Rcem Learning

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

 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 2025/2

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

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-Thora

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 (RCE

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

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 i

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

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 repor

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 an

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 coho

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 e

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