RCEM Learning

Happy June! This month for the June 2025 episode of the RCEM Learning Podcast Rob covers for Andy and discussed two HALO-heavy papers with Dave - looking at the London HEMS pre-hospital thoracotomy paper and a systematic review looking at resuscitative hysterotomy. Becky and Chris go on the first of a two part deep dive through a guideline looking at the management of acute behavioural disturbance and we then end 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! (02:35) New in EM - London HEMS Thoracotomy Outcomes Prehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest (Perkins et al., 2025) RCEMLearning July 2023 - HALO Procedures with Joseph Mathew and Dave McCreary (15:41) Guidelines for EM - Acute Behavioural Disturbance in Emergency Departments RCEM - Acute Behavioural Disturbance in Emergency Departments (RCEM, 2025) [PDF] (46:00) New in EM - Systematic review of resuscitative hysterotomies ---- 13:49 Maternal and neonatal outcomes following resuscitative hysterotomy for out of hospital cardiac arrest: A systematic review (Leech et al., 2025) (59:48) New Online – new articles on RCEMLearning for your CPD Medics and the Media: The Anti-social Network - Fin McNicol Tracheostomy emergencies in adults - Jonathan Cooper Pelvic Fractures – A guide to treatment within a Trauma Unit - Peter Bates, Paul Harnett, Matt Gee

Happy May! This month for the May 2025 episode of the RCEM Learning Podcast Rob covers for Andy and Dave and discusses a systematic review and meta-analysis looking at the safety of different rate control methods in treating AF with rapid ventricular response. Becky and Chris go on a very deep dive through a guideline looking at the management of patients with suspected but unidentified poisoning and we then end 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! (02:04) New in EM - Adverse events in pharmacological treatment of AF with RVR Metoprolol vs diltiazem for atrial fibrillation with rapid ventricular rate: Systematic review and meta-analysis of adverse events (Hintze et al., 2025) Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis (Lan et al., 2021) (09:30) Guidelines for EM - Management of unexplained poisoning in the ED RCEM - Management of Patients with Suspected but Unidentified Poisoning in the Emergency Department (RCEM, 2025) [PDF] (01:01:44) New Online – new articles on RCEMLearning for your CPD 24 Hour Ophthalmic Emergencies Part 1 – Acute Red Eye - William Spackman Understanding Informed Consent: A Guide for Healthcare Professionals - Khurram Rasool Advanced Lines - Alexandra Cottrell, Claire Fitzgerald

Happy April! This month for the April 2025 episode of the RCEM Learning Podcast we have Andy and Dave talking about the use of beta-blockers in sepsis. Becky and Chris talking about mortality reviews in the ED. In a similarly patient-safety aligned topic I speak to Maegan Ladell talking about patient safety culture and then finally, as always, 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! (01:47) New in EM - Beta blockers in sepsis Landiolol for heart rate control in patients with septic shock and persistent tachycardia. A multicenter randomized clinical trial (Landi-SEP) (Rehberg et al., 2024) (16:34) Guidelines for EM - Mortality reviews in the ED RCEM - Mortality Reviews in the ED (RCEM, 2025) [PDF] (49:26) Patient Safety Culture - Meagen Ladell The problem with how we view medical (and diagnostic) error in emergency medicine (Ladell et al., 2025) SEIPS 101 and seven simple SEIPS tools (Holden and Carayon, 2021) (01:12:16) New Online – new articles on RCEMLearning for your CPD Combatting the Crowd - Peter Fielding Ovarian Hyperstimulation Syndrome - Thomas Mac Mahon Curriculum Cup: Ophthalmology - RCEMLearning

Happy March! This month for the March 2025 episode of the RCEM Learning Podcast starts with an update from Rob. We have Andy and Dave talking about oxygen targets in trauma in the TRAUMOX2 RCT. Becky and Chris talk about a BOAST orthopaedic guideline for the management of lateral patella dislocation. We interview Raine Astin-Chamberlain about sex, gender and pregnancy in research and then finally, as always, 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! (02:26) New in EM - Oxygen targets in trauma Early Restrictive vs Liberal Oxygen for Trauma Patients: The TRAUMOX2 Randomized Clinical Trial (Arleth et al., 2025) (18:59) Guidelines for EM - BOAST guidelines for lateral patella dislocation BOAST - Assessment and Management of First Time Lateral Patellar Dislocation (FTLPD) (BOAST, 2024) (45:09) Sex, gender and pregnancy in research - Raine Astin-Chamberlain Sex and gender reporting in UK emergency medicine trials from 2010 to 2023: a systematic review (Astin-Chamberlain et al., 2025) (01:03:37) New Online – new articles on RCEMLearning for your CPD Psychological support in the ED - Charlotte Davies Beyond the Tick Box - Embracing Reflective Practice - Chris Walsh Foreign Bodies in Ears and Noses: Practi cal Tips for ED Management - Charlotte Davies and Olu Adenugba Retaining ED staff: Policy, practice and research perspectives Retaining ED staff: Policy, practice and research perspectives - book your tickets

Happy Valentine's Day! This month for the February 2025 episode of the RCEM Learning Podcast, we have got a new in EM segments looking at the assessment of PE in younger patients. Becky and Chris detail a guideline on acute adrenal insufficiency, 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! Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:06) New in EM - Using the PERC-35 Rule for PE Failure rate of the pulmonary embolism rule-out criteria rule for adults 35 years or younger: Findings from the RIETE Registry (Jossein et al., 2024) Age and sex-dependent trends in pulmonary embolism testing and derivation of a clinical decision rule for young patients (Mongan et al., 2015) (22:35) Guidelines for EM - Glucocorticoid-induced adrenal insufficiency European Society of Endocrinology and Endocrine Society Joint Clinical Guideline: Diagnosis and therapy of glucocorticoid-induced adrenal insufficiency (ESE & ESJ, 2024) (01:04:32) New Online – new articles on RCEMLearning for your CPD How to Nail Your Consultant Interview - Hannah Bell Assessing (de)Hydration in Children - Nikki Abela Medical Assessment of the Pregnant Patient in the Emergency Department - Charlotte Davies, Mark Chester

Happy New Year! This month for the January 2025 episode of the RCEM Learning Podcast, we have got two new in EM segments looking at staff turnover and mortality and the assessment of febrile infants. Becky and Chris detail a guideline on acute kidney injury, 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! Buy tickets to the EMTA Conference in Bristol, February 26 & 27! (03:55) New in EM - Staff turnover and mortality Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study (Moscelli et al., 2024), PDF (20:03) Guidelines for EM - NICE Guidelines on Acute Kidney Injury Acute kidney injury: prevention, detection and management (NICE, 2024), PDF (59:36) New in EM - Assessment of febrile infants Performance of clinical decision aids (CDA) for the care of young febrile infants: a multicentre prospective cohort study conducted in the UK and Ireland (Umana et al., 2024), PDF Optimizing Management of Febrile Young Infants Without Serum Procalcitonin (Burstein et al., 2025), PDF (01:17:19) New Online – new articles on RCEMLearning for your CPD Vasopressors - Alasdair Munro, Simin Nikou, Charlotte Davies The Limping Child, by Charlotte Davies and Nikki Abela Testicular Pain, by Kellie Bateman

Merry Christmas! This month for the December 2024 episode of the RCEM Learning Podcast, we have got a new in EM segment looking at the surgical management of haemorrhagic stroke. Becky and Chris talk gift us with a big discussion around the management of pain in the ED. Rob talks to Laura Howard and Gregory Yates about reviving the BestBETS project, 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! (04:29) New in EM - Surgery for haemorrhagic stroke Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage (Pradilla et al., 2024) (15:45) Guidelines for EM - RCEM Management of Acute Pain in Adults in the ED RCEM Management of Acute Pain in Adults in the ED (RCEM, 2024) (01:12:43) Laura Howard and Gregory Yates - BestBETs BestBETs Get Involved with BestBETs (Email link) Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure? (Yates & Williams, EMJ, 2024) (01:23:20) New Online – new articles on RCEMLearning for your CPD The Forgotten Tribe - Lauren Fraser and Michelle Jacobs Surgical Management of Acute Wounds in the ED - Olajide Kamal Badmus, Riad Hosein Curriculum Cup (Respiratory) - RCEMLearning

This month for the November 2023 episode of the RCEM Learning Podcast we're focusing on the RCEM ASC. Rob and Liz talk through their favourite talks from the conference and then we move on to our RCEM ASC Interview Megamix where I speak with thirteen presenters about their work from the RCEM ASC. This is going to be a mix of paediatric and adult EM, so feel free to have a look at the timestamps if you want to get to the stuff that is most relevant to you - I'd recommend you listen to it all! 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! Submit an abstract to the EMTA Conference EMTA Conference 2025 - Bristol, 26-27th February 2025 Submit an abstract here (direct link) by 27th November (07:54) RCEM ASC Interview Megamix (07:54) Cath Taylor - Using livestreaming phones in the ambulance service (17:10) Phil Cowburn - The Major Incident Ten Second Triage Tool (23:25) Mark Macmillan - Whole-body CT scanning in older injured patients (29:42) Leilah Dare - Using GIRFT data to implement change (38:10) Ben Clarke - TERN Update and the UnCORKED study (49:38) Alison Porter - Using qualitative research in emergency medicine (58:10) Christopher Humphries - Cannabinoids and tailoring your anti-emetic selection (01:05:42) Steve Goodacre - Diagnosing acute aortic syndrome and the ASES study (01:10:57) Tom Waterfield - PERUKI Update (01:20:18) Shrouk Messahel - CRESCENT Study (01:29:16) Damian Roland - Bronchstart, bronchiolitis, and vaccination (01:39:34) Dave McCreary - Introducing a culture of paediatric point of care ultrasonography (01:50:10) Emma Lim - Spotting Sepsis in the PED Further Links and Reading Cath Taylor - The SEE-IT Trial: emergency medical services Streaming Enabled Evaluation In Trauma: a feasibility randomised controlled trial Phil Cowburn - National Ambulance Resilience Tool - Ten Second Triage Leilah Dare - Getting It Right Time - SEDIT Ben Clarke - TERN Research Ben Clarke - TERN UNCORKED Expression of Interest Form Christopher Humphries - RCEM Guideline - Suspected Cannabinoid Hyperemesis Syndrome in Emergency Departments Steve Goodacre - The ASES Study Tom Waterfield - PERUKI Shrouk Messahel - The CRESCENT Trial Damian Roland - Bronchstart David McCreary - ResearchGate Emma Lim - RCPCH Paediatric Sepsis Podcasts Emma Lim - Lancet Paediatric Sepsis Series

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! (02:52) New in EM - Peripheral use of hypertonic saline Safety and Effect on Intracranial Pressure of 3% Hypertonic Saline Bolus Via Peripheral Intravenous Catheter for Neurological Emergencies (Khasiyev et al., 2024) (14:33) Guidelines for EM - RCEM Learning Disabilities Toolkit Learning Disabilities Toolkit (RCEM, 2024) (39:10) EM at the Deep End Open Teams Meeting to EM at the Deep End - 4th October 2024 13:30 EM at the Deep End (55:46) New in EM - Defibrillation strategies in refractory ventricular fibrillation Defibrillation Strategies for Refractory Ventricular Fibrillation (Cheskes et al., 2024) - link to the paper coming soon (01:10:31) New Online – new articles on RCEMLearning for your CPD 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! (02:30) New in EM - NIV for preoxygenation in RSI Noninvasive Ventilation for Preoxygenation during Emergency Intubation (Gibbs et al., 2024) (20:47) Guidelines for EM - NICE Guidance for Meningitis Meningitis (bacterial) and meningococcal disease: recognition, diagnosis and management (NICE, 2024) (01:05:00) The TERN SHED Study - 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 (01:41:35) New Online – new articles on RCEMLearning for your CPD 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! (03:21) New in EM - High-flow nasal cannula vs. NIV for COPD 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) (19:19) Guidelines for EM - RCEM and NPIS Opioid Toxicity RCEM and NPIS - Guideline for the Assessment and Management of Acute Opioid Toxicity in Adults in the Emergency Department (PDF) (RCEM & NPIS, 2024) (54:26) New in EM - Clinical Gestalt for Predicting Sepsis Early Physician Gestalt Versus Usual Screening Tools for the Prediction of Sepsis in Critically Ill Emergency Patients (Knack et al., 2024) (01:06:35) New Online – new articles on RCEMLearning for your CPD 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! (03:16) New in EM - Blood biomarkers and algorithms and fever duration in febrile infants Performance of Febrile Infant Algorithms by Duration of Fever (Velasco et al., 2024) (13:34) Guidelines for EM - RCEM Sickle Cell Disease RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) Sickle Cell Society - No One's Listening (35:51) New in EM - A Randomised Controlled Trial Of Resorbable vs Non-Resorbable Sutures For Lacerations Of The Face (TORN Face) Randomised controlled trial of resorbable versus non-resorbable sutures for lacerations of the face (TORN Face) (Basyuni et al., 2024) (55:05) New Online – new articles on RCEMLearning for your CPD 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. (05:32) New in EM - Nailbed repair in paediatric finger injuries Effectiveness of nail bed repair in children with or without replacing the fingernail: NINJA multicentre randomized clinical trial (Jain et al., 2024) (21:16) Guidelines for EM - RCEM Sickle Cell Disease RCEM - Management of Acute Presentations of Sickle Cell Disease in the ED (PDF) (RCEM, 2024) Sickle Cell Society - No One's Listening (55:50) Interview with Chris Bretheron and Hamez Gacefari (James Lind Alliance Priority Setting Partnership for Major Trauma) 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 (01:11:01) New Online – new articles on RCEMLearning for your CPD 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. (01:56) New in EM - Clonidine for pain 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) (17:44) Guidelines for EM - The NEXUS Guidelines for Chest Imaging 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) (49:28) Interview with Matt Reed (RCEM Research Committee Chair) RCEM Annual Scientific Conference 2024 Submitting your abstract to the RCEM Annual Scientific Conference 2024 (57:19) New in EM - Coca-cola for food bolus Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial (Tievie et al., 2024) (01:13:24) New Online – new articles on RCEMLearning for your CPD 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 (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

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. (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

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

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.

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 Overnight Stay in the Emergency Department and Mortality in Older Patients by Roussel et al. (2023) (24:47) Guidelines for EM - British Hypertension Society and GIRFT Cauda Equina Syndrome Pathway 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) (58:36) New in EM - Opioids for back pain Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial by Jones et al. (2023) (01:22:00) New Online – new articles on RCEMLearning for your CPD 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. (02:36) New in EM - The INTERACT3 Study 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) (16:58) Guidelines for EM - British Thoracic Society Guidelines for Spontaneous Pneumothorax 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 (49:49) Nikki Abela and Damian Roland - PERUKI Update PERUKI (01:03:08) Dave Clarke - Experiences Working in Ukraine with UK-MED UK-MED Medical Aid for Palestinians Medicins Sans Frontieres - Gaza-Israel War (01:20:24) New Online – new articles on RCEMLearning for your CPD 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. (02:54) New in EM - Routine post-arrest head-to-pelvis CT scanning 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) (15:27) RCEM ASC Interview Megamix (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 (01:41:15) New Online – new articles on RCEMLearning for your CPD 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. (02:30) New in EM - The SQUID Protocol for DKA The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) - Impacts on ED operational metrics (Griffey et al., 2022) (13:54) Adam White and Nathan Howarth - Concussion Concussion Legacy Foundation Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport–Amsterdam, October 2022 (52:38) Daniel Horner - The Physiologically Difficult Airway St. Emlyn's - The Physiologically Difficult Airway The TEAM Course (01:25:13) New Online – new articles on RCEMLearning for your CPD 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

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 Prehospital Tranexamic Acid for Severe Trauma (PATCH-Trauma Investigators, 2023) (16:11) Guidelines for EM - NICE CT Head Injury (Part 1 of 2) NICE - Head injury: assessment and early management (54:41) Dave McCreary and Joseph Mathew - HALO Procedures The Procedures Course Maintaining skills and preventing skills fade - Dave McCreary. DevelopingEM, Darwin, 2022. The Procedures Course Podcast on Podbean (01:57:15) New Online – new articles on RCEMLearning for your CPD The Dying Patient - Thomas Mac Mahon NIHR Incubator – Applying for grants, fellowships and personal awards Eating Disorders in the ED - Liz Herrieven

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

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 End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission (Ladde et al., 2023) (17:27) Guidelines for EM - Nitrous Oxide RCEM - Suspected nitrous oxide toxicity in Emergency Departments (50:44) New in EM - Optimal positioning for LPs Is Lateral Decubitus or Upright Positioning Optimal for Lumbar Puncture Success in a Teaching Hospital? (Thundiyil et al., 2023) (01:04:49) Dani Hall - Practice Changing Papers in PEM The CAP-IT Study (Bielicki et al., 2021) The FORCE Study (Perry et al., 2022) The Bell-PIC Study (Babl et al., 2022) (01:24:02) New Online – new articles on RCEMLearning for your CPD Trek Tragedy - Review on Lyme Disease - Anju Menon Non-traumatic subarachnoid haemorrhage - Jamie Cooper Risk and Safety (Part Two) - Charlotte Davies and Steve Walters

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? A Systematic Review with Pairwise and Network Meta-Analysis of Closed Reduction Methods for Anterior Shoulder Dislocation (Gonai et al., 2023) (19:01) Tessa Davis - Delivering Teaching Online Tessa Davis Twitter Tessa Davis' Homepage (34:02) New in EM - IV vs. Nebulised TXA for haemoptysis Nebulized vs IV Tranexamic Acid for Hemoptysis: A Pilot Randomized Controlled Trial (Gopinath et al., 2023) (45:53) Evan Bayton - The RCEM Coat of Arms The RCEM Coat of Arms (01:02:34) New Online – new articles on RCEMLearning for your CPD #PEM23 - Nikki Abela and Liz Herrieven Curriculum Cup - Major Trauma - RCEMLearning Necrotising Fasciitis - Amy Armstrong

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.

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 Utility of serum lactate on differential diagnosis of seizure-like activity: A systematic review and meta-analysis - Patel et al. (2022) (13:45) Guidelines for EM - Non-fatal strangulation Managing non-fatal strangulation in the emergency department FFLM Guidelines for non-fatal strangulation (01:03:55) New in EM - Impact of familiarity on performance Effect of Increased Interprofessional Familiarity on Team Performance, Communication, and Psychological Safety on Inpatient Medical Teams: A Randomized Clinical Trial - Iyasere et al. (2022) (01:13:52) New Online – new articles on RCEMLearning for your CPD Ramadan in the ED - Usama Basit Brugada Syndrome – Sameera Ganti, Derek Heng Jiun Yi, Eunizar Omar Management of Haematuria – Evan Coughlan and Andrew Parfitt

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.

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 Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension - PETAL Network (2023) (10:20) Guidelines for EM - Management of investigations and results from the ED RCEM Guidance for Management of Investigation Results in the Emergency Department Diagnosis of cancer in the Emergency Department: A scoping review (01:03:12) Interview with Sandy Alexander of GreenED GreenED (RCEM) Centre for Sustainable Healthcare Join the mailing list How to provide environmentally sustainable emergency care (RCEM Event) (01:18:42) New Online – new articles on RCEMLearning for your CPD Painful to think about – assessment and management of pain in the ED – Liz Herrieven Human Factors - Lucine Nahabedian Supraventricular Tachycardias - Stephen Meek

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'.

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 Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing - Moayedi et al. (2022) (16:54) Guidelines for EM - Cannabinoid hyperemesis syndrome RCEM Guidance for Cannabinoid hyperemesis syndrome Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: Systematic review - van Boekel et al. (2013) (48:08) New in EM - Blood pressure targets in cardiac arrest Blood-Pressure Targets in Comatose Survivors of Cardiac Arrest - Kjaergaard et al. (2022) (100:15) New Online – new articles on RCEMLearning for your CPD Getting into the Flow: Operational Efficiency in ED – Adam Dalby Curriculum Cup Resus – RCEMLearning Severe hypothermia – Tim Harris & Jonathan M Jones

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 - Synovial Fluid and Serum Neutrophil-to-Lymphocyte Ratio Novel Biomarkers for the Diagnosis and Prognosis of Native Septic Arthritis in Adults (14:49) Guidelines for EM – NICE Guidance on the diagnosis and management of subarachnoid haemorrhage NICE NG228 - Subarachnoid haemorrhage caused by a ruptured aneurysm: diagnosis and management An Observational Study of 2,248 Patients Presenting With Headache, Suggestive of Subarachnoid Hemorrhage, Who Received Lumbar Punctures Following Normal Computed Tomography of the Head - Sayer et al. (2015) Prospective Implementation of the Ottawa Subarachnoid Hemorrhage Rule and 6-Hour Computed Tomography Rule - Perry et al. (2020) An international study of emergency physicians' practice for acute headache management and the need for a clinical decision rule - Perry et al. (2009) The SHED Study - TERN (56:21) New Online – new articles on RCEMLearning for your CPD GAS, iGAS and Scarlet Fever – Nikki Abela Agents of Change – Public Health in ED – Ines Corcuera and Michelle Ryan

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 - Midazolam versus morphine in acute cardiogenic pulmonary oedema: results of a multicentre, open‐label, randomized controlled trial (08:45) Guidelines for EM – Procedural Sedation (Part 2) RCEM Procedural Sedation Guidelines (42:55) Trainee Research Engagement Day - Talking with Thomas Shanahan and Anisa Jafar Get your tickets to the Trainees Research Engagement Day (50:40) Findings from the EMTA Survey The EMTA Survey Twitter Infographics (57:21) New Online – new articles on RCEMLearning for your CPD Future-Proofing PEM - Liz Herrieven RCEM ASC 2022 - Swagat Mishra and Gowthami Veera Chronic Obstructive Pulmonary Disease - Katie Manning

This month we've got a New in EM looking at IV paracetamol, look at some guidelines for sedation, we have the second part of the highlights from the Thames Valley Air Ambulance Cardiac Arrest symposium, and finish off with some more articles in New Online. (02:25) New in EM – IV paracetamol and morphine use Intravenous acetaminophen does not reduce morphine use for pain relief in emergency department patients: A multicenter, randomized, double‐blind, placebo‐controlled trial Intravenous versus oral paracetamol for acute pain in adults in the emergency department setting: a prospective, double-blind, double-dummy, randomised controlled trial (10:49) Guidelines for EM – Procedural Sedation (Part 1) RCEM Procedural Sedation Guidelines (48:54) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium - Part Two Thames Valley Air Ambulance Cardiac Arrest Symposium (49:05) Post-ROSC management – Asher Lewinsohn (55:40) What happens in the cath lab? – Andrew Lucking (59:09) New Online – new articles on RCEMLearning for your CPD Trans101: Avoiding a Trans Emergency – Ethan Wilson Transgender Healthcare: Caring for Trans Patients (FutureLearn Course) Notifiable Diseases – Ines Corcuera Hotz and Grace George Local Anaesthetics – Graham Gardner

This month Susie and Rajesh talk about Emergency Physicians experience of stress during resuscitation and strategies for mitigating the effects of stress on performance

xThis month we've got a New in EM examining the use of fluids in RSI, look at a guideline for caring for patients with a learning disability, bring you the highlights of the Thames Valley Air Ambulance Cardiac Arrest Symposium, and then bring you some new articles for New Online. (01:46) New in EM – Fluids in RSI Effect of Fluid Bolus Administration on Cardiovascular Collapse Among Critically Ill Patients Undergoing Tracheal Intubation: A Randomized Clinical Trial Safety of the Peripheral Administration of Vasopressor Agents (09:02) Guidelines for EM – Acute medical care for people with a learning disability Acute care toolkit 16: Acute medical care for people with a learning disability (54:26) Highlights from the Thames Valley Air Ambulance Cardiac Arrest Symposium Thames Valley Air Ambulance Cardiac Arrest Symposium (54:57) James Raitt – Defibrillation Strategies (58:38) Darren Best and Mark Hodkinson – Improving cardiac arrest management at a local level (01:01: 59) Rory Saggers – Experiences from London Advanced Paramedic Practitioners (01:06:15) Paul Rees – Haemodynamic guided CPR and REBOA (01:10:15) Iain Carroll – ECMO CPR (01:16:48) Rupert Simpsons – Cardiac Arrest Centres (01:22:05) New Online – new articles on RCEMLearning for your CPD Creative Careers in Emergency Medicine Part 1 – Career Longevity - Lois Brand Management of STEMI and its Complications - Jason Kendall EM Quizzes

Graham Johnson and Ewan Barron discuss predictors of hospital prenotification for STEMI and association of prenotification with outcomes

This month we discuss Laryngospasm in paediatric sedation | Case Based Discussions | Use of Non-Sterile Gloves for Wound Closure | and new online material from RCEMearning  This month we've got two New in EM papers, delve into two meaty Case Based Discussions and discuss some new articles in New Online. Be sure to check out the papers and links below! (01:30) New in EM – Laryngospasm in paediatric sedation Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation (17:17) Case Based Discussions (42:55) New in EM – Non-sterile gloves for wound closure Non-sterile gloves and dressing versus sterile gloves, dressings and drapes for suturing of traumatic wounds in the emergency department: a non-inferiority multicentre randomised controlled trial Commentary by Metcalfe et al (52:36) New Online – new articles on RCEMLearning for your CPD Incivility in the ED - Nicki Credland, Dan Derbyshire Uncommon Nerve Entrapment Syndromes - Jules Blackham Sexual Assault Aftercare in the Emergency Department - Ellisiv Clarke, Michelle Tun

This month Noel and Stephen talk about paediatric fractures

This month we've got two New in EM papers, we look at a scaphoid fracture guideline, explore the RCEMLearning Induction Package and tell you about some new articles in New Online. Be sure to check out the papers and links below! (01:25) New in EM – Midline catheters vs. PICC lines Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study (14:37) Guidelines for EM – RCEM Suspected Scaphoid Fractures Guideline for the Management of Suspected Scaphoid Fractures in the Emergency Department (43:29) New in EM – Immobilisation of torus fractures in children Immobilisation of torus fractures of the wrist in children (FORCE): a randomised controlled equivalence trial in the UK (01:00:14) RCEM Induction Package RCEMLearning Induction Section ED Starter Pack Booklet Sign your department up to the RCEMLearning Induction Package (01:02:51) New Online – new articles on RCEMLearning for your CPD Heat Related Illness - Jonathan Baird The Climate Crisis – How will air pollution affect my patient's health? - Joanna Quinn Endocarditis - Joydeep Grover

This month we've got a new host, two New in EM papers, a continued discussion for Guidelines for EM, and a new section we're launching: New Online. Be sure to check out the papers and links below! New in EM – Early CTCA in suspected ACS Guidelines for EM – PE and clinical decision making New in EM – Chest Tube Sizes in Trauma New Online – three new articles for your CPD (00:10) New in EM – Early CTCA in suspected ACS Early computed tomography coronary angiography in patients with suspected acute coronary syndrome: randomised controlled trial (14:27) Guidelines for EM – PE and clinical decision making HSIB Report into clinical decision making: diagnosis and treatment of pulmonary embolism in emergency departments (54:58) New in EM – Chest Tube Sizes in Trauma The small (14 Fr) percutaneous catheter (P-CAT) versus large (28-32 Fr) open chest tube for traumatic hemothorax: A multicenter randomized clinical trial (01:11:22) New Online – new articles on RCEMLearning for your CPD Traumatic Cardiac Arrest Blog – Chris Srinivasan Kawasaki Disease – Christopher Manville Vaginal Specula in the ED… Why, When and How – Madeleine Payne