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RCEM Learning

December 2023

Dec 4, 2023
New co-host Liz Farah joins the RCEM Learning Podcast to discuss topics such as overnight boarding of older patients in the ED, use of opioids for back pain, management of hypertension in the ED, and investigation of cauda equina syndrome. They also explore the impact of long waiting times on patient outcomes, guidelines for hypertensive crisis, and the introduction of an interactive pathway tool. The Opal Trial study reveals that there is no evidence to support the prescription of opioids for acute back pain. Additionally, they discuss the role of the RSI assistant in the ED and provide insights on Bifascicular Heart Block.
01:26:15

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Extended wait times in emergency departments can lead to increased mortality rates, infections, and falls.
  • The British and Irish Hypertension Society provides guidelines for managing acute hypertension in the emergency department.

Deep dives

Overview of Opiate Animal Jeezer Study

The Opiate Animal Jeezer study, published in The Lancet, investigates the use of opiates for lower back and neck pain. The study focuses on the effects of opiate prescription, emphasizing the need to prove the adverse outcomes associated with long wait times in emergency departments. The study analyzes data from a large research network in France and highlights the increased mortality rates for patients who experience extended waits before their inpatient bed is available. The study also links longer wait times to higher rates of infections and falls. The findings underscore the need to address hospital overcrowding, and the associated negative impact on patient outcomes.

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