This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain

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

This month for the June 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments looking at the use of end-tidal CO2 at triage and looking at positioning for lumbar punctures. We then hear from Becky & Chris about a guideline for nitrous oxide toxicity. We then speak with Dani Hall about her practice changing papers in PEM, and then end with New Online. If you'd like to email us, please feel free to do so here. (02:16) New in EM - End-tidal carbon dioxide monitoring at triage End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission (Ladde et al., 2023) (17:27) Guidelines for EM - Nitrous Oxide RCEM - Suspected nitrous oxide toxicity in Emergency Departments (50:44) New in EM - Optimal positioning for LPs Is Lateral Decubitus or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching Hospital? (Thundiyil et al., 2023) (01:04:49) Dani Hall - Practice Changing Papers in PEM The CAP-IT Study (Bielicki et al., 2021) The FORCE Study (Perry et al., 2022) The Bell-PIC Study (Babl et al., 2022) (01:24:02) New Online – new articles on RCEMLearning for your CPD Trek Tragedy - Review on Lyme Disease - Anju Menon Non-traumatic subarachnoid haemorrhage - Jamie Cooper Risk and Safety (Part Two) - Charlotte Davies and Steve Walters

This podcast episode covers topics such as the best shoulder relocation technique, using TXA in haemoptysis, tips for online teaching from Tessa Davis, and the meaning behind the RCEM Coat of Arms. The episode also discusses new online content for CPD.

This month Graham talks to our very own Rob Hirst about Establishing the research priorities of emergency medicine trainees, patients and carers across the UK and Ireland: the TERN Delphi study. Then Susie Roy discusses Cervical spine movements during laryngoscopy and orotracheal intubation: a systematic review and meta-analysis.

This month for the April 2023 RCEMLearning podcast we've got two New in EM segments looking at using lactate to identify epileptic seizures and the impact of familiarity on performance. Becky and Chris delve into a guideline for non-fatal strangulation, and then finally we bring you three new articles for your CPD in New Online. If you'd like to email us, please feel free to do so here. (03:15) New in EM - Using lactate to diagnose epileptic seizures Utility of serum lactate on differential diagnosis of seizure-like activity: A systematic review and meta-analysis - Patel et al. (2022) (13:45) Guidelines for EM - Non-fatal strangulation Managing non-fatal strangulation in the emergency department FFLM Guidelines for non-fatal strangulation (01:03:55) New in EM - Impact of familiarity on performance Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial - Iyasere et al. (2022) (01:13:52) New Online – new articles on RCEMLearning for your CPD Ramadan in the ED - Usama Basit Brugada Syndrome – Sameera Ganti, Derek Heng Jiun Yi, Eunizar Omar Management of Haematuria – Evan Coughlan and Andrew Parfitt

This month Noel and Stephen discuss Diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the emergency department who meet NICE Head Injury Guideline criteria for CT-head scan, and Graham discusses Paediatric acute non traumatic limp.