NHS A&E Performance: Challenges and Insights

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