RCEM Learning: Recent Episodes
RCEM Learning
A twice monthly #foamed podcast from the Royal College of Emergency Medicine. Literature reviews, guideline updates and interviews with the smartest minds in Emergency Medicine.
This month for the July 2026 episode of the RCEMLearning Podcast Becky and Chris talk through the second in a two parter on the Surviving Sepsis Campaign Guidelines update. Rob then speaks with Arya Rao about LLMs and clinical reasoning. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:13) Guidelines for EM - Surviving Sepsis Campaign Guideline (Part 2 of 2) * Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026
(22:50) Arya Rao - LLMs and Clinical Reasoning * Large Language Model Performance and Clinical Reasoning Tasks (Rao et al., 2026)
This month for the June 2026 episode of the RCEMLearning Podcast Becky and Chris talk through the first in a two parter on the Surviving Sepsis Campaign Guidelines update. Rob then speaks with Alison Tavare about the NCEPOD learning disability report. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(01:56) Guidelines for EM - Surviving Sepsis Campaign Guideline (Part 1 of 2) * Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026
(27:31) NCEPOD Acute Illness in people with a learning disability - Alison Tavare * NCEPOD - Acute illness in people with a learning disability
This month for the May 2026 episode of the RCEM Learning Podcast I speak with another seven amazing speakers from the RCEM Annual Conference. This is a similarly bumper episode as last month. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:35) RCEM AC Interview Megamix - Part 1 of 2 * (02:35) Steve Goodacre - Should we follow the science? * (12:32) Victoria Currie - That's a wrap! 3 interesting papers in PEM: Bubblewrap x RCEM Conference * (35:33) Tom Bannister - (De)constructing culture in the ED * (51:27) Jocelyn Brittliff - Working in EM as an older clinician * (58:12) Chris Humphries - Rebuilding EM data for health equity * (01:07:25) Rebecca McKnight and Ijeoma Chibuzo - Understanding Ketamine Use Disorder: A guide for frontline services * (01:21:19) Alex Novak - Evidence generation for diagnostic AI in the ED * (01:32:42) Stephen Fowler - Asthma updates from new BTS/NICE/SIGN guideline and beyond
This month for the April 2026 episode of the RCEM Learning Podcast I speak with eight amazing speakers from the RCEM Annual Conference. This will be an absolutely bumper episode, and next month I will be speaking to seven speakers who are just as interesting. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:53) RCEM AC Interview Megamix - Part 1 of 2 * (02:53) Andrew Lockey - Defibrillation strategies: To dual or not to dual? * (15:01) Chelcie Jewitt - Not just a surgical problem: Sexual misconduct in EM * (23:49) Michael Barrett - The MAGPIE Trial * (42:30) Rebecca Whiticar - Top 5 common claims in EM * (51:02) Ben McKenzie - AMAX4 * (01:03:58) Annette Rickard and Ali Griffiths - Making dying better in the ED * (01:17:36) Dan Horner - Diagnosis and management of pulmonary embolism in the ED * (01:28:45) Dan Perry - Getting CRAFFTy about SCIENCE: Results from international RCTs in paediatric orthopaedic trauma
Further Links and Reading * Cheskes et al. - Defibrillation Strategies for Refractory Ventricular Fibrillation * Surviving in Scrubs * Hartshorn et al. - Treatment of acute trauma-related pain in children and adolescents with methoxyflurane (Penthrox®) compared to placebo (MAGPIE): A randomised clinical trial * MPS & Rebecca Whiticar - Law at the front door * AMAX4 * Plymouth Hospital End of Life Pathway * High Five for High PEITHO? Intermediate-high risk PE (St. Emlyn's) * The CRAFFT Study
This month for the March 2026 episode of the RCEM Learning Podcast Andy and Dave discuss ibuprofen and additional opiates in paediatric injury. Becky and Chris talk through an RCEM Best Practice Guideline on the management of sexual assault in the ED and Rob then talks with one of the authors, Maddy Dodds, about this guideline. As a TRIGGER WARNING, this does involve discussion around the topic of sexual assault. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:35) New in EM - Ibuprofen and additional opiates in paediatric injury * Acetaminophen (Paracetamol) or Opioid Analgesia Added to Ibuprofen for Children's Musculoskeletal Injury: Two Randomized Clinical Trials (Ali et al., 2026)
(19:15) Guidelines for EM - RCEM Best Practice Guideline for the Management of Sexual Assault in the ED * RCEM Best Practice Guideline for the Management of Sexual Assault in the ED (2026) [PDF]
(49:36) Sexual assault in the ED - Maddy Dodds * RCEM Best Practice Guideline for the Management of Sexual Assault in the ED (2026) [PDF]
Become a paid QI Fellow at RCEM - act now! * RCEM Quality Fellow Job Description [Word]
Happy New Year! This month for the February 2026 episode of the RCEM Learning Podcast Andy and Dave discuss blood pressure targets in spinal cord injury. Becky and Chris talk through a New Zealand Chest Injury Guideline and Rob then talks with Charlotte Underwood and the role of gender in the assessment of abdominal pain. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:14) New in EM - Blood pressure targets in spinal cord injury * Early Blood Pressure Targets in Acute Spinal Cord Injury: A Randomized Clinical Trial (Sajdeya et al., 2025)
(17:06) Guidelines for EM - New Zealand Chest Injury Guidance * Health New Zealand - National Chest Injury Guidance (2025) [PDF]
(59:44) Gender and assessment of abdominal pain - Charlotte Underwood * Expression of interest to join this study * Gender disparity in analgesic treatment of emergency department patients with acute abdominal pain (Chen et al., 2008) * Race and Sex Are Associated With Variations in Pain Management in Patients Presenting to the Emergency Department With Undifferentiated Abdominal Pain (Drogell et al., 2022) * Women's experiences of seeking healthcare for abdominal pain in Ireland: a qualitative study (Windrim et al., 2024) * Ending the neglect of women's health in research (Galea et al., 2023)
Happy New Year! This month for the January 2026 episode of the RCEM Learning Podcast Andy and Dave discuss two papers with Dave - looking at the role of CT scanning in undifferentiated sepsis and the use of bicarbonate in acidaemia. Rob talks to Ben Clarke and Ryan McHenry about the latest TERN Study, the UnCORKED Study, and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(01:59) New in EM - CT in sepsis * Suspected infection of unclear origin at the emergency department: diagnostic yield of thoraco-abdominal-pelvic CT in non-severe patients (Dumon et al., 2025)
(16:16) Ben Clarke and Ryan McHenry - The UnCORKED Study * Understanding corridor and escalation area care in 165 UK emergency departments: a multicentre cross-sectional snapshot study (TERN, 2025) * TERN Research
(38:59) New in EM - Bicarbonate in acidemia * Sodium Bicarbonate for Severe Metabolic Acidemia and Acute Kidney Injury: The BICARICU-2 Randomized Clinical Trial (Jung et al., 2025)
(50:00) New Online – new articles on RCEMLearning for your CPD * Frances Copp - The Droopy Dribbler * Frances Balmer - Methaemoglobinaemia * Sarah Edwards - Genitourinary Foreign Bodies
Merry Christmas! This month for the December 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about higher MAP targets in sepsis and the routine use of antibiotics for max-fax fractures. Rob attempts a festive round up of the most impactful guidelines of the year. We'll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(03:19) New in EM - Higher MAP targets in Sepsis * Efficacy of targeting high mean arterial pressure for older patients with septic shock (OPTPRESS): a multicentre, pragmatic, open-label, randomised controlled trial (Endo et al., 2025)
(15:19) Most Impactful Guidelines of the Year * European Resucitation Guidelines - Guidelines on Cardiopulmonary Resuscitation (ERC, 2025) * NHS England - Urgent and emergency care plan 2025/26 (NHS England, 2025) * NHS England - Guidance to support the commissioning and delivery of ambulance services in 2025/26(NHS England, 2025) * NICE - NG246 Overweight and obesity management (NICE, 2025) * NICE - NG253 - Suspected sepsis in people aged 16 or over: recognition, assessment and early management (NICE, 2025) * NICE - NG254 - Suspected sepsis in under 16s: recognition, diagnosis and early management (NICE, 2025) * NICE - NG255 - Suspected sepsis in pregnant or recently pregnant people: recognition, diagnosis and early management (NICE, 2025) * RCPCH - Facing the Future - standards for children and young people in emergency care settings (RCPCH, 2025) * RCEM - GPEMS(RCEM, 2025)
(38:07) New in EM - Routine use of antibiotics in facial fractures * Prophylactic antibiotic use in trauma patients with non-operative facial fractures: A prospective AAST multicenter trial (Mian et al., 2025)
(47:10) New Online – new articles on RCEMLearning for your CPD * Is Normalisation of Deviance the "Standard" in Medicine? - Neel Bhandani * Mental Illness in Children by Jidhin Davis * Rest, sleep, and our breaks - the conversation we cant tire of - Amar Mashru
Happy September! This month for the September 2025 episode of the RCEM Learning Podcast Andy and Dave are talking about AI interpretation of ECG findings and managing acute asthma exacerbations. We are then going back to Becky and Chris rounding off the second part of their guideline on atrial fibrillation. We’ll then end with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:13) New in EM - AI vs doctor in cath lab activations * Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (Queen of Hearts by PMcardio) (Shroyer et al., 2025)
(18:00) Guidelines for EM - ESC Atrial Fibrillation (Part Two) * ESC - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) (ESC, 2024)
(39:03) New in EM - Management of acute asthma exacerbations * As-Needed Albuterol–Budesonide in Mild Asthma (LaForce et al., 2025) * Combination fixed‐dose beta agonist and steroid inhaler as required for adults or children with mild asthma (Cochrane Library, 2021)
(54:00) New Online – new articles on RCEMLearning for your CPD * Understanding Medical Cannabis: Mechanisms, Indications and Clinical Integration - David Tang * Safe Sedation Procedures in Adults - Duncan Russell and Shobhan B Thakore * Unusual Agitation in Final Year Student - Cathy Wield and Mark Horowitz
Happy August! This month for the August 2025 episode of the RCEM Learning Podcast Andy returns to discuss the investigation of acute coronary syndrome in the ED. Becky and Chris begin a two part deep dive through a guideline looking at the management of atrial fibrillation. We then talk to Matt Reed about the RCEM Flagship Conference and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:28) New in EM - Ruling out ACS in the ED * Acute coronary syndrome rule-out strategies in the emergency department: an observational evaluation of clinical effectiveness and current UK practice (Trainee Emergency Research Network, 2025)
(19:43) Guidelines for EM - Atrial Fibrillation (European Society of Cardiology) * European Society of Cardiology - 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): Developed by the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC), with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO) (ESC, 2025)
(47:26) Matt Reed and the Flagship Conference * RCEM - Flagship Conference 2026
(58:28) New Online – new articles on RCEMLearning for your CPD * Kishan Indrakumar, Thomas Moore, Mayank Nagar, Preetibah Ratenavelu, Dominique Tirian - Chemical Eye Injuries in the ED * Katy Guy, Olivia Curtis-Hughes - Sports-Related Concussions in the Emergency Department * Susan Elizabeth Dorrian, Sarah Jones - Disturbed or Psychiatric Patients in the ED
Additional Links * RCEM - SECEM Conference 2025
Happy July! This month for the July 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two PEM papers with Dave - looking at the role of parental concern in predicting paediatric critical illness and one looking at clearing the paediatric C-spine with CT imaging alone. Becky and Chris finish up their two part deep dive through a guideline looking at the management of acute behavioural disturbance and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:39) New in EM - Parental concern and paediatric critical illness * Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study (Mills et al., 2025)
(18:01) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments (Part Two) * RCEM - Acute Behavioural Disturbance in Emergency Departments (RCEM, 2025) [PDF]
(43:37) New in EM - Paediatric C-spine clearance with CT alone * An analysis of potential cervical spine clearance in children with computed tomography alone (Russell et al., 2025)
(01:04:51) New Online – new articles on RCEMLearning for your CPD * Zygomatic Complex and Nasal Injury - Jonathan Whittaker * Learning from Deaths - Liz Herrieven * Kishan Indrakumar, Thomas Moore, Dominique Tiriant, Mayank Nagar, Preetibah Ratenavelu, Arnav Singh - Prescribing in Pregnancy - A Practical ED Guide
Happy June! This month for the June 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two HALO-heavy papers with Dave - looking at the London HEMS pre-hospital thoracotomy paper and a systematic review looking at resuscitative hysterotomy. Becky and Chris go on the first of a two part deep dive through a guideline looking at the management of acute behavioural disturbance and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:35) New in EM - London HEMS Thoracotomy Outcomes * Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest (Perkins et al., 2025) * RCEMLearning July 2023 - HALO Procedures with Joseph Mathew and Dave McCreary
(15:41) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments * RCEM - Acute Behavioural Disturbance in Emergency Departments (RCEM, 2025) [PDF]
(46:00) New in EM - Systematic review of resuscitative hysterotomies * ---- 13:49 * Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review (Leech et al., 2025)
(59:48) New Online – new articles on RCEMLearning for your CPD * Medics and the Media: The Anti-social Network - Fin McNicol * Tracheostomy emergencies in adults - Jonathan Cooper * Pelvic Fractures – A guide to treatment within a Trauma Unit - Peter Bates, Paul Harnett, Matt Gee
Happy May! This month for the May 2025 episode of the RCEM Learning Podcast Rob covers for Andy and Dave and discusses a systematic review and meta-analysis looking at the safety of different rate control methods in treating AF with rapid ventricular response. Becky and Chris go on a very deep dive through a guideline looking at the management of patients with suspected but unidentified poisoning and we then end with New Online! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:04) New in EM - Adverse events in pharmacological treatment of AF with RVR * Metoprolol vs diltiazem for atrial fibrillation with rapid ventricular rate: Systematic review and meta-analysis of adverse events (Hintze et al., 2025) * Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis (Lan et al., 2021)
(09:30) Guidelines for EM - Management of unexplained poisoning in the ED * RCEM - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department (RCEM, 2025) [PDF]
(01:01:44) New Online – new articles on RCEMLearning for your CPD * 24 Hour Ophthalmic Emergencies Part 1 – Acute Red Eye - William Spackman * Understanding Informed Consent: A Guide for Healthcare Professionals - Khurram Rasool * Advanced Lines - Alexandra Cottrell, Claire Fitzgerald
Happy April! This month for the April 2025 episode of the RCEM Learning Podcast we have Andy and Dave talking about the use of beta-blockers in sepsis. Becky and Chris talking about mortality reviews in the ED. In a similarly patient-safety aligned topic I speak to Maegan Ladell talking about patient safety culture and then finally, as always, New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(01:47) New in EM - Beta blockers in sepsis * Landiolol for heart rate control in patients with septic shock and persistent tachycardia. A multicenter randomized clinical trial (Landi-SEP) (Rehberg et al., 2024)
(16:34) Guidelines for EM - Mortality reviews in the ED * RCEM - Mortality Reviews in the ED (RCEM, 2025) [PDF]
(49:26) Patient Safety Culture - Meagen Ladell * The problem with how we view medical (and diagnostic) error in emergency medicine (Ladell et al., 2025) * SEIPS 101 and seven simple SEIPS tools (Holden and Carayon, 2021)
(01:12:16) New Online – new articles on RCEMLearning for your CPD * Combatting the Crowd - Peter Fielding * Ovarian Hyperstimulation Syndrome - Thomas Mac Mahon * Curriculum Cup: Ophthalmology - RCEMLearning
Happy March! This month for the March 2025 episode of the RCEM Learning Podcast starts with an update from Rob. We have Andy and Dave talking about oxygen targets in trauma in the TRAUMOX2 RCT. Becky and Chris talk about a BOAST orthopaedic guideline for the management of lateral patella dislocation. We interview Raine Astin-Chamberlain about sex, gender and pregnancy in research and then finally, as always, New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:26) New in EM - Oxygen targets in trauma * Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Randomized Clinical Trial (Arleth et al., 2025)
(18:59) Guidelines for EM - BOAST guidelines for lateral patella dislocation * BOAST - Assessment and Management of First Time Lateral Patellar Dislocation (FTLPD) (BOAST, 2024)
(45:09) Sex, gender and pregnancy in research - Raine Astin-Chamberlain * Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review (Astin-Chamberlain et al., 2025)
(01:03:37) New Online – new articles on RCEMLearning for your CPD * Psychological support in the ED - Charlotte Davies * Beyond the Tick Box - Embracing Reflective Practice - Chris Walsh * Foreign Bodies in Ears and Noses: Practi cal Tips for ED Management - Charlotte Davies and Olu Adenugba
Retaining ED staff: Policy, practice and research perspectives * Retaining ED staff: Policy, practice and research perspectives - book your tickets
Happy Valentine's Day! This month for the February 2025 episode of the RCEM Learning Podcast, we have got a new in EM segments looking at the assessment of PE in younger patients. Becky and Chris detail a guideline on acute adrenal insufficiency, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:06) New in EM - Using the PERC-35 Rule for PE * Failure rate of the pulmonary embolism rule-out criteria rule for adults 35 years or younger: Findings from the RIETE Registry (Jossein et al., 2024) * Age and sex-dependent trends in pulmonary embolism testing and derivation of a clinical decision rule for young patients (Mongan et al., 2015)
(22:35) Guidelines for EM - Glucocorticoid-induced adrenal insufficiency * European Society of Endocrinology and Endocrine Society Joint Clinical Guideline: Diagnosis and therapy of glucocorticoid-induced adrenal insufficiency (ESE & ESJ, 2024)
(01:04:32) New Online – new articles on RCEMLearning for your CPD * How to Nail Your Consultant Interview - Hannah Bell * Assessing (de)Hydration in Children - Nikki Abela * Medical Assessment of the Pregnant Patient in the Emergency Department - Charlotte Davies, Mark Chester
Happy New Year! This month for the January 2025 episode of the RCEM Learning Podcast, we have got two new in EM segments looking at staff turnover and mortality and the assessment of febrile infants. Becky and Chris detail a guideline on acute kidney injury, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:55) New in EM - Staff turnover and mortality * Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study (Moscelli et al., 2024), PDF
(20:03) Guidelines for EM - NICE Guidelines on Acute Kidney Injury * Acute kidney injury: prevention, detection and management (NICE, 2024), PDF
(59:36) New in EM - Assessment of febrile infants * Performance of clinical decision aids (CDA) for the care of young febrile infants: a multicentre prospective cohort study conducted in the UK and Ireland (Umana et al., 2024), PDF * Optimizing Management of Febrile Young Infants Without Serum Procalcitonin (Burstein et al., 2025), PDF
(01:17:19) New Online – new articles on RCEMLearning for your CPD * Vasopressors - Alasdair Munro, Simin Nikou, Charlotte Davies * The Limping Child, by Charlotte Davies and Nikki Abela * Testicular Pain, by Kellie Bateman
Merry Christmas! This month for the December 2024 episode of the RCEM Learning Podcast, we have got a new in EM segment looking at the surgical management of haemorrhagic stroke. Becky and Chris talk gift us with a big discussion around the management of pain in the ED. Rob talks to Laura Howard and Gregory Yates about reviving the BestBETS project, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(04:29) New in EM - Surgery for haemorrhagic stroke * Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage (Pradilla et al., 2024)
(15:45) Guidelines for EM - RCEM Management of Acute Pain in Adults in the ED * RCEM Management of Acute Pain in Adults in the ED (RCEM, 2024)
(01:12:43) Laura Howard and Gregory Yates - BestBETs * BestBETs * Get Involved with BestBETs (Email link) * Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure? (Yates & Williams, EMJ, 2024)
(01:23:20) New Online – new articles on RCEMLearning for your CPD * The Forgotten Tribe - Lauren Fraser and Michelle Jacobs * Surgical Management of Acute Wounds in the ED - Olajide Kamal Badmus, Riad Hosein * Curriculum Cup (Respiratory) - RCEMLearning
This month for the November 2023 episode of the RCEM Learning Podcast we're focusing on the RCEM ASC. Rob and Liz talk through their favourite talks from the conference and then we move on to our RCEM ASC Interview Megamix where I speak with thirteen presenters about their work from the RCEM ASC. This is going to be a mix of paediatric and adult EM, so feel free to have a look at the timestamps if you want to get to the stuff that is most relevant to you - I'd recommend you listen to it all! If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
Submit an abstract to the EMTA Conference * EMTA Conference 2025 - Bristol, 26-27th February 2025 * Submit an abstract here (direct link) by 27th November
(07:54) RCEM ASC Interview Megamix * (07:54) Cath Taylor - Using livestreaming phones in the ambulance service * (17:10) Phil Cowburn - The Major Incident Ten Second Triage Tool * (23:25) Mark Macmillan - Whole-body CT scanning in older injured patients * (29:42) Leilah Dare - Using GIRFT data to implement change * (38:10) Ben Clarke - TERN Update and the UnCORKED study * (49:38) Alison Porter - Using qualitative research in emergency medicine * (58:10) Christopher Humphries - Cannabinoids and tailoring your anti-emetic selection * (01:05:42) Steve Goodacre - Diagnosing acute aortic syndrome and the ASES study * (01:10:57) Tom Waterfield - PERUKI Update * (01:20:18) Shrouk Messahel - CRESCENT Study * (01:29:16) Damian Roland - Bronchstart, bronchiolitis, and vaccination * (01:39:34) Dave McCreary - Introducing a culture of paediatric point of care ultrasonography * (01:50:10) Emma Lim - Spotting Sepsis in the PED
Further Links and Reading * Cath Taylor - The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial * Phil Cowburn - National Ambulance Resilience Tool - Ten Second Triage * Leilah Dare - Getting It Right Time - SEDIT * Ben Clarke - TERN Research * Ben Clarke - TERN UNCORKED Expression of Interest Form * Christopher Humphries - RCEM Guideline - Suspected Cannabinoid Hyperemesis Syndrome in Emergency Departments * Steve Goodacre - The ASES Study * Tom Waterfield - PERUKI * Shrouk Messahel - The CRESCENT Trial * Damian Roland - Bronchstart * David McCreary - ResearchGate * Emma Lim - RCPCH Paediatric Sepsis Podcasts * Emma Lim - Lancet Paediatric Sepsis Series
Happy October! This month for the October 2024 episode of the RCEM Learning Podcast, We have got two new in EM segments looking at the use of peripheral hypertonic saline and defibrillation strategies in refractory VF. Rob and I will then be discussing the RCEM Toolkit for caring with patients with learning disability. Rob then talks to the EM at the Deep End team, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:52) New in EM - Peripheral use of hypertonic saline * Safety and Effect on Intracranial Pressure of 3% Hypertonic Saline Bolus Via Peripheral Intravenous Catheter for Neurological Emergencies (Khasiyev et al., 2024)
(14:33) Guidelines for EM - RCEM Learning Disabilities Toolkit * Learning Disabilities Toolkit (RCEM, 2024)
(39:10) EM at the Deep End * Open Teams Meeting to EM at the Deep End - 4th October 2024 13:30 * EM at the Deep End
(55:46) New in EM - Defibrillation strategies in refractory ventricular fibrillation * Defibrillation Strategies for Refractory Ventricular Fibrillation (Cheskes et al., 2024) - link to the paper coming soon
(01:10:31) New Online – new articles on RCEMLearning for your CPD * Coughing, wheezy, and stridulous children - Edward Snelson * Hypertensive Disorders in Pregnancy… HELLP! - Jenni Cooper, Naomi Primrose * Frailty-associated pneumonia - David G Smithard
Happy September! This month for the September 2024 episode of the RCEM Learning Podcast, we have a new in EM section looking at the use of NIV for preoxygenation in RSI. We then have Becky and Chris going over a new Guidelines for EM looking at the NICE Guidelines for meningitis. Rob puts on his TERN hat and speaks to the two former TERN Fellows and Dan Horner about the results of the Subarachnoid Haemorrhage in the ED Study before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(02:30) New in EM - NIV for preoxygenation in RSI * Noninvasive Ventilation for Preoxygenation during Emergency Intubation (Gibbs et al., 2024)
(20:47) Guidelines for EM - NICE Guidance for Meningitis * Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management (NICE, 2024)
(01:05:00) The TERN SHED Study - 36:30
- Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study (The Trainee Emergency Research Network, 2004) - link to the paper coming soon
- The TERN Website
- TERN on Twitter/X
(01:41:35) New Online – new articles on RCEMLearning for your CPD * Training for Research in Emergency Care (TREC) - The TREC Team * Delivering Bad News - Charlotte Davies * Ocular trauma - Deepa Elsa George, Sophie Seguin-Greenstein
Happy August! This month for the August 2024 episode of the RCEM Learning Podcast, we have two new in EM sections looking at the use of high flow nasal cannula vs. NIV for COPD and clinical gestalt for predicting sepsis. We then have Becky and Chris going over a new Guidelines for EM looking at opioid toxicity before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(03:21) New in EM - High-flow nasal cannula vs. NIV for COPD * High flow nasal cannula oxygen therapy versus non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease with acute-moderate hypercapnic respiratory failure: a randomized controlled non-inferiority trial (Tan et al., 2024) * Probing the efficacy of high-flow nasal cannula in the treatment of acute exacerbations of COPD with acute-moderate hypercapnic respiratory failure (Pantazopoulos and Mavrovouni, 2024)
(19:19) Guidelines for EM - RCEM and NPIS Opioid Toxicity * RCEM and NPIS - Guideline for the Assessment and Management of Acute Opioid Toxicity in Adults in the Emergency Department (PDF) (RCEM & NPIS, 2024)
(54:26) New in EM - Clinical Gestalt for Predicting Sepsis * Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients (Knack et al., 2024)
(01:06:35) New Online – new articles on RCEMLearning for your CPD * PEM and Ex-Prems - Katie Knight * Curriculum Cup (Infectious Disease) - RCEMLearning) * Induction - RCEMLearning
Happy July! This month for the July 2024 episode of the RCEM Learning Podcast, Rob and Liz do two New in EM papers looking at performance of febrile infant algorithms by duration of fever and the use of Resorbable vs Non-Resorbable sutures in facial laceration repair. We complete the second part of our two-part Guidelines for EM looking at sickle cell disease before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!
(03:16) New in EM - Blood biomarkers and algorithms and fever duration in febrile infants * Performance of Febrile Infant Algorithms by Duration of Fever (Velasco et al., 2024)
(13:34) Guidelines for EM - RCEM Sickle Cell Disease * RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) * Sickle Cell Society - No One's Listening
(35:51) New in EM - A Randomised Controlled Trial Of Resorbable vs Non-Resorbable Sutures For Lacerations Of The Face (TORN Face) * Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face) (Basyuni et al., 2024)
(55:05) New Online – new articles on RCEMLearning for your CPD * Things I wish I’d learnt before Emergency Medicine and Parenthood - Charlotte Mitchell * Pertussis - Nikki Abela * Improving Culture – Change Begins with Me - Thomas Bannister
Happy June! This month for the June 2024 episode of the RCEM Learning Podcast, Rob and Liz talk us through a New in EM section on nailbed repair in paediatric finger bed injury. We have the first in a two-parter on Sickle Cell Disease in our Guidelines for EM section and then Rob speaks with Chris Bretheron and Hamez Gacefari about the James Lind Alliance Priority Setting Partnership for Major Trauma. We then end with New Online. If you'd like to email us, please feel free to do so here.
(05:32) New in EM - Nailbed repair in paediatric finger injuries * Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial (Jain et al., 2024)
(21:16) Guidelines for EM - RCEM Sickle Cell Disease * RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) * Sickle Cell Society - No One's Listening
(55:50) Interview with Chris Bretheron and Hamez Gacefari (James Lind Alliance Priority Setting Partnership for Major Trauma) * Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance (Bretherton et al., 2024) * James Lind Alliance Priority Setting Partnership for Major Trauma
(01:11:01) New Online – new articles on RCEMLearning for your CPD * Sudden Visual Loss - Daniel Horner * Information Sharing to tackle Community Violence - Adrian Boyle * Cardiac arrest in the pregnant patient - Charlotte Davies, Sophie Windsor
Happy Mayday! Apologies for the delay... this month for the May 2024 episode of the RCEM Learning Podcast Rob and Liz have two new in EM sections on the use of clonidine for pain and the use of coca cola in food boluses. We have a new Guidelines for EM section on The NEXUS Guidelines for Chest Imaging and then Rob speaks with Matt Reed about submitting your work for the RCEM Annual Scientific Conference. We then end with New Online. If you'd like to email us, please feel free to do so here.
(01:56) New in EM - Clonidine for pain * Effect of oral clonidine on pain reduction in patients with opioid use disorder in the emergency department: A randomized clinical trial (Rostamipoor et al., 2024)
(17:44) Guidelines for EM - The NEXUS Guidelines for Chest Imaging * A Pilot Study to Derive Clinical Variables for Selective Chest Radiography in Blunt Trauma Patients (Rodriguez et al., 2006) * Derivation of a decision instrument for selective chest radiography in blunt trauma (Rodriguez et al., 2011) * Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT) (Rodriguez et al., 2015) * Evaluation of the Nexus X-ray rules in blunt thorax trauma (Acar et al., 2020) * CT scanning in blunt chest trauma: validation of decision instruments (Reichardt et al., 2020)
(49:28) Interview with Matt Reed (RCEM Research Committee Chair) * RCEM Annual Scientific Conference 2024 * Submitting your abstract to the RCEM Annual Scientific Conference 2024
(57:19) New in EM - Coca-cola for food bolus * Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial (Tievie et al., 2024)
(01:13:24) New Online – new articles on RCEMLearning for your CPD * Curriculum Cup (Neurology) - RCEMLearning * Behaviours that Challenge - Liz Herrieven * Sickle Cell Disease - Lisa Sabir, Roshan Cherian
Happy April! This month for the April 2024 episode of the RCEM Learning Podcast Rob and Liz have got two New in EM segments with Andy and Dave looking at ondansetron in ketamine sedation and the use of antibotics in brain injury. We have a Guidelines for EM looking at the management of hyperemesis gravidarum and we have an interview with Vicky Price from the Society of Acute Medicine. We then end with New Online. If you'd like to email us, please feel free to do so here
(04:56) New in EM - Ondansetron in ketamine sedation * New in EM - Review article: Efficacy of prophylactic ondansetron versus placebo or control in reducing vomiting in children undergoing ketamine procedural sedation in the emergency department: A systematic review and meta-analysis (Hudson et al., 2024)
(16:18) Guidelines for EM - RCOG - Hyperemesis Gravidarum * The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)
(01:02:10) Interview with Vicky Price (Society of Acute Medicine) * Society for Acute Medicine - Podcasts
(01:38:05) New in EM - Antibiotics in brain injury * Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial (Dahyot-Fizelier et al., 2024)
(01:51:24) New Online – new articles on RCEMLearning for your CPD * Charlotte Davies - Departmental Handover * Edward Snelson and Hannah Walsh - Recognising Paediatric Sepsis * Fatema Jaffer and Riad Hosein - Congenital cardiac disease
Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial
Happy March! This month for the March 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment with Andy and Dave talking about the use of dexamethasone in migraine. Becky and Chris will then discuss the RCEM and Royal College of Radiologist guidelines for diagnosing thoracic aortic dissection. We then have another New in EM discussing transfusion thresholds in MI, and then end with New Online. If you'd like to email us, please feel free to do so here.
(02:47) New in EM - Dexamethasone in Migraine * New in EM - Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine (Friedman et al., 2023) * Steroids (Dexamethasone) for Prevention of Migraine Recurrence - Andy Neill, The NNT
(17:36) Guidelines for EM - RCEM and RCR - Thoracic aneurysm dissection * RCEM and RCR - Diagnosis of Thoracic Aortic Dissection in the ED * RCEMLearning - January 2024 (Aortic Dissection in ED)
(01:11:05) New in EM - Transfusion thresholds in MI * New in EM - Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (Carson et al., 2023) * RCEMLearning March 2024 (Show Notes)
(01:25:45) New Online – new articles on RCEMLearning for your CPD * Acute Right Heart Failure - Angus Perks, William Kenworthy * Public Health in the Emergency Department Series #3 - Learning Disability - Olivia Villegas * Curriculum Quiz: Pharmacology and Poisoning - RCEMLearning Team
Happy February! This month for the February 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the use of POCUS for paediatric forearm fracture. Becky and Chris then go over the NICE Guidelines for transient loss of consciousness in the ED. Liz interviews Steve Taylor on the interface between primary and secondary care. We then go to Andy and Dave again looking at delabelling penicillin allergy, before ending it all with New Online. If you'd like to email us, please feel free to do so here.
(02:51) New in EM - POCUS for Paediatric Forearm Fractures * New in EM - Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures (Snelling et al., 2023)
(23:04) Guidelines for EM - NICE - Transient loss of consciousness * NICE - Transient loss of consciousness ('blackouts') in over 16s * Reed et al. (2023) - Management of syncope in the Emergency Department: a European prospective cohort study (SEED)
(01:26:00) Interview with GP Steve Taylor * Dr Steve Taylor (Twitter) * Doctors' Association UK
(01:46:57) New in EM - Delabelling penicillin allergy * New in EM - Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Clinical Trial (Copaescu et al., 2023)
(02:03:07) New Online – new articles on RCEMLearning for your CPD * Measles – Liz Herrieven * Hypothermic cardiac arrest - Tim Harris and Jonathan M Jones * Cervical artery dissection - Jason Louis
Happy New Year! This month for the January 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the DAShED study examining the diagnosis and investigation of suspected acute aortic section. Becky and Chris then go over the RCEM Guidelines for Invasive Procedures in the ED. We then go to Andy and Dave again looking at non-invasive airway management of the comatose toxicological patient. We then end with New Online. If you'd like to email us, please feel free to do so here.
(02:58) New in EM - Diagnosis of Acute Aortic Syndrome in the Emergency Department * New in EM - Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome (McLatchie et al., 2023) * RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al.
(23:43) Guidelines for EM - RCEM - Invasive Procedures in the ED * RCEM - Invasive Procedures in the Emergency Department
(55:20) New in EM - Noninvasive Airway Management of Comatose Poisoned Patients * New in EM - Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning (Freund et al., 2023)
(01:11:40) New Online – new articles on RCEMLearning for your CPD * Aortic Dissection – Gary Cumberbatch * Blood Transfusion Part 1 – Derek Obiri and Charlotte Davies * Blood Transfusion Part 2 – Derek Obiri and Charlotte Davies * RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al.
This month for the December 2023 episode of the RCEM Learning Podcast we welcome our new co-host Liz Farah. Merry Christmas!. We discuss two New in EM segments looking at overnight boarding of older patients in the ED and mortality and looking at the use of opioids in treating back pain. Rob and Liz discuss two guidelines looking at the management of hypertension in the ED and the investigation and management of cauda equina syndrome. We then end with New Online. If you'd like to email us, please feel free to do so here.
(03:10) New in EM - Overnight stays in the ED and mortality in older patients * Overnight Stay in the Emergency Department and Mortality in Older Patients by Roussel et al. (2023)
(24:47) Guidelines for EM - British Hypertension Society and GIRFT Cauda Equina Syndrome Pathway * Management of hypertensive crisis: British and Irish Hypertension Society Position document * Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Interactive Pathway) * Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Full Guideline)
(58:36) New in EM - Opioids for back pain * Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial by Jones et al. (2023)
(01:22:00) New Online – new articles on RCEMLearning for your CPD * RSI in the ED – Charlotte Davies * Bifascicular Block – Mohd Farooq Parey, Kate Turnbull, Asim Aijaz * TERN Christmas Cases – Raj Chatha, Gov Oliver, Fraser Birse, Rory Anderson, Hridesh Chatha
This month for the November 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the INTERACT3 trial looking at blood pressure targets following intracerebral haemorrhage. We then have Becky and Chris discussing the British Thoracic Society's new guidance on spontaneous pneumothorax. We then listen to Nikki Abela and Damian Roland talking about PERUKI, and then listen to Dave Clarke's experiences working in the Ukraine. We then end with New Online. If you'd like to email us, please feel free to do so here.
(02:36) New in EM - The INTERACT3 Study * The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial (Ma et al., 2023)
(16:58) Guidelines for EM - British Thoracic Society Guidelines for Spontaneous Pneumothorax * BTS Guidelines for Pleural Disease * CONservative versus Standard carE for primary spontaneous PneumoThorax (CONSEPT) * Conservative Management in Traumatic Pneumothoraces in the Emergency Department (CoMiTED): A Randomised Controlled Trial
(49:49) Nikki Abela and Damian Roland - PERUKI Update * PERUKI
(01:03:08) Dave Clarke - Experiences Working in Ukraine with UK-MED * UK-MED * Medical Aid for Palestinians * Medicins Sans Frontieres - Gaza-Israel War
(01:20:24) New Online – new articles on RCEMLearning for your CPD * Samuel Jonathan Glover, James Raitt, Tim Wait, Rebekah Caseley – Cardiac Arrest – the ALS algorithm and beyond * Balaji Dorani – Soft Tissue Injuries of the Hand * Olivia Villegas – Public Health in the Emergency Department Series #2
This month Susie and Raj discuss a paper called You may think that the consultants are great, and they know everything, but they don't, exploring how new emergency medicine consultants experience uncertainty. And then in the 2nd part of this months podcast Noel and Stephen discuss a systematic review called Why is pain management so difficult in the emergency department
This month for the October 2023 episode of the RCEM Learning Podcast we’ve got a New in EM segment looking at the CT FIRST study looking at routine head-to-pelvis CT scan post-arrest. We then move to an RCEM ASC Interview Megamix where I have a chat with ten presenters from this week's RCEM ASC about their work. We then end with New Online. If you'd like to email us, please feel free to do so here.
(02:54) New in EM - Routine post-arrest head-to-pelvis CT scanning * Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study (Branch et al., 2023)
(15:27) RCEM ASC Interview Megamix * (15:30) Chelcie Jewitt - Challenging the culture of sexism and sexual misconduct in healthcare * (22:02) Jamie Morrison - Tayside Flow Project * (31:00) Ed Carlton - The RELIEF Trial * (40:08) Heidi Edmondsen - Measuring the clouds: what's stopping us from improving staff wellness? * (48:28) Mo Al-Haddad - Differential attainment and well-being amongst IMGs * (01:00:15) James Van Oppen - Person Centred GEM - evidence and application * (01:10:10) David Lowe and Alex Novak - AI & EM * (01:23:52) Harriet Tucker and Lisa Ramage - The TETRIS Project * (01:33:02) David Lowe - The Trauma App
(01:41:15) New Online – new articles on RCEMLearning for your CPD * Charlotte Davies, Anusha Stribbling – How To Make A Poster * Chris Connolly, Katherine Rankin – Dental Emergencies * Mark Brown – Reflections on revising for the FRCEM Examinations
This month for the September 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the SQUID protocol for DKA. We then move from last month's discussion on Head Injuries and move to Concussion and speak to two experts on the topic and how we can improve our management of this underdiagnosed condition. We then have a discussion with Dan Horner discussing the physiologically difficult airway and we then end with New Online. If you'd like to email us, please feel free to do so here.
(02:30) New in EM - The SQUID Protocol for DKA * The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) - Impacts on ED operational metrics (Griffey et al., 2022)
(13:54) Adam Brown and Nathan Howarth - Concussion * Concussion Legacy Foundation * Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022
(52:38) Daniel Horner - The Physiologically Difficult Airway * St. Emlyn's - The Physiologically Difficult Airway * The TEAM Course
(01:25:13) New Online – new articles on RCEMLearning for your CPD * Olivia Villegas and Ines Corcuerra – Public Health in the ED Series #1 * Gavin Lloyd - Thoracic Trauma * RCEMLearning – Curriculum Cup (Cardiology)
Susie and Raj discuss the Evaluation of microMend wound closure device in repairing skin lacerations
This month for the August 2023 episode of the RCEM Learning Podcast we’ve got a New in EM segment looking at the STANDING Algorithm in Vertigo. We then continue hearing from Becky & Chris about the new NICE head injury guidelines which is the exciting conclusion to our two parter. We then have a discussion with Steve Black discussing the history of ED performance. We rejoin Andy & Dave for a New in EM looking at the use of take-away topical anaesthetics in corneal abrasion and then end with New Online. If you'd like to email us, please feel free to do so here.
(02:24) New in EM - The STANDING Protocol for Vertigo
- Effectiveness and reliability of the four-step STANDING algorithm performed by interns and senior emergency physicians for predicting central causes of vertigo (Gerlier et al., 2023)
- Can Emergency Physicians Accurately Rule Out a Central Cause of Vertigo Using the HINTS Examination? A Systematic Review and Meta-analysis (Ohle et al., 2020)
- Peter Johns
(24:01) Guidelines for EM - NICE CT Head Injury (Part 2 of 2)
- NICE - Head injury: assessment and early management
(01:01:56) Steve Black - A Brief History of ED Performance
- Steve Black at the Health Services Journal
- Policy Skeptic Blog
- Steve Black's Twitter
(01:18:20) New in EM - TTA Topical Anaesthetics in Corneal Abrasion
- Topical Anesthetics for Analgesia in Acute Corneal Abrasion: Eye Care Providers Survey (Anderson-Quiñones et al., 2023)
- SGEM #315: Comfortably Numb with Topical Tetracaine for Corneal Abrasions
(01:29:10) New Online – new articles on RCEMLearning for your CPD
- Top Ten Tips for Turning Your ED Green - Helen Wilkins
- Matthew Dunn - Syncope
- Dermatological Examination - Alexandra Newman
This month for the August 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the STANDING Algorithm in Vertigo. We then continue hearing from Becky & Chris about the new NICE head injury guidelines which is the exciting conclusion to our two parter. We then have a discussion with Steve Black discussing the history of ED performance. We rejoin Andy & Dave for a New in EM looking at the use of take-away topical anaesthetics in corneal abrasion and then end with New Online. If you'd like to email us, please feel free to do so here
(02:24) New in EM - The STANDING Protocol for Vertigo * Effectiveness and reliability of the four-step STANDING algorithm performed by interns and senior emergency physicians for predicting central causes of vertigo (Gerlier et al., 2023) * Can Emergency Physicians Accurately Rule Out a Central Cause of Vertigo Using the HINTS Examination? A Systematic Review and Meta-analysis (Ohle et al., 2020) * Peter Johns
(24:01) Guidelines for EM - NICE CT Head Injury (Part 2 of 2) * NICE - Head injury: assessment and early management
(01:01:56) Steve Black - A Brief History of ED Performance * Steve Black at the Health Services Journal * Policy Skeptic Blog * Steve Black's Twitter
(01:18:20) New in EM - TTA Topical Anaesthetics in Corneal Abrasion * Topical Anesthetics for Analgesia in Acute Corneal Abrasion: Eye Care Providers Survey (Anderson-Quiñones et al., 2023) * SGEM #315: Comfortably Numb with Topical Tetracaine for Corneal Abrasions
(01:29:10) New Online – new articles on RCEMLearning for your CPD * Top Ten Tips for Turning Your ED Green - Helen Wilkins * Matthew Dunn - Syncope * Dermatological Examination - Alexandra Newman
This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain
This month for the July 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the highly publicised PATCH-trauma trial looking at the use of TXA in trauma. We then hear from Becky & Chris about the new NICE head injury guidelines which is the first in a two parter. We then have more Dave McCreary-related content as he speaks with Joseph Mathew about High Acuity Low Occurrence procedures, and then end with New Online. If you'd like to email us, please feel free to do so here.
here.
(02:00) New in EM - The PATCH Trial * Prehospital Tranexamic Acid for Severe Trauma (PATCH-Trauma Investigators, 2023)
(16:11) Guidelines for EM - NICE CT Head Injury (Part 1 of 2) * NICE - Head injury: assessment and early management
(54:41) Dave McCreary and Joseph Mathew - HALO Procedures * The Procedures Course * Maintaining skills and preventing skills fade - Dave McCreary. DevelopingEM, Darwin, 2022. * The Procedures Course Podcast on Podbean
(01:57:15) New Online – new articles on RCEMLearning for your CPD * The Dying Patient - Thomas Mac Mahon * NIHR Incubator – Applying for grants, fellowships and personal awards * Eating Disorders in the ED - Liz Herrieven
This month we discuss Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out of hospital cardiac arrest, Spiking and Blunt chest wall trauma
This month for the June 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments looking at the use of end-tidal CO2 at triage and looking at positioning for lumbar punctures. We then hear from Becky & Chris about a guideline for nitrous oxide toxicity. We then speak with Dani Hall about her practice changing papers in PEM, and then end with New Online. If you'd like to email us, please feel free to do so here.
(02:16) New in EM - End-tidal carbon dioxide monitoring at triage * End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission (Ladde et al., 2023)
(17:27) Guidelines for EM - Nitrous Oxide * RCEM - Suspected nitrous oxide toxicity in Emergency Departments
(50:44) New in EM - Optimal positioning for LPs * Is Lateral Decubitus or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching Hospital? (Thundiyil et al., 2023)
(01:04:49) Dani Hall - Practice Changing Papers in PEM * The CAP-IT Study (Bielicki et al., 2021) * The FORCE Study (Perry et al., 2022) * The Bell-PIC Study (Babl et al., 2022)
(01:24:02) New Online – new articles on RCEMLearning for your CPD * Trek Tragedy - Review on Lyme Disease - Anju Menon * Non-traumatic subarachnoid haemorrhage - Jamie Cooper * Risk and Safety (Part Two) - Charlotte Davies and Steve Walters
This month for the May 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments which shoulder relocation technique is best and the use of TXA in haemoptysis. We then speak with Tessa Davis of Don't Forget The Bubbles fame and her top tips for delivering teaching online. We then speak to Evan Bayton about the RCEM Coat of Arms and what on earth it all means, and then end with New Online. If you'd like to email us, please feel free to do so here.
(02:02) New in EM - Which shoulder relocation technique is best? * A Systematic Review with Pairwise and Network Meta-Analysis of Closed Reduction Methods for Anterior Shoulder Dislocation (Gonai et al., 2023)
(19:01) Tessa Davis - Delivering Teaching Online * Tessa Davis Twitter * Tessa Davis' Homepage
(34:02) New in EM - IV vs. Nebulised TXA for haemoptysis * Nebulized vs IV Tranexamic Acid for Hemoptysis: A Pilot Randomized Controlled Trial (Gopinath et al., 2023)
(45:53) Evan Bayton - The RCEM Coat of Arms * The RCEM Coat of Arms
(01:02:34) New Online – new articles on RCEMLearning for your CPD * #PEM23 - Nikki Abela and Liz Herrieven * Curriculum Cup - Major Trauma - RCEMLearning * Necrotising Fasciitis - Amy Armstrong
This month Graham talks to our very own Rob Hirst about Establishing the research priorities of emergency medicine trainees, patients and carers across the UK and Ireland: the TERN Delphi study. Then Susie Roy discusses Cervical spine movements during laryngoscopy and orotracheal intubation: a systematic review and meta-analysis.
This month for the April 2023 RCEMLearning podcast we've got two New in EM segments looking at using lactate to identify epileptic seizures and the impact of familiarity on performance. Becky and Chris delve into a guideline for non-fatal strangulation, and then finally we bring you three new articles for your CPD in New Online. If you'd like to email us, please feel free to do so here.
(03:15) New in EM - Using lactate to diagnose epileptic seizures * Utility of serum lactate on differential diagnosis of seizure-like activity: A systematic review and meta-analysis - Patel et al. (2022)
(13:45) Guidelines for EM - Non-fatal strangulation * Managing non-fatal strangulation in the emergency department * FFLM Guidelines for non-fatal strangulation
(01:03:55) New in EM - Impact of familiarity on performance * Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial - Iyasere et al. (2022)
(01:13:52) New Online – new articles on RCEMLearning for your CPD * Ramadan in the ED - Usama Basit * Brugada Syndrome – Sameera Ganti, Derek Heng Jiun Yi, Eunizar Omar * Management of Haematuria – Evan Coughlan and Andrew Parfitt
This month Noel and Stephen discuss Diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the emergency department who meet NICE Head Injury Guideline criteria for CT-head scan, and Graham discusses Paediatric acute non traumatic limp.
This month Lisa Ramage and Amy Hughes discuss the paper 'Thromboprophylaxis in ambulatory emergency department patients managed with lower limb immobilisation after injury: a national survey'. Then Suzy and Philippa discuss 'Pulmonary embolism management in the emergency department'.
Happy New Year! This month we’ve got a New in EM looking at the use of neutrophil-lymphocyte ratios in septic arthritis and a discussion on specificity vs. sensitivity. Becky and Chris look at the new NICE guidance on subarachnoid haemorrhage and Rob talks for too long about it, and then we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here.
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(02:38) New in EM – Neutrophil:lymphocyte ratio in septic arthritis * - Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults
(14:49) Guidelines for EM – NICE Guidance on the diagnosis and management of subarachnoid haemorrhage * NICE NG228 - Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management * An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head - Sayer et al. (2015) * Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule - Perry et al. (2020) * An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule - Perry et al. (2009) * The SHED Study - TERN
(56:21) New Online – new articles on RCEMLearning for your CPD * GAS, iGAS and Scarlet Fever – Nikki Abela * Agents of Change – Public Health in ED – Ines Corcuera and Michelle Ryan
This month we’ve got a New in EM looking at the use of morphine and midazolam in heart acute failure. We return to the second part of our two-part procedural sedation megamix. We speak to the organisers of the Trainee Research Engagement Day and the Emergency Medicine Trainee Association Survey Lead. Finally, we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here.
here.
(01:55) New in EM – Morphine vs. Midazolam in Heart Failure * - Midazolam versus morphine in acute cardiogenic pulmonary oedema: results of a multicentre, open‐label, randomized controlled trial
(08:45) Guidelines for EM – Procedural Sedation (Part 2) * RCEM Procedural Sedation Guidelines
(42:55) Trainee Research Engagement Day - Talking with Thomas Shanahan and Anisa Jafar * Get your tickets to the Trainees Research Engagement Day
(50:40) Findings from the EMTA Survey * The EMTA Survey * Twitter Infographics
(57:21) New Online – new articles on RCEMLearning for your CPD * Future-Proofing PEM - Liz Herrieven * RCEM ASC 2022 - Swagat Mishra and Gowthami Veera * Chronic Obstructive Pulmonary Disease - Katie Manning
This month we’ve got a New in EM looking at IV paracetamol, look at some guidelines for sedation, we have the second part of the highlights from the Thames Valley Air Ambulance Cardiac Arrest symposium, and finish off with some more articles in New Online.
(02:25) New in EM – IV paracetamol and morphine use
- Intravenous acetaminophen does not reduce morphine use for pain relief in emergency department patients: A multicenter, randomized, double‐blind, placebo‐controlled trial
- Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial
(10:49) Guidelines for EM – Procedural Sedation (Part 1)
- RCEM Procedural Sedation Guidelines
(48:54) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium - Part Two
- Thames Valley Air Ambulance Cardiac Arrest Symposium
- (49:05) Post-ROSC management – Asher Lewinsohn
- (55:40) What happens in the cath lab? – Andrew Lucking
(59:09) New Online – new articles on RCEMLearning for your CPD
- Trans101: Avoiding a Trans Emergency – Ethan Wilson
- Transgender Healthcare: Caring for Trans Patients (FutureLearn Course)
- Notifiable Diseases – Ines Corcuera Hotz and Grace George
- Local Anaesthetics – Graham Gardner
This month Susie and Rajesh talk about Emergency Physicians experience of stress during resuscitation and strategies for mitigating the effects of stress on performance
xThis month we’ve got a New in EM examining the use of fluids in RSI, look at a guideline for caring for patients with a learning disability, bring you the highlights of the Thames Valley Air Ambulance Cardiac Arrest Symposium, and then bring you some new articles for New Online.
(01:46) New in EM – Fluids in RSI
- Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial
- Safety of the Peripheral Administration of Vasopressor Agents
(09:02) Guidelines for EM – Acute medical care for people with a learning disability * Acute care toolkit 16: Acute medical care for people with a learning disability
(54:26) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium * Thames Valley Air Ambulance Cardiac Arrest Symposium * (54:57) James Raitt – Defibrillation Strategies * (58:38) Darren Best and Mark Hodkinson – Improving cardiac arrest management at a local level * (01:01: 59) Rory Saggers – Experiences from London Advanced Paramedic Practitioners * (01:06:15) Paul Rees – Haemodynamic guided CPR and REBOA * (01:10:15) Iain Carroll – ECMO CPR * (01:16:48) Rupert Simpsons – Cardiac Arrest Centres
(01:22:05) New Online – new articles on RCEMLearning for your CPD * Creative Careers in Emergency Medicine Part 1 – Career Longevity - Lois Brand * Management of STEMI and its Complications - Jason Kendall * EM Quizzes
Graham Johnson and Ewan Barron discuss predictors of hospital prenotification for STEMI and association of prenotification with outcomes
This month we discuss Laryngospasm in paediatric sedation | Case Based Discussions | Use of Non-Sterile Gloves for Wound Closure | and new online material from RCEMearning
This month we’ve got two New in EM papers, delve into two meaty Case Based Discussions and discuss some new articles in New Online. Be sure to check out the papers and links below!
(01:30) New in EM – Laryngospasm in paediatric sedation
- Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation
(17:17) Case Based Discussions (42:55) New in EM – Non-sterile gloves for wound closure
- Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial
Commentary by Metcalfe et al
(52:36) New Online – new articles on RCEMLearning for your CPD
- Incivility in the ED - Nicki Credland, Dan Derbyshire
- Uncommon Nerve Entrapment Syndromes - Jules Blackham
- Sexual Assault Aftercare in the Emergency Department - Ellisiv Clarke, Michelle Tun
This month we’ve got two New in EM papers, we look at a scaphoid fracture guideline, explore the RCEMLearning Induction Package and tell you about some new articles in New Online. Be sure to check out the papers and links below!
(01:25) New in EM – Midline catheters vs. PICC lines
- Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study
(14:37) Guidelines for EM – RCEM Suspected Scaphoid Fractures * Guideline for the Management of Suspected Scaphoid Fractures in the Emergency Department
(43:29) New in EM – Immobilisation of torus fractures in children * Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK
(01:00:14) RCEM Induction Package * RCEMLearning Induction Section * ED Starter Pack Booklet * Sign your department up to the RCEMLearning Induction Package
(01:02:51) New Online – new articles on RCEMLearning for your CPD * Heat Related Illness - Jonathan Baird * The Climate Crisis – How will air pollution affect my patient’s health? - Joanna Quinn * Endocarditis - Joydeep Grover
This month we’ve got a new host, two New in EM papers, a continued discussion for Guidelines for EM, and a new section we’re launching: New Online. Be sure to check out the papers and links below! New in EM – Early CTCA in suspected ACS Guidelines for EM – PE and clinical decision making New in EM – Chest Tube Sizes in Trauma New Online – three new articles for your CPD
(00:34) New in EM – Early CTCA in suspected ACS
- Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial
(14:54) Guidelines for EM – PE and clinical decision making * HSIB Report into clinical decision making: diagnosis and treatment of pulmonary embolism in emergency departments
(55:24) New in EM – Chest Tube Sizes in Trauma * The small (14 Fr) percutaneous catheter (P-CAT) versus large (28-32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial
(01:08:49) New Online – new articles on RCEMLearning for your CPD * Traumatic Cardiac Arrest Blog – Chris Srinivasan * Kawasaki Disease – Christopher Manville * Vaginal Specula in the ED… Why, When and How – Madeleine Payne
This month we have Efficacy of antibiotics for septic olecrannon bursitis | Guidelines for EM | Anterior-Lateral vs Anterior-Posterior pad placement for cardioversion of AF | Case Based Discussions
This month we have Efficacy of antibiotics for septic olecrannon bursitis | Guidelines for EM | Anterior-Lateral vs Anterior-Posterior pad placement for cardioversion of AF | Case Based Discussions
This month we discuss Comparison of Q SOFA and hospital early warning scores for prognosis in suspected sepsis in ED patients: A systematic review.
Amy and Lisa discuss The Association between delays to patient admission from the Emergency Department in all cause 30 day mortality
This month we have Guidelines for EM on Heart Failure with Chris and Becky | Clinical Cases with Mark and Michelle
Susie and Raj discuss the experience of Emergency Department patients after a visit for Hypoglycaemia
This month we have Age adjusted dimer lab reported cut-off | Guidelines for EM on Tasers | WBCT for post arrest patients | Case Based Discussions
This month Noel and Stephen talk about Early warning scores to assess the probability of critical illness in patients with COVID-19
This month we have part B of our recordings from the Annual Scientific Conference. We discuss End of life and escalation with Dr Calvin Lightbody | Organ donation in EM with Dr Katja Empson | and TBI in ED with Dr Virginia Newcombe
This month Mark talk to Prof Jason Smith - Whole blood transfusion | Dr Arun Sayal - Orthopaedics in the ED | Dr Simon Laing - Airways in the ED
This month Amy discusses Cardiovascular complications of pre hospital emergency anesthesia in patients with return or spontaneous circulation following medical cardiac arrest
This month we have New in EM: Helmet vs Face mask CPAP | Guidelines for EM_Sepsis | New in EM: Back pain, is there an app for that? | Clinical Cases
This month the podcast is split into 2 parts. This is Part B which contains New in EM: Caffeine and arrhythmia risk and Clinical Cases
This month the podcast is split into 2 sections. This is Part A and contains New in EM: Utility of modified Sgarbossa criteria for OMI and Guidelines for EM
This month we have New in EM - cast v boot toddler fracture, Guidelines for EM - NICE Bronchiolitis and Case Based Discussions
This month we discuss randomised controlled trial comparing immobilisation in above-knee plaster of Paris to controlled ankle motion boots in undisplaced paediatric spiral tibial fractures
This month we have a slightly different format. Andy and Dave are here with 3 New in EM and Becky and Chris join us for a guideline review. We discuss Are you learning from Podcasts While Driving?, metoclopramide for post traumatic headache, EM Pain Management and Awareness and paralysis with intubation in the ED
This month we discuss TTM2 | B12 Deficiency | Guidelines for EM - AF | Abnormal movements | Oxygen for paediatric pneumonia
In this episode we discuss Paediatric Cardiology | Gender identity in ED | Traumatic and Medical Ophthalmology
This month we discuss Self performed high vaginal swabs | Anaphylaxis | Canadian TIA Score | Peads Acute Severe Asthma
This month Andrew and Graham discuss Projected paediatric cervical spine imaging rates with application of NEXUS, Canadian C-spine and PECARN clinical decision rules in a prospective Australian cohort
This month we discuss Killer rashes-not to miss | Traumatic Eye Injury | How to distinguish Severe Drug Reactions in the ED | REBOA: What have we learnt?
This month we discuss the effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients
This month we discuss Lower dose ketorolac for renal colic | ACS | take home tetracaine and PE
Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: a substudy of the PRIEST observational cohort study
This month we discuss Thrombectomy and Lysis for stroke, HIV, and have a chat with the TERN Fellow
Graham and Andrew discuss Emergency department interventions for adult patients with low back pain: a systematic review of randomised controlled trials
Noel discusses Colles type distal radial fractures undergoing manipulation in the ED A multicentre observational cohort study
This month we discuss Do Beta Blockers Effect Lactate Levels in Sepsis? | Bites and Stings | PPE for COVID in HCW | Cellulitis
This month we discuss Guidelines in EM: Mental health | Ondansetron take home in paeds gastroenteritis | Diarrhea and rehydration
This month we discuss Undoing Skin Glue Mishaps | PoCUS for skin abscess | AAA | Paeds DKA
This month Chris and Becky turn their attention to the RCEM guideline on suspected internal drug traffickers published in May 2020
This month we have Simon Laing from The Resus Room back on board with us. In part one Andy and Simon discuss Timing of endoscopy, Haloperidol for migraine, Drugs v DCC in A Fib
This month we discuss prognostic accuracy of q-sofa , lactate criteria for mortality in adults
In part two we have New in EM - Peripheral pressors, VTE Guidelines, New in EM - Thirst guided IV fluid
In Part 1 we have Dan Simmons on leadership and New in EM Ultralong IV Cannula with ultrasound
This month we have COVID Discussion | Debriefing post traumatic event | Talking bout dying in the ED | COVID19 Ventilation
This month we have split the podcast into 2 sections. This is part 2 and focuses completely on COVID-19
This month we have split the podcast into two parts. This first part contains New in EM WBCT for cardiac arrest and Critical care update Part 1
This month we have BET 2: Is keeping the eyes shut while fitting predictive of a psychogenic cause for seizures? And initial focused assessment with sonography in trauma versus initial CT for patients with haemodynamically stable torso trauma
This month we have Belfast CPD 2019 Tracheostomy | NICE Pneumonia | New in EM YEARS in pregnancy
Happy New Year. This month we have New in EM currency in EM intubation | ASC 2019: Govind Oliver - Clinical Gestalt vs TMAC scoring | New in EM early antibiotic in sepsis | ASC 2019: Gordon Fuller AHEAD-2
This month we have New in EM TXA for epistaxis, EMEC Liz Herrieven, Mark Lyttle ASC, IPED Study
This month we have:
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Should we resusitate elderly patients with blunt traumatic cardiac arrest?
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The public perception to bystander cardiopulmonary resuscitation
This month we have New in EM XueBiJing for pneumonia, Renal Colic Live guidlines, DFTB19 Paul Reavley, DFTB19 Anna Dobbie, New in EM Intralipid in OD
This month we have a special podcast coming from the RCEM ASC in Gateshead. We have an interview with Dr Katherine Henderson the new RCEM President. Prof Simon Carley on his top 10 papers for EM, and an interview with Rod Little prize winner Dr Gordon Fuller
The ACUTE (Ambulance CPAP: Use, Treatment effect and Economics) feasibility study: A pilot randomised controlled trial of prehospital CPAP for acute respiratory failure
This month we discuss Cannabis hyperemesis syndrome and interpreting and verifying the index test
This month we have Belfast 2019 CPD - Leadership | Belfast CPD 2019 End of life care | New in EM: Rethinking IV Size & Location for CTPA | EMEC Jon Carter | Belfast CPD 2019 Top Paeds Papers | Guideline NICE CVA and TIA (part one TIA)
This month we have Dental Anaesthesia in the Emergency Department, and sources of bias in studies of diagnostic test performance
This month we have Aromatherapy for Nauseated ED Patients | Rob Rogers at EMEC - Medutopia, Legacies and Inspiration | Hugo Dowd - Syncope at Belfast CPD | Iain Beardsell - Diagnostics at Belfast CPD | Cardioversion for A Fib |
This month we are discussing Angio following cardiac arrest | Vertigo | Bag Mask Ventilation in RSI | LGIB | IAEM PoCUS Erector Spinae Block
This month we have a discussion on the Manchester Bombing | Scribes in the ED | TERN TIRED | PTX and haemothorax in the CT era | Horse Trauma | Roc Rocks - ED RSI with Rocuronium or Suxamethonium
This month we have DVT guidelines | CRT vs lactate guided fluid resuscitation in septic shock | IAEM PoCUS 01 SHOC ED study | DFTB18 with Elliot Long | Tessa Davis interviews Paul Vulliamia about stabbings in children | Non operative appendicitis management
This month we have New in EM GONB for migraine | DFTB18 with Damian Roland | New in EM Metoclopramide for migraine | EuSEM18 with Rachel Stewart - Major Incidents | New in EM Predicting UTI in febrile kids | Fraser or Gillick | Cauda Equina Guideline
This month we have New in EM TXA for haemoptysis | RCEM Learning EMJ Podcast Promo | Capacity | DFTB18 Domenic Cincotta | New in EM Premedication for ketamine sedation | New in EM C-spine in distracting injuries
New in EM Pre Hospital Plasma | DFTB18 Vic Brazil Sim as Quality Improvement | TERN Nicky Moore S100B | TERN Suzanne Ablard | EuSEM18 Satveer Nijjar Mental Health | Phenytoin Tox | New in EM SAVE trial for IV catheters
Complications of anticoagulation - Dan Horner and Becky RCEM Spring 2018 | New in EM Pelvic Exam for STD | EuSEM18 Felipe Teran NIck Lim - TTE & TOE in arrest PART 1 | New in EM PoCUS for LP in infants | Burns - Stephen Mullen RCEM Spring 2018 | New in EM LoMagHi | EuSEM18 Felipe Teran NIck Lim - TTE & TOE in arrest PART 2 | EuSEM18 Patricia O'Connor Knee Exam
Asthma - Sarah Stibbars RCEM Spring 2018 | PEMFest - Tessa Davies on Scarlet fever | New in EM Kupperman DKA | TERN - Dan Horner | St Mungoes ENT Vertigo | Cauda Equina | New in EM Rates of injury in combined CT Head/Neck studies | EuSEM18 Ellen Weber - EMJ Getting Published | EuSEM18 Stephen Hearns Performance | Elderly Abdo Pain RCEM Spring 2018 | EuSEM18 Rick Body - Chest pain in older patients
This month we have Liver Disease with Katherine Henderson | Sexual Assault | RCEM Flourishing Medical Careers with Matthew Cooke, Taj Hassan and Pro Mukherjee | Death in Children | Moral Injury | New in EM Conservative Rx of PTX in trauma | New in EM ICH in minor head injury in anticoagulation | Ambulatory PE, and an overall wellness episode
This month features New in EM Hallway decision making | RCEM Curriculum with Will Townend | St Mungos - Burns | New in EM qSOFA in the ED | Geriatric Mental Health Mark RCEM Spring 2018 | PEMFest - Ed Snelson on wheeze | New in EM MRI Guided Stroke Lysis
This months podcast features: PARAMEDIC2 | Concussion | Organophosphate / Nerve Gas Tox | PEMFest - Damian Roland - Decision making in Paeds | Measles | Phenytoin vs Levitiracetam for staus | St Mungoes ENT Sinusitis | Acid Attacks
Guideline - Marathons Part 1 | New in EM Head Injury Decision Rules in Kids | Paeds Critical Care - Sarah Stibbars RCEM Spring 2018 | Pituitary Apoplexy | Top 5 PEM Papers RCEM Spring 2018 | St Mungoes ENT Food Bolus | New in EM Vomiting & TBI in Kids | Guideline - Marathons Part 2
Dissection part 1/2|NewinEM Fluroquinolones and the Aorta|NewinEM Steroids for Urticaria|Sore Throat|St Mungos Epistaxis
This month we have Traumatic cardiac Arrest Part 1 & 2 , Do you know how and when to undertake a resuscitative thoracotomy in traumatic cardiac arrest? & Do you open the chest in blunt trauma? Do you know the basics well and do you rehearse and deliver the simple interventions quickly and effectively in traumatic arrest? | Should we have a geriatrician on the trauma team? | How do you make end of life decisions in the trauma bay? How do you avoid opiate overuse in elderly trauma patients? | Can we clinically predict which patients might benefit from thrombectomy for stroke | Can we use higher D-Dimer thresholds to avoid imaging low-risk patients for PE? | Does a greater occipital nerve block help with the treatment of migraine
This podcast was initiated by the survivors and relatives of aortic dissection in the group Aortic Dissection Awareness UK
New in EM Aortic Dissection Risk Score | Contrast Nephropathy | New in EM: IO Access in Cardiac Arrest | Dan Horner: Age Adjusted D Dimer | Chris Walsh on FOAMed | New in EM: Massive Paracetamol OD | Social Media Awareness | New in EM: IV v PO paracetamol
This month we have Mike Faraquar EMTA | New in EM Lever test for ACL tear | PoCUS New in EM | Section 136 | Fin McNicol on media training | New in EM ADRENAL Study | Trauma - Andy & Jon Jones
Introduction | Kerstin De Witt - DOAC use and reversal | New in EM Chloride restriction in ED | VTE Dan Horner Lower Limb Prophylaxis | Trauma - Andy & Jon Jones | AKI with Jacob De Wolf | New in EM paeds procedural sedation | Jeff Kline - facial expression and affect in diagnosis | Damian Roland EMTA
Introduction | Top 10 Papers 2017 - Andy & Rick Body | Jeff Kline - empiric lysis in PE | Myasthenia | Fever in traveller - Nikki & Nick Beechings | DFTB Nikki Deb Shelshear Sedation | St Mungo's Delirium | Compassion Fatigue - Andy & Caroline Leech