Understanding Advanced Medical Lines and Their Complications

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 in the ED

• RCEM - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department (RCEM, 2025) [PDF]

(01:01:44) New Online – new articles on RCEMLearning for your CPD

• 24 Hour Ophthalmic Emergencies Part 1 – Acute Red Eye - William Spackman
• Understanding Informed Consent: A Guide for Healthcare Professionals - Khurram Rasool
• Advanced Lines - Alexandra Cottrell, Claire Fitzgerald