RCEM Learning

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.

In this episode, they discuss the INTERACT3 trial for blood pressure targets after intracerebral haemorrhage, the British Thoracic Society's guidelines on spontaneous pneumothorax, an update on PERUKI, and working in Ukraine. They cover various topics such as clinical trials, guidelines, and work experiences abroad, providing a diverse range of insights and information.

New emergency medicine consultants experience uncertainty, transitioning from registrar to consultant, perceptions of enablers and barriers to pain management in the ED, exploring themes in pain management and addressing barriers, and interventions to improve pain management in the ED.

In this episode, the podcast covers topics such as routine head-to-pelvis CT scan post-arrest, challenging sexism in healthcare, mistreatment reporting systems, gender equity in emergency medicine, lidocaine patches for elderly patients with rib fractures, barriers to staff well-being, challenges faced by international medical graduates, person-centered care for older people with frailty, using AI in imaging and radiology, and collecting data for the Trauma Inversity Thoracotomy study.

In this episode, they discuss the SQUID protocol for DKA, delve into concussions with experts, and tackle the physiologically difficult airway. Also, they highlight new online articles for CPD in emergency medicine.

Discover the fascinating world of wound care with a groundbreaking device called Micromend. Find out how it offers an innovative alternative to traditional suturing, especially beneficial for pediatric patients. Hear about the importance of patient satisfaction and cosmetic results after its use. Unpack the challenges faced in evaluating this new technology, including study biases and the call for more comprehensive research. This deep dive into emergency medicine reveals how innovations can reshape patient care!

Steve Black, a data scientist with over 20 years of experience in emergency department analysis, shares fascinating insights about the history of ED performance. He discusses the evolution of the NHS A&E four-hour wait target and its implications for patient care. The conversation highlights rising waiting times and mortality rates, emphasizing systemic issues in healthcare. Steve also touches on the challenges of managing complex admissions, advocating for improved guidelines and training to enhance patient outcomes.

This discussion dives into the effectiveness of a prehospital HEART score for suspected myocardial infarction, emphasizing early evaluations to alleviate emergency department stress. It explores a study comparing metocarbamol and diazepam for acute lower back pain, revealing their unique treatment approaches and the impact of demographic factors on pain management. The speakers highlight the importance of real-time data in chest pain evaluations and the implications of their findings for improving clinical practices.

Becky Maxwell and Chris Connolly, both emergency physicians, delve into the new NICE head injury guidelines, clarifying assessment protocols for high-energy injuries, especially in children. They highlight the vital role of tranexamic acid for severe head injuries. Dave McCreary and Joseph Mathew explore high acuity, low occurrence procedures, emphasizing the importance of training and practice in emergency settings. The discussion shines a light on preparing for rare yet critical interventions and effective communication among emergency teams to enhance patient care.

This month we discuss Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out of hospital cardiac arrest, Spiking and Blunt chest wall trauma