RCEM Learning

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  

This month Lisa Ramage and Amy Hughes discuss the paper 'Thromboprophylaxis in ambulatory emergency department patients managed with lower limb immobilisation after injury: a national survey'. Then Suzy and Philippa discuss 'Pulmonary embolism management in the emergency department'.

This month for the February 2023 RCEMLearning podcast we've got two New in EM segments looking at pad placement for transcutaneous pacing and post-ROSC blood pressure targets in cardiac arrest. Becky and Chris a look at the RCEM guidelines for cannabinoid hyperemesis 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. (02:04) New in EM - AP Pad Placement for Transcutaneous Pacing Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing - Moayedi et al. (2022) (16:54) Guidelines for EM - Cannabinoid hyperemesis syndrome RCEM Guidance for Cannabinoid hyperemesis syndrome Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review - van Boekel et al. (2013) (48:08) New in EM - Blood pressure targets in cardiac arrest Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest - Kjaergaard et al. (2022) (100:15) New Online – new articles on RCEMLearning for your CPD Getting into the Flow: Operational Efficiency in ED – Adam Dalby Curriculum Cup Resus – RCEMLearning Severe hypothermia – Tim Harris & Jonathan M Jones

Happy New Year! This month we’ve got a New in EM looking at the use of neutrophil-lymphocyte ratios in septic arthritis and a discussion on specificity vs. sensitivity. Becky and Chris look at the new NICE guidance on subarachnoid haemorrhage and Rob talks for too long about it, 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. (02:38) New in EM – Neutrophil:lymphocyte ratio in septic arthritis - Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults (14:49) Guidelines for EM – NICE Guidance on the diagnosis and management of subarachnoid haemorrhage NICE NG228 - Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head - Sayer et al. (2015) Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule - Perry et al. (2020) An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule - Perry et al. (2009) The SHED Study - TERN (56:21) New Online – new articles on RCEMLearning for your CPD GAS, iGAS and Scarlet Fever – Nikki Abela Agents of Change – Public Health in ED – Ines Corcuera and Michelle Ryan