Merry Christmas! This month for the December 2024 episode of the RCEM Learning Podcast, we have got a new in EM segment looking at the surgical management of haemorrhagic stroke. Becky and Chris talk gift us with a big discussion around the management of pain in the ED. Rob talks to Laura Howard and Gregory Yates about reviving the BestBETS project, before ending 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! (04:29) New in EM - Surgery for haemorrhagic stroke Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage (Pradilla et al., 2024) (15:45) Guidelines for EM - RCEM Management of Acute Pain in Adults in the ED RCEM Management of Acute Pain in Adults in the ED (RCEM, 2024) (01:12:43) Laura Howard and Gregory Yates - BestBETs BestBETs Get Involved with BestBETs (Email link) Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure? (Yates & Williams, EMJ, 2024) (01:23:20) New Online – new articles on RCEMLearning for your CPD The Forgotten Tribe - Lauren Fraser and Michelle Jacobs Surgical Management of Acute Wounds in the ED - Olajide Kamal Badmus, Riad Hosein Curriculum Cup (Respiratory) - RCEMLearning

This month for the November 2023 episode of the RCEM Learning Podcast we're focusing on the RCEM ASC. Rob and Liz talk through their favourite talks from the conference and then we move on to our RCEM ASC Interview Megamix where I speak with thirteen presenters about their work from the RCEM ASC. This is going to be a mix of paediatric and adult EM, so feel free to have a look at the timestamps if you want to get to the stuff that is most relevant to you - I'd recommend you listen to it all! 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! Submit an abstract to the EMTA Conference EMTA Conference 2025 - Bristol, 26-27th February 2025 Submit an abstract here (direct link) by 27th November (07:54) RCEM ASC Interview Megamix (07:54) Cath Taylor - Using livestreaming phones in the ambulance service (17:10) Phil Cowburn - The Major Incident Ten Second Triage Tool (23:25) Mark Macmillan - Whole-body CT scanning in older injured patients (29:42) Leilah Dare - Using GIRFT data to implement change (38:10) Ben Clarke - TERN Update and the UnCORKED study (49:38) Alison Porter - Using qualitative research in emergency medicine (58:10) Christopher Humphries - Cannabinoids and tailoring your anti-emetic selection (01:05:42) Steve Goodacre - Diagnosing acute aortic syndrome and the ASES study (01:10:57) Tom Waterfield - PERUKI Update (01:20:18) Shrouk Messahel - CRESCENT Study (01:29:16) Damian Roland - Bronchstart, bronchiolitis, and vaccination (01:39:34) Dave McCreary - Introducing a culture of paediatric point of care ultrasonography (01:50:10) Emma Lim - Spotting Sepsis in the PED Further Links and Reading Cath Taylor - The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial Phil Cowburn - National Ambulance Resilience Tool - Ten Second Triage Leilah Dare - Getting It Right Time - SEDIT Ben Clarke - TERN Research Ben Clarke - TERN UNCORKED Expression of Interest Form Christopher Humphries - RCEM Guideline - Suspected Cannabinoid Hyperemesis Syndrome in Emergency Departments Steve Goodacre - The ASES Study Tom Waterfield - PERUKI Shrouk Messahel - The CRESCENT Trial Damian Roland - Bronchstart David McCreary - ResearchGate Emma Lim - RCPCH Paediatric Sepsis Podcasts Emma Lim - Lancet Paediatric Sepsis Series

Ryan McHenry, an Emergency Medicine registrar and clinical research fellow, and Kath Aspidon, a Consultant in Emergency Medicine, delve into the EM at the Deep End project. They explore the transformative use of peripheral hypertonic saline in emergencies, sharing insights on its safety and dosages. The discussion also critiques defibrillation strategies for refractory ventricular fibrillation, emphasizing innovative techniques like dual sequential defibrillation. Additionally, they highlight the importance of communication tools for supporting patients with learning disabilities in healthcare settings.

Becky and Chris, contributors to emergency medicine, delve into the latest NICE guidelines for meningitis, highlighting diagnostic challenges, particularly in young populations. They also discuss how non-invasive ventilation (NIV) can enhance pre-oxygenation during rapid sequence intubation. Dan Horner, a former TERN Fellow, provides insights from the Subarachnoid Hemorrhage study in emergency settings. The conversation emphasizes the importance of continuous learning and adapting new protocols to improve patient outcomes.

Becky, an expert in Emergency Medicine, and Chris, a contributor to opioid toxicity guidelines, discuss new approaches to managing opioid toxicity. They dive into the alarming rise of opioid-related deaths and the importance of naloxone in emergency settings. The conversation also covers the comparison of high flow nasal cannulas versus non-invasive ventilation in treating COPD patients. Their insights highlight the evolving strategies in emergency care, particularly related to opioids and respiratory illnesses.

This month dives into febrile infant algorithms, exploring their performance based on fever duration. It also tackles the management of sickle cell crises in emergency settings. A lively debate unfolds over the use of absorbable versus non-absorbable sutures for facial lacerations, backed by recent clinical studies. Insights into healthcare culture and professional development round out the discussion, emphasizing the importance of collaboration and ongoing education in emergency medicine.

Chris Bretheron and Hamez Gacefari discuss the James Lind Alliance Priority Setting Partnership for Major Trauma. Topics include research priorities, patient engagement, and global research collaboration. Also covered are studies on nail bed repair in pediatric finger injuries and sickle cell disease guidelines. Exciting insights into the challenges and advancements in emergency medicine.

Matt Reed discusses submitting work for the RCEM Annual Scientific Conference, emphasizing the importance of showcasing projects. Other topics include using clonidine for pain, NEXUS Guidelines for Chest Imaging, and the efficacy of Coca-Cola in food boluses.

Vicky Price from the Society of Acute Medicine discusses the synergy between acute and emergency medicine. They explore challenges in collaboration between departments, addressing workload pressures and advocating for unified patient care. The podcast also delves into the impact of administering antibiotics to brain injury patients to prevent pneumonia and improve outcomes.

Exploring the efficacy of high versus low doses of nitroglycerin in treating sympathetic crashing acute pulmonary edema, management challenges of SCAP, the use of high-end GTN doses for escape management, study criteria and outcomes in shortness of breath study, and optimal treatment strategy for managing hypertension.