Rcem Learning

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

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 -

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 (SH

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) Guideli

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 Lacerat

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

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 valida

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

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 - Restri

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

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 Em

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

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 Trauma

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) Jame

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 White 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

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 Hea

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