EMJ Podcast

By BMJ GroupMedicine Health & Fitness

EMJ Podcast episodes

May 09, 2024 Interventions for smoking cessation, AI CT scan triaging, and cyclic vomiting: May 2024 Primary Survey
Should we be bringing preventative medicine into the emergency department, or is it just using up valuable time? Our first paper this month looks at the "Cessation of Smoking Trial in the Emergency Department (COSTED)" trial, which presents the case for opportunistic smoking cessation intervention. Next up is a topical research paper on interpreting CT scans with artificial intelligence, and how machine assessment measures up against experienced physicians. Then there's a trio of troponin papers, discussing high-sensitivity testing. The final paper this time is not a paper but a guideline from the Royal College of Emergency Medicine, setting out best practices for dealing with suspected cannabinoid hyperemesis syndrome.

Articles discussed in this episode:
Cessation of Smoking Trial in the Emergency Department (COSTED): a multicentre randomised controlled trial. Pope I, Clark LV, Clark A, et al
Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels. Warman P, Warman A, Warman R, et al
External validation of a rapid algorithm using high-sensitivity troponin assay results for evaluating patients with suspected acute myocardial infarction. Cullen L, Greenslade JH, Stephensen L 2022 SAMIE study group, et al
High-sensitivity troponin testing at the point of care for the diagnosis of myocardial infarction: a prospective emergency department clinical evaluation. Curran JM, Mergo A, White S, et al
Determination of a whole-blood single-test low-risk threshold for a point-of-care high-sensitivity troponin assay. Pickering JW, Hamill L, Aldous S, et al
RCEM best practice guideline: suspected cannabinoid hyperemesis syndrome in emergency departments. Humphries C, Gillings M

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
30 min
April 05, 2024 Suspicious chest pain, inequality in COVID outcomes, and staff retention problems: April 2024 Primary Survey
“Social distancing is a privilege,” is the core message underlying the first paper brought by Sarah to this month’s roundup, as it unpacks the stark differences in COVID-19 outcomes across the spectrum of racial and ethnic groups in the United States. A second paper examines the returning rates of COVID patients across a large group of emergency departments in Canada, and the factors at play there. The final topic is one of Rick’s favourites, focusing on troponin testing in ambulances.

Articles discussed in this episode:
Pandemic phase-related racial and ethnic disparities in COVID-19 positivity and outcomes among patients presenting to emergency departments during the first two pandemic waves in the USA. Khosla S, Del Rios M, Chisolm-Straker M, et al.
Characteristics and outcomes of patients with COVID-19 who return to the emergency department: a multicentre observational study by the Canadian COVID-19 Emergency Department Rapid Response Network (CCEDRRN). Rosychuk RJ, Khangura JK, Ortiz SS, et al.
Perceived barriers and opportunities to improve working conditions and staff retention in emergency departments: a qualitative study. Daniels J, Robinson E, Jenkinson E, et al.
Prehospital T-MACS and HEART scores in the prediction of myocardial infarction: a prospective evaluation. Cooper JG, Donaldson LA, Coutts AJ, et al.

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
31 min
March 04, 2024 Aortic dissection, coroners’ court, and age-related outcomes: March 2024 Primary Survey
A feast of aortic papers this month, including a study on missed aortic dissection diagnoses and an analysis of coroners' reports. Rick runs through the findings of an interesting study from the Trainee Emergency Research Network (TERN), and Sarah finishes off with a paper on predicting adverse outcomes in elderly patients with orthopaedic trauma.
Articles discussed in this episode:
Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study.
Hodgson S, O'Mahony K, Nicholson J, et al. Thematic analysis of ‘Prevention of Future Deaths’ reports related to emergency departments in England and Wales 2013–2022.
McLatchie R, Reed MJ, Freeman N on behalf of the DAShED investigators, et al. Diagnosis of Acute Aortic Syndrome in the Emergency Department (DAShED) study: an observational cohort study of people attending the emergency department with symptoms consistent with acute aortic syndrome.
Isaac CJ, Moore L, Bérubé M, et al. Predictors of adverse outcomes in elders hospitalised for isolated orthopaedic trauma: a multicentre cohort study.

Related links:
RCEM Learning: Aortic Dissection podcast.
Trainee Emergency Research Network.

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
29 min
February 01, 2024 Trip killers, sympathetic crashing, and all sorts of sedatives: February 2024 Primary Survey
There's a lot of drugs to be talked about this month, and a heap of randomised control trials to be covered too. Rick and Sarah talk though the combining of nitrous oxide and fentanyl for sedation, the environmental impact of analgesics, the efficacy of acute heart failure treatment with high-dose and low-dose nitrates, and more newly published work from the latest issue of the journal.

Articles discussed in this episode:
Safety and efficacy of a nitrous oxide procedural sedation programme in a paediatric emergency department: a decade of outcomes
https://emj.bmj.com/content/41/2/76
Environmental impact of low-dose methoxyflurane versus nitrous oxide for analgesia: how green is the ‘green whistle’?
https://emj.bmj.com/content/41/2/69
High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial
https://emj.bmj.com/content/41/2/96

Trip-killers: a concerning practice associated with psychedelic drug use
https://emj.bmj.com/content/41/2/112
Effect of intranasal sufentanil on acute post-traumatic pain in the emergency department: a randomised controlled trial
https://emj.bmj.com/content/41/2/83

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast on all podcast platforms to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes (https://apple.co/4bfcMU0) or Spotify (https://spoti.fi/3ufutSL) page.
29 min
January 08, 2024 Managing acute behavioural disturbance, and some innovations in emergency care: January 2024 Primary Survey
What are the questions to ask when dealing with acute behavioural disturbance? Join Sarah and Rick this month for a discussion of this difficult presentation. They also explore the topics of reducing low-acuity attendance, taking NHS 111 online, and the impact of a health coaching intervention for potentially recurrent attendees.

Articles discussed in this episode:
Highlights of the January 2024 issue
https://emj.bmj.com/content/41/1/1
Consensus on acute behavioural disturbance in the UK: a multidisciplinary modified Delphi study to determine what it is and how it should be managed
https://emj.bmj.com/content/41/1/4
What impact would reducing low-acuity attendance have on emergency department length of stay? A discrete event simulation modelling study
https://emj.bmj.com/content/41/1/27
How could online NHS 111 reduce demand for the telephone NHS 111 service? Qualitative study of user and staff views
https://emj.bmj.com/content/41/1/34
Impact on all-cause mortality of a case prediction and prevention intervention designed to reduce secondary care utilisation: findings from a randomised controlled trial
https://emj.bmj.com/content/41/1/51

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
32 min
December 06, 2023 Point of care ultrasound and COVID telephone triage: December 2023 Primary Survey
Hear a summary of some of the best papers published in the December 2023 issue of the Emergency Medicine Journal. The podcast this month covers a trio of ultrasound papers addressing its use in the treatment of distal radial fractures, and thoracic and abdominal stab wound injuries. Featured also is a paper investigating the effectiveness of a predictive system for COVID-19 triage by telephone.
Read the highlights: https://emj.bmj.com/content/40/12/803

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
33 min
November 01, 2023 Cauda equina diagnosis, suspected sepsis, and e-scooter cases in the ED: November 2023 Primary Survey
Hear a summary of some of the best papers published in the November 2023 issue of the Emergency Medicine Journal. This month's podcast discusses a wide array of topics like cauda equina syndrome, biases in blood alcohol testing services, bystander CPR effectiveness in cardiac arrest, and the healthcare impacts of e-scooter use.

Read the highlights: https://emj.bmj.com/content/40/11/741
The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Thank you for listening!
34 min
October 03, 2023 Clinical negligence claims, silver trauma and parental anxiety: October 2023 Primary Survey
Hear a summary of some of the best papers published in the October 2023 issue of the Emergency Medicine Journal. This month's podcast covers a variety of topics from litigation issues in the ED, young people's experiences in the Paediatric ED, parental anxiety in the PED, and all about 'Silver trauma'.

Read the highlights: https://emj.bmj.com/content/40/10/687.
The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Thank you for listening!
28 min
September 01, 2023 It’s OK to feel uncertain as a new consultant: September 2023 Primary Survey
This is the summary of some of the best papers we published in the September 2023 issue of the Emergency Medicine Journal. Rick and Sarah discuss a trio of papers on health services, the use of isopropyl alcohol as an anti-emetic, and they talk to Dr Anna Collini, co-author of a paper that explores how new emergency medicine consultants experience uncertainty (https://emj.bmj.com/content/40/9/624).
Read the highlights: https://emj.bmj.com/content/40/9/621.
The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Thank you for listening!
33 min
August 01, 2023 Escalation decisions during COVID, and predicting occult scaphoid fractures: August 2023 Primary Survey
A summary of some of the best paper we published in the August 2023 issue of the Emergency Medicine Journal. Rick and Sarah talk through topics touching on the assessment of scaphoid and ankle injuries, patient involvement in research, frequent attendees to the ED, and deciding which patients to escalate during a pandemic.
Read the highlights: https://emj.bmj.com/content/40/8/539

The EMJ podcast is hosted by:
Dr. Richard Body, EMJ Deputy Editor, University of Manchester, UK (@richardbody)
Dr. Sarah Edwards, EMJ Social Media Editor, Leicester Royal Infirmary, UK (@drsarahedwards)
You can subscribe to the EMJ podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the EMJ Podcast iTunes page (https://podcasts.apple.com/us/podcast/emj-podcast/id445358244).
Thank you for listening!
30 min

About EMJ Podcast

From the publisher's feed

The Emergency Medicine Journal (EMJ) podcast is your premier source for the latest insights and developments in pre-hospital, hospital emergency medicine and critical care. Join the EMJ journal’s Deputy Editor and Social Media Editor each month as they discuss key highlights from the latest issue.