Evidence-Based Medicine

Should bleeding trauma patients be intubated in the emergency department or the operating room? This appraisal examines an observational comparison in patients needing urgent haemorrhage control, including the association with mortality and why confounding limits conclusions about changing practice.

Does using a bougie improve first-pass success during tracheal intubation? This appraisal examines a systematic review and meta-analysis, considering the quality and variety of the included studies and how equipment, technique and clinical setting affect the interpretation.

What happens to older patients who spend the night in the emergency department awaiting a ward bed? This appraisal examines a prospective cohort study linking overnight ED stays with in-hospital mortality, while considering confounding and the importance of comfort and dignity.

What makes emergency department staff stay, and what makes their work harder? This appraisal examines a UK qualitative study of staff experiences, exploring workplace culture, leadership and support, with barriers and opportunities for improving working conditions and retention.

How do injury patterns in e-scooter riders compare with those in cyclists? This appraisal examines a retrospective trauma registry study, considering the injuries recorded, differences in the circumstances of incidents and the implications for prevention and assessment.