RCEM Learning

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.

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.