RCEM Learning

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

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.

• 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.

• RCEM - Invasive Procedures in the Emergency Department

• New in EM - Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning (Freund et al., 2023)

• 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.

This month for the December 2023 episode of the RCEM Learning Podcast we welcome our new co-host Liz Farah. Merry Christmas!. We discuss two New in EM segments looking at overnight boarding of older patients in the ED and mortality and looking at the use of opioids in treating back pain. Rob and Liz discuss two guidelines looking at the management of hypertension in the ED and the investigation and management of cauda equina syndrome. We then end with New Online. If you'd like to email us, please feel free to do so here.

• Overnight Stay in the Emergency Department and Mortality in Older Patients by Roussel et al. (2023)

• Management of hypertensive crisis: British and Irish Hypertension Society Position document
• Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Interactive Pathway)
• Getting It Right First Time: National Suspected Cauda Equina Syndrome Pathway (Full Guideline)

• Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial by Jones et al. (2023)

• RSI in the ED – Charlotte Davies
• Bifascicular Block – Mohd Farooq Parey, Kate Turnbull, Asim Aijaz
• TERN Christmas Cases – Raj Chatha, Gov Oliver, Fraser Birse, Rory Anderson, Hridesh Chatha

This month for the November 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the INTERACT3 trial looking at blood pressure targets following intracerebral haemorrhage. We then have Becky and Chris discussing the British Thoracic Society's new guidance on spontaneous pneumothorax. We then listen to Nikki Abela and Damian Roland talking about PERUKI, and then listen to Dave Clarke's experiences working in the Ukraine. We then end with New Online. If you'd like to email us, please feel free to do so here.

• The third Intensive Care Bundle with Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT3): an international, stepped wedge cluster randomised controlled trial (Ma et al., 2023)

• BTS Guidelines for Pleural Disease
• CONservative versus Standard carE for primary spontaneous PneumoThorax (CONSEPT)
• Conservative Management in Traumatic Pneumothoraces in the Emergency Department (CoMiTED): A Randomised Controlled Trial

• PERUKI

• UK-MED
• Medical Aid for Palestinians
• Medicins Sans Frontieres - Gaza-Israel War

• Samuel Jonathan Glover, James Raitt, Tim Wait, Rebekah Caseley – Cardiac Arrest – the ALS algorithm and beyond
• Balaji Dorani – Soft Tissue Injuries of the Hand
• Olivia Villegas – Public Health in the Emergency Department Series #2

This month Susie and Raj discuss a paper called You may think that the consultants are great, and they know everything, but they don't, exploring how new emergency medicine consultants experience uncertainty. And then in the 2nd part of this months podcast Noel and Stephen discuss a systematic review called Why is pain management so difficult in the emergency department

This month for the October 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the CT FIRST study looking at routine head-to-pelvis CT scan post-arrest. We then move to an RCEM ASC Interview Megamix where I have a chat with ten presenters from this week's RCEM ASC about their work. We then end with New Online. If you'd like to email us, please feel free to do so here.

• Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study (Branch et al., 2023)

• (15:30) Chelcie Jewitt - Challenging the culture of sexism and sexual misconduct in healthcare
• (22:02) Jamie Morrison - Tayside Flow Project
• (31:00) Ed Carlton - The RELIEF Trial
• (40:08) Heidi Edmondsen - Measuring the clouds: what's stopping us from improving staff wellness?
• (48:28) Mo Al-Haddad - Differential attainment and well-being amongst IMGs
• (01:00:15) James Van Oppen - Person Centred GEM - evidence and application
• (01:10:10) David Lowe and Alex Novak - AI & EM
• (01:23:52) Harriet Tucker and Lisa Ramage - The TETRIS Project
• (01:33:02) David Lowe - The Trauma App

• Charlotte Davies, Anusha Stribbling – How To Make A Poster
• Chris Connolly, Katherine Rankin – Dental Emergencies
• Mark Brown – Reflections on revising for the FRCEM Examinations

This month for the September 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the SQUID protocol for DKA. We then move from last month's discussion on Head Injuries and move to Concussion and speak to two experts on the topic and how we can improve our management of this underdiagnosed condition. We then have a discussion with Dan Horner discussing the physiologically difficult airway and we then end with New Online. If you'd like to email us, please feel free to do so here.

• The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) - Impacts on ED operational metrics (Griffey et al., 2022)

• Concussion Legacy Foundation
• Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022

• St. Emlyn's - The Physiologically Difficult Airway
• The TEAM Course

• Olivia Villegas and Ines Corcuerra – Public Health in the ED Series #1
• Gavin Lloyd - Thoracic Trauma
• RCEMLearning – Curriculum Cup (Cardiology)

Susie and Raj discuss the Evaluation of microMend wound closure device in repairing skin lacerations

This month for the August 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the STANDING Algorithm in Vertigo. We then continue hearing from Becky & Chris about the new NICE head injury guidelines which is the exciting conclusion to our two parter. We then have a discussion with Steve Black discussing the history of ED performance. We rejoin Andy & Dave for a New in EM looking at the use of take-away topical anaesthetics in corneal abrasion and then end with New Online. If you'd like to email us, please feel free to do so here.

(02:24) New in EM - The STANDING Protocol for Vertigo

• Effectiveness and reliability of the four-step STANDING algorithm performed by interns and senior emergency physicians for predicting central causes of vertigo (Gerlier et al., 2023)
• Can Emergency Physicians Accurately Rule Out a Central Cause of Vertigo Using the HINTS Examination? A Systematic Review and Meta-analysis (Ohle et al., 2020)
• Peter Johns

(24:01) Guidelines for EM - NICE CT Head Injury (Part 2 of 2)

• NICE - Head injury: assessment and early management

(01:01:56) Steve Black - A Brief History of ED Performance

• Steve Black at the Health Services Journal
• Policy Skeptic Blog
• Steve Black's Twitter

(01:18:20) New in EM - TTA Topical Anaesthetics in Corneal Abrasion

• Topical Anesthetics for Analgesia in Acute Corneal Abrasion: Eye Care Providers Survey (Anderson-Quiñones et al., 2023)
• SGEM #315: Comfortably Numb with Topical Tetracaine for Corneal Abrasions

(01:29:10) New Online – new articles on RCEMLearning for your CPD

• Top Ten Tips for Turning Your ED Green - Helen Wilkins
• Matthew Dunn - Syncope
• Dermatological Examination - Alexandra Newman

This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain