Guidelines for EM - Management and investigation of results from the ED

A twice monthly #foamed podcast from the Royal College of Emergency Medicine. Literature reviews, guideline updates and interviews with the smartest minds in Emergency Medicine.

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Happy April! This month for the April 2024 episode of the RCEM Learning Podcast Rob and Liz have got two New in EM segments with Andy and Dave looking at ondansetron in ketamine sedation and the use of antibotics in brain injury. We have a Guidelines for EM looking at the management of hyperemesis gravidarum and we have an interview with Vicky Price from the Society of Acute Medicine. We then end with New Online. If you'd like to email us, please feel free to do so here (04:56) New in EM - Ondansetron in ketamine sedation  New in EM - Review article: Efficacy of prophylactic ondansetron versus placebo or control in reducing vomiting in children undergoing ketamine procedural sedation in the emergency department: A systematic review and meta-analysis (Hudson et al., 2024)  (16:18) Guidelines for EM - RCOG - Hyperemesis Gravidarum  The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)  (01:02:10) Interview with Vicky Price (Society of Acute Medicine)  Society for Acute Medicine - Podcasts  (01:38:05) New in EM - Antibiotics in brain injury  Ceftriaxone to prevent early ventilator-associated pneumonia in patients with acute brain injury: a multicentre, randomised, double-blind, placebo-controlled, assessor-masked superiority trial (Dahyot-Fizelier et al., 2024)  (01:51:24) New Online – new articles on RCEMLearning for your CPD  Charlotte Davies - Departmental Handover Edward Snelson and Hannah Walsh - Recognising Paediatric Sepsis Fatema Jaffer and Riad Hosein - Congenital cardiac disease 

April 2024

Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for sympathetic crashing acute pulmonary edema: a randomised controlled trial

EMJ Podcast - March 2024

Happy March! This month for the March 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment with Andy and Dave talking about the use of dexamethasone in migraine. Becky and Chris will then discuss the RCEM and Royal College of Radiologist guidelines for diagnosing thoracic aortic dissection. We then have another New in EM discussing transfusion thresholds in MI, and then end with New Online. If you'd like to email us, please feel free to do so here. (02:47) New in EM - Dexamethasone in Migraine  New in EM - Randomized Trial Comparing Low- vs High-Dose IV Dexamethasone for Patients With Moderate to Severe Migraine (Friedman et al., 2023) Steroids (Dexamethasone) for Prevention of Migraine Recurrence - Andy Neill, The NNT  (17:36) Guidelines for EM - RCEM and RCR - Thoracic aneurysm dissection  RCEM and RCR - Diagnosis of Thoracic Aortic Dissection in the ED RCEMLearning - January 2024 (Aortic Dissection in ED)  (01:11:05) New in EM - Transfusion thresholds in MI  New in EM - Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (Carson et al., 2023) RCEMLearning March 2024 (Show Notes)  (01:25:45) New Online – new articles on RCEMLearning for your CPD  Acute Right Heart Failure - Angus Perks, William Kenworthy Public Health in the Emergency Department Series #3 - Learning Disability - Olivia Villegas Curriculum Quiz: Pharmacology and Poisoning - RCEMLearning Team 

March 2024

Happy February! This month for the February 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the use of POCUS for paediatric forearm fracture. Becky and Chris then go over the NICE Guidelines for transient loss of consciousness in the ED. Liz interviews Steve Taylor on the interface between primary and secondary care. We then go to Andy and Dave again looking at delabelling penicillin allergy, before ending it all with New Online. If you'd like to email us, please feel free to do so here. (02:51) New in EM - POCUS for Paediatric Forearm Fractures  New in EM - Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures (Snelling et al., 2023)  (23:04) Guidelines for EM - NICE - Transient loss of consciousness  NICE - Transient loss of consciousness ('blackouts') in over 16s Reed et al. (2023) - Management of syncope in the Emergency Department: a European prospective cohort study (SEED)  (01:26:00) Interview with GP Steve Taylor  Dr Steve Taylor (Twitter) Doctors' Association UK  (01:46:57) New in EM - Delabelling penicillin allergy  New in EM - Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Clinical Trial (Copaescu et al., 2023)  (02:03:07) New Online – new articles on RCEMLearning for your CPD  Measles – Liz Herrieven Hypothermic cardiac arrest - Tim Harris and Jonathan M Jones Cervical artery dissection - Jason Louis 

February 2024

Happy New Year! This month for the January 2024 episode of the RCEM Learning Podcast Rob and Liz have got a New in EM segment looking at the DAShED study examining the diagnosis and investigation of suspected acute aortic section. Becky and Chris then go over the RCEM Guidelines for Invasive Procedures in the ED. We then go to Andy and Dave again looking at non-invasive airway management of the comatose toxicological patient. We then end with New Online. If you'd like to email us, please feel free to do so here. (02:58) New in EM - Diagnosis of Acute Aortic Syndrome in the Emergency Department  New in EM - 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 (McLatchie et al., 2023) RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al.  (23:43) Guidelines for EM - RCEM - Invasive Procedures in the ED  RCEM - Invasive Procedures in the Emergency Department  (55:20) New in EM - Noninvasive Airway Management of Comatose Poisoned Patients  New in EM - Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning (Freund et al., 2023)  (01:11:40) New Online – new articles on RCEMLearning for your CPD  Aortic Dissection – Gary Cumberbatch Blood Transfusion Part 1 – Derek Obiri and Charlotte Davies Blood Transfusion Part 2 – Derek Obiri and Charlotte Davies RCEMLearning Podcast - Aortic Dissection - Andy Neill, Becky Maxwell et al. 

Guidelines for EM - Management and investigation of results from the ED

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