RCEM Learning

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

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.