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AIM: Blood Sampling Guidelines have been developed to target European emergency medicine-related professionals involved in the blood sampling process (e.g. physicians, nurses, phlebotomists working in the ED), as well as laboratory physicians and other related professionals. The guidelines population focus on adult patients. The development of these blood sampling guidelines for the ED setting is based on the collaboration of three European scientific societies that have a role to play in the preanalytical phase process: EuSEN, EFLM, and EUSEM. The elaboration of the questions was done using the PICO procedure, literature search and appraisal was based on the GRADE methodology. The final recommendations were reviewed by an international multidisciplinary external review group. RESULTS: The document includes the elaborated recommendations for the selected sixteen questions. Three in pre-sampling, eight regarding sampling, three post-sampling, and two focus on quality assurance. In general, the quality of the evidence is very low, and the strength of the recommendation in all the questions has been rated as weak. The working group in four questions elaborate the recommendations, based mainly on group experience, rating as good practice. CONCLUSIONS: The multidisciplinary working group was considered one of the major contributors to this guideline. The lack of quality information highlights the need for research in this area of the patient care process. The peculiarities of the emergency medical areas need specific considerations to minimise the possibility of errors in the preanalytical phase.

Onshore bar migration is a characteristic bar behavior during post-storm beach recovery. The present large-scale experiments, feature bichromatic wave groups over an initially steep (1:15), fully-evolving beach. The same accretive wave condition is applied on two different post-storm beach profiles featuring outer and inner bars. They are characterized by a larger (smaller) shoreline erosion and a larger (smaller) outer breaker bar located farther away from (closer to) the shoreline depending on the larger (smaller) energy of the storm condition. After a considerable post-storm recovery time, similar equilibrium profiles are obtained, stressing the link between wave condition and equilibrium beach configuration. However, the evolution toward the equilibrium is different and depends on the initial morphological condition (post-storm beach profile). After the larger storm, the morphological evolution is termed accretive merging (AM) and characterized by merging of the two bars (outer bar dissipation). After the smaller storm, the morphological evolution denoted as accretive non-merging (AN) is characterized by onshore migration of the two bars with constant distance between them (bar maintenance). This study focuses on processes around the outer bar. During AN it features wave breaking, causing large suspended net offshore transport. AM, in contrast, mainly features bedload related to short wave asymmetries and low decomposed net transport rate magnitudes. High suspended net offshore transport occurs solely onshore of the outer bar trough. This causes filling of the bar trough and bar dissipation during migration. Additionally, processes around the outer bars are linked to accretion onshore of the bars and at the shoreline., We thank Dr. Tom Baldock and Dr. Marissa Yates for their valuable comments which helped to improve the manuscript. The experiments described in this work were funded by the European Community's Horizon 2020 Programme through the grant to the budget of the Integrated Infrastructure Initiative HYDRALAB+, Contract no. 654110, and were conducted as part of the transnational access project RESIST. FG acknowledges funding from the Agency for Management of University and Research Grants (AGAUR). DH acknowledges funding from the French DGA funded ANR ASTRID Maturation project MESURE (ANR-16-ASMA-0005-01). JA acknowledges funding from the Serra Húnter Programme (SHP). We wish to thank fellow RESIST researchers and the CIEM staff (Joaquim Sospedra, Oscar Galego, Dr. Andrea Marzeddu and Dr. Iván Cáceres) for their contributions to the experiments., Peer Reviewed, Postprint (published version)

Detailed information on nearshore sediment transport processes during onshore bar migration were obtained from large-scale laboratory experiments with bichromatic wave groups on a relatively steep initial beach slope (1:15). Detailed measurements of velocity and sand concentration near the bed from shoaling up to the outer breaking zone including suspended sediment and sheet flow transport are presented. The analysis focuses on onshore migration under an accretive wave condition but comparison to an erosive condition highlights important differences. Decomposition shows that total transport mainly results from a balance of short wave-related, bedload onshore transport and current-related, suspended offshore transport. When comparing the accretive to the more energetic erosive condition, the balance shifts toward onshore transport, and onshore migration, because the short wave-related transport does not decrease as much as the current-related transport. This is related to the effects of skewness and asymmetry combined with less sediment suspension in the water column and undertow magnitude under the accretive condition. Transports from streaming in the wave boundary layer and from infragravity waves become visible but only play a subordinate role. Identified priorities for numerical model development include parametrization of wave nonlinearity effects and better description of wave breaking and its influences on sediment suspension., We thank Dr. Troels Aagaard and another, anonymous reviewer for their valuable comments which helped to improve the manuscript. The experiments described in this work were funded by the European Community's Horizon 2020 Programme through the grant to the budget of the Integrated Infrastructure Initiative HYDRALAB+, Contract 654110, and were conducted as part of the transnational access project RESIST. FG acknowledges funding from the Agency for Management of University and Research Grants (AGAUR). DH acknowledges funding from the French DGA funded ANR ASTRID Maturation project MESURE (ANR-16-ASMA-0005-01). JA acknowledges funding from the Serra Húnter Programme (SHP). We wish to thank fellow RESIST researchers and the CIEM staff (Joaquim Sospedra, Oscar Galego, Dr. Andrea Marzeddu, and Dr. Iván Cáceres) for their contributions to the experiments., Peer Reviewed, Postprint (published version)

Effective design of interventions in the coastal zone (flood defense, nourishments, etc.) requires understanding of long term coastal evolution. Historically, such evolution has been difficult to model because of different processes in storms and calm conditions, and the specific calibration factors required. This knowledge gap partly resulted from difficulties in measuring bedload and accretive transport processes at high detail. In the present study such measurements were obtained in the shoaling and outer surf zone of large-scale wave flume experiments with offshore-/onshore-migrating breaker bars. Physical insight from the measurements guided model decisions in a practical modeling approach separating bedload and suspended load but using the same calibration for storm and calm conditions. As a result, good replication (most tests within factor 2) of measured transport rates is obtained on the basis of free stream velocities. Identified priorities for development include parametrization of hydraulic roughness and wave breaking’s influences on entrainment and suspension., The experiments described in this work were funded by the EU Horizon 2020 Research and Innovation Programme through HYDRALAB+ Contract no. 654110. FG acknowledges PhD funding from the Agency for Management of University and Research Grants (AGAUR). Further funding was provided by the REST-COAST project which receives funding from the EU Horizon 2020 Research and Innovation Programme under Grant Agreement number 101037097., Postprint (author's final draft)

This study presents novel insights into hydrodynamics and sediment fluxes in large-scale laboratory experiments with bichromatic wave groups on a relatively steep initial beach slope (1:15). An Acoustic Concentration and Velocity Profiler provided detailed information of velocity and sand concentration near the bed from shoaling up to the outer breaking zone including suspended sediment and sheet flow transport. The morphological evolution was characterized by offshore migration of the outer breaker bar. Decomposition of the total net transport revealed a balance of onshore-directed, short wave-related and offshore-directed, current-related net transport. The short wave-related transport mainly occurred as bedload over small vertical extents. It was linked to characteristic intrawave sheet flow layer expansions during short wave crests. The current-related transport rate featured lower maximum flux magnitudes but occurred over larger vertical extents. As a result, it was larger than the short wave-related transport rate in all but one cross-shore position, driving the bar’s offshore migration. Net flux magnitudes of the infragravity component were comparatively low but played a nonnegligible role for total net transport rate in certain cross-shore positions. Net infragravity flux profiles sometimes featured opposing directions over the vertical. The fluxes were linked to a standing infragravity wave pattern and to the correlation of the short wave envelope, controlling suspension, with the infragravity wave velocity., The experiments described in this study were funded by the European Community’s Horizon 2020 Program through the grant to the budget of the Integrated Infrastructure Initiative HYDRALAB+, Contract no. 654110, and were conducted as part of the transnational access project RESIST. FG acknowledges funding from the Agency for Management of University and Research Grants (AGAUR). DH acknowledges funding from the French DGA funded ANR ASTRID Maturation project MESURE (ANR-16-ASMA-0005-01). JA acknowledges funding from the Serra Húnter Program (SHP). The authors wish to thank fellow RESIST researchers and the CIEM staff (Joaquim Sospedra, Oscar Galego, Dr. Andrea Marzeddu) for their contributions to the experiments., Peer Reviewed, Postprint (published version)

Velocities derived from X-band radar were compared to depth averaged ADCP measurements in a complex tidal inlet system at Ameland, the Netherlands. Inclusion of depth assimilation and ensemble averaging in radar calculations led to smaller differences between ADCP and radar. The observed differences were clustered and related to water level elevations, wind velocities, wave periods, wave heights, spatial coherence in radar output and error metrics of the radar fitting procedure. Larger waves and higher wind velocities were observed to benefit radar agreement with ADCP results. Rising water levels benefitted agreement in east west direction. Falling water levels benefitted agreement in north south direction. Confidence intervals of the fitting procedure were observed to coincide with differences between ADCP and radar and potential for filtering based on them was shown. Nevertheless, an unclarified tendency towards northwestern bias, which may be specific to the comparison locations, remains. The radar at Ameland monitors the whole inlet system and provides current velocities everywhere in its range. This study shows that its currents are in good agreement with ADCP depth averaged currents throughout most of the tidal cycle. Furthermore, it stresses radar’s potential for better monitoring of the coast and for cost effective coastal field measurements to obtain large datasets, even in hydrodynamically very complex regions., SEAWAD: research into a sand engine for the Wadden Islands, KustGenese 2.0, Coastal and Marine Engineering and Management (CoMEM)

In the Netherlands flood protection is immensely important for the safety of the nation. The shocking outcome of the 1953 flooding proves this point. In modern days, the development of socioeconomic and climate change factors casts doubt on the effectiveness of conventional approaches to flood risk management. Consequently, this project explored new approaches to flood risk management. An analysis of climate change effects led to estimation of future loading conditions. Subsequently, a detailed hydrodynamic analysis was conducted. It highlighted the significant levels of uncertainty that climate change introduces into loading conditions. Also, it confirmed the team’s perception, that the Westkapelle case region requires additional safety measures to guarantee an acceptable level of safety in the future. But how to guarantee the acceptable level of safety in the most efficient way? The team adopted the concept of robustness to find an answer. In a keynote publication Mens (2015) describes robustness in the following way: "Robust flood risk systems have some degree of resistance and some degree of resilience: the system can withstand some floods (no response), and for other (larger) floods impacts are limited and the system can recover quickly from the flood impact (response and recovery)." The team set out to include robustness as an integral part of the design process to handle uncertainties. The project shall be seen as an explorative study how this can be done, revolving around Westkapelle as a case study that proves the methodology’s feasibility. Robustness and uncertainty were included on multiple levels throughout the design process. Firstly, the range of uncertainties was quantified. Secondly, the effect, that single parameters have on the magnitude of uncertainties, was assessed. Thirdly, the system’s capacity was analysed to find the required overtopping reduction for guaranteeing sufficient safety. Fourthly, constructive measures were assessed on their, All authors are equally contributing and credited authors., Civil Engineering | Hydraulic Engineering | Coastal Engineering, Civil Engineering | Hydraulic Engineering | Hydraulic Structures and Flood Risk