RCEM Learning

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

This month we’ve got a New in EM looking at the use of morphine and midazolam in heart acute failure. We return to the second part of our two-part procedural sedation megamix. We speak to the organisers of the Trainee Research Engagement Day and the Emergency Medicine Trainee Association Survey Lead. Finally, 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. (01:55) New in EM – Morphine vs. Midazolam in Heart Failure - Midazolam versus morphine in acute cardiogenic pulmonary oedema: results of a multicentre, open‐label, randomized controlled trial (08:45) Guidelines for EM – Procedural Sedation (Part 2) RCEM Procedural Sedation Guidelines (42:55) Trainee Research Engagement Day - Talking with Thomas Shanahan and Anisa Jafar Get your tickets to the Trainees Research Engagement Day (50:40) Findings from the EMTA Survey The EMTA Survey Twitter Infographics (57:21) New Online – new articles on RCEMLearning for your CPD Future-Proofing PEM - Liz Herrieven RCEM ASC 2022 - Swagat Mishra and Gowthami Veera Chronic Obstructive Pulmonary Disease - Katie Manning

This month we’ve got a New in EM looking at IV paracetamol, look at some guidelines for sedation, we have the second part of the highlights from the Thames Valley Air Ambulance Cardiac Arrest symposium, and finish off with some more articles in New Online. (02:25) New in EM – IV paracetamol and morphine use Intravenous acetaminophen does not reduce morphine use for pain relief in emergency department patients: A multicenter, randomized, double‐blind, placebo‐controlled trial Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial (10:49) Guidelines for EM – Procedural Sedation (Part 1) RCEM Procedural Sedation Guidelines (48:54) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium - Part Two Thames Valley Air Ambulance Cardiac Arrest Symposium (49:05) Post-ROSC management – Asher Lewinsohn (55:40) What happens in the cath lab? – Andrew Lucking (59:09) New Online – new articles on RCEMLearning for your CPD Trans101: Avoiding a Trans Emergency – Ethan Wilson Transgender Healthcare: Caring for Trans Patients (FutureLearn Course) Notifiable Diseases – Ines Corcuera Hotz and Grace George Local Anaesthetics – Graham Gardner

This month Susie and Rajesh talk about Emergency Physicians experience of stress during resuscitation and strategies for mitigating the effects of stress on performance

xThis month we’ve got a New in EM examining the use of fluids in RSI, look at a guideline for caring for patients with a learning disability, bring you the highlights of the Thames Valley Air Ambulance Cardiac Arrest Symposium, and then bring you some new articles for New Online. (01:46) New in EM – Fluids in RSI Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial Safety of the Peripheral Administration of Vasopressor Agents (09:02) Guidelines for EM – Acute medical care for people with a learning disability Acute care toolkit 16: Acute medical care for people with a learning disability (54:26) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium Thames Valley Air Ambulance Cardiac Arrest Symposium (54:57) James Raitt – Defibrillation Strategies (58:38) Darren Best and Mark Hodkinson – Improving cardiac arrest management at a local level (01:01: 59) Rory Saggers – Experiences from London Advanced Paramedic Practitioners (01:06:15) Paul Rees – Haemodynamic guided CPR and REBOA (01:10:15) Iain Carroll – ECMO CPR (01:16:48) Rupert Simpsons – Cardiac Arrest Centres (01:22:05) New Online – new articles on RCEMLearning for your CPD Creative Careers in Emergency Medicine Part 1 – Career Longevity - Lois Brand Management of STEMI and its Complications - Jason Kendall EM Quizzes

Graham Johnson and Ewan Barron discuss predictors of hospital prenotification for STEMI and association of prenotification with outcomes

This month we discuss Laryngospasm in paediatric sedation | Case Based Discussions | Use of Non-Sterile Gloves for Wound Closure | and new online material from RCEMearning  This month we’ve got two New in EM papers, delve into two meaty Case Based Discussions and discuss some new articles in New Online. Be sure to check out the papers and links below! (01:30) New in EM – Laryngospasm in paediatric sedation Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation (17:17) Case Based Discussions (42:55) New in EM – Non-sterile gloves for wound closure Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial Commentary by Metcalfe et al (52:36) New Online – new articles on RCEMLearning for your CPD Incivility in the ED - Nicki Credland, Dan Derbyshire Uncommon Nerve Entrapment Syndromes - Jules Blackham Sexual Assault Aftercare in the Emergency Department - Ellisiv Clarke, Michelle Tun

This month Noel and Stephen talk about paediatric fractures

This month we’ve got two New in EM papers, we look at a scaphoid fracture guideline, explore the RCEMLearning Induction Package and tell you about some new articles in New Online. Be sure to check out the papers and links below! (01:25) New in EM – Midline catheters vs. PICC lines Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study (14:37) Guidelines for EM – RCEM Suspected Scaphoid Fractures Guideline for the Management of Suspected Scaphoid Fractures in the Emergency Department (43:29) New in EM – Immobilisation of torus fractures in children Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK (01:00:14) RCEM Induction Package RCEMLearning Induction Section ED Starter Pack Booklet Sign your department up to the RCEMLearning Induction Package (01:02:51) New Online – new articles on RCEMLearning for your CPD Heat Related Illness - Jonathan Baird The Climate Crisis – How will air pollution affect my patient’s health? - Joanna Quinn Endocarditis - Joydeep Grover