RCEM Learning

Happy October! This month for the October 2024 episode of the RCEM Learning Podcast, We have got two new in EM segments looking at the use of peripheral hypertonic saline and defibrillation strategies in refractory VF. Rob and I will then be discussing the RCEM Toolkit for caring with patients with learning disability. Rob then talks to the EM at the Deep End team, before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!

• Safety and Effect on Intracranial Pressure of 3% Hypertonic Saline Bolus Via Peripheral Intravenous Catheter for Neurological Emergencies (Khasiyev et al., 2024)

• Learning Disabilities Toolkit (RCEM, 2024)

• Open Teams Meeting to EM at the Deep End - 4th October 2024 13:30
• EM at the Deep End

• Defibrillation Strategies for Refractory Ventricular Fibrillation (Cheskes et al., 2024) - link to the paper coming soon

• Coughing, wheezy, and stridulous children - Edward Snelson
• Hypertensive Disorders in Pregnancy… HELLP! - Jenni Cooper, Naomi Primrose
• Frailty-associated pneumonia - David G Smithard

Happy September! This month for the September 2024 episode of the RCEM Learning Podcast, we have a new in EM section looking at the use of NIV for preoxygenation in RSI. We then have Becky and Chris going over a new Guidelines for EM looking at the NICE Guidelines for meningitis. Rob puts on his TERN hat and speaks to the two former TERN Fellows and Dan Horner about the results of the Subarachnoid Haemorrhage in the ED Study before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!

• Noninvasive Ventilation for Preoxygenation during Emergency Intubation (Gibbs et al., 2024)

• Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management (NICE, 2024)

- 36:30

• Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study (The Trainee Emergency Research Network, 2004) - link to the paper coming soon
• The TERN Website
• TERN on Twitter/X

• Training for Research in Emergency Care (TREC) - The TREC Team
• Delivering Bad News - Charlotte Davies
• Ocular trauma - Deepa Elsa George, Sophie Seguin-Greenstein

Happy August! This month for the August 2024 episode of the RCEM Learning Podcast, we have two new in EM sections looking at the use of high flow nasal cannula vs. NIV for COPD and clinical gestalt for predicting sepsis. We then have Becky and Chris going over a new Guidelines for EM looking at opioid toxicity before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!

• High flow nasal cannula oxygen therapy versus non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease with acute-moderate hypercapnic respiratory failure: a randomized controlled non-inferiority trial (Tan et al., 2024)
• Probing the efficacy of high-flow nasal cannula in the treatment of acute exacerbations of COPD with acute-moderate hypercapnic respiratory failure (Pantazopoulos and Mavrovouni, 2024)

• RCEM and NPIS - Guideline for the Assessment and Management of Acute Opioid Toxicity in Adults in the Emergency Department (PDF) (RCEM & NPIS, 2024)

• Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients (Knack et al., 2024)

• PEM and Ex-Prems - Katie Knight
• Curriculum Cup (Infectious Disease) - RCEMLearning)
• Induction - RCEMLearning

Happy July! This month for the July 2024 episode of the RCEM Learning Podcast, Rob and Liz do two New in EM papers looking at performance of febrile infant algorithms by duration of fever and the use of Resorbable vs Non-Resorbable sutures in facial laceration repair. We complete the second part of our two-part Guidelines for EM looking at sickle cell disease before ending with New Online. If you'd like to email us, please feel free to do so here. After listening, complete a short quiz to have your time accredited for CPD at the RCEMLearning website!

• Performance of Febrile Infant Algorithms by Duration of Fever (Velasco et al., 2024)

• RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024)
• Sickle Cell Society - No One's Listening

• Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face) (Basyuni et al., 2024)

• Things I wish I’d learnt before Emergency Medicine and Parenthood - Charlotte Mitchell
• Pertussis - Nikki Abela
• Improving Culture – Change Begins with Me - Thomas Bannister

Happy June! This month for the June 2024 episode of the RCEM Learning Podcast, Rob and Liz talk us through a New in EM section on nailbed repair in paediatric finger bed injury. We have the first in a two-parter on Sickle Cell Disease in our Guidelines for EM section and then Rob speaks with Chris Bretheron and Hamez Gacefari about the James Lind Alliance Priority Setting Partnership for Major Trauma. We then end with New Online. If you'd like to email us, please feel free to do so here.

• Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial (Jain et al., 2024)

• RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024)
• Sickle Cell Society - No One's Listening

• Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance (Bretherton et al., 2024)
• James Lind Alliance Priority Setting Partnership for Major Trauma

• Sudden Visual Loss - Daniel Horner
• Information Sharing to tackle Community Violence - Adrian Boyle
• Cardiac arrest in the pregnant patient - Charlotte Davies, Sophie Windsor

Happy Mayday! Apologies for the delay... this month for the May 2024 episode of the RCEM Learning Podcast Rob and Liz have two new in EM sections on the use of clonidine for pain and the use of coca cola in food boluses. We have a new Guidelines for EM section on The NEXUS Guidelines for Chest Imaging and then Rob speaks with Matt Reed about submitting your work for the RCEM Annual Scientific Conference. We then end with New Online. If you'd like to email us, please feel free to do so here.

• Effect of oral clonidine on pain reduction in patients with opioid use disorder in the emergency department: A randomized clinical trial (Rostamipoor et al., 2024)

• A Pilot Study to Derive Clinical Variables for Selective Chest Radiography in Blunt Trauma Patients (Rodriguez et al., 2006)
• Derivation of a decision instrument for selective chest radiography in blunt trauma (Rodriguez et al., 2011)
• Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT) (Rodriguez et al., 2015)
• Evaluation of the Nexus X-ray rules in blunt thorax trauma (Acar et al., 2020)
• CT scanning in blunt chest trauma: validation of decision instruments (Reichardt et al., 2020)

• RCEM Annual Scientific Conference 2024
• Submitting your abstract to the RCEM Annual Scientific Conference 2024

• Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial (Tievie et al., 2024)

• Curriculum Cup (Neurology) - RCEMLearning
• Behaviours that Challenge - Liz Herrieven
• Sickle Cell Disease - Lisa Sabir, Roshan Cherian

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

• 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)

• The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69)

• Society for Acute Medicine - Podcasts

• 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)

• Charlotte Davies - Departmental Handover
• Edward Snelson and Hannah Walsh - Recognising Paediatric Sepsis
• Fatema Jaffer and Riad Hosein - Congenital cardiac disease

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

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.

• 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

• RCEM and RCR - Diagnosis of Thoracic Aortic Dissection in the ED
• RCEMLearning - January 2024 (Aortic Dissection in ED)

• New in EM - Restrictive or Liberal Transfusion Strategy in Myocardial Infarction and Anemia (Carson et al., 2023)
• RCEMLearning March 2024 (Show Notes)

• 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

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.

• New in EM - Ultrasonography or Radiography for Suspected Pediatric Distal Forearm Fractures (Snelling et al., 2023)

• 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)

• Dr Steve Taylor (Twitter)
• Doctors' Association UK

• 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)

• Measles – Liz Herrieven
• Hypothermic cardiac arrest - Tim Harris and Jonathan M Jones
• Cervical artery dissection - Jason Louis