RCEM Learning

RCEM Learning

About

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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278 episodes

EMJ Podcast - March 2024

Noel and Stephen discuss High-dose versus low-dose intravenous nitroglycerine for

27m
Mar 15
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 __ __ (17:36) GUIDELINES FOR EM - RCEM AND RCR - THORACIC ANEURYSM DISSECTION __ __ (01:11:05) NEW IN EM - TRANSFUSION THRESHOLDS IN MI __ __ (01:25:45) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 29m
Mar 04
February 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 __ __ (23:04) GUIDELINES FOR EM - NICE - TRANSIENT LOSS OF CONSCIOUSNESS __ __ (01:26:00) INTERVIEW WITH GP STEVE TAYLOR __ __ (01:46:57) NEW IN EM - DELABELLING PENICILLIN ALLERGY __ __ (02:03:07) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

2h 5m
Feb 05
January 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 __ __ (23:43) GUIDELINES FOR EM - RCEM - INVASIVE PROCEDURES IN THE ED __ __ (55:20) NEW IN EM - NONINVASIVE AIRWAY MANAGEMENT OF COMATOSE POISONED PATIENTS __ __ (01:11:40) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 14m
Jan 08
December 2023

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. (03:10) NEW IN EM - OVERNIGHT STAYS IN THE ED AND MORTALITY IN OLDER PATIENTS __ __ (24:47) GUIDELINES FOR EM - BRITISH HYPERTENSION SOCIETY AND GIRFT CAUDA EQUINA SYNDROME PATHWAY __ __ (58:36) NEW IN EM - OPIOIDS FOR BACK PAIN __ __ (01:22:00) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 26m
Dec 04, 2023
November 2023

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. (02:36) NEW IN EM - THE INTERACT3 STUDY __ __ (16:58) GUIDELINES FOR EM - BRITISH THORACIC SOCIETY GUIDELINES FOR SPONTANEOUS PNEUMOTHORAX __ __ (49:49) NIKKI ABELA AND DAMIAN ROLAND - PERUKI UPDATE __ __ (01:03:08) DAVE CLARKE - EXPERIENCES WORKING IN UKRAINE WITH UK-MED __ __ (01:20:24) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 23m
Nov 01, 2023
EMJ October 2023

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

52m
Oct 20, 2023
EMJ Podcast October 2023

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"

1s
Oct 20, 2023
October 2023

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. (02:54) NEW IN EM - ROUTINE POST-ARREST HEAD-TO-PELVIS CT SCANNING __ __ (15:27) RCEM ASC INTERVIEW MEGAMIX __ __ (01:41:15) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 44m
Oct 02, 2023
September 2023

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. (02:30) NEW IN EM - THE SQUID PROTOCOL FOR DKA __ __ (13:54) ADAM BROWN AND NATHAN HOWARTH - CONCUSSION __ __ (52:38) DANIEL HORNER - THE PHYSIOLOGICALLY DIFFICULT AIRWAY __ __ (01:25:13) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 28m
Sep 04, 2023
EMJ August 2023

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

8m
Aug 21, 2023
August 2023

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 __ __ (24:01) GUIDELINES FOR EM - NICE CT HEAD INJURY (PART 2 OF 2) __ __ (01:01:56) STEVE BLACK - A BRIEF HISTORY OF ED PERFORMANCE __ __ (01:18:20) NEW IN EM - TTA TOPICAL ANAESTHETICS IN CORNEAL ABRASION __ __ (01:29:10) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 33m
Aug 01, 2023
August 2023

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

1s
Aug 01, 2023
EMJ July 2023

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

36m
Jul 21, 2023
July 2023

This month for the July 2023 episode of the RCEM Learning Podcast we've got a New in EM segment looking at the highly publicised PATCH-trauma trial looking at the use of TXA in trauma. We then hear from Becky & Chris about the new NICE head injury guidelines which is the first in a two parter. We then have more Dave McCreary-related content as he speaks with Joseph Mathew about High Acuity Low Occurrence procedures, and then end with New Online. If you'd like to email us, please feel free to do so here. here. (02:00) NEW IN EM - THE PATCH TRIAL __ __ (16:11) GUIDELINES FOR EM - NICE CT HEAD INJURY (PART 1 OF 2) __ __ (54:41) DAVE MCCREARY AND JOSEPH MATHEW - HALO PROCEDURES __ __ (01:57:15) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

2h 0m
Jul 04, 2023
EMJ June 2023

This month we discuss Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out of hospital cardiac arrest, Spiking and Blunt chest wall trauma

25m
Jun 19, 2023
June 2023

This month for the June 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments looking at the use of end-tidal CO2 at triage and looking at positioning for lumbar punctures. We then hear from Becky & Chris about a guideline for nitrous oxide toxicity. We then speak with Dani Hall about her practice changing papers in PEM, and then end with New Online. If you'd like to email us, please feel free to do so here. (02:16) NEW IN EM - END-TIDAL CARBON DIOXIDE MONITORING AT TRIAGE __ __ (17:27) GUIDELINES FOR EM - NITROUS OXIDE __ __ (50:44) NEW IN EM - OPTIMAL POSITIONING FOR LPS __ __ (01:04:49) DANI HALL - PRACTICE CHANGING PAPERS IN PEM __ __ (01:24:02) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 26m
Jun 01, 2023
May 2023

This month for the May 2023 episode of the RCEM Learning Podcast we’ve got two New in EM segments which shoulder relocation technique is best and the use of TXA in haemoptysis. We then speak with Tessa Davis of Don't Forget The Bubbles fame and her top tips for delivering teaching online. We then speak to Evan Bayton about the RCEM Coat of Arms and what on earth it all means, and then end with New Online. If you'd like to email us, please feel free to do so here. (02:02) NEW IN EM - WHICH SHOULDER RELOCATION TECHNIQUE IS BEST? __ __ (19:01) TESSA DAVIS - DELIVERING TEACHING ONLINE __ __ (34:02) NEW IN EM - IV VS. NEBULISED TXA FOR HAEMOPTYSIS __ __ (45:53) EVAN BAYTON - THE RCEM COAT OF ARMS __ __ (01:02:34) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 5m
May 01, 2023
EMJ April 2023

This month Graham talks to our very own Rob Hirst about Establishing the research priorities of emergency medicine trainees, patients and carers across the UK and Ireland: the TERN Delphi study. Then Susie Roy discusses Cervical spine movements during laryngoscopy and orotracheal intubation: a systematic review and meta-analysis.

28m
Apr 21, 2023
April 2023

This month for the April 2023 RCEMLearning podcast we've got two New in EM segments looking at using lactate to identify epileptic seizures and the impact of familiarity on performance. Becky and Chris delve into a guideline for non-fatal strangulation, and then finally we bring you three new articles for your CPD in New Online. If you'd like to email us, please feel free to do so here. (03:15) NEW IN EM - USING LACTATE TO DIAGNOSE EPILEPTIC SEIZURES __ __ (13:45) GUIDELINES FOR EM - NON-FATAL STRANGULATION __ __ (01:03:55) NEW IN EM - IMPACT OF FAMILIARITY ON PERFORMANCE __ __ (01:13:52) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 17m
Apr 03, 2023
EMJ March 2023

This month Noel and Stephen discuss Diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the emergency department who meet NICE Head Injury Guideline criteria for CT-head scan, and Graham discusses Paediatric acute non traumatic limp.

43m
Mar 29, 2023
New Online

2m
Mar 06, 2023
GreenED

15m
Mar 06, 2023
March 2023

This month for the March 2023 RCEMLearning podcast we’ve got a New in EM segments looking at restrictive vs. liberal fluid replacement therapy in sepsis. Becky and Chris look at guidelines for the management of investigations and results from the ED, I speak to Sandy Robertson of GreenED, 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. (01:48) NEW IN EM - RESTRICTIVE VS. LIBERAL FLUID THERAPY IN SEPSIS __ __ (10:20) GUIDELINES FOR EM - MANAGEMENT OF INVESTIGATIONS AND RESULTS FROM THE ED __ __ (01:03:12) INTERVIEW WITH SANDY ALEXANDER OF GREENED __ __ (01:18:42) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __  

1h 21m
Mar 06, 2023
EMJ February 2023

This month Lisa Ramage and Amy Hughes discuss the paper 'Thromboprophylaxis in ambulatory emergency department patients managed with lower limb immobilisation after injury: a national survey'. Then Suzy and Philippa discuss 'Pulmonary embolism management in the emergency department'.

33m
Feb 17, 2023
February 2023

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 __ __ (16:54) GUIDELINES FOR EM - CANNABINOID HYPEREMESIS SYNDROME __ __ (48:08) NEW IN EM - BLOOD PRESSURE TARGETS IN CARDIAC ARREST __ __ (100:15) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 3m
Feb 06, 2023
January 2023

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 __ __ (14:49) GUIDELINES FOR EM – NICE GUIDANCE ON THE DIAGNOSIS AND MANAGEMENT OF SUBARACHNOID HAEMORRHAGE __ __ (56:21) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

59m
Jan 09, 2023
December 2022

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 __ __ (08:45) GUIDELINES FOR EM – PROCEDURAL SEDATION (PART 2) __ __ (42:55) TRAINEE RESEARCH ENGAGEMENT DAY - TALKING WITH THOMAS SHANAHAN AND ANISA JAFAR __ __ (50:40) FINDINGS FROM THE EMTA SURVEY __ __ (57:21) NEW ONLINE – NEW ARTICLES ON RCEMLEARNING FOR YOUR CPD __ __

1h 0m
Dec 04, 2022