RCEM Learning

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.

In this episode, they discuss using dexamethasone in migraines, guidelines for diagnosing thoracic aortic dissections, and transfusion thresholds in myocardial infarction. They cover research outcomes, blood pressure assessment implications, and debate on transfusion strategies. The podcast delves into challenges in diagnosing rare conditions and highlights articles on acute right heart failure, learning disabilities, and pharmacology quiz.

This podcast episode covers the use of POCUS for pediatric forearm fractures, NICE guidelines for transient loss of consciousness, the interface between primary and secondary care, delabelling penicillin allergy, and new online articles on RCEMLearning for CPD.

In the January 2024 episode, they discuss diagnosing acute aortic syndrome, RCEM Guidelines for invasive procedures, and non-invasive airway management for poisoned patients. They highlight challenges in diagnosis, the importance of informed consent, and safety practices in medical centers. The episode also covers a study on safety practices, exploring aortic dissection and blood donation awareness.

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.