 7 patients per 1000 adult emergency department attendances. Overall, 1374 (83%) patients were discharged after CPU assessment, with 23 (1.7%) adverse events recorded among those discharged. Some, but not all, of the variation in activity could be attributed to hospital size and patient selection. Conclusion: CPU care can be instituted in a safe manner at a variety of NHS hospitals, with most patients being discharged after assessment. However, there is variation in the number and type of patients managed by the different units. Further research is required to identify reasons for variation in CPU activity.

/pdf/structure-process-and-outcomes-of-chest-pain-units-2qjjdf7hca.pdf

Structure, process and outcomes of chest pain units established in the ESCAPE Trial

Background

Identifying the information needs of Emergency Department (ED) staff and sources of information that they use can help to improve efficiency and effectiveness in the ED. As Emergency Medicine has unique characteristics, information needs of the Emergency Department (ED) staff might be different from other settings. However, few studies have investigated the information needs of ED staff and the sources of information that they use.



Objectives

We aimed to investigate the information needs of ED staff and the sources of information that they used in their practice.



Methods

It was a qualitative study, in which data were collected using semi-structured interviews and 34 ED staff were interviewed in total. To analyse data, the method of framework analysis was used.



Results

Different types of information needs and sources of information were found in the ED. Patient information was considered the most important type of information, and verbal communication was the most frequently used source of information.



Conclusion

The variety of information used in the ED shows task complexity in this department which might not be simply addressed by technology. Further research is needed to identify how computerised information systems can be improved to meet users' information needs in the ED.

Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study.

Recent terrorist attacks and natural disasters have led to an increased awareness of the importance of emergency planning. However, the extent to which emergency planners can access or use evidence remains unclear. The aim of this study was to identify, analyse and assess the location, source and quality of emergency planning publications in the academic and UK grey literature. We conducted a scoping review, using as data sources for academic literature Embase, Medline, Medline in Process, Psychinfo, Biosis, Science Citation Index, Cinahl, Cochrane library and Clinicaltrials.gov. For grey literature identification we used databases at the Health Protection Agency, NHS Evidence, British Association of Immediate Care Schemes, Emergency Planning College and the Health and Safety Executive, and the websites of UK Department of Health Emergency Planning Division and UK Resilience. Aggregative synthesis was used to analyse papers and documents against a framework based on a modified FEMA Emergency Planning cycle. Of 2736 titles identified from the academic literature, 1603 were relevant. 45% were from North America, 27% were commentaries or editorials and 22% were event reports. Of 192 documents from the grey literature, 97 were relevant. 76% of these were event reports. The majority of documents addressed emergency planning and response. Very few documents related to hazard analysis, mitigation or capability assessment. Although a large body of literature exists, its validity and generalisability is unclear There is little evidence that this potential evidence base has been exploited through synthesis to inform policy and practice. The type and structure of evidence that would be of most value of emergency planners and policymakers has yet to be identified.

/pdf/where-is-the-evidence-for-emergency-planning-a-scoping-236dtx0p75.pdf

Steve Goodacre

Papers

ABC of clinical electrocardiography: Paediatric electrocardiography.

Structure, process and outcomes of chest pain units established in the ESCAPE Trial

Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study.

Where is the evidence for emergency planning: a scoping review.

The clinical and diagnostic performance characteristics of the high sensitivity Abbott cardiac troponin I assay.