RCEM Learning

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 dives into the intriguing use of serum lactate for diagnosing seizure types, revealing its diagnostic power but acknowledging its limits. The discussion tackles the serious issue of non-fatal strangulation, emphasizing the need for sensitivity and thorough assessments in emergency settings. Team dynamics also take the spotlight, showcasing how familiarity within medical teams can significantly boost performance and communication. Plus, there’s a look at new articles to enhance ongoing professional development in emergency care.

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.

This month for the March 2023 RCEMLearning podcast we’ve got a New in EM segments looking at restrictive vs. liberal fluid replacement therapy in sepsis. Becky and Chris look at guidelines for the management of investigations and results from the ED, I speak to Sandy Robertson of GreenED, and then we return to New Online with some new articles for your CPD. If you'd like to email us, please feel free to do so here. here. (01:48) New in EM - Restrictive vs. liberal fluid therapy in sepsis Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension - PETAL Network (2023) (10:20) Guidelines for EM - Management of investigations and results from the ED RCEM Guidance for Management of Investigation Results in the Emergency Department Diagnosis of cancer in the Emergency Department: A scoping review (01:03:12) Interview with Sandy Alexander of GreenED GreenED (RCEM) Centre for Sustainable Healthcare Join the mailing list How to provide environmentally sustainable emergency care (RCEM Event) (01:18:42) New Online – new articles on RCEMLearning for your CPD Painful to think about – assessment and management of pain in the ED – Liz Herrieven Human Factors - Lucine Nahabedian Supraventricular Tachycardias - Stephen Meek