Reflections on Practical Application of Medical Guidelines and Evolving Healthcare Systems

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