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 HandoverEdward Snelson and Hannah Walsh - Recognising Paediatric SepsisFatema 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 EDRCEMLearning - 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 KenworthyPublic Health in the Emergency Department Series #3 - Learning Disability - Olivia VillegasCurriculum 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 16sReed 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 HerrievenHypothermic cardiac arrest - Tim Harris and Jonathan M JonesCervical 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 CumberbatchBlood Transfusion Part 1 – Derek Obiri and Charlotte DaviesBlood Transfusion Part 2 – Derek Obiri and Charlotte DaviesRCEMLearning 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 documentGetting 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 DaviesBifascicular Block – Mohd Farooq Parey, Kate Turnbull, Asim AijazTERN 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 DiseaseCONservative 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-MEDMedical Aid for PalestiniansMedicins 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 beyondBalaji Dorani – Soft Tissue Injuries of the HandOlivia 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 PosterChris Connolly, Katherine Rankin – Dental EmergenciesMark 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 White and Nathan Howarth - Concussion Concussion Legacy FoundationConsensus 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 AirwayThe 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 #1Gavin Lloyd - Thoracic TraumaRCEMLearning – 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 JournalPolicy Skeptic BlogSteve 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 WilkinsMatthew 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 CourseMaintaining 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 MahonNIHR Incubator – Applying for grants, fellowships and personal awardsEating 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 MenonNon-traumatic subarachnoid haemorrhage - Jamie CooperRisk 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 TwitterTessa 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 HerrievenCurriculum Cup - Major Trauma - RCEMLearningNecrotising 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 departmentFFLM 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 BasitBrugada Syndrome – Sameera Ganti, Derek Heng Jiun Yi, Eunizar OmarManagement 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.