EDGovCast

ED GovCast returns following it's Easter break!This time we discuss:-Paediatric Stroke-An example of a practical solution to the Stroke Thrombolysis pathway to improve availability of urgent thrombolytic therapy for patients requiring thrombolysis but not attending a hospital with a Hyper Acute Stroke Unit on site.-Neck Injuries associated with Head Injury-Bladder pathology following chronic Ketamine misuse-Phlegmasia Cerulea DolensLinks to Further Reading:Stroke in Childhood:https://www.rcpch.ac.uk/resources/stroke-in-childhood-clinical-guidelineHead & Neck InjuryNICE Head Injury Guidancehttps://www.nice.org.uk/guidance/ng232Ketamine Uropathy- British Association of Urological Surgeons consensus statement:https://bjui-journals.onlinelibrary.wiley.com/doi/10.1111/bju.16404

SVT in pregnancy 'Spiking"Asking about gamblingHypothermic cardiac arrest Paediatric tracheitis and 'making the airway safe'An unusual cause of headacheThe utility of the resus room

Episode 15!Content includes:-Chest trauma and the principles of analgesia.Paediatric prolonged seizure management.RCEM Safety flash around water beads.Another instalment of Dr Sarah Noble's quality quest.Major pelvic traumaThe usual collection of dad's jokes!

In our final show of 2024 recorded before Christmas we sum up the successes of the year and bring to you highlights from the PEM service along with another case of thoracic aortic dissection that highlighted the value of our supra-regional policy in managing these patients. We also discuss carotid artery dissection and a chest pain case along with an audit of ACP Radiology requesting, a QI project on head injuries in children. A snippet of outtakes as well as a scattering of (what were) seasonal jokes when we recorded this episode!Happy New Year!

In this episode we cover:Patients recording consultationsRecent changes to the UK death certification processRCEM's Green ED initiative and a case of acute pancreatitis.In our paediatric section we discuss the RCEM safety alert on handlebar injuries and learning from paediatric critical care cases- stabilisation of the sick child, double checking drug doses and burns.Finally we introduce part 1 of our new mini-series on quality improvement methodology "Quality Quest" brought to you by our colleague and QI expert Dr Sarah Noble.Hope you enjoy the show and as ever do let us know your thoughts about the podcast.

This month our paediatric section includes a metabolic case and we talk about information sharing required by section 47 of the Children's Act and we update on how Martha's Law is being implemented in our trust.In the adult section we discuss safeguarding adults where self neglect may be an issue, Acute Limb Ischaemia and Silver Trauma.British Inherited Metabolic Diseases Group: https://www.bimdg.org.uk/site/index.aspMartha's Rule: https://www.england.nhs.uk/patient-safety/marthas-rule/Self Neglect- Section 14 Care Act 2014: https://www.scie.org.uk/self-neglect/at-a-glance/Peripheral Arterial Disease: https://cks.nice.org.uk/topics/peripheral-arterial-disease/RCEM Silver Trauma Safety Alert: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://rcem.ac.uk/wp-content/uploads/2021/10/Safety_Alert_Silver-Trauma_2019.pdf

After a summer pause, we're back!Topics includeViolence and aggression in the EDPaediatric cardiac arrest debrief Paediatric sepsis screening Paediatric safeguarding and the 'shop floor curveball'Managing the complex patient in high acuity environments.POCUS and interdepartmental transfer 'the patient is in the wrong hospital'Acute closed angle glaucoma More eyes including lateral canthotomy

Helen couldn't make it this month, therefore Jake Brown to the rescue!Topics include, paediatric forearm fracturesBack pain presentations - spotting the pitfalls and zebras3rd nerve palsyWhen it's not a DVT...And lots more

Episode 9!Hosted by Dr's Gareth Davies, Helen Bates and Lee Barnicott.Show note are a work in progress but will be available on EDGovCast main page | From Zero To HeroTopics include :-How to deal with complaints.Quality improvement project by Dr Frankie Hughes about paediatric self discharge.Management of paediatric mental health.Cuffed ET tubes in children.Hyperkalaemia management and preventing hypoglycaemia.Approach to pneumothorax.Knee injuries and xray interpretation.Any comments of suggestions contact us at edgovcast@gmail.com

Hosted by Gareth Davies, Lee Barnicott & Helen Bates This month's episode has a limb injury theme. Cases covered include: Shoulder Dislocation Knee Dislocation Major Trauma outside of MTCs We introduce a new segment on different aspects of Governance Frameworks- this month we cover "The Risk Register" Quality Improvement And we introduce our new collaboration with Dr Hesham Ibrahim and the "From Zero to Hero" website

Hosted by Gareth Davies, Lee Barnicott and Helen Bates. Topics include :- Human factors around simultaneous high acuity patients in the resus room. In this case multiple cardiac arrests. Refractory VF management. Subtle STEMI remotely presented by Dr Umer Uqaili, EM SPR. Post thrombolysis complications specifically rectus sheath haematoma. Basilar thrombus occlusion. Paediatric safeguarding discussion

Our 6 month anniversary episode ! Hosted by Dr's Helen Bates, Lee Barnicott and Gareth Davies Topics include: Extravasation Ultrasound in chest trauma - call in with specialty doctor and ultrasound guru Dr Muhammad Hamada (Haleem) Decompensation of Chronic liver disease Bacterial meningitis Kawasaki disease Measles Paediatric foreign body ingestion - specifically magnets

Happy New Year! 2024's first episode includes Time critical medications. Drug concealment 'Body Stuffer' Management of STEMI Aortic dissection Blunt abdominal trauma Paediatric meningitis

A look back at 12 months of wonderful clinical cases. Topics covered :- A new hypertension guideline. POCUS in PE and Aortic dissection. Ruptured arachnoid cyst. Necrotising faciiitis. Massive upper GI bleed. Paediatric acute torticollis. Empyema. Post op complications. And ofcourse the finest christmas jokes available. Merry christmas and enjoy!

Emergency Medicine governance and eduation podcast

Hypertension emergencies, rib fracture management, management of misplaced central lines. Cauda equina syndrome, diagnosis and management. Some paediatric cases including post tonsillectomy bleeds and head injuires. References : Management of hypertensive crisis: British and Irish Hypertension Society Position document | Journal of Human Hypertension (nature.com) National-Suspected-Cauda-Equina-Pathway-UPDATED-V2-October-2023.pdf (gettingitrightfirsttime.co.uk)

Another episode of all things ED governance and education. Topics covered include, life threatening asthma, venous sinus thrombosis and neutropenic sepsis.