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Review article: Methodology for the ‘rapid review’ series on musculoskeletal injuries in the emergency department
Authors:Kirsten Strudwick  Megan McPhee  Anthony Bell  Melinda Martin‐Khan  Trevor Russell
Affiliation:1. Emergency Department, Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service, Brisbane, Queensland, Australia;2. Physiotherapy Department, Queen Elizabeth II Jubilee Hospital, Metro South Hospital and Health Service, Brisbane, Queensland, Australia;3. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia;4. Emergency and Trauma Centre, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia;5. Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia;6. Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
Abstract:Musculoskeletal injuries are a common presentation to the ED, with significant costs involved in the management of these injuries, variances in care within the ED and associated morbidity. A series of rapid review papers were completed to guide best practice for the assessment and management of common musculoskeletal injuries presenting to the ED. This paper presents the methodology used across the rapid reviews. PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites, were searched in 2015. The search was repeated consistently for each topic area (injuries of the foot and ankle, knee, hand and wrist, elbow, shoulder, lumbar spine and cervical spine). English‐language primary studies, systematic reviews and guidelines that were published in the last 10 years and addressed acute musculoskeletal injury management were considered for inclusion. Data extraction of each included article was conducted, followed by a quality appraisal. The extracted data from each article was synthesised to group similar evidence together. For each rapid review, the evidence has been organised in a way that a clinician can direct their attention to a specific component of the clinical cycle of care in the ED, such as the assessment, diagnostic tests, management and follow‐up considerations from ED. The series of rapid reviews are designed to foster evidence‐based practice within the ED, targeting the injuries most commonly presenting. The reviews provide clinicians in EDs with rapid access to the best current evidence, which has been synthesised and organised to assist decision‐making.
Keywords:emergency medicine  evidence‐based practice  musculoskeletal diseases  review  wounds and injuries
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